v>EPA United Slate* Environmental Protection Agency Office of Solid Waste and Emergency Response March 20, 1986 March 20, 1986 OSWER/OERR/HSCD DIRECTIVE NUMBER: 9375.1-04-9 TITLE: State Participation in the Superfund Remedial Program Manual, Chapter 9, Audits of Response Agreements APPROVAL DATE: EFFECTIVE DATE: ORIGINATING OFFICE: E FINAL D DRAFT LEVEL OF DRAFT DA — Signed by AA or DAA D B — Signed by Office Director DC — Review & Comment REFERENCE (other documents): State Participation in the Superfund Remedial Program Manual OSWER OSWER OSWER VE DIRECTIVE DIRECTIVE Dl ------- &EPA United States Environmental Protection Agency Washington, DC 20460 OSWER Directive Initiation Request Interim Directive Number 9375. !- Originator Information Name of Contact Person , . Debbie Swichkow>> Mail Code 548-E Telephone Number 382-2453 Lead Office S OERR D OSW D OUST D OWPE D AA-OSWER Approved for Review Signature of Office Director Date Title State Participation in the Superfund Remedial Program Manual, Volume I Chapter 9, Audits of Response Agreements Renumbered: Formerly 9375.1-2A-e Summary of Directive Explains purpose and procedures of an EPA audit, the State's role in the decision- making process, and the Regional responsibilities for audit resolution and followupi It is drawn from EPA Order 2750, Management of EPA Audit Reports and Followup Actions; OIG Audit Guide EAG-3, CERCTA Cooperative Agreements; and Chapter 39, Audits, of the Assistance Administration ManuaE(3/20/86, 42pp.) •.«•> Keywords: Superfund, CERCLA, remedial program, State participation, cooperative agreements, audits Type of Directive f/Wanua/, Policy Directive. Announcement, etc.) Addendum to manual Status D Draft Final 3® New LJ Revision Does this Directive Supersede Previous Directives)? |_) Yes JQJJ No f "Yes" to Either Question, What Directive (number, title) Does It Supplement Previous Directive(s)? XX I Yes | | No 9375.1-4 State Participation in the Superfund Remedial Program Manual, Volumel Review Plan CD AA-OSWER D OUST D OERR D OWPE D OSW D Regions D OECM D OGC D OPPE n Other (Specify/ This Request Meets OSWER Directives System Format Signature of Lead Date JUL 17 1986 Signature of OSWER Directives Offi Oat* EPA Fonn 1315-17 (10-86) ------- £EPA United States Environmental Protection Agency Washington. DC 20460 OSWER Directive Initiation Request Interim Directive Number 9375.1-4-9 Originator Information Name of Contact Person Debbie Swichkow Mail Code WH 548-E Telephone Number 382-2453 Lead Office H OERR D OSW D OUST G OWPE D AA-OSWER Approved for Review Signature of Office Director Date Title State Participation in the Super fund Remedial Program Manual, Volume I Chapter 9, Audits of Response Agreements Renumbered: Formerly 9375.l72A-e Summary of Directive Explains purpose and procedures of an EPA audit, the State's role in the decision- making process, and the Regional responsibilities for audit resolution and followupi It is drawn fron EPA Order 2750, Management of EPA Audit Reports and Pollowup Actions; OIG Audit Guide EAG-3, CERCLA Cooperative Agreements; aod Chapter 39, Audits, of the Assistance Administration Manual" (3/20/86, 42pp.) •«» Keywords: Superfund, CERCLA, remedial program, State participation, cooperative agreements, audits Type of Directive (Manual. Policy Directive. Announcement, etc.) Addendum to manual Status D Draft 3!S Final New LJ Revision Does this Directive Supersede Previous Directives)? fl Yes XjCj No Does It Supplement Previous Directives)? X&J Yes LJ No If "Yes" to Either Question, What Directive (number, title) 9375.1-4 State Participation in the Superfund Remedial Proqram Manual, Volume I Review Plan D AA-OSWER D OUST D OERR D OWPE D OSW D Regions D OECM D OGC D OPPE D Other (Specify) This Request Meets OSWER Directives System Format Signature of Lead Signature of CfSWER Directives Orfi Date JUL 17 Date EPA Form 1316-17 (10-85) ------- UNITED STATES ENVIRONMENTAL PROTECTION AGENCY - WASHINGTON. D.C. 20460 MAR 20 1966 Directive No. 9375.1-4-9 •J ? F ! C K O (- SOLID WASTE AND EMERGfNC . KESPO'-ff MEMORANDUM SUBJECT: Addendum to the Manual: State Participation in the Superfund Program -- ChapterTT~,Auditsof Superfund Cooperative Agreements FROM: Henry L. Longest II Di rector Office of Emergency arficT Remedi al Response TO: Mailing List Attached is Chapter IX, Audits of Superfund Cooperative Agreements, to be added to the State participation manual a.s a new chapter. This chapter explains the purpose and procedures of an EPA audit, the State's responsibilities and the Regional responsibilities for audit resolution and follow-up. It is drawn from EPA Directive 2750, "Management of EPA Audit Reports and Follow-up Actions;" OIG Audit Guide, EAG-3, "CERCLA Cooperative Agreements;" and Chapter 38, "Audits," af the EPA Assistance Administration Manual. Chapter IX of the State participation manual was developed in consultation with EPA's Office of the Inspector General (OIG), as well as the Office of General Counsel, and the Grants Administration Division. A draft was distributed for comment on December 16, 1985, to Headquarters and Regional offices, as well as the Association of State and Territorial Solid Waste Management Officials. Comments on that draft as well as program experience to date are reflected in this addendum. A discussion of the substantive changes and clarifications to the draft as requested by commenters follows. EPA can audit response agreements pursuant to the authorities of the Inspector General Act of 1978, CERCLA Section lll(k) and 40 CFR 30.540. The scope of this chapter has been limited for clarity to a discussion of Cooperative Agreement audits only. However, a Superfund State Contract (SSC) would also be subject to audit in the rare instance that a State cost share is provided ------- - 2 - through State services rather than direct cash payment since such expenditures under an SSC are subject to the requirements of 40 CFR Parts 30 and 33. Further, this chapter does not discuss audits of Federal procurement contracts for Federal-lead projects. However, any State expenditures during a Federal-lead project incurred under a Cooperative Agreement (i.e., management assistance) are subject to the audit requirements discussed in this chapter. The text and exhibits have been restructured to reflect the latitude in each Region for delegation of audit responsi- bilities by the Action Official. The Remedial Project Manager (RPM) is now identified as a point of contact who can provide useful background information about the site response activities and project administration. Regions may wish to develop further internal guidance to detail the specific procedures used within the Region consistent with EPA Directive 2750. This final guidance clarifies the role of the State during an EPA audit. The discussion of State self-audits has been expanded and it has been noted that States may request EPA audits through the Award Official. One commenter questioned whether it was appropriate for a State to provide suggestions to the auditors on audit emphasis. Since interim audits are used as a corrective tool 1t may be useful for State officials to Identify specific areas which they feel may cause future diffi- culties or which have emerged as problem areas in other programs. However, decisions on audit scope and emphasis are the prerogative of the DIG. One commenter suggested that the exit conference be held before 016 issues a draft audit report in order to inform the State of preliminary findings and clear up any misunderstandings. While the precise timing of this conference may vary it is intended as a formal conclusion to audit work before issuance of a final audit report. However, the audit process usually entails ongoing interaction between the State and the auditors and the State may request Informal conferences at any time. The chapter has been revised to emphasize the formal nature of the concluding exit conference and to discuss the other opportunities when the State or Region may provide input to the process. While the chapter does not discuss the formal dispute process available to States, 1t has been noted that the State may exercise this option under 40 CFR Part 30, Subpart L, after issuance of the final determination by the Action Official. The descriptions of criteria used by the auditors in determining cost allowabllity have been clarified in response to comments. For example, a major criterion is compliance with the technical, regulatory and project management requirements of the Cooperative! Agreement including the special conditions in effect at the time the Cooperative Agreement is awarded. More precisely, ------- - 3 - the auditors use the terms and special conditions of the Cooperative Agreement 1n effect at the time the funds are expended. It is the responsibility of the RPM to ensure that the special conditions and terms of the Cooperative Agreement are kept current with any changes in policy, regulation or the project through the amendment process. In addition, it is important that documentation on informal changes and approvals executed between the EPA and State be readily available for audit purposes. The importance of cost and pro'ject documentation has been given additional emphasis. If the State and Region maintain their files properly throughout the project very little additional organization is necessary to prepare for an audit. (See Appendix U of the State participation manual, "Cost Documentation.") The list of standardized audit tasks has been revised to show that the auditors will evaluate the State's ability to document costs on a site specific basis. The description of procurement documents which need to be made available for audit and the criteria used to evaluate the documentation of equipment purchased with CERCLA funds has been clarified. Additional information has been added to the final guidance concerning the review and distribution of audit reports. It has been noted that since draft audit findings are tentative, the State and Region should not release draft.audit reports to the public. Any public requests for draft audit reports should be forwarded to the DIG. Final audit reports may be released by either the 016, the State or the Action Official in accordance with the provisions of the Freedom of Information Act. Specific policies and procedures regarding coordination with the other affected offices may be developed within each Region. The chapter has been revised to clarify that comments on a draft report by the State and/or Region, while strongly encouraged, are not required. However, EPA Directive 2750 does specify that any comments which are provided should be submitted to the GIG within 30 days of the draft report distribution date. In addition, during the formal exit conference the auditors may request that the State or Region provide additional written comments within two weeks of the exit conference. We did not accept the recommendation that the Action Official provide an initial determination to the State for rebuttal prior to issuing a final determination letter. Since many audits are non-controversial or may involve a small amount of questioned and/or set-aside costs, we feel such a requirement might place an unnecessary administrative burden on States and EPA. An initial determination is usually issued when the Action Official considers taking a substantially different position or at the request of a State. The recommendation that the ------- - 4 - Action Official should forward a copy of the final audit report to the State within 15 days of receipt rather than the report date was not accepted since this deadline is established hy EPA Directive 2750. The chapter has been corrected to show that a final determination letter must always be sent to the State within 150 days of the final audit report date unless a disagreement between the Divisional Inspector General for Audits (OIRA) and the Action Official has been referred to Office of the Assistant Inspector General for Audits (OAIGA). The discussion of the Action Official's response to notification by the DIG of an inadequate final determination has a-lso been expanded. ------- Date/ Addendum # Topic 6/22/84 #1 Site Closeout 9/12/84 #2 9/28/84 #3 Minority and Women's Business Reporting Changes to IG Audit Quality Assurance Project Plan Revised Letter of Credit Procedures Provision CHANGES TO DATE Instruction New pages New page New pages New page . Change "... which must be sent within 120 days." to "... which must be sent within 90 days." . Add, as the second sentence in the para- graph, "In addition, the Award Official will send the State a copy of the final audit report within 15 days of its receipt." . Change "The re- sponse must be dispatched with- in 120 days..." to "The response must be dis- patched within 90 days..." . New pages Replacement pages 9375.1-4 3/14/86 Revised Page iii Location/Page Appendix F, Pages F-22 and 23 Appendix H, Page H-23 Appendix P, Pages P-37-P-47 Appendix F, Page F-24 Appendix C, Page C-12, first complete paragraph Appendix C, Page C-12 first complete paragraph Appendix C, Page C-12 footnote Appendix L, formerly reserved Appendix F, Pages F-3 through F-6 111 ------- CHANGES TO DATE (Continued) Date/ Addendum # 12/10/84 14 Multi-Site Coop- erative Agreements Instruction Replacement pages Replacement pages Replacement pages Replacement pages New pages Replacement page New pages Replacement pages New pages Replacement page New page Replacement pages New page Change "...at quarterly inter- vals commencing at the start of the project." to "...within 30 days of the end of the Federal fiscal quarter." New pages Replacement pages New pages Replacement pages Replacement pages New pages 9375.1-4 3/14/86 Revised Page iv Location/Page Table of Contents, Pages xiii through xvii List of Exhibits, Pages xvii and xix List of Acronyms, Pages a - through e Pages 11-1 Chapter II, through 6 Chapter II, Page II-7 and Exhibit II-2 Chapter III, Page 111-17 Chapter III, Pages 111-18 through 27 and Exhibits 111-10 and III-ll Chapter IV, Pages IV-5 through IV-7 Chapter IV, Pages IV-8 through IV-11 Chapter V, Page V-7 and V-8 Chapter V, Page V-9 Appendix E, Pages E-l through E-22 Appendix E, Page E-23 Appendix F, Page F-16, Section K, indented paragraph Appendix F, Pages F-25 and F-26 Appendix J, Pages J-l, J-2, and J-7 Appendix J, Pages J-8 and J-9 Appendix N, Pages N-l through N-6 Appendix P, Pages P-l, P-2, and P-47 Appendix P, Pages P-48 through P-51 iv ------- Date/ Addendum I 1/4/85 15 Advance Match CHANGES TO DATE (Continued) Instruction 1/11/85 #6 Site Safety Plan Guidance 8/2/85 #7 Obtaining Equipment Under a CERCLA Cooperative Agreement 9/17/85 18 Intergovernmental Review Procedures State Cooperative Agreements for Pre- Remedial Activities 12/18/85 19 Action Memorandum Guidance 12/20/85 #10 Model Statement of Work for a Remedial Investigation/ Feasibility Study 12/20/85 #11 Site Safety Plan Guidance 1/31/86 #12 Quality Assurance Project Plan 3/5/86 #13 Superfund Supplement Guidance . New pages . New pages . New pages . Replacement page . Replacement pages . New pages Replacement pages Replacement pages Replacement pages Replacement pages Replacement pages Replacement pages Replacement pages 9375.1-4 3/14/86 Revised Page iva Location/Page New Appendix S, Pages S-l through S-9 Appendix M, formerly reserved New Appendix T, Pages T-l through T-15 Table of Contents, Pages xiii through xix List of Exnibits, Pages xx and xxi Appendix D, Pages D-l through D-28 Appendix A, formerly reserved Table of Contents, Pages xiii through xix Appendix B, Pages B-l through 3-9 Table of Contents, Pages xiii through xix Appendix E, Pages E-l through E-21 Table of Contents, Pages xiii through xix Appendix M, Pages M-l through M-28 Table of Contents, Pages xiii through xix Appendix L, Pages L-l through L-12 Table of Contents, Pages xiii through xix Appendix P, Pages P-l through P-16 iva ------- 9375.1-4 3/14/86 Revised Page ivb CHANGES TO DATE (Continued) Date/ Addendum I Topic Instruction Location/Page 3/14/86 #14 Audits of Cooperative . Replacement pages . Table of Contents Pages Agreements xiii through xx . List of Exhibits, Pages xx through xxii . New pages . Chapter IX, Pages IX-1 through IX-24 ivb ------- TABLE OF CONTENTS 9375.1-4 3/14/86 Revised Page xiii LIST OF ACRONYMS AND ABBREVIATIONS I. INTRODUCTION A. Purpose of the Manual B. Background — Key Terms B.l Remedial Response B.2 Remedial Response Agreements B.3 State Assurances B.3.a Cost-Sharing B.3.b Off-Site Treatment, Storage, or Disposal B.3.C Operation and Maintenance (O&M) B.4 State Credits II III C. Overview of the Manual CONCURRENT ADMINISTRATIVE EVENTS. A. Initiation of Enforcement Activities Initiation of Forward Planning Development of Site-Specific Schedules Development of the Remedial Accomplishments Plan (RAP) E. Development of the Action Memorandum F. Identification and Review of State Credit Submissions G. Intergovernmental Review DEVELOPMENT OF COOPERATIVE AGREEMENT APPLICATION PACKAGES A. Completion of the Cooperative Agreement Application Form PAGE a 1-1 1-2 1-3 1-4 1-4 1-5 1-5 1-6 1-7 1-7 1-7 II-l II-2 11-2 II-5 II-5 II-5 II-6 II-7 III-l III-2 DATE 12/10/84 12/10/84 Kill ------- 9375.1-4 3/14/86 Revised Page xiv PAGE DATE A.I Part IV - Project Narrative III-2 Statement A.2 Part III - Project Budget III-3 A.2.a Allowable Costs III-4 A.2.b Enforcement Costs II1-5 A.2.C Calculation of State Cost Share III-5 B. Development of Cooperative Agreement II1-6 Provisions B.I General Assistance Requirements II1-6 B.2 Superfund Program Requirements II1-7 B.2.a Provision of CERCLA II1-8 Section 104(c)(3) Assurances B.2.b The National Environmental II1-9 Policy Act Of 1969 (NEPA) B.2.c Quality Assurance/Quality IH-10 Control (QA/QC) B.2.d Site Safety Plan Ill-ll B. 2. e Expedi ted Procurement 111 -12 C. Completion of the Procurement System 111-12 Certification Form D. Other Submissions II1-13 D.I Community Relations Plan (CRP) II1-13 D.I.a Draft Community Relations II1-13 Plan D.l.b Complete Community II1-14 Relations Plan D.2 Certification Letter 111-15 D.3 Intergovernmental Review Comments 111-15 E. Deviation Requests to Permit the II1-15 Allowability of Pre-Award Costs F. Multi-Site Cooperative Agreements 111-17 12/10/84 F.I Activities That May Be Included 111-18 in Multi-Site Cooperative Agreements F.2 Intergovernmental Review II1-19 F.3 Contents of a Multi-Site Cooperative II1-20 Agreement xiv ------- F.3.a Cooperative Agreement Application Form F.3.b Multi-Site Cooperative Agreement Application Provisions F.3.c Procurement System Certification Form F.3.d Certification and Enforcement Letters F.4 Accounting for Multi-Site Cooperative Agreements F.5 Administration of Multi-Site Cooperative Agreements F.5.a Project Management F.S.b Project/Budget Periods F.S.c Quarterly Reports 9375.1-4 3/14/86 Revised Page xv PAGE 111-20 111-23 111-23 111-23 111-24 111-26 111-26 111-26 111-27 DATE IV. DEVELOPMENT OF EPA-LEAD REMEDIAL PLANNING AGREEMENTS A. The Scope of Work for Remedial Planning B. Documentation of Terms and Responsibilities" B.I EPA Responsibilities B.2 State Responsibilities B.3 General Terms C. Other Submissions •'• .-'v C.I Community Relations Plan (CRP) C.2 Intergovernmental Review Comments D. Management Assistance Cooperative Agreements V. DEVELOPMENT OF SUPERFUND STATE CONTRACTS A. Development of the Statement of Work (SOW) B. Development of State Cost-Sharing Terms B.I Calculation of the State's Cost Share B.2 Negotiation of Payment Terms C. Documentation of Other Terms and Responsibilities IV-1 IV-3 IV-3 IV-3 IV-4 IV-4 IV-5 IV-5 IV-6 IV-6 12/10/84 V-l V-2 V-2 V-2 V-3 V-4 XV ------- 9375.1-4 3/14/86 Revised Page xvi C.I EPA Responsibilities C.2 State Responsibilities C.3 General Terms D. Other Submissions D.I Community Relations Plan (CRP) D.2 Certification Letter D.3 Intergovernmental Review Comments E. Multi-Site Superfund State Contracts PAGE DATE V-4 V-5 V-6 V-7 V-7 V-8 V-8 V-8 12/10/84 VI. EXECUTION OF REMEDIAL AGREEMENTS VI-1 A. Review of the Draft Agreement Vl-i A.I Review of the Draft Cooperative VI-2 Agreement Application Package A.2 Review of the Draft EPA-Lead VI-2 Submission B. Final Regional Review and Preparation vi-2 of the Concurrence Package C. Approval and Execution VI-4 VII. ADMINISTRATION OF REMEDIAL AGREEMENTS VII-1 A. Monitoring Financial Commitments VII-1 A.I State Drawdowns Under a Cooperative VII-2 Agreement A.2 State Payment of Cost Share Under VI1-3 a Superfund State Contract B. Monitoring Technical Commitments VII-3 B.I Monitoring Site Activities VII-4 B.2 Monitoring State Assurances and VI1-5 Compliance with Special Conditions C. Coordinating EPA-Lead Remedial Agreements VI1-5 with Performance Agreements D. Documenting Remedial Activity VI1-6 xvi ------- VIII D.I Regional Files D.2 EPA Headquarters Files D.3 State Files E. Documenting Completion of Remedial Implementation [RESERVED] AGREEMENT MODIFICATIONS A. Project Adjustments A.I Adjustments to State-Lead Projects A.2 Adjustments to EPA-Lead Projects B. Initiation of Remedial Design and Remedial Action B.I Records of Decision (RODs) B.2 Incorporating Remedial Design and Remedial Action into an Agreement Between EPA and the State C. Initiation of Operation and Maintenance IX. AUDITS OF COOPERATIVE AGREEMENTS A. Types of Audits A.I Interim Audits A. 2 Final Audits A.3 CERCLA Credit Audits B. Scheduling the Audit and Preliminary Activities B.I Scheduling the Audit B.2 Regional Preparation for the Audit B.3 State Preparation for the Audit C. Procedures for the Audit C.I Entrance Conference C.2 Audit Standards and Tasks C.3 Draft Audit Report C.4 Exit Conference C.5 Final Audit Report C.6 Findings and Recommendations Related to EPA Administration 9375.1-4 3/14/86 Revised Page xvii PAGE DATE VII-6 VII-6 VII-7 VIII-1 VIII-1 VIII-1 VIII-2 VIII-3 VIII-3 VIII-6 VIII-7 IX-1 IX-3 IX-3 IX-6 IX-7 IX-7 IX-8 IX-8 IX-10 IX-11 IX-11 IX-13 IX-15 IX-18 IX-19 IX-19 3/14/86 XVll ------- 9375.1-4 3/14/86 Revised Page xviii D. Resolution of Audit Findings and Follow-up Actions D.I Review of Final Audit Report and Resolution of State Disagreements D.2 Resolution of DIGA Disagreements and Disputes D.3 Issuance of the Final Determination Letter D.4 Review for Adequacy E. Implementation of Corrective Actions APPENDICES Introduction to the Appendices Appendix A - PA/SI Guidance Action Memorandum Guidance PAGE DATE IX-20 IX-20 IX-21 IX-22 IX-23 IX-23 Appendix B - Appendix C - Appendix D - Appendix E - •Appendix F - Appendix G - Appendix H - A-l B-l 9/17/85 12/20/85 Procedures for Developing and Processing C-l CERCLA State Credit Claims Procedures for Implementing Intergovern- D-l 9/17/85 mental Review Model Statement of Work for State-lead E-l Remedial Investigation/Feasibility Study Projects Sample Cooperative Agreement Application F-l Provisions Sample Cooperative Agreement Application G-l Package 12/10/84 Sample Articles for Superfund State Contracts and Other EPA-Lead Remedial Agreements Appendix I - Sample Superfund State Contract Appendix J - Sample Certification Letters H-l 1-1 J-l 12/10/84 xviii ------- Appendix K - Appendix L - Appendix M - Appendix N - Appendix 0 - Appendix P - Appendix Q - Appendix R - Appendix S - Appendix T - 9375.1-4 3/14/86 Revised Page xix Sample Community Relations Plan Format and Sample Plan (CRP) K-l Sample Quality Assurance/Quality Control L-l 1/31/86 Plan Sample Site Safety Plan Instructions for Using Superfund Letter of Credit Account Numbers Under Cooperative Agreements Record of Decision (ROD)/Enforcement Decision Document (EDD) Guidance Superfund Supplement Guidance Glossary of Terms List of References Advance Match Procedures Obtaining Equipment for Use Under a CERCLA Cooperative Agreement M-l 12/20/85 N-l 12/10/84 0-1 1/17/86 P-l 3/5/86 Q-l R-l S-l 1/4/85 T-l 8/9/85 XIX ------- 9375.1-4 3/14/86 Revised Page xx LIST OF EXHIBITS Exhibit Number TITLE 1-1 Site Chronology 1-2 Document Outline II-l Concurrent Administrative Events I1-2 Sample SOW for State-Lead Forward Planning Activities III-l Development of Cooperative Agreement Application Packages II1-2 Cooperative Agreement Application Package Checklist 111-17 Figures for Use in Estimating Total State-Lead Remedial Action Costs III-4 Object Class Categories for Use in Completing the Cooperative Agreement Application III-5 Itemization of Object Class Categories: Appropriate Level of Detail III-6 State Cost-Share Calculations II1-7 Summary of Requirements for Procurement Under Assistance Agreements (40 CFR 1717) II1-8 Summary of Superfund Program Provisions for Cooperative Agreement Applications II1-9 Methods for Expediting Procurement I11-10 Examples of Options for Awarding and Managing Multi-Site Cooperative Agreements I11-11 Sample MSCA Obligation Document IV-1 Development of Memoranda of Understanding V-l Development of Superfund State Contracts xx ------- 9375.1-4 3/14/86 Revised Page xxi LIST OF EXHIBITS Exhibit Number TITLE V-2 Figures for Use in Estimating Total EPA-Lead Remedial Action Costs V-17 State Cost-Share Calculations VI-1 Execution of Remedial Agreements VI-2 Agreement Review and Approval Process VI-17 Suggested Format for the Decision Memorandum VII-1 Administration of Remedial Agreements VIII-1 Agreement Modifications IX-l Audits of Cooperative Agreements IX-2 Listing of Offices of the Divisional Inspectors General for Audit IX-3 Cooperative Agreement Audit Process IX-4 Sample Cost Exhibit for Draft Audit Report A-l Pre-Remedial Screening Process A-2 CERCLA Information System (CERCLIS) ''- . • 'V A-17 Application For Federal Assistance, Part III Table 1 Sample Format for Pre-Remedial Program Report Table 2 Sample Format for Work Hours Per Site (Pre-Remedial) Table 17 Sample Format for Expense Report (Pre-Remedial) Table 4 Sample Format for Site Additions and Substitutions (Pre-Remedial) Table 5 Revised Schedule of Pre-Remedial Accomplishments C-l Overview of Procedures for Processing State Credit Claims xxi ------- 9375.1-4 3/14/86 Revised Page xxii LIST OF EXHIBITS Exhibit Number TITLE N-l Superfund Remedial Activities Code List for Cooperative Agreements N-2 Financial Status Report Form and Instructions for Its Completion T-l Sample Usage Charge Calculation T-2 Accounting Example . xxi i ------- 9375.1-4-9 3/14/86 New Page IX-1 IX. AUDITS OF COOPERATIVE AGREEMENTS In signing an EPA/State CERCLA Cooperative Agreement, the State has given EPA the right to audit that Agreement, pursuant to the Inspector General Act of 1978 (PL 95-452), CERCLA section lll(k), and 40 CFR Part 30.540. -This chap- ter provides guidance on the conduct of such audits, the resolution of audit findings, and audit follow-up ac- tions. It does not discuss audit of Federal procurement contracts. EPA may audit a CERCLA Cooperative Agreement while the Agreement is in effect, called an interim audit, or may conduct a final audit at the completion of the Federally funded activities. In either case, the general objectives of an EPA audit are twofold: to determine whether the costs the State has claimed under the Agreement are elig- ible, reasonable, allowable, and allocable to the project under the terms of the Cooperative Agreement and applic- able EPA and Federal regulations and directives; and to determine whether controls exercised by the State through its financial and project management,, accounting, procure- ment, subagreement administration, and property management systems are adequate to ensure that costs meet these criteria. States receiving EPA assistance or expending funds as advance match are required to arrange for independent financial and compliance audits and internal control re- views every year.* When EPA conducts project audits, the Agency, to the extent possible, will build on audit work already performed by the State. Audits are conducted under the supervision of the EPA Office of the Inspector General (OIG); specifically, they are the responsibility of the Office of the Assistant In- spector General for Audits (OAIGA). The OAIGA also is responsible for monitoring the adequacy of self-audits conducted by State and local government recipients of Fed- eral funds. The OIG will schedule an audit on its own initiative or at the Superfund program's request. The EPA regulations (40 CFR 30.510 and 30.540(b)), in accordance with Office of Management and Budget (OMB) Circular A-128 (superseding A-102, Attachment P) . IX-1 ------- 9375.1-4-S 3/14/86 New Page IX-2 Divisional Inspectors General for Audits (DIGAs) deal directly with State and Regional staff to schedule the audit, resolve any questions or problems, and provide ad- vice, as necessary. Actual audit work may be performed by employees of the OIG, by an independent public accouncing firm under contract to EPA to perform audits, or by audi- tors associated with another Federal agency. Most of the audit work conducted will take place in the State's offices and will include a thorough review of: the State's accounting, procurement, and property manage- ment systems; all costs incurred on a project; and compli- ance with the terms of the Cooperative Agreement. Audit findings will identify the costs claimed which may not be EPA's responsibility and, therefore, are questioned (i.e., are not reasonable, allowable, allocable or eligible) and the costs which cannot be given unqualified acceptance and must be set aside. The audit report will detail these OIG findings which may recommend that certain State expendi- tures of Federal funds be disallowed and/or may suggest needed corrective actions. EPA's audit process is designed to ensure that the State has an adequate opportunity to provide input into the decision-making process. At the conclusion of the field work, a draft audit report which details preliminary audit findings will be prepared for comment by the State. State comments will be incorporated into a final report, as appropriate. This final report will be sent to the EPA Action Official for audit response who is usually the Regional Administrator (RA) as the Award Official, or his/her designee. The Action Official, pursuant to the provisions of EPA Directive 2750, will have responsibility for rejecting or accepting the audit findings and will issue a final, binding determination of the audit dispo- sition to the State. In most Regions, the duties of the Action Official, as the term is used throughout this chapter, may be delegated to several offices and/or indi- viduals. The State, then, will be responsible for imple- menting corrective actions to remedy cited deficiencies, pending any appeal exercised under 40 CFR Part 30, Subpart L, and for arranging for repayment of any disallowed costs This chapter describes the types of audits that may be conducted during a project and after its completion, as well as the steps to perform the audit and to conduct follow-up activities. These include: IX-2 ------- 9375.1-4-9 3/14/86 New Page IX-3 Scheduling the audit and preliminary activities Procedures for the audit Resolution of audit findings and follow-up actions Implementation of corrective actions. Each of these steps, as well as the types of audits, is discussed in a separate section of this chapter. Exhibit IX-1, on the following pages, identifies specific respon- sibilities for each phase of the Cooperative Agreement audit process. A. TYPES OF AUDITS Audits may be conducted at any time during the period of performance of the Cooperative Agreement or as part of the close-out activities. The former type are called in- terim audits, while the latter are called final audits. This section briefly discusses each of these types of audit. Other, special purpose audits include CERCLA credit cost verification (see Appendix C of this manual) and pre-award audits covering financial and technical as- pects of assistance applications and proposed subagreements. A.I Interim Audits An interim audit may be conducted during any phase of an on-going project to determine whether the costs charged to EPA under the Cooperative Agreement are allowable and whether the State is complying with the terms of the Agreement. Thus, it will entail a thorough review of State cost documentation and project files, and also us- ually will include examination of the State's accounting, procurement, and property management systems. EPA may schedule interim audits of agreements that cover particularly complex projects, such as multi-site Cooperative Agreements (MSCAs), or when problems, inaccur- acies, discrepancies, or other complications with Coopera- tive Agreement administration occur. Appropriate points for an interim audit include the following: Indications or allegations of fraud, waste, or mismanagement are noted Six months to one year after the award of an MSCA to ensure that the State can appropriately segre- gate and account for costs on a site-specific basis IX-3 ------- 9375.1-4-9 3/14/86 New Page IX-4 EXHIBIT IX-1 AUDITS OF COOPERATIVE AGREEMENTS ACTIVITY STATE ROLE ACTION OFPICIAL/DESIGNEE ROLE Schedule Audit and Preliminary Activities Procedures for Audit X 3. Resolve Audit Findings Ensure that relevant material is available Prepare list of key project personnel Participate in entrance conference Provide information to auditors, as requested Review draft audit report and prepare comments, as appropriate Consult with audit team, DI6A and Action Official on audit report findings Assist in resolving disagree- ments as necessary Participate in exit conference Assist in resolving disputes on audit issues Provide additional information to Action Official, as necessary Respond to initial audit deter- mination, if appropriate Submit audit request Work with auditors to clarify program procedures Ensure that relevant material is available Participate in entrance conference Provide information to auditors, as re- quested Review draft audit report and prepare comments, as appropriate Request extension of draft audit report review period, if necessary Consult with the audit team, DIGA, Re- gional Counsel and State on audit report findings Assist State in preparing comments on draft audit report, if needed Assist in resolving disagreements, as necessary Participate in exit conference Forward copy of final audit report to State within 15 days of report date Forward copy of audit report to Head- quarters, if significant policy or procedural issues are raised Monitor status of audit reports to avoid delays or disputes Inform State and DIGA of potentially controversial issues/determinations Negotiate with DIGA staff to resolve differences, as necessary ------- 9375.1-4-9 3/14/86 New Page IX-5 EXHIBIT IX-1 (Continued) AUDITS OF COOPERATIVE AGREEMENTS ACTIVITY STATE ROLE ACTION OFFICIAL/DESIGNEE ROLE 3. Resolve Audit Findings (cont'd) Ui 4. Implement Corrective Actions Implement corrective actions, as instructed Transmit initial audit determination and supplementary analysis to the State, if necessary Consult with DIGA on proposed final audit determination Provide copy of proposed final audit determination to DIGA, if questioned costs are $100,000 or more Issue final audit determination to the State within 150 days Provide copy of all final audit deter- minations to DIGA for review Monitor status of State implementation of corrective actions Report quarterly on status of audit follow-up to HQ office Forward copy of final audit determina- tion to Servicing Finance Office ------- 9375.1-4-9 3/14/86 New Page IX-6 Instances where the State has an interest in significantly expanding its involvement in the Superfund program or has requested a major amend- ment to an existing project High staff or management turnover Previous audits of the State have indicated sig- nificant management problems Quarterly reports and other deliverables are not received on time or reports indicate problem areas Disbursements do not accurately reflect project progress Requests for verification of CERCLA section 104(c)(3)(C) credits Non-compliance or inattention to the requirements of quality assurance/quality control plans, site safety plans, contractor oversight, community relations plans, and quarterly reports, or to the other provisions of the Cooperative Agreement At the request of the State to resolve poten- tially questionable cost issues, or to ensure that appropriate corrective actions will be undertaken early in project implementation At the conclusion of one activity, such as a re- medial investigation/feasibility study, at a site. The interim audit is used as a corrective tool. There- fore, when improvements are needed, the interim audit final report will contain recommendations for corrective actions that EPA and/or the State can take in order to avoid future disallowed expenditures. For efficiency, when an interim audit is scheduled for one project within a State, other individual agreements with the State or other projects under the same MSCA may be scheduled for concurrent audit. A.2 Final Audits Final audits may be conducted on completed activities or Agreements to determine whether costs the State charged to EPA under the Cooperative Agreement were allowable. They also will verify that any remaining funds have been IX-6 ------- 9375.1-4-9 3/14/86 New Page IX-7 deobligated or, in the case of an MSCA, have been trans- ferred to another site. The final audit also is performed to ensure that the project(s) completed under the Cooper- ative Agreement meets all agreed-upon conditions and that desired results have been achieved. Audit of a Superfund Cooperative Agreement may be scheduled upon State submission of the final Financial Status Report (SF-269) at the conclusion of the activity. Cooperative Agreements may be audited when they are ter- minated or closed out or when projects within an MSCA are completed; interim audits of other projects within the same MSCA can be conducted at the same time. Other occa- sions may arise when an audit is appropriate. A.3 CERCLA Credit Audits CERCLA section 104(c)(3)(C) provides that States shall be given credit for eligible costs of response actions taken at a site during the CERCLA credit period: Jan- uary l, 1978, through December 11, 1980. CERCLA credit audits are conducted to verify that State credit costs under this provision meet the Agency criteria, and, thus, may be applied to the State's cost share during remedial action at the site for which they were incurred. Such audits may be performed at any time after a State has sub- mitted a summary of credit costs. Audits of large credits usually will be initiated before the remedial action is begun; audits of small credits usually will be concurrent with interim or final project audits for the remedial ac- tion. For additional details on the submission and pro- cessing of CERCLA" credit^, see Appendix C of this manual. B. SCHEDULING THE AUDIT AND PRELIMINARY ACTIVITIES The OAIGA, within EPA, is responsible for scheduling audits of Superfund Cooperative Agreements on its own ini- tiative or after receiving a reguest from the program. After the audit has been scheduled but before it can be- gin, however, several preliminary activities are necessary to obtain background information and organize files. If the State and EPA have been maintaining their files prop- erly throughout the course of the response activity, mini- mal additional organization will be necessary at the time of the audit. Procedures for requesting and scheduling audits, as well as descriptions of preparatory activities, are contained in this section. IX-7 ------- 9375.1-4-9 3/14/86 New Page IX-8 B.1 Scheduling the Audit Audits can be scheduled by the OAIGA on its own initi- ative or at the request of the Office of Solid Waste and Emergency Response (OSWER)* or the Award Official for the agreement. States may request audits through the Award Official. When Regional personnel determine that an audit is appropriate, the Award Official should submit directly to the appropriate DIGA a written request to verify expendi- tures. Exhibit IX-2, on the following page, provides a list of DIGAs and the EPA Regions for which they are re- sponsible. This request should identify any specific con- cerns, such as letter of credit drawdowns, equipment pur- chase, or contract administration, which the audit should address. If there are several Cooperative Agreements or projects included in the request, the Region should indi- cate its priorities for audit. The request also should be sufficiently detailed to explain the circumstances that make an audit necessary and, when appropriate, indicate the date the Region needs the audit report. The written request for an audit should be accompanied by an "Assis- tance Audit Request" (EPA Form 5700-29) signed by the Award Official or his/her designee. B.2 Regional Preparation-for the Audit While most of the audit work will be performed in the State's offices, prior to commencing field work the audi- tors will conduct an in-depth interview with the Remedial Project Manager (RPM) and will review EPA's project files. This generally will be accomplished at the time of the Regional entrance conference. As the Regional program staff member primarily responsible for the Cooperative Agreement, the RPM will need to work directly with the auditors and State and Regional personnel to ensure that all relevant material is available and ready for review and to explain Superfund program procedures to auditors, as required. Other EPA Headquarters offices that have an interest in requesting audits of Superfund Cooperative Agree- ments should coordinate such requests through the Office of the Assistant Administrator for Solid Waste and Emergency Response (AA/SWER). IX-8 ------- 9375.1-4-9 3/14/86 New Page IX-9 EXHIBIT IX-2 LISTING OF OFFICES OF THE DIVISIONAL INSPECTORS GENERAL FOR AUDITS Office of the Inspector General Internal Audit Division (A-109) Environmental Protection Agency 401 M Street, S.W. Washington, D.C. 20460 (FTS) 382-4930 or (202) 382-4930 Regions I and II Office of the Inspector General Eastern Audit Division Environmental Protection Agency 150 Causeway Street Boston, Massachusetts 02114 (FTS) 223-0940 or (617) 223-0940 Office of the Inspector General Eastern Audit Division/NY Suboffice Environmental Protection Agency 90 Church Street, Room 802 New York, New York 10007 (FTS) 264-5730 or (212) 264-5730 Region III Office of the Inspector General Mid-Atlantic Office Environmental Protection Agency 841 Chestnut Street, 10th Floor Philadelphia, Pennsylvania 19107 (FTS) 597-0497 or (215) 597-0497 Region V Office of the Inspector General Northern Audit Division Environmental Protection Agency 10 West Jackson Boulevard, 4th Floor Chicago, Illinois 60604 (FTS) 353-2486 or (312) 353-2486 Regions IV, VI and VII Office of the Inspector General Southern Audit Division Environmental Protection Agency 1371 Peachtree Street, N.E., Suite 276 Atlanta, Georgia 30309 (FTS) 257-3623 or (404) 881-3623 Office of the Inspector General Southern Audit Division/ Dallas Suboffice Environmental Protection Agency 1100 Commerce Street Dallas, Texas 75242 (FTS) 729-2854 or (214) 767-2854 Regions VIII,. IX and X Office of the Inspector General Western Audit Division Environmental Protection Agency 211 Main Street, Room 220 San Francisco, California 94105 (FTS) 454-7084 or (415) 974-7084 Office of the Inspector General Western Audit Division/ Sacremento Suboffice Environmental Protection Agency 801 I Street, Room 466 Sacramento, California 95814 (FTS) 460-1076 or (916) 551-1076 Office of the Inspector General Western Audit Division/ Seattle Suboffice Environmental Protection Agency 1111 3rd Avenue, Suite 350 Seattle, Washington 98101 (FTS) 399-1273 or (206) 442-1273 IX-9 ------- 9375.1-4-9 3/14/86 New Page IX-10 The RPM should be prepared to provide relevant back- ground information, including any issues observed concern- ing the State's administration and implementation of the Cooperative Agreement, suggestions for improving the State's process, and a discussion of the status of re- quired reports and work products. The RPM also should ensure that EPA's Cooperative Agreement/project files are up-to-date and available for review. Specifically, the auditors will want to review: A copy of the Cooperative Agreement, including all applications and amendments Correspondence or memoranda concerning problem areas Quarterly and final reports for the Agreement/ project Documentation of informal agreements and amendments. The RPM should be available to provide any necessary assistance to the auditors. B.3 State Preparation for the Audit The DIGA will inform the State of the approximate date of the audit. Most of the information that the auditors will need should be readily available if the State has been documenting costs as required by 40 CFR Part 30 and as recommended by the Superfund program guidance (see Appendix U of this manual for further details). Upon re- ceipt of the notification letter, however, the State should ensure that all records pertaining to the Coopera- tive Agreement are up-to-date and accessible. Types of management records that the State should re- view before the audit begins include the following: Accounting books and records covering the receipt and disbursement of funds; time and attendance records; travel; other project costs such as equipment and training; and cost share, as applicable Bank account records and cancelled checks IX-10 ------- 9375.1-4-9 3/14/86 New Page IX-11 Copies of quarterly and technical progress re- ports, as well as any other documents specified by the Cooperative Agreement A list of all equipment and supplies purchased for the Superfund project and, for final audits, a copy of the equipment disposal report Copies of Financial Status Reports (SF-269) Copies of Federal Cash Transaction Reports (SF-272) Procurement documents including contract files, payment and receiving documents, subagreement files, and memoranda of contract and subagreement negotiation Correspondence relating to activities conducted under the Cooperative Agreement. The State also should provide to the auditors a list of key personnel working on the project and their functional responsibilities. One of these individuals should be designated as the liaison between State staff persons, auditors, and the EPA Regional office. C. PROCEDURES FOR THE AUDIT Once the audit has been scheduled and background in- formation obtained from the Region, audit work can com- mence. General steps in the audit process are presented graphically in Exhibit IX-3, on the following page, and are described briefly in this section. C.1 Entrance Conference Prior to beginning field work in the State, the audi- tors will hold separate entrance conferences with State and Regional personnel. The primary purpose of these con- ferences is to introduce the audit team, explain the scope and nature of the audit, and obtain any suggestions on the audit emphasis. Other topics that will be covered in- clude: the schedule for completing the audit, provisions for accessing records and project information, and the audit team's space and equipment requirements. The audi- tors also will conduct an in-depth interview with the IX-11 ------- PHASE PHASE II (Max. 150 Days) PHASE III 1 OOA NOTIFIES STATE/ RBQIONGFMJOfr 9375.1-4-9 3/14/86 New Page IX-12 HO OAI AO S>AKEAOOUARTB» OfBCtOfTHt* AcnoHomcw. OM OBI8W. HOB AUDITS -- OfnONALSTEPa EXHIBIT IX-3 COOPERATIVE AGREEMENT AUDIT PROCESS ------- 9375.1-4-9 3/14/86 New Page IX-13 State Project Officer (SPO) for the project or Cooperative Agreement to obtain additional, relevant, background in- formation. C.2 Audit Standards and Tasks The EPA audit itself will be performed in accordance w,ith several publications. These include: Standards for Audit of Federal Governmental Organizations, Programs, Activities, and Func- tions, Comptroller General of the United States, February 1981 OIG Audit Guide EAG-3 — CERCLA Cooperative Agreements, EPA Office of the Inspector General, June 1985 Audit, Chapter 38 of the Assistance Administra- tion Manual, U.S. EPA Grants Administration Divi- sion, December 1984. Criteria that will be used to determine the allowability of costs and the adequacy of the State's administrative procedures will be drawn from the following sources: The Cooperative Agreement, including all amend- ments, special conditions, and terms, and sup- porting documentation Comprehensive Environmental Response, Compensa- tion, and Liability Act of 1980 (CERCLA) 40 CFR Part 300, National Oil and Hazardous Sub- stances Pollution Contingency Plan (NCP) 40 CFR Part 30, General Regulation for Assistance Programs 40-CFR Part 33, Procurement Under Assistance Agreements Assistance Administration Manual, U.S. EPA Grants Administration Division, December 1984 Letter of Credit - Treasury Financial Communica- tion System Recipients Manual, U.S. EPA Office of the Comptroller IX-13 ------- 9375.1-4-9 3/14/86 New Page IX-14 State Participation in the Superfund Program, OERR, February 1984, as revised. Although audits differ depending upon their scope and purpose and on the complexity of the activity or Coopera- tive Agreement being reviewed, the auditors will perform generally standardized tasks. These include the following: Obtain background information from the RPM Determine whether the State is complying with the provisions of the Cooperative Agreement Evaluate the State's system for accounting for site-specific costs and ability to document these costs Evaluate non-contractual costs incurred and reported Evaluate costs incurred and reported by the State for contractual services Determine'whether the controls being used to en- sure the appropriateness of contractor perform- ance and billing are adequate Determine whether -subagreements are being awarded in compliance with applicable EPA procurement procedures Determine whether letter of credit drawdowns are being handled in accordance with Federal requirements Determine whether the State is complying with EPA property and equipment management requirements, including the special requirements of CERCLA for equipment (see Appendix T) Determine whether all required financial and technical reports are being completed and sub- mitted in a timely manner. Additional tasks may be performed, depending upon the needs of the Agreement/project at hand. IX-14 ------- 9375.1-4-9 3/14/86 New Page IX-15 C.3 Draft Audit Report The results of the auditors' field work are summar- ized, for State and program comment, in a draft audit re- port prepared and issued by the OIG. This draft report states the purpose and scope of the audit and presents a preliminary, tentative description of the auditing team's findings. A finding is defined as a written explanation of an area audited, including proposed recommendations, and may concern either non-monetary or monetary recommendations. Non-monetary recommendations are an explanation of any changes needed to 1) improve the economy, efficiency, or effectiveness of operations and procedures, or 2) achieve compliance with applicable laws, regulations, guidance, or special terms and conditions contained in the Cooperative Agreement. Monetary recommendations concern costs in- curred by the State in the performance of the Agreement/ project, and fall into the following categories: Accepted costs, which are those that the auditors have concluded are allowable under the terms of the Agreement or applicable law, regulation, pol- icy, or cost principles, and were properly charged to the Cooperative Agreement Questioned costs, which are t.hose that the audi- tors have concluded are not allowable and, there- fore, EPA is not responsible for funding Set-aside costs, which are those that, at the time of audit, cannot be either questioned or accepted without further information, evalua- tions, or approvals from the State or EPA. In general, an audit report contains the following elements: A cost exhibit, presenting the monetary findings (costs by object class and classified as either accepted, questioned, or set-aside, as defined above). The exhibit also should include notes explaining the conditions and criteria for classifying costs as questioned or set-aside and, in the latter case, should indicate actions needed to resolve the set-aside costs and esti- mate when resolution is likely to occur. Exhibit IX-4, on the following pages, presents an example IX-15 ------- EXHIBIT IX-4 SAMPLE COST EXHIBIT FOR DRAFT AUDIT REPORT Summary of CERCLA Credit Period Costs Submitted and Results of the EPA Audit for XYZ Site Audit Findings Description Amount Submitted Accepted Questioned Set Aside Notes Enforcement Activities Water Supply and Pollution Control Commission Bureau of Solid Waste Management Office of the Attorney General Subtotal - Enforcement Drum Removal Activities Water Supply and Pollution Control Commission/Office of the Attorney General TOTAL $31,265 864 4,460 $36,589 $14,904 -0- -0- $14,904 $16,361 -0- 4,460 $20,821 -0- 864 -0- $864 $400,000 -0- $14.904 $400,000 $420.821 -0- Note 1 Note 2 Note 3 Note Note 1 Represents $16,361 questioned from in-house analysis of ground and surface water samples. The Commission originally provided estimates of the costs incurred using comparable outside laboratory analytical fees. Based on these estimates, the in-house costs of analyzing samples have been calculated for this site, and we have accepted those costs. Questioned costs were determined as follows: Number of Samples for XYZ Site $ 648 Average Cost per Sample $ 23 Cost of Samples (Accepted) $14,904 Costs Claimed $31,265 Costs Questioned $16,361 IX-16 ------- 9375.1-4-9 3/14/86 New Page IX-17 EXHIBIT IX-4 SAMPLE COST EXHIBIT FOR DRAFT AUDIT REPORT (Cont'd) Note 2 Represents $864 in costs for salary, travel, and indirect costs of agency personnel who performed sample monitoring and compliance inspections which have been set aside pending receipt of additional information to be submitted by the auditee. Note 3 Represents $4,460 relating to personnel costs for an assistant Attorney General (computed at $25 per hour, not on the basis of actual salary), travel costs, and sheriff fees. These costs are questioned because they pertain to legal research in support of litigation, which is unallowable according to EPA guidance issued December 15, 1982, by the Director, Office of Emergency and Remedial Response. Note 4 Represents $400,000 questioned relating to drum removal and other cleanup activities provided by responsible parties in June 1981, at no cost to the State other than personnel costs. The State's claim represents a "value" of State-induced actions taken by responsible parties, based on an estimate of what incurred cost would have been had a contract been issued to remove the hazardous materials. (1) Section 104(c)(l) authorizes Fund-financed activities only if responsible parties cannot or will not provide the necessary remedy; (2) section 104(c)(3) requires CERCLA credits to be for direct out-of-pocket costs; and (3) the same section requires the expenditures or obligations to be incurred within the period January 1, 1978, to December 11, 1980. The above claim does not meet any of these criteria. IX-17 ------- 9375.1-4-9 3/14/86 New Page IX-18 of a cost exhibit for a credit verification audit report. A discussion of the adequacy of the State's accounting, procurement, subagreement administra- tion, and property management systems. A discussion of problem areas examined or noted. Recommendations for remedying any deficiencies noted. The State and the Action Official will receive copies of the draft audit report for comment, unless findings are immaterial (e.g., the percent of total costs which are questioned is negligible) or confidential. Confidential findings within the report are those that relate to con- fidential investigative matters or confidential business information, either of which is uncommon in Cooperative Agreement audit reports. If significant policy or pro- grammatic issues are raised in the draft report, a copy should be forwarded to the AA/SWER. Since draft audit findings are tentative and subject to change, the State and Region should consider the draft to be confidential and, thus, should not release it as a public document. Any public requests for draft audit re- ports should be forwarded to the DIGA. The State and Region are strongly encouraged to pro- vide comments on the draft audit report. These comments must be submitted to the DIGA within 30 days of the draft report's distribution date. If an extension is needed, it may be requested by the Action Official for approval by the DIGA; extensions of up to 30 days are approved auto- matically. State and -Regional comments on the draft re- port should be considered an important part of the resolu- tion process since the time period for resolution of the final report is less flexible. Written comments will be considered in the preparation of the final audit report and, where possible, will be included as an appendix to it. Comments too lengthy for inclusion will be available in the appropriate DIGA office. C.4 Exit Conference EPA's audit process is designed to ensure that the State has an adequate opportunity to provide input into the decision-making process. Auditors will inform the IX-18 ------- 9375.1-4-9 3/14/86 New Page IX-19 State of preliminary findings as the audit progresses and may hold informal meetings with involved personnel to dis- cuss these findings. Before issuance of the final audit report, a formal exit conference may be held at the com- pletion of audit field work, or after comments on the draft audit report have been received. Meetings may occur separately with State and Regional staff members. An exit conference is conducted to discuss the audit findings, conclusions, and recommendations and to identify and/or resolve any misunderstandings that might have arisen during the audit or comment period. Improvements or corrective actions initiated during the course of the audit will be identified. As a result of the discussions in the exit conference, auditors may request State or Regional staff members to make additional written comments on the draft audit report; if so, these comments should be submitted to the DIGA no later then two weeks after the formal exit conference. C.5 Final Audit Report A final audit report will be prepared, taking into consideration written comments that were received on the draft audit report. This report will be used by the Action Official in making the final determination of audit disposition. The format for the final report will be similar to that of the draft report, with the addition of an appendix containing any written comments on the draft report whose length permit reproduction. The final report will be sent to the responsible Action Official, who must forward a copy of this report to the State within 15 days of the report date, and also should forward a copy to the Office of the AA/SWER in EPA Headquarters. Potentially controversial findings should be highlighted in the Action Official's transmittal memorandum to the State to allow preparation of a response or expedited implementation of corrective action. The OIG or Action Official should respond to public requests for final audit reports in accordance with the Freedom of Information Act and imple- menting regulations. C.6 Findings and Recommendations Related to EPA Administration A Cooperative Agreement audit primarily examines the State's performance under that Agreement. EPA oversight and administration, however, also are evaluated in the course of the audit. The OIG may address findings and recommendations on EPA deficiencies in a separate report or letter to the responsible EPA official. IX-19 ------- 9375.1-4-9 3/14/86 New Page IX-20 D. RESOLUTION OF AUDIT FINDINGS AND FOLLOW-UP ACTIONS The final audit report is developed to provide advice to the Action Official for making a determination on each of the OIG's findings. The Action Official, then, can reject or sustain these audit findings. The Action Offi- cial's determination is reported to the State in a letter that includes a description of corrective actions that the State will be required to implement and a total of the disallowed costs for which the State must reimburse EPA. While the final decision-made by the Action Official is binding on the State, EPA's audit resolution process is designed to ensure full participation by the State and OIG. The State and OIG, therefore, have an opportunity to provide additional input or clarification on outstanding issues. This section discusses the process used to resolve audit disagreements and disputes and to issue an audit determination to the State. For additional guidance on this subject, refer to EPA Directive 2750, "Management of EPA Audit Reports and Follow-up Actions," issued on April 20, 1984, which establishes responsibilities and pro- cedures for processing audit reports and follow-up actions. D.1 Review of Final Audit Report and Resolution of State Disagreements The Action Official should review thoroughly the con- tents of the final audit report to determine disposition of the findings. Before a final determination is issued the State should be given an opportunity to provide input into EPA's decision-making process. Any decisions to sus- tain costs that have been questioned or set aside by the auditors must be based on findings that have been made available to the State for review and response. Sustained costs are those gXiestiorifed or set aside costs which the Action Official concludes are not allowable. The report transmittal memorandum, therefore, must highlight poten- tially controversial decisions. If the Action Official considers taking a position that the State may not find acceptable, every effort should be made to come to agree- ment before the final determination is issued. If appro- priate, the Action Official may issue an initial determi- nation and ask the State for any rebuttal. This initial determination and any supplemental analysis should be sent to the State as soon as possible but at least within 45 days of the final report date. IX-20 ------- 9375.1-4-9 3/14/86 New Page IX-21 Non-monetary findings should be resolved through dis- cussions prior to issuing the final determination. These discussions should involve appropriate State personnel, the RPM, a senior grants specialist, an Agency attorney and, if appropriate, the Action Official or his/her designee. The DIGA or audit staff members also should be consulted early in the resolution process if there is a need to clarify the findings and recommendations of the audit. The results of these discussions or any rebuttals by the State should be confirmed in the letter of final determination, discussed later in this chapter. After the final determination letter is issued, the State may re- quest review through the formal dispute resolution pro- cedures under 40 CFR Part 30, Subpart L; these rights also are described in Chapter 35 of the Assistance Administra- tion Manual. This request for review must be submitted within 30 days after the final determination letter is issued by the Action Official. D.2 Resolution of DIGA Disagreements and Disputes If the Action Official considers taking a position that differs from the auditors' recommendation in the final audit report, the findings in question must be dis- cussed with the DIGA before the determination can be issued to the auditee. The Office of Regional Counsel also should be consulted if the difference is based on an interpretation of law, regulation, guidance, or EPA authority. When the Federal share of questioned costs in the final audit report totals at least $100,000, the Action Official cannot issue a final determination until all dif- ferences are resolved. To this end, the Action Official must provide a proposed final determination to the DIGA within 90 days of the final audit report date. If the DIGA agrees with the proposed final determination, he/she must notify the Action Official within 15 days. The Action Official then can proceed to issue the final determination letter to the State. If the DIGA does not accept the Action Official's position, he/she will attempt to resolve the differences within 15 days; if these attempts are unsuccessful, the DIGA will notify the OAIGA of the disagreement. The DIGA's transmittal to the OAIGA will include the Action Official's response and a brief statement of the reasons IX-21 ------- 9375.1-4-9 3/14/86 New Page IX-22 for disagreement; "a copy also should be forwarded to the Action Official. Once the matter has been referred, the OAIGA has 45 days to resolve the issue with the help of the DIGA, the Action Official, and affected Headquarters officials. At that time, it must either accept the Action Official's position or refer the dispute to the Audits Resolution Board (ARB) for a decision. ARB decisions on disputes concerning specific audit findings represent EPA's final position and must be reflected in the. final determination. If the DIGA and OAIGA do not give the re- quired notice and make the ARB referral within the respec- tive 15-day and 45-day periods, the audit will be con- sidered resolved and the Action Official may proceed to issue the final determination to the State. D.3 Issuance of the Final Determination Letter The Action Official must submit the final determi- nation letter to the State within 150 days of the final audit report, unless a disagreement between the Action Official and the DIGA has been referred to the OAIGA. This letter must be sent by certified mail, return receipt requested. A dated copy should be provided to the DIGA, the Servicing Finance Office, and to the Office of the AA/SWER in EPA Headquarters. Determination letters should accomplish the following: Specify the Agency's final-position on a_Ilr find- ings and recommendations. As appropriate, the legal and/or other basis for the position should be stated. All questioned and set aside costs must be either .sustained and, therefore, dis,- ... allowed, or accepted as allowed. Identify the actions the State must take to be in compliance with EPA regulations and policies and the terms of the Cooperative Agreement. Confirm and explain EPA/State agreements reached during the resolution process. Identify any amounts due to EPA because of dis- allowed costs. Provide standard payment instructions (see Assistance Administration Manual, Chapter 38, subparagraph 8f(3)). IX-22 ------- 9375.1-4-9 3/14/86 New Page IX-23 If the final determination places any require- ments on the State, notify the State of its dis- pute rights under 40 CFR Part 30, Subpart L. Additional elements may be included, as required. D.4 Review For Adequacy When a final determination is issued to the State- a dated copy should be provided to the DIGA. The DIGA will review all final determinations to determine whether or not they are adequate. To be adequate, a final determi- nation must address each of the findings made in the audit report and explain EPA's position. Adequate responses will close out the audit report and the Action Official will be notified to that effect. The DIGA must notify the Action Official of an inadequate response within 15 days and must identify clearly why the report is considered incomplete or inaccurate. The audit response will not be considered adequate until the Action Official has issued a revised final determination that corrects the deficiencies or he/she has convinced the DIGA that the deficiencies cited are immaterial or that the recommendations have been addressed otherwise. E. IMPLEMENTATION OF CORRECTIVE ACTIONS The Action Official must establish a system to monitor the disposition of sustained findings on active projects, and is responsible for ensuring that any corrective ac- tions required by the. final determination are imple- mented. There are several steps that the Action Official can take to ensure State compliance with required cor- rections. These include: Require the State to develop a written, correc- tive action plan as part of the final determina- tion and to report periodically on progress Request re-audit of the Cooperative Agreement, as appropriate, to verify whether corrective actions have been instituted Add special terms and conditions to the Coopera- tive Agreement to require compliance with cor- rective actions or to clarify EPA requirements. The Region should consider audit findings and State good- faith efforts to comply with them before awarding addi- tional funds or subsequent Cooperative Agreements. Com- plete documentation of the audit should be retained in the official Cooperative Agreement file. IX-23 ------- 9375.1-4-9 3/14/86 New Page IX-24 To obtain reimbursement for disallowed costs, the Region must immediately forward to its Servicing Finance Office a copy of the final determination letter sustaining guestioned or set-aside costs. The amounts due must be recorded in the Financial Management System as accounts receivable as of the date of the final audit determina- tion. The Financial Management Office has full responsi- bility for all billings, offsets, or other acceptable financial adjustments for CERCLA credit costs and sustained questioned or set-aside costs. IX-24 ------- |