Recommendation: The Administrator of CMS should issue written criteria for when CMS will allow limited evaluation of a demonstration or a portion of a demonstration, including defining conditions, such as what it means for a demonstration to be longstanding or noncomplex, as applicable. (Recommendation 2)

Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
Status: Open

Comments: HHS agreed with this recommendation. In November 2019, HHS reported that it was applying limited evaluation requirements to certain demonstration types, including routine family planning demonstrations. In July 2020, CMS stated that it continues to work with states as they apply for new or extensions of approved demonstrations to determine whether the demonstrations as a whole or certain components would qualify for limited evaluation. The agency, however, reiterated that it needs more experience before developing generalized guidance and that was not a priority for 2020. We will continue to monitor CMS's progress and will review whether to close the recommendation when these criteria are issued.

Recommendation: To help ensure the IRS collection program meets its mission and selects cases fairly, the Commissioner of Internal Revenue should establish, document, and implement clear objectives for the collection program and enterprise-wide case categorization and routing processes, and define key terms, such as "fairness" and "risk."

Agency: Department of the Treasury: Internal Revenue Service
Status: Open

Comments: IRS agreed with the recommendation. In March 2017, IRS provided documentation of actions taken on the recommendation, but the documents did not clearly define and communicate program objectives sufficient for internal control to support the collection program mission, including fairness in case selection. In November 2017, IRS provided additional documentation but it did not address case selection fairness or other objectives for the collection program and enterprise-wide case categorization and routing processes. In June 2019, IRS officials provided information on an ongoing IRS initiative to identify objectives for various programs, but the collection program with its case processes was not among the pilot programs. As a result, any actions to implement the recommendation will be stalled until the initiative's pilot programs are complete. As of November 2019, IRS had not provided a planned date when it expects to complete them. We will update the status of IRS's plans and actions to implement the recommendation after we complete review of any documents IRS provides, as we requested in December 2019.

Recommendation: To help ensure the IRS collection program meets its mission and selects cases fairly, the Commissioner of Internal Revenue should build upon existing Enterprise Risk Management (ERM) guidance to help managers identify internal and external risks to collection program objectives, and better understand how long-standing risk processes integrate with new ERM approaches; incorporate this guidance into existing or future ERM or collection program risk assessment processes.

Agency: Department of the Treasury: Internal Revenue Service
Status: Open

Comments: IRS agreed with the recommendation. In November 2016, IRS provided documentation of risk management training for managers intended to assist them in understanding their responsibilities for identifying internal and external risks to collection program objectives. However, since objectives for the collection program and fairness were not yet clearly defined, such guidance could not be effectively incorporated into risk assessment processes. In March 2017, IRS provided documentation of further actions taken, but the documents did not clearly define and communicate program objectives sufficient for internal control, including risk assessment. In November 2017, IRS provided additional documentation but it did not address case selection fairness or other objectives for the collection program. In June 2019, IRS officials provided information on an ongoing IRS initiative to identify objectives for various programs, but the collection program was not among the pilot programs. As a result, any actions to implement the recommendation will be stalled until the initiative's pilot programs are complete. As of November 2019, IRS had not provided a planned date when it expects to complete them. We will update the status of IRS's plans and actions to implement the recommendation after we complete review of any documents IRS provides, as we requested in December 2019.

Recommendation: To improve subsequent joint reports to Congress on plans for sustaining and modernizing U.S nuclear weapons capabilities and to improve the transparency of the joint report's methodologies, thereby assisting Congress in understanding the basis for DOD's NC3 estimates in subsequent joint reports, the Secretary of Defense should direct the DOD Chief Information Officer to document in the report the methodological assumptions and limitations affecting the report's estimates for sustaining and modernizing the NC3 system.

Agency: Department of Defense
Status: Open

Comments: DOD concurred with our recommendation. In the Fiscal Year 2019 Joint Report issued in November 2018, DOD had taken steps to update its methodology for estimating nuclear command, control, and communications (NC3) funding. For example, DOD provided more information on the methodologies used to develop budget estimates. However, the methodology reported for NC3 estimates is still not transparent and DOD should provide additional information beyond what the methodology in the joint report to clarify differences with the Future Year Defense Program. According to DOD officials, actions will be taken to incorporate a more robust methodology that takes into account these issues in the FY 2020 Joint Report. We will re-evaluate DOD's implementation of this recommendation when we review the FY 2020 joint report.