Recommendations Database

GAO’s recommendations database contains report recommendations that still need to be addressed. GAO’s priority recommendations are those that we believe warrant priority attention. We sent letters to the heads of key departments and agencies, urging them to continue focusing on these issues. Below you can search only priority recommendations, or search all recommendations.

Our recommendations help congressional and agency leaders prepare for appropriations and oversight activities, as well as help improve government operations. Moreover, when implemented, some of our priority recommendations can save large amounts of money, help Congress make decisions on major issues, and substantially improve or transform major government programs or agencies, among other benefits.

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As of September 28, 2022, there are 4456 open recommendations, of which 464 are priority recommendations. Recommendations remain open until they are designated as Closed-implemented or Closed-not implemented.

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1 - 20 of 359 Recommendations, including 43 Priority Recommendations
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COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control

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3 Open Recommendations
Agency Recommendation Status
Centers for Medicare & Medicaid Services The Administrator of CMS should provide additional guidance in the State Operations Manual on making scope and severity determinations for IPC-related deficiencies. (Recommendation 3)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Centers for Medicare & Medicaid Services The Administrator of CMS should collect infection preventionist staffing data and use these data to determine whether the current infection preventionist staffing requirement is sufficient. (Recommendation 2)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Centers for Medicare & Medicaid Services The Administrator of CMS should establish minimum infection preventionist training standards. (Recommendation 1)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Coronavirus Food Assistance Program: USDA Should Conduct More Rigorous Reviews of Payments to Producers

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4 Open Recommendations
Agency Recommendation Status
Farm Service Agency The Administrator of FSA should conduct additional spot checks of CFAP payments and use a more risk-based approach to selecting producers for review. This approach could include focusing on producers of commodities not generally covered by other FSA programs and producers that received large payments. (Recommendation 1)
Open

As of September 21, 2022, FSA has not taken action to implement our recommendation.

Farm Service Agency The Administrator of FSA should issue guidance directing the agency to identify factors, such as large claims for commodities with which FSA is unfamiliar, that county offices should consider when selecting producers for CFAP spot checks. (Recommendation 2)
Open

As of September 21, 2022, FSA has not taken action to implement our recommendation.

Farm Service Agency The Administrator of FSA should direct agency officials conducting CFAP payment spot checks to (1) use support generated by third parties; or (2) if such support is not available, document why support self-generated by the producer was accepted. (Recommendation 3)
Open

As of September 21, 2022, FSA has not taken action to implement our recommendation.

Farm Service Agency The Administrator of FSA should direct state offices to monitor the quality of the county offices' spot checks for CFAP. Such monitoring could include a review of selected spot checks to ensure their accuracy. (Recommendation 4)
Open

As of September 21, 2022, FSA has not taken action to implement our recommendation.

Air Travel and Communicable Diseases: Federal Leadership Needed to Advance Research

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1 Open Recommendations
Agency Recommendation Status
Congress Congress should consider directing FAA to develop and implement a strategy to identify and advance needed research on communicable diseases in air travel, in coordination with appropriate federal agencies, such as DHS and HHS, and external partners. In alignment with leading practices for interagency collaboration, this strategy should, at a minimum, clearly identify the roles and responsibilities for participating agencies, determine the resources needed, and document any relevant agreements. (Matter for Consideration 1)
Open

As of September 2022, no Congressional action has been taken. When we confirm what action the Congress has taken in response to this matter, we will provide updated information.

Restaurant Revitalization Fund: Opportunities Exist to Improve Oversight

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7 Open Recommendations
Agency Recommendation Status
Small Business Administration The Associate Administrator for the Office of Capital Access should conduct and document an assessment of the RRF pre-award controls and address or mitigate deficiencies. (Recommendation 1)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Small Business Administration The Associate Administrator for the Office of Capital Access should assess how the design of RRF pre-award controls may have adversely affected applicants from U.S. territories, and identify and document steps to mitigate this issue for future programs. (Recommendation 2)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Small Business Administration The Associate Administrator for the Office of Capital Access should develop and implement policies and procedures for addressing RRF recipients who do not meet annual reporting requirements. (Recommendation 3)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Small Business Administration The Associate Administrator for the Office of Capital Access should enhance RRF post-award reporting procedures by adding requirements for recipients to report their operating status. (Recommendation 4)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Small Business Administration The Associate Administrator for the Office of Capital Access should develop and implement data analytics across RRF awards as a means to detect potentially fraudulent award recipients. (Recommendation 5)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Small Business Administration The Associate Administrator for the Office of Capital Access should develop, document, and implement procedures to use enforcement data on suspected fraud in other SBA programs, such as PPP, to identify potential fraud in RRF recipients. (Recommendation 6)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Small Business Administration The Associate Administrator for the Office of Capital Access should develop and implement a plan to respond to potentially fraudulent and ineligible RRF awards in a prompt and consistent manner. This plan should include coordinating with the OIG to align efforts to address fraud. (Recommendation 7)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Contact Tracing for Air Travel: CDC's Data System Needs Substantial Improvement

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3 Open Recommendations
Agency Recommendation Status
Centers for Disease Control and Prevention The Director of CDC should implement controls for the entry of data into its Quarantine Activity Reporting System (QARS), including by providing adequate training and standard operating procedures that are documented and institutionalized for system users and by conducting consistent validation checks. (Recommendation 1)
Open

The CDC concurred with this recommendation and said it would take steps to implement it. When we confirm what actions the CDC has taken in response to this recommendation, we will provide updated information.

Centers for Disease Control and Prevention The Director of CDC should assess additional opportunities to improve the quality of air passenger information it collects and manages— including opportunities to increase automation by adopting or establishing data exchange standards—and take action, as appropriate, based on this assessment. (Recommendation 2)
Open

The CDC concurred with this recommendation and said it would take steps to implement it. When we confirm what actions the CDC has taken in response to this recommendation, we will provide updated information.

Centers for Disease Control and Prevention The Director of CDC should re-design QARS or deploy a new data system that would allow CDC to more effectively facilitate contact tracing for air passengers and conduct disease surveillance for air travel. (Recommendation 3)
Open

The CDC concurred with this recommendation and said it would take steps to implement it. When we confirm what actions the CDC has taken in response to this recommendation, we will provide updated information.

COVID-19: Pandemic Lessons Highlight Need for Public Health Situational Awareness Network

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2 Open Recommendations
Agency Recommendation Status
Department of Health and Human Services The Secretary of HHS should prioritize the development of the public health situational awareness and biosurveillance network by designating a lead operational division for PAHPAIA implementation. (Recommendation 1)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Department of Health and Human Services The Secretary of HHS should clearly define the roles and responsibilities for the lead operational division responsible for PAHPAIA implementation. The roles and responsibilities should include the specific activities required in PAHPAIA. (Recommendation 2)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Have a Question about a Recommendation?

For questions about a specific recommendation, contact the person or office listed with the recommendation. For general information about recommendations, contact GAO's Audit Policy and Quality Assurance office at (202) 512-6100 or apqa@gao.gov.