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New Drug Approval: FDA Needs to Enhance Its Oversight of Drugs Approved on the Basis of Surrogate Endpoints

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Before approving a drug, the Food and Drug Administration (FDA) assesses a drug's effectiveness. This assessment may be based on evidence showing that a drug has a positive impact on a surrogate endpoint--a laboratory measure, such as blood pressure--instead of more direct clinical evidence, like preventing strokes. After approval, FDA often requires or requests a drug sponsor to further study the drug.… more
Date: September 23, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Military Airlift: DOD Should Take Steps to Strengthen Management of the Civil Reserve Air Fleet Program

Description: A letter report issued by the Government Accountability Office with an abstract that begins "To move passengers and cargo, the Department of Defense (DOD) must supplement its military aircraft with cargo and passenger aircraft from commercial carriers participating in the Civil Reserve Air Fleet (CRAF) program. Carriers participating in CRAF commit their aircraft to DOD to support a range of military operations. In the Fiscal Year 2008 National Defense Authorization Act, Congress required DOD t… more
Date: September 30, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Affordable Housing in Transit-Oriented Development: Key Practices Could Enhance Recent Collaboration Efforts between DOT-FTA and HUD

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The federal government has increasingly focused on linking affordable housing to transit-oriented developments--compact, walkable, mixed-use neighborhoods located near transit--through the Department of Housing and Urban Development's (HUD) housing programs and the Department of Transportation's (DOT) Federal Transit Administration's (FTA) transit programs. GAO was asked to review (1) what is known abou… more
Date: September 9, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Defense Acquisitions: Many Analyses of Alternatives Have Not Provided a Robust Assessment of Weapon System Options

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Department of Defense (DOD) weapon programs often experience significant cost and schedule problems because they are allowed to start with too many technical unknowns and not enough knowledge about the development and production risks they entail. GAO was asked to review the department's Analysis of Alternatives (AOA) process--a key first step in the acquisition process intended to assess the operationa… more
Date: September 24, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Medicare: Per Capita Method Can Be Used to Profile Physicians and Provide Feedback on Resource Use

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Medicare Improvements for Patients and Providers Act of 2008 directed the Secretary of Health and Human Services to develop a program to give physicians confidential feedback on the Medicare resources used to provide care to Medicare beneficiaries. GAO was asked to evaluate the per capita methodology for profiling physicians--a method which measures a patient's resource use over a fixed period of ti… more
Date: September 25, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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HIV/AIDS: Federal and State Efforts to Identify Infected Individuals and Connect Them to Care

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Of the estimated 1.1 million Americans living with HIV, not all are aware of their HIV-positive status. Timely testing of HIV-positive individuals is important to improve health outcomes and to slow the disease's transmission. It is also important that individuals have access to HIV care after being diagnosed, but not all diagnosed individuals are receiving such care. The Centers for Disease Control and… more
Date: September 23, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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International Food Assistance: USAID Is Taking Actions to Improve Monitoring and Evaluation of Nonemergency Food Aid, but Weaknesses in Planning Could Impede Efforts

Description: A letter report issued by the Government Accountability Office with an abstract that begins "In passing the Food for Peace Act in 2008, Congress authorized up to $22 million annually for fiscal years 2009 to 2012 to the U.S. Agency for International Development (USAID) to improve, monitor, and evaluate the effectiveness and efficiency of nonemergency food aid programs. Congress also required USAID to report on its oversight of these programs and the Comptroller General to review and report to C… more
Date: September 28, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Department of State: Additional Steps Needed to Address Continuing Staffing and Experience Gaps at Hardship Posts

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Department of State (State) has designated about two-thirds of its 268 overseas posts as hardship posts. Staff working at such posts often encounter harsh conditions, including inadequate medical facilities and high crime. Many of these posts are vital to U.S. foreign policy objectives and need a full complement of staff with the right skills to carry out the department's priorities. As such, State … more
Date: September 17, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Depot Maintenance: Improved Strategic Planning Needed to Ensure That Army and Marine Corps Depots Can Meet Future Maintenance Requirements

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Army and Marine Corps maintenance depots provide critical support to ongoing military operations in Iraq and Afghanistan and are heavily involved in efforts to reset the force. The Department of Defense (DOD) has an interest in ensuring that the depots remain operationally effective, efficient, and capable of meeting future maintenance requirements. In 2008, in response to direction by the Office of… more
Date: September 17, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Secure Border Initiative: Technology Deployment Delays Persist and the Impact of Border Fencing Has Not Been Assessed

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Securing the nation's borders from illegal entry of aliens and contraband, including terrorists and weapons of mass destruction, continues to be a major challenge. In November 2005, the Department of Homeland Security (DHS) announced the launch of the Secure Border Initiative (SBI), a multiyear, multibillion dollar program aimed at securing U.S. borders and reducing illegal immigration. Within DHS, U.S.… more
Date: September 9, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Combating Illicit Financing: Treasury's Office of Terrorism and Financial Intelligence Could Manage More Effectively to Achieve Its Mission

Description: A letter report issued by the Government Accountability Office with an abstract that begins "In 2004, Congress combined preexisting and newly created units to form the Office of Terrorism and Financial Intelligence (TFI) within the Department of the Treasury (Treasury). TFI's mission is to integrate intelligence and enforcement functions to (1) safeguard the financial system against illicit use and (2) combat rogue nations, terrorist facilitators, and other national security threats. In the 5 y… more
Date: September 24, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Tax Administration: IRS Has Implemented Initiatives to Prevent, Detect, and Resolve Identity Theft-Related Problems, but Needs to Assess Their Effectiveness

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Identity thieves may use a taxpayer's name and social security number to fraudulently claim a refund or gain employment. This creates tax problems for the innocent taxpayer when the Internal Revenue Service (IRS) discovers a duplicate refund claim or unreported wage income. IRS is revising its strategy for preventing, detecting, and resolving identity theft-related tax problems. GAO was asked to (1) des… more
Date: September 8, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Social Security Disability: Additional Outreach and Collaboration on Sharing Medical Records Would Improve Wounded Warrior's Access to Benefits

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Disability benefits available through the Social Security Administration (SSA) can be an important source of financial support for some wounded warriors, and Congress has mandated that the Departments of Defense (DOD) and Veterans Affairs (VA) help them learn about and apply for such benefits. GAO was asked to determine: (1) how many wounded warriors have applied and been approved for SSA benefits and t… more
Date: September 16, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Medicaid: Fraud and Abuse Related to Controlled Substances Identified in Selected States

Description: A letter report issued by the Government Accountability Office with an abstract that begins "One significant cost to Medicaid is prescription drugs, which accounted for over $23 billion in fiscal year (FY) 2008, or about 7 percent of total Medicaid outlays. Many of these drugs are susceptible to abuse and include pain relievers and stimulants that are on the Drug Enforcement Administration's (DEA) Schedule of Controlled Substances. As part of the American Recovery and Reinvestment Act of 2009 (… more
Date: September 9, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Recovery Act: Funds Continue to Provide Fiscal Relief to States and Localities, While Accountability and Reporting Challenges Need to Be Fully Addressed

Description: A letter report issued by the Government Accountability Office with an abstract that begins "This report, the third in response to a mandate under the American Recovery and Reinvestment Act of 2009 (Recovery Act), addresses the following objectives: (1) selected states' and localities' uses of Recovery Act funds, (2) the approaches taken by the selected states and localities to ensure accountability for Recovery Act funds, and (3) states' plans to evaluate the impact of Recovery Act funds. GAO'… more
Date: September 23, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Wildland Fire Management: Federal Agencies Have Taken Important Steps Forward, but Additional, Strategic Action is Needed to Capitalize on Those Steps

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The nation's wildland fire problems have worsened dramatically over the past decade, with more than a doubling of average annual acreage burned and federal appropriations for wildland fire management. The deteriorating fire situation has led the agencies responsible for managing wildland fires on federal lands--the Forest Service in the Department of Agriculture and four agencies in the Department of th… more
Date: September 9, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Information Security: Concerted Effort Needed to Improve Federal Performance Measures

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Information security is a critical consideration for federal agencies, which depend on information systems to carry out their missions. Increases in reports of security incidents demonstrate the urgency of adequately protecting the federal government's data and information systems. Agencies are required to report to the Office of Management and Budget (OMB) on their information security programs, and OM… more
Date: September 14, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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School Meal Programs: Improved Reviews, Federal Guidance, and Data Collection Needed to Address Counting and Claiming Errors

Description: A letter report issued by the Government Accountability Office with an abstract that begins "In fiscal year 2008, the National School Lunch Program and School Breakfast Program provided meals to 30.9 million and 10.5 million children, respectively. Recently, the U.S. Department of Agriculture (USDA) issued the first estimate of improper payments due to meal counting and claiming errors in these programs, which was approximately $860 million (8.6 percent of federal program reimbursements) in sch… more
Date: September 9, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Nuclear Waste: Uncertainties and Questions about Costs and Risks Persist with DOE's Tank Waste Cleanup Strategy at Hanford

Description: A letter report issued by the Government Accountability Office with an abstract that begins "At its Hanford Site in Washington State, the Department of Energy (DOE) is responsible for one of the world's biggest cleanup projects: the treatment and disposal of about 56 million gallons of radioactive and hazardous waste, stored in 177 underground tanks. Two decades and several halted efforts later, none of this waste has yet been treated, cleanup costs have grown steadily, and prospective cleanup … more
Date: September 30, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Department of State: Comprehensive Plan Needed to Address Persistent Foreign Language Shortfalls

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Proficiency in foreign languages is a key skill for U.S. diplomats to advance U.S. interests overseas. GAO has issued several reports highlighting the Department of State's (State) persistent foreign language shortages. In 2006, GAO recommended that State evaluate the effectiveness of its efforts to improve the language proficiency of its staff. State responded by providing examples of activities it bel… more
Date: September 17, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Vocational Rehabilitation Funding Formula: Options for Improving Equity in State Grants and Considerations for Performance Incentives

Description: A letter report issued by the Government Accountability Office with an abstract that begins "State vocational rehabilitation (VR) agencies play a crucial role in helping individuals with disabilities obtain employment. In fiscal year 2008, the Department of Education (Education) distributed over $2.8 billion in grants to state agencies, using a funding formula that was last revised in 1978. Questions have been raised about whether this formula is outdated, allocates funds equitably, and adequat… more
Date: September 30, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Information Technology: DOD Needs to Strengthen Management of Its Statutorily Mandated Software and System Process Improvement Efforts

Description: A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Defense's (DOD) acquisition of weapon systems and modernization of business systems have both been on GAO's list of high-risk areas since 1995. To assist DOD in managing software-intensive systems, Section 804 of the Bob Stump National Defense Authorization Act for Fiscal Year 2003 required the Office of the Secretary of Defense (OSD) and DOD component organizations, including the mili… more
Date: September 8, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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State Department: Wide Range of Emergency Services Provided to American Citizens Overseas, but Improved Monitoring Is Needed

Description: A letter report issued by the Government Accountability Office with an abstract that begins "In 2008, the Department of State (State) estimated nearly 5 million U.S. citizens lived overseas, and 64 million trips were taken overseas by U.S. citizens. Since protecting and serving U.S. citizens abroad are among State's chief priorities, State must be prepared to provide emergency assistance to Americans abroad. This report describes (1) what services State provides to U.S. citizens who are the vic… more
Date: September 24, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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Retirement Savings: Better Information and Sponsor Guidance Could Improve Oversight and Reduce Fees for Participants

Description: A letter report issued by the Government Accountability Office with an abstract that begins "American workers increasingly rely on defined contribution (DC) plans like 401(k) plans and individual retirement accounts (IRA) for retirement income. Together with other DC plans--401(a), 403(b), and 457 plans--these accounts hold about $7.1 trillion. As workers accrue earnings on their investments, they also pay a number of fees that may significantly decrease retirement savings over the course of a … more
Date: September 4, 2009
Creator: United States. Government Accountability Office.
Partner: UNT Libraries Government Documents Department
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