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 <subject>Budget authority</subject>
 <subject>Budget obligations</subject>
 <subject>Contract administration</subject>
 <subject>Contractors</subject>
 <subject>Cost analysis</subject>
 <subject>Documentation</subject>
 <subject>Federal funds</subject>
 <subject>Federal procurement</subject>
 <subject>Financial management</subject>
 <subject>Funds management</subject>
 <subject>Health care facilities</subject>
 <subject>Health care services</subject>
 <subject>Internal controls</subject>
 <subject>Policy evaluation</subject>
 <subject>Procurement policy</subject>
 <subject>Risk management</subject>
 <subject>Standards</subject>
 <subject>Strategic planning</subject>
 <subject>Veterans benefits</subject>
 <subject>Veterans hospitals</subject>
 <subject>Cost awareness</subject>
 <subject>Cost estimates</subject>
 <subject>Policies and procedures</subject>
 <subject>Waste, fraud, and abuse</subject>
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<titleInfo>
 <title>Veterans Health Administration: Improvements Needed in Design of Controls over Miscellaneous Obligations</title>
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<abstract>The Veterans Health Administration (VHA) has been using
miscellaneous obligations for over 60 years to record estimates  
of obligations to be incurred at a later time. The large	 
percentage of procurements recorded as miscellaneous obligations 
in fiscal year 2007 raised questions about whether proper	 
controls were in place over the authorization and use of billions
of dollars. GAO&apos;s testimony provides preliminary findings related
to (1) how VHA used miscellaneous obligations during fiscal year 
2007, and (2) whether the Department of Veterans&apos; Affairs (VA)	 
policies and procedures were designed to provide adequate	 
controls over their authorization and use. GAO recently provided 
its related draft report to the Secretary of Veterans Affairs for
review and comment and plans to issue its final report as a	 
follow-up to this testimony. GAO obtained and analyzed available 
VHA data on miscellaneous obligations, reviewed VA policies and  
procedures, and reviewed a nongeneralizable sample of 42	 
miscellaneous obligations at three case study locations. GAO&apos;s	 
related draft report includes four recommendations to strengthen 
internal controls governing the authorization and use of	 
miscellaneous obligations, in compliance with applicable federal 
appropriations law and internal control standards.</abstract>
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<identifier type="preferred citation">GAO-08-1056T</identifier>
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<note>Testimony</note>
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 <searchTitle>GAO-08-1056T; Veterans Health Administration: Improvements Needed in Design of Controls over Miscellaneous Obligations;
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<subject>
 <topic>Budget authority</topic>
 <topic>Budget obligations</topic>
 <topic>Contract administration</topic>
 <topic>Contractors</topic>
 <topic>Cost analysis</topic>
 <topic>Documentation</topic>
 <topic>Federal funds</topic>
 <topic>Federal procurement</topic>
 <topic>Financial management</topic>
 <topic>Funds management</topic>
 <topic>Health care facilities</topic>
 <topic>Health care services</topic>
 <topic>Internal controls</topic>
 <topic>Policy evaluation</topic>
 <topic>Procurement policy</topic>
 <topic>Risk management</topic>
 <topic>Standards</topic>
 <topic>Strategic planning</topic>
 <topic>Veterans benefits</topic>
 <topic>Veterans hospitals</topic>
 <topic>Cost awareness</topic>
 <topic>Cost estimates</topic>
 <topic>Policies and procedures</topic>
 <topic>Waste, fraud, and abuse</topic>
</subject>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>Code of Federal Regulations</title>
  <partNumber>Title 38 Part 17.56</partNumber>
</titleInfo>
 <identifier type="CFR citation">38 CFR Part  17.56</identifier>
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