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Testimony: 

Before the Subcommittee on Federal Financial Management, Government 
Information, and International Security, Committee on Homeland Security 
and Governmental Affairs, U.S. Senate: 

United States Government Accountability Office: 

GAO: 

For Release on Delivery Expected at 10:30 a.m. EST: 

Tuesday, December 5, 2006: 

Improper Payments: 

Incomplete Reporting under the Improper Payments Information Act Masks 
the Extent of the Problem: 

Statement of David M. Walker Comptroller General of the United States: 

GAO-07-254T: 

GAO Highlights: 

Highlights of GAO-07-254T, a testimony before the Subcommittee on 
Federal Financial Management, Government Information, and International 
Security, Committee on Homeland Security and Governmental Affairs, U.S. 
Senate 

Why GAO Did This Study: 

Fiscal year 2005 marked the second year that executive agencies were 
required to report improper payment information under the Improper 
Payments Information Act of 2002 (IPIA). The ultimate goal is to 
minimize such payments because, as a practical matter, they cannot be 
entirely eliminated. GAO’s testimony is primarily based on its recently 
issued report, GAO-07-92, which included a review of improper payment 
information reported by 35 agencies in their fiscal year 2005 
performance and accountability or annual reports. This statement 
focuses on the progress agencies have made in their improper payment 
reporting, the challenges that remain, and the total amount of improper 
payments recouped through recovery auditing. 

What GAO Found: 

While agencies are making progress, their fiscal year 2005 reporting 
under IPIA does not yet reflect the full scope of improper payments 
across executive branch agencies. Major challenges remain in meeting 
the goals of the act and ultimately improving the integrity of 
payments. GAO found that three challenges in particular continue to 
hinder full reporting of improper payment information: 

* Existing reporting incomplete. Although 18 agencies collectively 
identified and estimated improper payments for 57 programs and 
activities totaling $38 billion, some agencies still had not instituted 
systematic methods of reviewing all programs, resulting in their 
identification of none or only a few programs as susceptible to 
significant improper payments. In many cases, these same agencies had 
well-known and well-documented financial management weaknesses as well 
as fraudulent, improper, and questionable payments. Further, improper 
payments estimates totaling about $389 million for 9 programs were not 
based on a valid statistical sampling methodology as required. 
Materially higher estimates would have been expected had the correct 
methods been used, given that total outlays for these 9 programs 
exceeded $58.2 billion. 
* Large programs still not included. Estimates of improper payments for 
10 risk-susceptible programs with outlays totaling over $234 billion 
still have not been provided. Most of these programs were subject to 
OMB reporting requirements that preceded IPIA.
* Threshold criteria limit reporting. The act includes broad criteria 
to identify risk-susceptible programs. OMB’s implementing guidance 
includes more specific criteria that limit the disclosure and 
transparency of agencies’ improper payments. 

GAO’s preliminary review of fiscal year 2006 data indicates that while 
additional progress is being made, agencies continue to face many of 
the significant challenges noted in GAO’s report on fiscal year 2005 
reporting. 

With regard to agencies’ recovery audit efforts, GAO found that the 
data reported may present an overly optimistic view of these efforts. 
While 21 agencies were required to report on their recovery audit 
efforts, GAO identified discrepancies in several agencies’ information 
and found limited reviews over contract payments. For example, for 
fiscal year 2005, the National Aeronautics and Space Administration 
(NASA) reported that it had identified and recovered $617,442 in 
contract payments, a 100 percent recovery rate. Yet, the NASA Office of 
Inspector General reported it had identified over $515 million in 
questioned contract costs during fiscal year 2005, of which NASA 
management decided to pursue recovery of $51 million. Had this amount 
been compared to the $617,442 NASA actually recovered, its recovery 
rate would drop from the reported 100 percent to 1.2 percent. 

What GAO Recommends: 

In its related report, GAO suggested that the Congress consider 
amending IPIA to define specific criteria agencies should use to ensure 
that the full extent of improper payments is captured. GAO also made 
recommendations to the Office of Management and Budget (OMB) to help 
ensure accurate and complete improper payment and recovery auditing 
reporting. OMB generally agreed with GAO’s recommendations and outlined 
actions planned and under way for continued progress. However, in a 
subsequent letter to GAO, OMB’s Controller raised concerns about the 
report, including the timing of issuance. 

[Hyperlink, http://www.gao.gov/cgi-bin/getrpt?GAO-07-254T]. 

To view the full product, including the scope and methodology, click on 
the link above. For more information, contact McCoy Williams at (202) 
512-9095 or williamsm1@gao.gov. 

[End of Section] 

Mr. Chairman and Members of the Subcommittee: 

Thank you for the opportunity to be here today to discuss the 
governmentwide problem of improper payments in federal programs and 
activities. My testimony today is based on our November 2006 
report[Footnote 1] as well as on our previous testimonies[Footnote 2] 
on this topic issued earlier this year. We focused on agencies' fiscal 
year 2005 reporting under the Improper Payments Information Act of 2002 
(IPIA),[Footnote 3] the most recent data available at the time we 
started this body of work. As agencies recently reported their fiscal 
year 2006 data, my testimony today also includes some preliminary 
observations on this information. IPIA has increased visibility over 
improper payments[Footnote 4] by requiring executive agency heads, 
based on guidance from the Office of Management and Budget 
(OMB),[Footnote 5] to identify programs and activities susceptible to 
significant improper payments,[Footnote 6] estimate amounts improperly 
paid, and report on the amounts of improper payments and their actions 
to reduce them. As the steward of taxpayer dollars, the federal 
government is accountable for how its agencies and grantees spend 
hundreds of billions of taxpayer dollars and is responsible for 
safeguarding those funds against improper payments. However, although 
the ultimate goal is to identify and minimize these payments through a 
variety of strategies, it is important to recognize that, given the 
complexity, diversity, and magnitude of federal payments across the 
executive branch, such improper payments will never be completely 
eliminated. 

Today, my testimony will focus on the following key points: 

* trends in agencies' reporting under IPIA from fiscal year 2004 
through fiscal year 2006, 

* several major challenges that continue to hinder full reporting of 
improper payment information, 

* agencies' reporting of recovery auditing efforts to recoup improper 
payments, and: 

* our proposals for continued progress in capturing the full extent of 
improper payments. 

This testimony is primarily based on our recent review, which included 
the 35 federal agencies that the Department of the Treasury (Treasury) 
determined to be significant to the U.S. government's consolidated 
financial statements. We reviewed improper payment information reported 
by the 35 agencies in their fiscal year 2005 performance and 
accountability reports (PAR) or annual reports. We also performed a 
preliminary review of agencies' fiscal year 2006 PARs or annual 
reports. We reviewed OMB guidance on implementation of IPIA and its 
report[Footnote 7] on the results of agency-specific reports, 
significant findings, agency accomplishments, and remaining challenges. 
We did not independently validate the data that agencies reported in 
their PARs or annual reports or the data that OMB reported. However, we 
are providing agency-reported data as descriptive information that will 
inform interested parties about the magnitude of governmentwide 
improper payments and other improper payment-related information. We 
believe the data to be sufficiently reliable for this purpose. We 
conducted our work from April 2006 through September 2006 in accordance 
with generally accepted government auditing standards. Our November 
2006 report contains additional details on our scope and methodology. 

Summary: 

Under OMB's leadership, progress has been made in the first 3 years of 
IPIA implementation. Agencies' reporting under the act's provisions 
though, does not yet reflect the full scope of improper payments across 
executive branch agencies. For fiscal years 2004 and 2005, we concluded 
that the magnitude of the governmentwide improper payments problem was 
still unknown because agencies had not yet prepared improper payment 
estimates for all of their programs. Our preliminary review of fiscal 
year 2006 reporting indicates that while additional progress is being 
made, several challenges noted in our report on fiscal year 2005 
reporting continue to hinder full reporting of improper payment 
information. Similar to our previous results, we found that some 
agencies have not annually reviewed all programs and activities, have 
not estimated improper payments for their risk-susceptible programs, or 
only estimated improper payments for one component of the program. For 
example, we noted that the total improper payment estimate for fiscal 
year 2006 still does not include 9 risk-susceptible federal programs, 
including Medicaid with total program outlays of about $183 billion for 
fiscal year 2006. In addition, federal agency auditors continue to 
identify weaknesses in agencies' compliance with the requirements of 
IPIA. 

Our review of agencies' fiscal year 2005 reporting of selected improper 
payment information identified three key challenges to fully addressing 
improper payments reporting requirements. 

* First, we found that agencies' reporting of improper payment 
information was incomplete and the extent and level of detail of 
agencies' improper payment information varied. Although 18 agencies 
collectively identified and estimated improper payments for 57 programs 
and activities totaling $38 billion, some agencies still had not 
instituted systematic methods of reviewing all programs, resulting in 
their identification of none or only a few programs as susceptible to 
significant improper payments. In many cases, these same agencies had 
well-known and well-documented financial management weaknesses as well 
as fraudulent, improper, and questionable payments. A lack of detailed 
guidance may be a contributing factor to agencies' inability to 
adequately assess their programs for risks. Specifically, we found that 
OMB's implementing guidance does not include a description of the 
common types of risk factors agencies should consider when annually 
reviewing their programs, such as program complexity, operational 
changes, findings from investigative reports, and financial statement 
and performance audit reports. Further, improper payments estimates 
totaling about $389 million for 9 programs were not based on a valid 
statistical sampling methodology as required. Higher estimates would 
have been expected had statistically valid methods been used, given 
that total outlays for these 9 programs exceeded $58.2 billion in 
fiscal year 2005. 

* Second, the total improper payment estimate does not include several 
large, risk-susceptible federal programs. Agencies have not estimated 
improper payments for 10 risk-susceptible programs with outlays 
totaling over $234 billion, even though most of these programs had such 
reporting requirements predating IPIA.[Footnote 8] Further, although 
the total improper payment estimate of about $38 billion represents 
almost a $7 billion, or 16 percent, decrease from the $45 billion of 
improper payments reported by agencies in fiscal year 2004, the 
reported reduction may not reflect improved accountability or 
strengthened internal controls. As we previously reported in March and 
April 2006, this estimate reduction is primarily attributable to a 
decrease in the Department of Health and Human Services' (HHS) Medicare 
program improper payment estimate. This decrease mainly resulted from a 
change to Medicare's estimating methodology rather than from improved 
payment controls. We noted that HHS's Office of Inspector General (OIG) 
continued to cite the integrity of Medicare payments as a top 
management challenge in HHS's fiscal year 2005 PAR. 

* Third, OMB's implementation of the act's broad criteria to identify 
risk-susceptible programs limit the disclosure and transparency of 
governmentwide improper payments. This limitation does not further the 
objectives of IPIA, as programs that do not meet OMB's criteria-- 
improper payments exceeding $10 million and 2.5 percent of program 
payments--are excluded from agencies' improper payment reporting. For 
example, one agency identified three programs with estimated improper 
payments exceeding $10 million, but because the estimates did not 
exceed 2.5 percent of program outlays, they were not included in the 
governmentwide improper payment total. 

In addition, we noted that the definition of improper payments under 
IPIA excludes certain types of payments required to be made under 
constitutional, statutory, or judicial requirements, even if those 
payments are subsequently determined to be incorrect. These include 
payments that an agency must make pursuant to a statute or court order 
that later are determined to be overpayments. Yet, because agencies are 
not required to track, monitor, and report on these types of 
overpayments, the governmentwide magnitude of this issue is unknown. 

With regard to agencies' recovery auditing efforts, a mechanism used to 
detect and recoup improper payments, we found that the data reported 
may not present an accurate view of the extent or success of these 
efforts. While 21 agencies were required to report on their recovery 
audit efforts, we identified discrepancies in several agencies' 
information and found limited reviews over contract payments. For 
example, for fiscal year 2005, the National Aeronautics and Space 
Administration (NASA) reported that it had identified and recovered 
$617,442 in contract payments, a reported 100 percent recovery rate. 
Yet, the NASA OIG reported it had identified over $515 million in 
questioned contract costs during fiscal year 2005, of which NASA 
management decided to pursue recovery of $51 million. Had the $51 
million amount been compared to the $617,442 NASA actually recovered, 
its recovery rate would drop from the reported 100 percent to 1.2 
percent. In addition, we noted that 5 of the 21 agencies did not review 
all of their agency components as part of their recovery audit efforts 
while 2 agencies reported that recovery auditing was not cost 
beneficial without reporting any details to support this determination. 

Our November 2006 report included one matter for congressional 
consideration and four recommendations for executive action. 
Specifically, to ensure that the full extent of improper payments is 
being captured, we believe the Congress should consider amending 
existing IPIA provisions to add more specific criteria, such as a 
dollar threshold agencies should use to identify which programs and 
activities are susceptible to significant improper payments, thereby 
triggering improper payment estimating and reporting requirements. In 
addition, to facilitate agencies' progress in ensuring accurate and 
complete improper payments and recovery auditing reporting, we 
recommended that OMB take several actions regarding (1) risk assessment 
methodologies and the level of detail necessary to meet the annual 
improper payment reporting requirements, (2) statistically valid 
estimates, (3) extent of payments agencies make under statute or 
judicial determinations that later are determined to be overpayments, 
and (4) agencies' rationale that recovery auditing is not cost 
beneficial. In written comments on the draft of our report, OMB agreed 
with our assessment of the challenges that remain in meeting the goals 
of IPIA. OMB generally agreed with our recommendations and highlighted 
progress made in the second year of governmentwide improper payments 
reporting, as well as initiatives under way to measure improper 
payments in selected programs susceptible to significant improper 
payments. However, in a subsequent letter to GAO, OMB's Controller 
raised concerns about the report, including the timing of our analysis 
and report issuance, which we discuss later in this testimony. 

Significant Trends in IPIA Reporting: 

I would now like to focus on the progress that has been made in the 
first 3 years of IPIA implementation. Regarding the first year 
reporting under IPIA, as we reported in March 2005,[Footnote 9] the 
improper payment estimate of $45 billion reported by 17 agencies did 
not include any amounts for some of the highest risk programs, such as 
Medicaid with outlays in excess of $175 billion for fiscal year 2004. 
Further, we noted that some agencies still had not instituted 
systematic methods of reviewing all programs and activities or had not 
identified all programs susceptible to significant improper payments. 
We concluded that the magnitude of the governmentwide improper payments 
problem was still unknown because agencies had not yet prepared 
improper payment estimates for all of their programs. In that report, 
we made three recommendations to OMB to help ensure successful 
implementation of IPIA requirements. OMB commented that its management 
emphasis and inspector general oversight offer sufficient incentives to 
ensure agencies meet IPIA requirements. 

Regarding the second year of IPIA reporting, we recently reported in 
November 2006[Footnote 10] that while making progress, agencies' fiscal 
year 2005 reporting under IPIA does not yet reflect the full scope of 
improper payments across executive branch agencies. For fiscal year 
2005, 18 agencies reported improper payment estimates totaling in 
excess of $38 billion,[Footnote 11] which is $7 billion less than the 
$45 billion reported for fiscal year 2004.[Footnote 12] All indications 
are that the estimate should be markedly higher because the total 
improper payment estimate did not include certain factors that if 
included, would increase the estimate. For example, agencies had not 
estimated improper payments for 10 risk-susceptible programs with 
outlays totaling over $234 billion, even though most of these programs 
had such reporting requirements predating IPIA.[Footnote 13] In 
addition, we found that improper payment estimates totaling about $389 
million for 9 programs were not based on a statistical sampling 
methodology.[Footnote 14] Given that total outlays for these 9 programs 
exceeded $58.2 billion in fiscal year 2005, estimates for these 
programs would likely have been much greater had statistically valid 
methods been used. Further, we reported that agencies identified a 
number of statutory or regulatory barriers that limited their 
corrective actions in reducing improper payments. I will discuss these 
matters in greater detail later in my statement. We concluded that 
major challenges remain in meeting the goals of the act and ultimately 
improving the integrity of payments. 

Based on our preliminary review[Footnote 15] of available information 
for fiscal year 2006, 18 agencies estimated improper payments totaling 
about $42 billion, a net increase of about $4 billion, or 11 percent, 
from the prior year improper payment estimate of $38 billion.[Footnote 
16] This increase was attributable to 10 newly reported programs with 
improper payment estimates totaling about $2.3 billion and federal 
agencies reporting an increase in estimates for programs that had 
previously reported. 

Our preliminary review of federal agencies' fiscal year 2006 reporting 
of selected improper payment information identified that while progress 
is being made, improvements are still needed to fully address improper 
payments reporting requirements. Similar to our previous results, we 
found that some agencies have not yet annually reviewed all programs 
and activities, have not yet estimated improper payments for their risk-
susceptible programs, or only estimated improper payments for one 
component of the program. For example, we noted that the fiscal year 
2006 total improper payment estimate of $42 billion still does not 
include 9 risk-susceptible federal programs, including Medicaid with 
total program outlays of about $183 billion for fiscal year 2006. In 
addition, some federal agency auditors continue to identify weaknesses 
in agencies' compliance with the requirements of IPIA. Five agency 
auditors that tested compliance with IPIA cited agencies that were 
either in noncompliance with the act or had not fully complied with 
certain aspects of the act requirements, such as not estimating for all 
risk-susceptible programs, excluding certain types of payments from 
reviews, and estimating improper payments using samples that were not 
statistically derived. In addition to the noncompliance issues, many 
federal agencies' OIGs again reported on major management challenges, 
including reducing improper payments in programs and payment 
activities. For example, one agency's OIG reported that ineffective 
oversight and monitoring of policies, programs, and its program 
participants has hindered the agency's ability to identify and correct 
improper payments. Another agency's OIG reported that improving 
acquisition and contract management is needed to reduce cost and 
eliminate improper payments. 

I would also like to address certain concerns recently raised by OMB's 
Controller in a letter to us dated November 28, 2006. In that letter, 
the Controller stated that our report issued on November 14, 2006, 
contained out-of-date information because it was based on agencies' 
fiscal year 2005 reporting. We had a number of reasons for the timing 
of our analysis and report issuance. First, it is important to note 
that we first stated our findings related to fiscal year 2005 improper 
payments less than 4 months after agencies reported their fiscal year 
2005 information. On March 9, 2006, and again on April 5, 2006, we 
testified[Footnote 17] before the Senate and House Government Reform 
subcommittees on agencies' progress in meeting IPIA reporting 
requirements for fiscal year 2005. In those testimony statements, we 
focused on selected reporting requirements, and our objectives included 
(1) the extent to which agencies performed risk assessments of all 
programs and activities, (2) the annual amount of improper payments 
estimated by reporting agencies, and (3) the amount of improper 
payments recouped through recovery audits. For our November 14 report, 
the objectives were similar but broader, and focused on additional 
improper payment reporting requirements as well as on the definition 
and the types of improper payments included in IPIA and OMB's 
implementing guidance. The latter issues, it should be noted, are 
unrelated to specific fiscal year reporting. Thus, the issuance of our 
report was timely, given the body of work we issued prior to November 
14--the two testimonies mentioned above, another related report on 
improper payments in state-administered programs,[Footnote 18] and our 
responses to posthearing questions.[Footnote 19] 

Second, the issuance of our report was in accordance with the 
congressional schedule this fall, which included a lengthy recess for 
mid-term elections. Third, the information in our November 14 report 
provides a sound framework for documenting the issues that affected 
agencies and OMB in fiscal year 2005 and which they continue to face. 
Most of the findings discussed in our report continue to be relevant 
for the fiscal year 2006 improper payment reporting. Specifically, our 
November 14 report highlighted incomplete reporting of improper payment 
information related to agencies' risk assessments and improper payment 
estimates, as well as risk-susceptible programs that still are unable 
to report improper payment estimates. As discussed previously, based on 
our preliminary review of the fiscal year 2006 PARs, these issues 
continue to exist. 

Finally, let me add that we provided a draft of our report to OMB prior 
to publication for its review and comment. The Controller sent detailed 
written comments in a letter dated October 26, 2006, which are 
reprinted in full in our final report. These comments make no mention 
of any concerns with the timeliness of the data included in our report. 
Indeed, the official comments state that OMB generally agreed with our 
assessment that challenges remain in meeting the goals of IPIA. 

Challenges That Hinder Full Reporting of Improper Payment Information: 

While showing progress, agencies' fiscal year 2005 reporting under IPIA 
does not yet reflect the full scope of improper payments across 
executive branch agencies. Major challenges remain in meeting the goals 
of the act and ultimately improving the integrity of payments. We found 
that the following challenges continue to hinder full reporting of 
improper payment information: existing reporting remains incomplete, 
large programs are still not included, and OMB's threshold criteria 
limit complete reporting. 

Improvements Needed in Agencies' Reporting of Improper Payment 
Information: 

Of the 35 agencies whose fiscal year 2005 agency PARs or annual reports 
were included in our review, 23, the same number of agencies that 
reported having risk assessments in our prior year review, reported 
they had performed risk assessments of all of their programs and 
activities. The remaining 12 agencies either did not report this 
information in their PARs or annual reports, or included some improper 
payment details in their PARs but did not report assessing for the risk 
of improper payments for all of their programs and activities. 

Although OMB's guidance identifies the scope of payments agencies are 
to review, such as federal awards made by recipients and subrecipients 
subject to the Single Audit Act, as amended,[Footnote 20] it does not 
provide agencies detailed information on how to conduct a risk 
assessment in order to adequately carry out their responsibilities to 
meet the requirements of the act. Specifically, we found that OMB's 
guidance lacks a description of the common types of risk factors 
agencies should consider when annually reviewing their programs, such 
as program complexity; operational changes; and findings from 
investigative, financial statement, and performance audit reports. 
Developing such a framework would begin the process to effectively 
identify and target high-risk areas within a program and better 
position agencies as they determine which control activities to 
implement to reduce risks and ultimately reduce fraud and errors. 

Although 23 agencies reported meeting this requirement for all of their 
programs and activities, other readily available information suggests 
to us that the adequacy of agencies' risk assessments was questionable. 
For example, auditors for the Department of Justice (DOJ) and the 
Department of Homeland Security (DHS) cited agency noncompliance with 
IPIA in their fiscal year 2005 annual audit reports, primarily caused 
by inadequate risk assessments. The DOJ auditors stated that one agency 
component had not established a program to assess, identify, and track 
improper payments. The DHS auditors reported that the department did 
not institute a systematic method of reviewing all programs and 
identifying those it believed were susceptible to significant erroneous 
payments. This was the second consecutive year that the auditors 
reported IPIA noncompliance for DHS. Although the auditors identified 
the agency's risk assessment methodology as inadequate, DHS again 
reported in its PAR that it had assessed all of its programs for risk 
and found none susceptible to significant improper payments. 

However, existing significant financial management weaknesses at these 
agencies highlight visible, well-known risks for improper payments. For 
example, DHS continues to face significant financial management 
weaknesses as illustrated by previous reviews of the Federal Emergency 
Management Agency's (FEMA)--a DHS component--Individuals and Households 
Program (IHP). The DHS OIG has also cited disaster response and 
recovery as one of DHS's major management challenges for fiscal year 
2005. 

In May 2005, the DHS OIG reported[Footnote 21] weaknesses in DHS's IHP, 
including inspection and verification of losses reported by individuals 
related to the 2004 hurricane season as well as eligibility issues. 
Subsequently, in July 2005, the Senate Committee on Homeland Security 
and Governmental Affairs released its investigation results of FEMA's 
response to the 2004 Florida hurricanes, in particular, Hurricane 
Frances, and found similar weaknesses in FEMA's IHP. In discussing its 
risk assessment methodology, DHS reported that FEMA's IHP might be at 
high risk for issuing improper payments as a result of the weaknesses 
identified in the DHS OIG report and performed a second round of 
testing of its fiscal year 2004 disbursements. From its test results, 
DHS concluded that its estimate of improper payments for IHP did not 
meet OMB's criteria of exceeding $10 million and 2.5 percent of program 
payments. DHS reported that IHP would receive closer scrutiny and 
undergo an independent payment review in fiscal year 2006, but that its 
sample payment testing did not show the program to be at high risk for 
improper payments. 

Our recent review of FEMA's IHP shows a dramatically different result. 
In our June 2006 report,[Footnote 22] we estimated improper payments 
related to FEMA's IHP of about $1 billion as of February 2006, related 
to individual assistance payments in response to hurricanes Katrina and 
Rita that occurred in 2005. This amount represents 16 percent of the 
IHP payments. For example, we determined that millions of dollars in 
expedited and housing assistance payments went to registrants who 
provided the names and Social Security numbers of individuals 
incarcerated in federal and state prisons during the hurricanes. In 
addition, FEMA improperly paid individuals twice for their lodging-- 
paying both hotels and rental assistance. Also, FEMA could not confirm 
that 750 debit cards worth $1.5 million went to Hurricane Katrina 
victims. 

In addition to these problems with agency risk assessments, we found 
that only a limited number of agencies were estimating improper 
payments and several of those that were did not base their estimates on 
a valid statistical sampling methodology as required. Of the 35 
agencies, 18 agencies accounting for 57 programs reported improper 
payment estimates totaling in excess of $38 billion[Footnote 23] for 
some or all of their high-risk programs. (See GAO-07-92, app. II, for 
further details.) This represents approximately 2 percent of the total 
fiscal year 2005 government outlays of $2.5 trillion. For the remaining 
17 agencies that did not report estimates, 8 said they did not have any 
programs susceptible to significant improper payments, 8 were silent 
about whether they had programs susceptible to significant improper 
payments, and the remaining agency identified programs susceptible to 
significant improper payments and said it planned to report an estimate 
by fiscal year 2007. (See GAO-07-92, table 2, for further details.) 

Unless previously approved by OMB, the improper payments estimates must 
be based on a statistically valid sampling methodology[Footnote 24] and 
should include a gross total of both over-and underpayments. In its 
Circular No. A-136, OMB encourages agencies to break out over-and 
underpayments as part of improper payment reporting, if available. (For 
more details related to over-and underpayment estimates, see GAO-07-92, 
app. III.) With statistical sampling, sample results can be generalized 
to the entire population from which the sample was taken. From our 
review, we found six agencies that did not use statistical sampling as 
a basis for reporting improper payments totaling approximately $389 
million for nine programs with outlays exceeding $58 billion. 

For example, the Department of Labor (Labor) analyzed fiscal year 2003 
single audits to identify questioned costs for its Workforce Investment 
Act[Footnote 25] program, which, in turn, were used as a proxy for 
reporting its improper payment estimate. Specifically, the improper 
payment rate was determined by calculating the projected questioned 
costs and dividing this total amount by the corresponding outlays. We 
do not believe this is a reasonable proxy for improper payment levels 
because single audits, by themselves, may lack the level of detail 
necessary for achieving IPIA compliance. Specifically, single audits 
generally focus on the largest dollars in an auditee's portfolio. Thus, 
all programs identified as susceptible to improper payments at the 
federal level may not receive extensive coverage under a single audit. 
Consequently, both the depth and level of detail of single audit 
results are, generally, insufficient to identify improper payments, 
estimate improper payments, or both. 

We also found instances where agencies estimated improper payments for 
only one component of the risk-susceptible program. For example, HHS's 
Medicare program is the largest program constituting the total improper 
payment estimate, with an estimate of $12.1 billion for fiscal year 
2005. However, this estimate represents payment errors only for its fee-
for-service program component. HHS has not yet begun to estimate 
improper payments for its managed care component, with outlays totaling 
about $52 billion, or 15 percent of Medicare program outlays. In its 
fiscal year 2005 financial report, HHS's Centers for Medicare and 
Medicaid Services (CMS) identified bringing the Medicare managed care 
component into compliance with IPIA as a key challenge in the coming 
years. In addition, CMS's external auditors identified Medicare's 
managed care benefits payment cycle as a material weakness in its 
report on internal controls. Specifically, the auditors found that 
existing CMS policies and procedures are not sufficient to adequately 
reduce the risk of material benefit payment errors from occurring or 
not being detected and corrected in a timely manner. 

Statutory or Regulatory Barriers That May Hinder Agency Reporting and 
Corrective Actions: 

A key element that agencies are required to address as part of their 
improper payment reporting includes a description of any statutory or 
regulatory barrier that may limit the agencies' corrective actions in 
reducing improper payments. Reporting this type of information gives 
the Congress the ability to use its authorization, appropriation, and 
oversight responsibility to help agencies meet performance goals. 
Citing specific statutory or regulatory barriers as part of its 
improper payments reporting allows the Congress to determine whether 
the public's needs are adequately served by federal programs, and thus 
can take corrective action through legislative changes. It should be 
recognized that this type and other barriers exist as a result of 
decisions to ensure beneficiary privacy and other data safeguards and 
the inherent nature of some federal programs. As a result, it may be 
difficult to eliminate or mitigate these barriers to the point where 
they no longer restrict agency actions in certain areas to better 
manage their improper payment problems. 

During our review of agencies' fiscal year 2005 PARs, we found that 
nine agencies identified statutory or regulatory barriers that may 
limit corrective actions to reduce improper payments.[Footnote 26] 
Agencies cited various barriers that restrict their ability to manage 
their programs against improper payments, including three agencies that 
cited barriers related to data matching.[Footnote 27] Data matching and 
other computer-related techniques play a significant role not only in 
identifying improper payments, but also in providing data on why these 
payments were made and, in turn, highlighting areas that need 
strengthened prevention controls. The adoption of these techniques 
allows agencies to have effective detection methods to quickly identify 
and recover improper payments. These powerful internal control tools 
provide more useful and timely access to information. The use of these 
techniques can achieve potentially significant savings by identifying 
client-related reporting errors and misinformation during the 
eligibility determination process--before payments are made--or by 
detecting improper payments that have been made. Therefore, it will be 
critical for the Congress, federal agencies, and the administration to 
carefully consider the information reported on statutory barriers to 
ensure that agencies can take advantage of such tools to the greatest 
extent possible. 

For example, Education reported that requirements in the Internal 
Revenue Code precluded data matching, but that a database match with 
the Internal Revenue Service (IRS) would likely improve the accuracy of 
Pell Grant awards. In addition, it would eliminate the need for schools 
to rely on paper copies of tax returns submitted by applicants, which 
are used to verify applicants' adjusted gross income and taxes paid. 
Currently, the schools have limited assurance that the tax returns 
submitted by the applicants contain the same information that is filed 
with IRS. However, Education's proposal to amend the Internal Revenue 
Code to permit a 100 percent database match has not yet been enacted, 
and Education is uncertain whether or when such legislation may be 
enacted. As a further illustration, Labor reported that for its Federal 
Employees' Compensation Act (FECA) program,[Footnote 28] legislation 
does not currently permit FECA to verify employment earnings with the 
Social Security Administration (SSA) without the claimant's written 
permission. Compensation benefits may be overpaid if an employee has 
unreported earnings and does not grant Labor permission to verify 
earnings with SSA. 

Improper Payments Estimate Does Not Include Several Large, Risk- 
Susceptible Programs: 

The fiscal year 2005 governmentwide improper payments estimate of $38 
billion did not include any amounts for 10 programs, with fiscal year 
2005 outlays totaling over $234 billion. OMB had specifically required 
7 of these programs to report selected improper payment information for 
several years before IPIA reporting requirements became effective. 
After passage of IPIA, OMB's implementing guidance required that these 
programs continue to report improper payment information under IPIA. 
The remaining 3 risk-susceptible programs, with no previous reporting 
requirement, provided target dates for estimating improper payments. As 
shown in table 1, the fiscal year 2005 improper payment estimate does 
not include one of the largest federal programs determined to be 
susceptible to risk, HHS's Medicaid program, with outlays exceeding 
$181 billion annually. 

Table 1: Susceptible Programs That Did Not Report Improper Payment 
Estimates and Target Dates for Estimates: 

Dollars in billions. 

Agency/program: Department of Agriculture--School Programs; 
Fiscal year 2005 outlays: $8.2; 
Target date for improper payment estimates: 2007; 
Previously required to estimate: X. 

Agency/program: Federal Communications Commission--Universal Service 
Fund's Schools and Libraries; 
Fiscal year 2005 outlays: 1.7; 
Target date for improper payment estimates: 2007; 
Previously required to estimate: [Empty]. 

Agency/program: Federal Communications Commission--High Cost Support 
Program; 
Fiscal year 2005 outlays: 3.8; 
Target date for improper payment estimates: 2007; 
Previously required to estimate: [Empty]. 

Agency/program: Department of Health and Human Services--State 
Children's Insurance Program; 
Fiscal year 2005 outlays: 5.1; 
Target date for improper payment estimates: 2008; 
Previously required to estimate: X. 

Agency/program: Department of Agriculture--Women, Infants, and 
Children; 
Fiscal year 2005 outlays: 4.8; 
Target date for improper payment estimates: 2008; 
Previously required to estimate: X. 

Agency/program: Department of Health and Human Services--Medicaid; 
Fiscal year 2005 outlays: 181.7; 
Target date for improper payment estimates: 2008; 
Previously required to estimate: X. 

Agency/program: Department of Agriculture--Child and Adult Care Food 
Program; 
Fiscal year 2005 outlays: 2.1; 
Target date for improper payment estimates: 2010; 
Previously required to estimate: [Empty]. 

Agency/program: Department of Health and Human Services--Child Care and 
Development Fund; 
Fiscal year 2005 outlays: 4.9; 
Target date for improper payment estimates: Did not report target date; 
Previously required to estimate: X. 

Agency/program: Department of Health and Human Services--Temporary 
Assistance for Needy Families; 
Fiscal year 2005 outlays: 17.4; 
Target date for improper payment estimates: Did not report target date; 
Previously required to estimate: X. 

Agency/program: Department of Housing and Urban Development--Community 
Development Block Grant; 
Fiscal year 2005 outlays: 5.0; 
Target date for improper payment estimates: Did not report target date; 
Previously required to estimate: X. 

Total; 
Fiscal year 2005 outlays: $234.7; 
Target date for improper payment estimates: [Empty]; 
Previously required to estimate: 7. 

Sources: OMB and cited agencies' fiscal year 2005 PARs. 

[End of table] 

OMB reported that some of the agencies were unable to determine the 
rate or amount of improper payments because of measurement challenges 
or time and resource constraints, which OMB expects to be resolved in 
future reporting years. For example, since fiscal year 2002, HHS has 
conducted pilots at the state level to further its progress toward 
reporting a national improper payments estimate for its Medicaid 
program. Each state is responsible for designing and overseeing its own 
Medicaid program within the federal government structure. This type of 
program structure presents challenges for implementing a methodology to 
estimate improper payments as HHS must work with states to obtain 
applicable documentation used in the calculation. An additional 
challenge HHS and other agencies with state-administered programs say 
they face is the ability to hold states accountable for meeting targets 
to reduce and recover improper payments in the absence of specific 
statutory authority. 

Of the three programs that did not report a target date for estimating, 
the Department of Housing and Urban Development's (HUD) Community 
Development Block Grant (CDBG) program was the only one that did not 
report any actions under way to begin estimating improper payments. In 
its fiscal year 2005 PAR, HUD reported that based on completed testing 
of fiscal year 2003 payments, this program is below OMB's threshold 
criteria--exceeding $10 million and 2.5 percent of program payments-- 
for significant improper payments and, therefore, was removed from 
HUD's at-risk inventory. HUD stated that this program was not subject 
to retesting unless there was a significant change in the nature of 
activity or internal control structure. 

We have several problems with HUD's position. The CDBG program was 
subject to the previous OMB Circular No. A-11 requirements and thus was 
required by OMB's guidance to continue to report improper payment 
information under IPIA, regardless of the agency-determined risk level, 
which based on other known information may not reflect actual risk. 
During a June 2006 hearing[Footnote 29] on the CDBG program, HUD's OIG 
reported on numerous instances of fraudulent, improper, and abusive use 
of program funds identified over a 2-˝-year period based on 35 audits. 
The HUD OIG reported that its office has recovered over $120 million in 
program funds, identified over $100 million in questioned costs, 
indicted 159 individuals, initiated administrative actions against 143 
individuals, and took 5 civil actions and 39 personnel actions. As 
evidenced by the HUD OIG reviews, the CDBG program may be at risk of 
significant improper payments. 

Further, we noted that the total improper payment estimate of about $38 
billion represents almost a $7 billion, or 16 percent, decrease from 
the $45 billion of improper payments reported by agencies in fiscal 
year 2004.[Footnote 30] On the surface, this would suggest that 
significant progress has been made. However, the reported $7 billion 
decrease in the governmentwide estimate is primarily attributable to a 
decrease in Medicare's estimate.[Footnote 31] 

Based on our review, the Medicare improper payment estimate decrease 
was principally caused by increased efforts to educate health care 
providers about its Medicare error rate testing program and the 
importance of responding to its requests for medical records to perform 
detailed statistical reviews of Medicare payments. HHS reported that 
these more intensive efforts had dramatically reduced the number of "no 
documentation" errors in its medical reviews. HHS reported marked 
reductions in its error rate attributable to fewer cases of (1) 
nonresponses to requests for medical records and (2) insufficient 
documentation submitted by the provider. We noted that these 
improvements partially resulted from HHS extending the time that 
providers have for responding to documentation requests from 55 days to 
90 days. 

These changes primarily affected HHS's processes related to its efforts 
to perform detailed statistical reviews for the purposes of calculating 
an annual improper payment estimate for the Medicare program. While 
this may represent a refinement in the program's improper payment 
estimate, the reported reduction may not reflect improved 
accountability over program dollars. Therefore, the federal 
government's progress in reducing improper payments may be exaggerated 
because the reported improper payments decrease in the Medicare program 
accounts for the bulk of the overall reduction in the governmentwide 
improper payments estimate. 

Our work did not include an overall assessment of HHS's estimating 
methodology. However, we noted that the changes made for the fiscal 
year 2005 estimate were not related to improvements in prepayment 
validation processes, and we did not find any evidence that HHS had 
significantly enhanced its preventive controls in the Medicare payment 
process to prevent future improper payments. Further, we also found 
that HHS's OIG continues to cite the integrity of Medicare payments as 
a top management challenge. In addition, health care fraud schemes 
continue to hamper HHS's efforts to improve accountability. For 
example, in May 2006, DOJ reported[Footnote 32] that a businessman 
pleaded guilty to conspiracy to defraud Medicare of $40 million in 
fraudulent billings over a 16-month period. The fraud scheme included 
billing Medicare for motorized wheelchairs that were either not 
required by the Medicare beneficiary, not delivered, or both. 

Threshold Criteria in OMB Guidance Limit Agency Reporting: 

For purposes of assessing what programs and activities are at risk of 
improper payments, IPIA states that agency heads must review their 
agencies' programs and activities to determine those that are 
susceptible to significant improper payments. The law does not define 
susceptibility. In its implementing guidance, OMB directed that a 
program or activity is susceptible to significant improper payments if 
it meets two criteria--potential improper payments exceeding $10 
million and 2.5 percent of program payments. Therefore, both criteria 
must be met for an agency to subject the program to the later steps 
requiring the agency to estimate improper payments and address the 
various improper payment reporting requirements. 

As I stated earlier, the information developed during a risk assessment 
forms the foundation upon which management can determine the nature and 
type of corrective actions needed. It also gives management baseline 
information for measuring progress in reducing improper payments. Thus, 
these assessment criteria affect how agencies identify, estimate, 
report on, and reduce those programs susceptible to significant 
improper payments. For example, of the 23 agencies that reported 
assessing all programs and activities, we found that 6 agencies limited 
their risk assessment reviews to only those programs that would likely 
meet OMB's definition of programs susceptible to significant improper 
payments. Two of these 6 agencies reported that they did not perform a 
comprehensive risk assessment for those programs with outlays of less 
than $10 million because the programs would not have exceeded both of 
OMB's threshold criteria. The remaining 4 agencies did not perform a 
comprehensive risk assessment of programs with outlays ranging from $40 
million to $200 million, generally citing the threshold criteria as the 
reason for their exclusion. 

We also noted instances where agencies with large program outlays 
reported that their programs or activities were not susceptible to 
significant improper payments because the improper payment estimates 
only exceeded one of OMB's criteria for reporting improper payment 
information, another example of how OMB's criteria could materially 
affect the extent to which agencies report improper payment information 
in their PARs. From our review of the 57 agency programs and activities 
that were included in the total $38 billion improper payment estimate, 
we identified 20 programs or activities that reported improper payment 
estimates exceeding $10 million, but not 2.5 percent of program 
outlays. We also identified 1 program that reported an error rate 
exceeding 2.5 percent of program outlays, but not $10 million. See 
table 2 for additional details. 

Table 2: Agency Improper Payment Estimates Included in the 
Governmentwide Total That Met One of the Two OMB Reporting Criteria: 

1; 
Department or agency: Department of Agriculture; 
Program or activity: Marketing Assistance Loan Program (previously 
Commodity Loan Programs); 
Program outlays (in millions): $6,400.0; 
Fiscal year 2005 improper payment estimate (in millions): $45.0; 
Fiscal year 2005 improper payment error rate (percentage): 0.70; 
Previous OMB Circular No. A-11 reporting requirements: X. 

2; 
Department or agency: Department of Agriculture; 
Program or activity: Federal Crop Insurance Corporation; 
Program outlays (in millions): 3,170.0; 
Fiscal year 2005 improper payment estimate (in millions): 28.0; 
Fiscal year 2005 improper payment error rate (percentage): 0.89; 
Previous OMB Circular No. A-11 reporting requirements: [Empty]. 

3; 
Department or agency: Department of Agriculture; 
Program or activity: Farm Security and Rural Investment; 
Program outlays (in millions): 1,027.0; 
Fiscal year 2005 improper payment estimate (in millions): 16.0; 
Fiscal year 2005 improper payment error rate (percentage): 1.55; 
Previous OMB Circular No. A-11 reporting requirements: [Empty]. 

4; 
Department or agency: Department of Defense; 
Program or activity: Military Retirement Fund; 
Program outlays (in millions): 35,700.0; 
Fiscal year 2005 improper payment estimate (in millions): 49.3; 
Fiscal year 2005 improper payment error rate (percentage): 0.14; 
Previous OMB Circular No. A-11 reporting requirements: X. 

5; 
Department or agency: Department of Defense; 
Program or activity: Military Health Benefits; 
Program outlays (in millions): 7,500.0; 
Fiscal year 2005 improper payment estimate (in millions): 150.0; 
Fiscal year 2005 improper payment error rate (percentage): 2.00; 
Previous OMB Circular No. A-11 reporting requirements: X. 

6; 
Department or agency: Department of Defense; 
Program or activity: Military Pay; 
Program outlays (in millions): 69,100.0; 
Fiscal year 2005 improper payment estimate (in millions): 432.0; 
Fiscal year 2005 improper payment error rate (percentage): 0.63; 
Previous OMB Circular No. A-11 reporting requirements: [Empty]. 

7; 
Department or agency: Department of Education; 
Program or activity: Student Financial Assistance--Federal Family 
Education Loan; 
Program outlays (in millions): 10,085.0; 
Fiscal year 2005 improper payment estimate (in millions): 16.0; 
Fiscal year 2005 improper payment error rate (percentage): 0.16; 
Previous OMB Circular No. A-11 reporting requirements: [Empty]. 

8; 
Department or agency: Department of Education; 
Program or activity: Title I; 
Program outlays (in millions): 12,520.0; 
Fiscal year 2005 improper payment estimate (in millions): 149.0; 
Fiscal year 2005 improper payment error rate (percentage): 1.19; 
Previous OMB Circular No. A-11 reporting requirements: X. 

9; 
Department or agency: Department of Energy; 
Program or activity: Payment programs; 
Program outlays (in millions): 24,114.0; 
Fiscal year 2005 improper payment estimate (in millions): 14.5; 
Fiscal year 2005 improper payment error rate (percentage): 0.06; 
Previous OMB Circular No. A-11 reporting requirements: [Empty]. 

10; 
Department or agency: Department of Health and Human Services; 
Program or activity: Head Start; 
Program outlays (in millions): 6,865.0; 
Fiscal year 2005 improper payment estimate (in millions): 110.0; 
Fiscal year 2005 improper payment error rate (percentage): 1.60; 
Previous OMB Circular No. A-11 reporting requirements: X. 

11; 
Department or agency: Office of Personnel Management; 
Program or activity: Retirement Program (Civil Service Retirement 
System and Federal Employees Retirement System); 
Program outlays (in millions): 54,800.0; 
Fiscal year 2005 improper payment estimate (in millions): 152.2; 
Fiscal year 2005 improper payment error rate (percentage): 0.28; 
Previous OMB Circular No. A-11 reporting requirements: X. 

12; 
Department or agency: Office of Personnel Management; 
Program or activity: Federal Employees Health Benefits Program; 
Program outlays (in millions): 29,400.0; 
Fiscal year 2005 improper payment estimate (in millions): 196.5; 
Fiscal year 2005 improper payment error rate (percentage): 0.67; 
Previous OMB Circular No. A-11 reporting requirements: X. 

13; 
Department or agency: Railroad Retirement Board; 
Program or activity: Retirement and Survivors Benefits; 
Program outlays (in millions): 9,185.4; 
Fiscal year 2005 improper payment estimate (in millions): 150.6; 
Fiscal year 2005 improper payment error rate (percentage): 1.64; 
Previous OMB Circular No. A-11 reporting requirements: X. 

14; 
Department or agency: Small Business Administration; 
Program or activity: Small Business Investment Companies; 
Program outlays (in millions): 1,568.2; 
Fiscal year 2005 improper payment estimate (in millions): 10.5; 
Fiscal year 2005 improper payment error rate (percentage): 0.67; 
Previous OMB Circular No. A-11 reporting requirements: X. 

15; 
Department or agency: Social Security Administration; 
Program or activity: Old Age and Survivors' Insurance; 
Program outlays (in millions): 493,300.0; 
Fiscal year 2005 improper payment estimate (in millions): 3,681.0; 
Fiscal year 2005 improper payment error rate (percentage): 0.74; 
Previous OMB Circular No. A-11 reporting requirements: X. 

16; 
Department or agency: Social Security Administration; 
Program or activity: Disability Insurance[A]; 
Program outlays (in millions): [Empty]; 
Fiscal year 2005 improper payment estimate (in millions): [Empty]; 
Fiscal year 2005 improper payment error rate (percentage): [Empty]; 
Previous OMB Circular No. A-11 reporting requirements: X. 

17; 
Department or agency: Department of State; 
Program or activity: International Information Program-U.S. Speaker and 
Specialist Program; 
Program outlays (in millions): 41.0; 
Fiscal year 2005 improper payment estimate (in millions): 1.9; 
Fiscal year 2005 improper payment error rate (percentage): 4.63; 
Previous OMB Circular No. A-11 reporting requirements: [Empty]. 

18; 
Department or agency: Tennessee Valley Authority; 
Program or activity: Payment programs; 
Program outlays (in millions): 7,080.0; 
Fiscal year 2005 improper payment estimate (in millions): 36.3; 
Fiscal year 2005 improper payment error rate (percentage): 0.05; 
Previous OMB Circular No. A-11 reporting requirements: [Empty]. 

19; 
Department or agency: Department of Veterans Affairs; 
Program or activity: Compensation; 
Program outlays (in millions): 28,960.0; 
Fiscal year 2005 improper payment estimate (in millions): 322.9; 
Fiscal year 2005 improper payment error rate (percentage): 1.12; 
Previous OMB Circular No. A-11 reporting requirements: X. 

20; 
Department or agency: Department of Veterans Affairs; 
Program or activity: Dependency and Indemnity Compensation[A]; 
Program outlays (in millions): [Empty]; 
Fiscal year 2005 improper payment estimate (in millions): [Empty]; 
Fiscal year 2005 improper payment error rate (percentage): [Empty]; 
Previous OMB Circular No. A-11 reporting requirements: X. 

21; 
Department or agency: Department of Veterans Affairs; 
Program or activity: Education programs; 
Program outlays (in millions): 2,661.0; 
Fiscal year 2005 improper payment estimate (in millions): 64.0; 
Fiscal year 2005 improper payment error rate (percentage): 2.40; 
Previous OMB Circular No. A-11 reporting requirements: [Empty]. 

Total; 
Program or activity: [Empty]; 
Program outlays (in millions): $803,476.6; 
Fiscal year 2005 improper payment estimate (in millions): $5,625.7; 
Fiscal year 2005 improper payment error rate (percentage): [Empty]; 
Previous OMB Circular No. A-11 reporting requirements: 13. 

Source: GAO analysis of fiscal year 2005 PARs and annual reports. 

[A] Agency combined with the above program. 

[End of table] 

We identified, in total, 21 programs or activities with improper 
estimates exceeding $5.6 billion that meet only one of OMB's reporting 
criteria. Most of these program estimates greatly exceeded $10 million 
and, without certain stipulations, could have avoided reporting 
improper payment information under OMB's reporting criteria. However, 
OMB has required that 13 of these 21 programs estimate improper 
payments regardless of dollar amount or error rate, because they had 
previous reporting requirements under OMB Circular No. A-11.[Footnote 
33] Nonetheless, if the Circular No. A-11 requirements did not apply or 
agencies decided not to voluntarily report on their improper payment 
estimates that were under OMB's reporting threshold, OMB's definition 
of significant improper payments could potentially mask the full scope 
of improper payments. 

Although we do not know the extent of improper payments that are not 
reported, a limited number of agencies voluntarily provided information 
in their PARs that allowed us to determine the amount of improper 
payments for certain programs and activities that were excluded from 
the total improper payments estimate of $38 billion for fiscal year 
2005. For example, the Department of Education identified three 
programs with estimated improper payments exceeding $10 million for 
each program, which totaled about $155 million in improper payments. In 
light of OMB's criteria, because these estimates did not exceed 2.5 
percent of program outlays, they were not included in the agency's 
total improper payment estimate. In another example, the Department of 
Defense (DOD) OIG reported[Footnote 34] it had identified about $23 
million in improper payments related to the procurement of fuel at the 
Defense Energy Support Center during fiscal year 2005. DOD did not 
report this information in its PAR since the improper fuel payments did 
not exceed 2.5 percent of program payments. 

As these examples illustrate, OMB's current criteria for identifying 
risk-susceptible programs limit the disclosure of valuable information 
that the Congress, the public, and others with oversight and monitoring 
interests need to hold agencies accountable for reporting and reducing 
improper payments. Thus, amending existing IPIA provisions to define 
risk-susceptible programs and activities, such as the use of a specific 
dollar threshold, would allow for more complete disclosure and 
transparency of governmentwide improper payment reporting and, in turn, 
would require OMB to revise its implementing guidance to reflect such 
amendments as well as align existing guidance with the intent of the 
act. 

IPIA Definition of Improper Payments Excludes Certain Payments from 
Reporting: 

IPIA defines an improper payment as a 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. This includes any payment to an 
ineligible recipient, any payment for an ineligible service, any 
duplicate payment, any payment for services not received, and any 
payment that does not account for credit for applicable discounts. 

On August 28, 2003, OMB advised the Social Security Administration 
(SSA) on improper payment reporting. Under this advice, SSA was allowed 
to exclude from its estimate of improper payments those payments that 
it made following constitutional, statutory, or judicial requirements, 
even though those payments were subsequently determined to be 
incorrect. These payments were deemed by OMB to be "unavoidable" 
improper payments,[Footnote 35] as there are no administrative changes 
SSA could implement that would eliminate such payments, nor would SSA 
be likely to receive other relief from such requirements. 

As we previously reported,[Footnote 36] although the definition of 
improper payments does not use the terms avoidable[Footnote 37] or 
unavoidable, we agree with OMB that a payment that was made because of 
a legal requirement to make the payment subject to subsequent 
determinations that the payment is not due should not be included in an 
agency's estimate of its improper payments. We agree with OMB's 
conclusion not because it is an "unavoidable" payment but rather 
because it does not meet the definition of an improper payment under 
the act. 

In its Supplemental Security Income (SSI) program, SSA disburses 
disability payments to recipients at the beginning of the month based 
on the income and asset levels recipients expect to maintain during the 
month.[Footnote 38] If SSA initially determines that an overpayment 
occurred, court decisions[Footnote 39] and language in the Social 
Security Act allow individuals to continue receiving the same amount of 
SSI benefits pending the results of a hearing to determine eligibility. 
If the initial determination is affirmed, the payments made during the 
hearing and appeals processes are considered overpayments, which SSA 
may recover using a variety of means.[Footnote 40] 

In this example, SSA, because of the statutory requirement, must make 
the payment. The statute requires SSA to make the payment until 
applicable due process requirements result in a determination that the 
person is ineligible; therefore, the mandatory payments whether 
subsequently deemed to be correct or incorrect, have not been made to 
an ineligible recipient at the time they were made. Accordingly, the 
facts would not support inclusion of these overpayments as improper 
payments as defined under IPIA. However, if as a result of the due 
process procedures, it is subsequently determined that the recipient is 
no longer eligible for benefits and SSA makes a payment subsequent to 
these procedures, that amount would be an improper payment. 

Yet, we would not go so far as to conclude that any payment that is 
unavoidable should not be included as an improper payment under IPIA. 
Rather, the exclusion of payments should be made individually on a fact-
specific basis using the definition provided in IPIA. In addition, we 
believe that agencies should track and monitor these types of payments 
as part of their debt collection efforts and have the ability to 
readily report this type of information upon request. OMB currently 
does not require SSA to report in its PAR details relating to these 
types of overpayments, nor does OMB require governmentwide reporting of 
these types of overpayments, thus the magnitude of this issue is 
unknown. Having agencies annually report on these types of overpayments 
would provide the Congress, agency management, and other decision 
makers valuable information with which to determine the extent of these 
types of overpayments and to make policy decisions, if needed, to 
appropriately address this issue. 

Agencies' Reporting of Recovery Auditing Information Questionable: 

We noted discrepancies in selected agencies' reporting of recovery 
audit information and limited reviews over contract payments. As a 
result, reporting for recovery auditing information may not represent 
an accurate view of the extent of agencies' efforts. From our review of 
agencies' PARs and discussions with OMB, we determined that 21 agencies 
reported entering into contracts with a total value in excess of $500 
million and thus were subject to recovery auditing requirements under 
section 831 of the National Defense Authorization Act for Fiscal Year 
2002. Generally, these agencies reported on their recovery auditing 
efforts, such as the amount identified for recovery and the amount 
recovered. However, we noted a few instances where the agency amount of 
contract costs identified for recovery was considerably lower than the 
corresponding OIG amount identified from current year audit reviews. 
These discrepancies raise questions as to whether the agency amount 
identified for recovery should have been much higher, thereby 
significantly decreasing the reported agency-specific and overall 
governmentwide high rate of recovery. We also noted that 5 of the 21 
agencies did not review all of their agency components as part of their 
recovery audit efforts, and 2 agencies reported that recovery auditing 
was not cost beneficial. 

Section 831 of the National Defense Authorization Act provides an 
impetus for applicable agencies to systematically identify and recover 
contract overpayments. The law authorizes federal agencies to retain 
recovered funds to cover in-house administrative costs as well as to 
pay contractors, such as collection agencies. Any residual recoveries, 
net of these program costs, are to be credited back to the original 
appropriation from which the improper payment was made, subject to 
restrictions as described in legislation. As we previously 
testified,[Footnote 41] with the passage of this law, the Congress has 
provided agencies a much-needed incentive for identifying and 
recovering their improper payments that slip through agency prepayment 
controls. 

Recovery auditing is a method that agencies can use to recoup detected 
improper payments. Recovery auditing is a detective control to help 
determine whether contractor costs were proper. Specifically, it 
focuses on the identification of erroneous invoices, discounts offered 
but not received, improper late penalty payments, incorrect shipping 
costs, and multiple payments for single invoices. Recovery auditing can 
be conducted in-house or contracted out to recovery audit firms. The 
techniques used in recovery auditing offer the opportunity for 
identifying weaknesses in agency internal controls, which can be 
modified or upgraded to be more effective in preventing improper 
payments before they occur for subsequent contract outlays. 

Nonetheless, effective internal control calls for a sound, ongoing 
invoice review and approval process as the first line of defense in 
preventing unallowable contract costs. Given the large volume and 
complexity of federal payments and historically low recovery rates for 
certain programs, it is much more efficient to pay bills and provide 
benefits properly in the first place. Aside from minimizing 
overpayments, preventing improper payments increases public confidence 
in the administration of benefit programs and avoids the difficulties 
associated with the "pay and chase" aspects of recovering improper 
payments. Without strong preventive controls, agencies' internal 
control activities over payments to contractors will not be effective 
in reducing the risk of improper payments. 

For fiscal year 2005, OMB expanded the type of recovery auditing 
information that agencies are to report in their annual PARs. Prior to 
fiscal year 2005, agencies were only required to report on the amount 
of recoveries expected, the actions taken to recover them, and the 
business process changes and internal controls instituted or 
strengthened to prevent further occurrences. In addition, OMB was not 
reporting agencies' recovery audit activities on a governmentwide basis 
in its annual report on agencies' efforts to improve the accuracy and 
integrity of federal payments. In fiscal year 2005, OMB required 
applicable agencies to discuss any contract types excluded from review 
and justification for doing so. In addition, agencies were required to 
report, in a standard table format, various amounts related to 
contracts subject to review and actually reviewed, contract amounts 
identified for recovery and actually recovered, and prior year amounts. 

Twenty-one agencies reported over $340 billion as amounts subject to 
review for fiscal year 2005, while the contract amounts reviewed 
totaled over $287 billion. In addition, the 21 agencies reported 
identifying about $557 million in contracts for recovery, which 
represented less than two-tenths of a percentage of the $287 billion 
amount reviewed. Of the $557 million identified, agencies reported 
recovering $467 million in improper payments, an 84 percent recovery 
rate. However, we found two instances where the agency amount of 
contract costs identified for recovery was considerably lower than the 
corresponding OIG amount identified from current year audit reviews. 
These discrepancies raise questions as to whether the agency amount 
identified for recovery should have been much higher, thereby 
significantly decreasing the agency-specific and overall high rate of 
recovery. 

For example, for fiscal year 2005, NASA reported in its PAR that it had 
identified and recovered $617,442 in contract payments, a 100 percent 
recovery rate. Yet, the NASA OIG reported[Footnote 42] it had 
identified over $515 million in questioned contract costs during fiscal 
year 2005. Of this amount, NASA management decided that $51 million in 
contract costs should be pursued for recovery. When comparing the $51 
million in questioned contract costs identified for recovery to the 
$617,442 NASA actually recovered, the recovery rate decreases from the 
reported 100 percent recovery rate to a 1.2 percent rate.[Footnote 43] 
In another example, DOD reported in its PAR that it had identified for 
recovery $473 million and recovered about $419 million in contract 
payments, an 89 percent recovery rate. However, the DOD OIG 
reported[Footnote 44] it had identified over $2 billion in questioned 
contract costs as of September 30, 2005. When comparing the $2 billion 
in questioned contract costs[Footnote 45] to the $419 million DOD 
actually recovered, the recovery rate significantly decreases from a 
reported 89 percent recovery rate to 21 percent. 

These two discrepancies alone significantly decrease OMB's reported 
overall recovery rate of 84 percent to a 22 percent recovery rate. 
Other factors would also suggest the recovery rate is indeed much 
lower. We noted other instances where OIG-reported questioned costs 
exceeded agency contract amounts identified for recovery. Because these 
costs were not specifically identified as contractor costs versus other 
payment types, we were unable to determine how much of the OIG- 
identified questioned costs related to contract costs. 

In addition, another factor that may call into question the reported 
high recovery rate is that 5 of the 21 agencies did not review all of 
their agency components as part of their recovery audit efforts, and 2 
agencies (HUD and Labor) reported that recovery auditing was not cost 
beneficial. For example, HUD determined that based on its review of 
$206.6 million in contract payments, none were found to be improper. 
Thus, HUD determined that pursuit of an ongoing recovery auditing 
program was not cost beneficial or necessary. Because section 831 of 
the National Defense Authorization Act requires agencies to carry out a 
cost-effective program for identifying errors made in paying 
contractors and for recovering amounts erroneously paid to contractors, 
agencies have determined that they may opt out of conducting a recovery 
audit if it is not deemed to be cost beneficial. However, neither of 
the two agencies that determined it was not cost beneficial to conduct 
a recovery audit provided support in their fiscal year 2005 PARs for 
this determination. 

GAO Recommendations for Continued Progress in Capturing the Full Extent 
of Improper Payments: 

Our November 2006 report included one matter for congressional 
consideration and four recommendations for executive action. 
Specifically, to ensure that the full extent of improper payments is 
being captured, the Congress should consider amending existing IPIA 
provisions to define specific criteria, such as a dollar threshold, 
agencies should use to identify which programs and activities are 
susceptible to significant improper payments, thereby triggering 
improper payment estimating and reporting requirements. In addition, to 
facilitate agencies' progress in ensuring accurate and complete 
improper payments and recovery auditing reporting, we recommended that 
OMB take several actions regarding (1) risk assessment methodologies 
and the level of detail necessary to meet the annual improper payment 
reporting requirements, (2) statistically valid estimates, (3) extent 
of payments agencies make under statute or judicial determinations that 
later are determined to be overpayments, and (4) agencies' rationale 
that recovery auditing is not cost beneficial. 

OMB generally agreed with our recommendations and also agreed with our 
assessment that challenges remain in meeting the goals of IPIA. 
However, in a subsequent letter to GAO, OMB's Controller raised 
concerns about the report, including the timing of our analysis and 
report issuance, which I previously discussed in this testimony. In its 
original comments, OMB emphasized that progress in estimating and 
reporting improper payments had been made by agencies in fiscal year 
2005 and highlighted initiatives under way to measure improper payments 
in other programs susceptible to significant improper payments. OMB 
pointed out that agencies estimated improper payments for 17 additional 
programs for fiscal year 2005, and that this number will increase by 10 
programs for fiscal year 2006. OMB also said that beginning with fiscal 
year 2007, it expects HHS to begin reporting component error rates for 
its Medicaid, Temporary Assistance for Needy Families, and State 
Children's Health Insurance programs. 

While we agree with OMB that there has been progress, we continue to 
question the validity of certain agencies' risk assessment 
methodologies used to identify, estimate, and report improper payments 
for all risk-susceptible programs and are concerned with how OMB 
defines high-risk programs for purposes of agencies' improper payment 
reporting. Our continuing concern with OMB's criteria relates to those 
agencies with large program outlays that have improper payment 
estimates that exceed the $10 million threshold but not the 2.5 percent 
of program payments threshold. Applying the 2.5 percent threshold 
criteria to large programs could exclude potentially billions of 
dollars of improper payments from being reported. 

According to OMB, the rationale for its threshold criteria is to ensure 
that agencies focus their resources on programs with the highest levels 
of risk for improper payments. OMB commented that going forward, it is 
now requiring agencies to track any programs that exceed the $10 
million threshold but have an error rate of less than 2.5 percent. OMB 
stated that this tracking facilitates a framework that would 
appropriately mitigate the risk that high-risk programs will be left 
out of IPIA reporting activities. We view this as a positive step. 
Although OMB's recently revised implementing guidance was outside the 
scope of our recent review, our preliminary assessment found no mention 
of this tracking requirement. The guidance does state that OMB may 
determine on a case-by-case basis that certain programs that do not 
meet the threshold requirements may still be subject to the annual PAR 
improper payment reporting requirement. In light of OMB's stated 
intention to require agencies to track such programs, we believe it is 
key that the revised implementing guidance clearly reflects this 
tracking requirement and that agencies be required to publicly report 
this information as part of their annual improper payments reporting. 
Visibility over this type of information would help facilitate the 
Congress's understanding of the nature and extent of the governmentwide 
improper payments problem. 

In closing, Mr. Chairman, improper payments are a serious problem. 
Agencies are working on this issue at different paces, and OMB has 
continued to provide important leadership. We recognize that measuring 
improper payments and designing and implementing actions to reduce them 
are not simple tasks and will not be easily accomplished. The ultimate 
success of the executive branch's effort to reduce improper payments 
depends, in part, on each agency's continuing diligence and commitment 
to meeting the requirements of IPIA and the related OMB guidance. Full 
and reasonable disclosure of the extent of the problem could be 
enhanced by modifying the act's underlying criteria used to identify 
which programs and activities are susceptible to significant improper 
payments. OMB's implementing guidance can also be strengthened in 
several key areas. With the ongoing imbalance between revenues and 
outlays across the federal government, and the Congress's and the 
American public's increasing demands for accountability over taxpayer 
funds, identifying, reducing, and recovering improper payments become 
even more critical. Fulfilling the requirements of IPIA will require 
sustained attention to implementation on the part of OMB and the 
agencies, as well as continued congressional oversight, such as this 
hearing today, to monitor whether desired results are being achieved. 

Mr. Chairman, this concludes my prepared statement. I would be happy to 
answer any questions that you or other members of the Subcommittee may 
have at this time. 

Contact and Acknowledgments: 

For further information about this testimony, please contact McCoy 
Williams at (202) 512-9095 or williamsm1@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 above contacts, 
the following individuals made key contributions to this testimony: 
Carla Lewis, Assistant Director; Sharon Byrd; Francine DelVecchio; 
Francis Dymond; Lisa M. Galvan; Jacquelyn Hamilton; Christina 
Quattrociocchi; Donell Ries; and Chris Rodriguez. 

FOOTNOTES 

[1] GAO, Improper Payments: Agencies' Fiscal Year 2005 Reporting under 
the Improper Payments Information Act Remains Incomplete, GAO-07-92 
(Washington, D.C.: Nov. 14, 2006). 

[2] GAO, Financial Management: Challenges Remain in Meeting 
Requirements of the Improper Payments Information Act, GAO-06-482T 
(Washington, D.C.: Mar. 9, 2006), and Financial Management: Challenges 
Continue in Meeting Requirements of the Improper Payments Information 
Act, GAO-06-581T (Washington, D.C.: Apr. 5, 2006). 

[3] Pub. L. No. 107-300, 116 Stat. 2350 (Nov. 26, 2002). 

[4] IPIA defines improper payments 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 
any payment to an ineligible recipient, any payment for an ineligible 
service, any duplicate payment, payments for services not received, and 
any payment that does not account for credit for applicable discounts. 

[5] OMB Memorandum M-03-13, "Improper Payments Information Act of 2002 
(Public Law 107-300)" May 21, 2003, and OMB Circular No. A-136, 
Financial Reporting Requirements, § II.5.6 (July 24, 2006). OMB 
recently issued revised guidance for fiscal year 2006 reporting in OMB 
Memorandum M-06-23, "Issuance of Appendix C to OMB Circular No. A-123" 
(Aug. 10, 2006). 

[6] OMB's guidance defines significant improper payments as those in 
any particular program that exceed both 2.5 percent of program payments 
and $10 million annually. 

[7] Office of Management and Budget, Improving the Accuracy and 
Integrity of Federal Payments (Washington, D.C.: Feb. 2, 2006). 

[8] Prior to the executive branch-wide IPIA reporting requirements, 
beginning with fiscal year 2004, former section 57 of OMB Circular No. 
A-11 required certain agencies to submit similar information, including 
estimated improper payment target rates, target rates for future 
reductions in these payments, the types and causes of these payments, 
and variances from targets and goals established. In addition, these 
agencies were to provide a description and assessment of the current 
methods for measuring the rate of improper payments and the quality of 
data resulting from these methods. 

[9] GAO, Financial Management: Challenges in Meeting Requirements of 
the Improper Payments Information Act, GAO-05-417 (Washington, D.C.: 
Mar. 31, 2005). 

[10] GAO-07-92. 

[11] Included in this estimate were 10 agencies reporting for the first 
time improper payment estimates of almost $1.2 billion for 17 programs. 
Also, the governmentwide estimate includes both over-and underpayments. 
OMB's implementing guidance requires agencies to report the gross 
versus net total of both over-and underpayments. 

[12] In their fiscal year 2005 PARs, several agencies updated their 
fiscal year 2004 improper payment estimates to reflect changes since 
issuance of their fiscal year 2004 PARs. These updates increased the 
governmentwide improper payment estimate for fiscal year 2004 from $45 
billion to $46 billion. 

[13] See footnote 8. 

[14] Agency-reported estimates were primarily based on known cases 
identified through Office of Inspector General audits and other 
isolated instances. However, one agency reported using a combination of 
statistical and nonstatistical methodologies, but did not identify what 
portion of the estimate was calculated using statistical sampling. Any 
agency that reported using nonstatistical sampling methodologies to 
calculate its programs' improper payment estimates was included in this 
analysis. 

[15] We plan to report further details of agencies' fiscal year 2006 
improper payment reporting in 2007. 

[16] In their fiscal year 2006 PARs, selected federal agencies updated 
their fiscal year 2005 improper payment estimates to reflect changes 
since issuance of their fiscal year 2005 PARs. These updates increased 
the governmentwide improper payment estimate for fiscal year 2005 from 
$38 billion to $39 billion. 

[17] GAO-06-581T and GAO-06-482T. 

[18] GAO, Improper Payments: Federal and State Coordination Needed to 
Report National Improper Payment Estimates on Federal Programs, GAO-06-
347 (Washington, D.C.: Apr. 14, 2006). 

[19] GAO, Improper Payments: Posthearing Questions Related to Agencies 
Meeting the Requirements of the Improper Payments Information Act of 
2002, GAO-06-1067R (Washington, D.C.: Sept. 6, 2006). 

[20] 31 U.S.C. §§ 7501-7507. Under the Single Audit Act, as amended, 
and implementing guidance, independent auditors audit state and local 
governments and nonprofit organizations that expend federal awards to 
assess, among other things, compliance with laws, regulations, and the 
provisions of contracts or grant agreements material to the entities' 
major federal programs. Organizations are required to have single 
audits if they annually expend $500,000 or more in federal funds. 

[21] Department of Homeland Security, Office of Inspector General, 
Audit of FEMA's Individuals and Households Program in Miami-Dade 
County, Florida, for Hurricane Frances, OIG-05-20 (Washington, D.C.: 
May 2005). 

[22] GAO, Hurricanes Katrina and Rita Disaster Relief: Improper and 
Potentially Fraudulent Individual Assistance Payments Estimated to Be 
Between $600 Million and $1.4 Billion, GAO-06-844T (Washington, D.C.: 
June 14, 2006). 

[23] Included in this estimate were 17 newly reported programs in 10 
agencies, totaling about $1.2 billion for fiscal year 2005. 

[24] OMB requires that agencies' statistical sampling methodologies be 
designed to yield estimates with a 90 percent confidence interval of 
plus or minus 2.5 percent. 

[25] Pub. L. No. 105-220, 112 Stat. 936 (Aug. 7, 1998). 

[26] We did not independently verify the validity of these agency 
assertions. 

[27] Data matching is the process in which information from one source 
is compared with information from another to identify any 
inconsistencies. 

[28] This act was repealed and parts of it are now codified in code 
sections of Titles 1, 5, and 18 of the United States Code. 

[29] June 29, 2006, hearing before the Senate Subcommittee on Federal 
Financial Management, Government Information, and International 
Security, Committee on Homeland Security and Governmental Affairs. 

[30] In their fiscal year 2005 PARs, several agencies updated their 
fiscal year 2004 improper payment estimates to reflect changes since 
issuance of their fiscal year 2004 PARs. These updates increased the 
governmentwide improper payment estimate for fiscal year 2004 from $45 
billion to $46 billion. 

[31] We determined that the decrease was primarily caused by a $9.6 
billion reduction in the HHS Medicare program improper payment 
estimate, which was partially offset by more programs reporting 
estimates of improper payments, resulting in a net decrease of $7 
billion. The $9.6 billion reduction is the difference between the 
fiscal year 2004 estimate of $21.7 billion and the fiscal year 2005 
estimate of $12.1 billion. 

[32] Department of Justice, United States Attorney's Office, Southern 
District of Texas, News Release, "Local Businessman Pleads Guilty to 
Conspiracy to Defraud Medicare of $40 Million," May 30, 2006. 

[33] See footnote 8. 

[34] Department of Defense, Office of Inspector General, Financial 
Management: Improper Payments for Defense Fuel, D-2006-094 (Washington, 
D.C.: June 29, 2006). 

[35] OMB defines "unavoidable" payments as payments resulting from 
legal or policy requirements. 

[36] GAO, Post-Hearing Questions Related to Agency Implementation of 
the Improper Payments Information Act, GAO-05-1029R (Washington, D.C.: 
Sept. 16, 2005). 

[37] OMB defines "avoidable" payments as payments that could be reduced 
through changes in administrative actions. 

[38] Some government programs pay benefits in advance under the 
assumption that the beneficiary's circumstances, such as income and 
asset levels, will remain the same during the period for which payment 
was rendered. 

[39] Cardinale v. Mathews, 399 F. Supp. 1163 (D.D.C. 1975), and 
Goldberg v. Kelly, 397 U.S. 254 (1970). 

[40] 42 U.S.C. §§ 423(g)(2) and 404. 

[41] GAO, Financial Management: Challenges Remain in Addressing the 
Government's Improper Payments, GAO-03-750T (Washington, D.C.: May 13, 
2003). 

[42] National Aeronautics and Space Administration, Office of Inspector 
General, Semi-Annual Reports October 1, 2004-March 31, 2005 and April 1-
September 30, 2005 (Washington, D.C.) 

[43] We found that the recovery rate could have been higher than the 
1.2 percent calculation had we solely used the OIG reported amounts 
regarding the universe of questioned contract costs and subsequent 
amounts recovered. Specifically, the OIG reported that of the $51 
million in questioned contract costs decided by NASA management, $16 
million had been recovered. This results in a recovery rate of about 31 
percent. While this recovery rate is higher than our calculated 1.2 
percent recovery rate, it is still significantly lower than the 100 
percent recovery rate reported by NASA in its PAR. 

[44] Department of Defense, Office of Inspector General, Semi-Annual 
Reports October 1, 2004-March 31, 2005 and April 1-September 30, 2005 
(Washington, D.C.) 

[45] The OIG reported that the $2 billion in contract costs were deemed 
questionable because they did not comply with rules, regulations, laws, 
contractual terms, or a combination of these. Thus, we used the entire 
$2 billion to illustrate the disparity between what the OIG and agency 
reported. 

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