5EPA Environmental Protection Agency Off ice of Solid Waste and Emergency Response DIRECTIVE NUMBER: TITLE: Draft Chapter 13 Response Agreements APPROVAL DATE: 12/16/85 EFFECTIVE DATE: -————_ ORIGINATING OFFICE: OERR D FINAL a DRAFT STATUS: C For review and comment REFERENCE (other documents): OSWER OSWER OSWER VE DIRECTIVE DIRECTIVE Dl ------- * &EPA United States Environmental Protection Agency Washington. DC 20460 OSWER Directive Initiation Request Interim Directive Number 9375.1-2A-6 . Originator Information Name of Contact Person Deborah Swichkow Mail Code WH-548E Telephone, Nx«nbw. g 3 Lead Office OERR D OSW D OUST D OWPE LJ AA-OSWER Approved for Review Signature of Office Director Date Title X' Audits of Response Agreements 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 follow-up. It is drawn from EPA Order 2750, "Management of EPA Audit Reports and Follow-up Action," OIG Audit Guide, EAG-3...CERCLA Cooperative Agreements, and Audits, Chapter 38, of the Assistance • Adrni nistrati on Manual. £. YTWUfeaaDdOhnfcfr /L; Type of Directive (Manual. Policy Directive. Announcement, etc.) Chapter IX to State Participation in the Superfund Remedial Program Status D Final New Revision 3oes this Directive Supersede Previous Directive(s)? | | Yes 3K No Does It Supplement Previous Directive^)?| | Yes No f "Yes" to Either Question, What Directive (number, title) leview Plan D AA-OSWER G OSW D OUST D OWPE D Regions D OECM D OGC D.OPPE D Other [Specify) his Request Meets OSWER Directives System Format iture of Lead Office Directives Officer Date ignature of OSWER Directives Officer Date EPA Form 1315-17 ( ------- ISK UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON, D.C. 20460 DEC I 6 m^ OFFICE OF SOLID WASTE AND EMERGENCY RESPONSE OSUER Directive 9375.1-ZA-e MEMORANDUM SUBJECT Audits of Superfund Response Agreements Addenda to State Participation in the Superfund Remedial Program Manual Proposed FROM $am Morekas, Chief\UWjuc.io-v State and RegionaT^Coordination Branch Hazardous Site Control Division TO: ADDRESSEES When a State enters into a Superfund response agreement EPA has a right to audit that agreement. The .ob.jecti ve of an audit is to ascertain that State expeditures are within the terms of the agreement and to determine whether or not the management controls excercised hy the State are adequate. Further, EPA must ensure that corrective action is taken by the State and that EPA is repaid for any disallowed costs. In order to provide guidance to Regional Offices and affected States we have drafted the attached Audits of Response Agreements chapter for inclusion in Superfund Remedial Program Manual. explains the purpose and procedures State's role in the decision making responsibi1ites for audit resolution in the State Participation This draft guidance of an EPA audit, the process and the Regional and follow-up. It is drawn from EPA Order 2750, "Management of EPA Audit Reports and Follow-up Actions," OIG Audit Guide, EAG-3 ---f.ERCLA Cooperative Agreements, and Audits, Chapter 38, of the Assis- tance Administration Manual.Your cooperation is needed in reviewing this draft and providing comments prior to its publication as part of the manual. Audits may be performed at any time during the course of a project and are always part of closeout procedures. EPA may audit Cooperative Agreements, projects within a Multi-site Cooperative Agreement (MSCA), advance match expenditures, and verify credit claims. Other special purpose audits may also be performed. ------- I i - 2 - The responsibility for scheduling and conducting EPA audits rests with the Office of the Inspector General (016) within EPA. Most audit work is done in the State's offices and includes a thorough review of the State's accounting, procurement and property management systems as well as a review of all costs incurred as part of a project. The 016 will detail its findings in an audit report which may recommend that certain expenditures of Federal funds by a State be disallowed or suggest needed corrective action. The Regional Administrator, as the Action Official, has ultimate responsibility for accepting or rejecting the audit findings. This decision will be documented in a final deter- mination to the State. This determination 1s legally binding and, pending appeal pursuant to 40 CFR 30 Subpart L, the State is then responsible for implementing the corrective actions and arranging for repayment of any disallowed costs. We would appreciate your written comments on the attached draft by January 17, 1986. Please send them to: Chief, State and Regional Coordination Branch (WH-548E) EPA, Washington, D.C. 20460. If you have any questions please, contact Jan Wine, Chief, State Programs Section, or Elizabeth Hall of her staff at (202) 382-2443. Thank you for your interest and assistance. Attachment ------- ADDRESSEES Superfund Regional Branch Chiefs, Region 1-X Regional Counsels, Region 1-X Regional Grants Management Contact, Regions 1-X Office of Inspector General Mike Simmons, 016 (A-109) Eastern Audit Division Eastern Audit Division, Boston Suboffice Eastern Audit Division, Puerto Rico Suboffice Mid-Atlanti c Offi ce Northern Audit Division Southern Audit Division Southern Audit Division/Dallas Suboffice Western Audit Division Western Audit Division/Seattle Suboffice Western Audit Division/Sacramento Suboffice Internal Audit Division Karen Clark, OGC (LE--1326) Stan Fredericks, FMD (PM-226) ASTSWMO (B. Simcoe) Fred Meadows, GAD (PM-216) Tim- Fields, ERD (SE-384E) Tony DieCidue, OWPE Russ Wyer, HSCD - Hal Snyder, DIB Paul Nadeau, RACB __ Tom Sheckel1s, RAB SRCB Staff ------- GSi.'ER Directivs 9375.l-2.Ve 11/15/85 IX. AUDITS OF- RESPONSE AGREEMENTS ------- DRAFT 11/15/85 IX. AUDITS OF RESPONSE AGREEMENTS In signing an EPA/State CERCLA response agreement, the State has given EPA the right to audit that agreement. This chapter provides guidance on the conduct of such audits; it does not discuss audit of Federal contracts. • EPA may audit a CERCLA response agreement wh.ile the project conducted under that agreement is ongoing, called an interim audit, or may conduct a final audit at the completion of the project. 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 reasonable, allowable, and allocable to the project, and to determine whether controls exercised by the State through its financial management, accounting, procurement, subagreement administration, and property management systems are adequate to ensure that costs IX-1 ------- DRAFT 11/15/85 claimed meet these criteria. EPA regulations (40 CFR 30.510 and 30.540(b)), in accordance with Office of Management and Budget (OMB) Circular A-128 (formerly A-102, Attachment P), also require States receiving EPA assistance or expending funds as match under a Superfund State Contract (SSC) to arrange for independent financial and compliance audits and internal control reviews. Audits are made under the supervision of the Office of the Inspector General (OIG) in EPA Headquarters; specifically, they are the responsibility of the Office of the Assistant Inspector General for Audits (OAIGA)t OIG will schedule an audit on its own initiative or at the Superfund program's request. The Divisional Inspectors General for Audits (DIGAs) deal directly with State and Regional staff to schedule the audit, resolve any questions or problems, and provide advice, as necessary. Actual audit work may be performed by employees of the OIG, an independent public accounting firm under contract to EPA to perform audits, or by auditors associated with another Federal agency. Most of the audit work conducted will take place in the State offices and will include a thorough review of IX-2 ------- DRAFT 11/15/85 the State's accounting, procurement, and property management systems as well as all costs incurred on a project. Audit findings will recommend which costs claimed should be questioned as not EPA's responsibility; that is, are not reasonable, allowable, and allocable. The audit report will detail these findings and will recommend corrective actions that either EPA or the State can implement to avoid such disallowed expenditures in the future. When EPA conducts project audits, the Agency to the extent possible will build upon State organization- wide audits. . • EPA's audit process is designed to ensure thjat the State has an adequate opportunity to provide input into the decision-making process. In general, a draft audit report which details audit findings will be prepared for comment by the State. State comments will be incorporated into the report, as appropriate, and a final report will be sent to the Regional Administrator (RA). The RA, as the Action Official, will have ultimate responsibility for rejecting or accepting the audit findings, and will issue a final, binding determination of the audit disposition to the State. The State, then, will be responsible for implementing corrective actions to remedy cited deficiencies. IX-3 ------- DRAFT 11/15/85 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: 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 responsibilities for each phase of the response agreement audit process. IX-4 ------- DRAFT 11/15/85 EXHIBIT IX-1 AUDITS OF RESPONSE AGREEMENTS ACTIVITY 1. Scheduling the Audit and Preliminary Activities STATE: RPM: X tn 2. Procedure for Audit ACTION OFFICIAL: STATE: RPM: Organize State files Ensure relevant material is available Prepare list of key project personnel Work with auditors to clarify program procedures Organize Regional files Ensure relevant material is available Assist in preparing letter requesting audit, if applicable Travel tro State with auditors, if required Submit audit request Sign Assistance Audit Request form Participate in entrance conference Provide information to auditors, as requested Review draft audit report and prepare comments Assist in resolving disputes, as necessary Participate in entrance conference Provide information to auditors, as requested Review draft audit report and prepare comments for signature by the Action Official as indicated in the transmittal letter Consult with DIGA and Regional Counsel on audit reports Consult with State on audit report findings and provide information on potentially controversial points ------- DRAFT 11/15/85 EXHIBIT IX-1 AUDITS OF RESPONSE AGREEMENTS ACTIVITY ACTION OFFICIAL: 3. Resolution of Audit Findings and Follow-up Actions STATE: RPM: ACTION OFFICIAL: Assist State in preparing comments on draft audit report Forward copy of audit report to SRCB, if policy/procedural issues are raised Monitor status of reports and inform AO of any delays or disputes Review draft audit report Request extension of draft audit report review period, if necessary Sign final audit report and transmit copy to State within 15 days of the report date Assist in resolving disputes Provide additional information to AO, Inform State of potentially controversial issues/determinations Assist in audit disputes resolution, as necessary Negotiate with IG staff to resolve disputes Monitor status of reports and inform AO of delayed or disputed reports Draft final determination letter for AO's signature Issue initial audit determination to the State, if necessary Provide copy of all final determinations to DIGA for review Revise final determination letter, as required Issue adequate final determination to State ------- DRAFT 11/15/85 EXHIBIT IX-1 AUDITS-.OF RESPONSE AGREEMENTS ACTIVITY 4. Implementation of Corrective Actions STATE: RPM: ACTION OFFICIAL, Implement corrective actions as instructed Monitor status of State implementation of corrective actions Report on status of audit follow-up quarterly to HQ follow-up official Forward copy of final determination letter to Servicing Finance Office Ensure State has implemented corrective actions X ------- DRAFT 11/15/85 A. TYPES OF AUDITS Audits may be conducted at any time during an on-going project or at the completion of a project/response agreement period of performance. The former type are called interim audits, while the latter are called final audits. This section briefly discusses each of these types of audit. Other, special purpose audits include credit claims cost verification (see Appendix C of this manual) and pre-award audits covering financial and technical aspects of assistance applications and proposed subagreements; credit claims audits are also discussed in thi%s section. A.1 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 response agreement are allowable. Thus, it will entail a thorough review of State cost documentation and project files, and also will usually include examination of the State's accounting, procurement, and property management systems. IX-8 ------- DRAFT 11/15/85 EPA may schedule an interim audit of agreements which cover particularly complex projects, such as multi-site - Cooperative Agreements (MSCAs), or when problems, inaccuracies, discrepancies, or other complications with response agreement administration are noted. 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 segregate and account for costs ori a site-specific basis Instances where the State has an interest in significantly expanding its involvement in the Superfund program or has requested a major amendment to an existing project High staff or management turnover 1 Previous audits of the State have indicated significant management problems IX-9 ------- tiRAFT 11/15/85 Quarterly reports and other deliverables are not received on time or reports indicate problem areas Disbursements do not accurately reflect project progress Receipt of a credit claim for CERCLA section 104(c)(3)(C) costs Non-compliance or inattention to program requirements of quality assurance/quality control plans, site safety plans, contractor oversight, community relations plans, and other guidance, or to the provisions of the response agreement At the conclusion of one activity, such as a remedial investigation/feasibility study, at a site. The interim audit is a corrective tool. Therefore, 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 disallowed expenditures in the future. For efficiency, when an IX-10 ------- DRAFT 11/15/85 interim audit is requested for one project within a State, other individual agreements within 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 projects to determine whether costs charged to EPA under the agreement covering that project were allowable. They also will verify that any remaining funds have-been deobligated or, in the case of an MSCA, have been transferred to another site. The final audit also is performed to ensure that the project(s) completed under the agreement meets all agreed-upon conditions and that desired results have been achieved. Audit of a Superfund response agreement may be scheduled, upon State submission of the final Financial Status Report (SF-269) for the project. Agreements may be audited when any of the following occur: IX-11 ------- DRAFT 11/15/85 Cooperative Agreements are terminated or closed out Projects within an MSCA are completed (interim audits of other projects within the same MSCA can be conducted at the same time) SSCs are being converted to Cooperative Agreements to provide EPA's cost share for operation and maintenance. Other occasions may arise when an audit is appropriate. A.3 CERCLA Credit Audits CERCLA section 104 (c)(3)(C) provides that States may be given credit for eligible costs of response actions taken at a site during the CERCLA credit period: January 1, 1978, through December 11, 1980. CERCLA credit audits are conducted to verify that the costs the State is claiming 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. IX-12 ------- DRAFT 11/15/85 Such audits may be performed at any time after a State has submitted a credit claim. Audits of large claims usually will be initiated before the remedial action is- begun; audits of small claims usually will be concurrent with interim or final project audits for the remedial action. For additional details on the submission and processing of CERCLA credit claims, see Appendix C of this manual. B. SCHEDULING THE AUDIT AND PRELIMINARY ACTIVITIES The OAIGA, within EPA, is responsible for scheduling audits of Superfund response agreements on its own 'initiative or after receiving a request from the program. After the audit has been scheduled but before it can begin, however, several preliminary activities are necessary to obtain background information and organize files. Procedures for requesting and scheduling, as well as descriptions of preparatory activities, are contained in this section. IX-13 ------- DRAFl 1 5/ B. l Scheduling the Audit Audits can be scheduled by the OAIGA on its ov initiative or at the request of the Office of Emer and Remedial Response (OERR)* or the RA as the Awa Official for the agreement. When Regional personnel determine that an audit appropriate, the RA should submit a written request * verify expenditures directly to the appropriate DIGA Exhibit IX-2, on the following page, provides a DIGAs and the EPA Reg-ions for which they are re This request should identify any specific concerns, s as letter of credit drawdowns, equipment purchase, or i contract administration, which the audit should addres If there are several agreements/projects included in ti request, the Region should indicate its priorities for 1 v? ^fc * Other EPA Headquarters offices that have an interest in requesting audits of Superfund response agreement should coordinate such requests through the State ant Regional Coordination Branch (SRCB) within OERR. IX-14 ------- DRAFT 11/15/85 EXHIBIT IX-2 LISTING OF OFFICE OF THE DIVISIONAL INSPECTORS GENERAL FOR AUDITS Office of the Inspector General Eastern Audit Division Environmental Protection Agency 90 Church Street, Room 802 New York, New York 10007 (FTS)'264-5730 (Regions I and II) Office of the Inspector General Eastern Audit Division/ Boston Suboffice Environmental Protection Agency 150 Causeway Street Boston, Massachusetts 02114 (FTS) 223-0940 Office of the Inspector General Eastern Audit Division/ Puerto Rico Suboffice Environmental Protection Agency Federico Degetau Federal Building Chardon Street Hato Rey, Puerto Rico 00918 (809) 753-4672 Office of the Inspector General Mid-Atlantic Office Environmental Protection Agency 841 Chestnut Street, 10th Floor Philadelphia, Pennsylvania 19107 (FTS) 597-0497 (Region III) Office of the Inspector General Northern Audit Division Environmental Protection Agency 10 West Jackson Boulevard, 4th Floor Chicago, Illinois 60604 (FTS) 353-2486 (Region V) Office of the Inspector General Southern Audit Division 1375 Peachtree Street, N.E., Suite 276 Atlanta, Georgia 30309 (FTS) 557-3623 (Regions IV, VI, and VII) Office of the Inspector General Southern Audit Division/ Dallas Suboffice Environmental Protection Agency 1100 Commerce Street Dallas, Texas 75242 (FTS) 729-2854 Office of the Inspector General Western Audit Division Environmental Protection Agency 211 Maine Street, Room 220 San Francisco, California 94105 (FTS) 454-7084 (Regions VIII, IX, and X) Office of the Inspector General Western Audit Division/ Seattle Suboffice Environmental Protection Agency 1111 3rd Avenue, Suite 350 Seattle, Washington 98101 (FTS) 399-1273 Office of the Inspector General Western Audit Division/ Sacramento Suboffice Environmental Protection Agency 801 I Street, Room 466 Sacramento, California 95814 (FTS) 460-1076 Office of the Inspector General Internal Audit Division Environmental Protection Agency 401 M Street, S.W. Washington, D.C. 20460 (FTS) 382-4930 IX-15 ------- DRAFT 11/15/85 audit. The request also should be sufficiently detailed to explain the circumstances which 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 "Assistance Audit Request" (EPA Form 5700-29) signed by. the RA. B.2 Regional Preparation for the Audit While most of the audit work will be performed in the State, prior to commencing field work the auditors will conduct an in-depth interview with the 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 staffmember primarily responsible for the response 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. IX-16 ------- DRAFT 11/15/85 The RPM should be prepared to provide relevant background information, including any issues observed concerning the State's administration and implementation of the Cooperative Agreement or SSC, suggestions for improving the State's process, and a discussion of the status of required reports and work products. The RPM also should ensure that EPA's project files are up-to-date and available for review. Specifically, the auditors will want to review: A copy of the Cooperative Agreement or SSC, including all applications and amendments Correspondence or memoranda concerning problem areas Quarterly and final reports for the project/agreement Documentation of informal agreements and amendments. As needed, the RPM should be available to travel to the State with the auditors. IX-17 ------- DRAFT 11/15/85 Copies of quarterly and technical reports, as well as any other documents specified by the Cooperative Agreement or SSC A list of all equipment and supplies purchased for the the Superfund project Copies of Financial Status Reports (SF-269)* Copies of Federal Cash Transaction Reports (SF-2-72) Subagreement files, including memoranda of subagreement negotiation Correspondence.relating to activities under the response 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. IX-19 ------- DRAFT 11/15/85 C. PROCEDURES FOR THE AUDIT Once the audit has been scheduled and background information obtained from the Region, audit work can commence. 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 auditors will hold separate entrance conferences with State and Regional personnel. The primary purpose of these conferences 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 include the schedule for completing the audit, provisions for accessing records and project information, and the audit team's space and equipment requirements. During the State entrance conference auditors also will conduct an in-depth interview with the State Project Officer (SPO) for the project/agreement, to obtain additional relevant, background information. IX-20 ------- EXHIBIT IX-3 RESPONSE AGREEMENT AUDIT PROCESS OMOA NOTIFIES STATE/ REGION OF AUDIT REGION ORGANIZES FILES; PROVIDES INFORMATION TO AUOITOHS AUOITOHS HOLD ENTRANCE CONFERENCE WITH REGION AUDITORS REVIEW REOION FILES STATE ORGANIZES FILES: DEVELOPS LIST Of KEY PERSONNEL AUDITORS HOLD ENTRANCE CONFERENCE WITH STATE AUDITORS REVIEW STATE FILES X to YES INITIAL DETERMINA- TION SENT TO STATE FOR 45-DAY REVIEW QUA OMSWNAL INSPECTOR GENERAL FOR AUDITS HO EPA HEADQUARTERS OAJOA OFFICEOFTHEASSISIANTINSPECTOHGENERALFORAUOITS AO AWARD OFFICIAL (EPA REGONAL AOUMSTHATOR) ------- DRAFT 11/15/85 C.2 Audit Standards and Task The EPA audit itself will be performed in accordance with several publications. These include: Standards for Audit of Federal Governmental Organizations, Programs, Activities, and Functions, 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 Administration Manual, U.S. EPA Grants Administration Division, 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: IX-22 ------- DRAFT 11/15/85 The response agreement, including all amendments and documentation CERCLA 40 CFR Part 300, National Oil and Hazardous Substances Pollution Contingency Plan (NCP) 40 CFR Part 30, General Regulation for Assistance Programs 40 CFR Part 33, Procurement Under Assistance Agreements OMB Circular A-102, Attachments N (Property Management Standards) and 0 (Procurement Standards) "Letter of Credit - Treasury Financial Communication System Recipients Manual," U.S. EPA Office of the Comptroller "State Participation in the Superfund Remedial Program," OERR, February 1984, as amended. IX-23 ------- DRAFT 11/15/85 Although audits differ depending upon their scope and purpose and on the complexity of the project/agreement being reviewed, the auditors will perform generally standardized tasks. These include the following: Obtain background information from the RPM Evaluate the State's system for accounting for site-specific 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 ensure the appropriateness of contractor performance and billing are adequate Determine whether subagreements are being awarded in compliance with applicable Federal procurement procedures IX-24 ------- DRAFT 11/15/85 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 response agreement. Monetary recommendations concern costs incurred by the State in the performance of the project/agreement, and fall into the following general categories: Accepted costs, which are those that the auditors have concluded are allowable under the terms of the agreement or applicable law, regulation, policies, or cost principles, and were properly charged to the response agreement IX-26 ------- DRAFT 11/15/85 Questioned costs, which are those that the auditors have concluded 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, evaluations, or approvals from the State or EPA. In general, an audit report contains the following elements: A cost exhibit, presenting the monetary findings (by object class costs claimed by the State and classified as "either accepted, questioned, or set-aside, as defined above). The exhibit should also 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 estimate when resolution is likely to IX-27 ------- DRAFT 11/15/85 occur. Exhibit IX-4, on the following pages, presents an example-of a cost exhibit for a credit claim "audit report. A discussion of the adequacy of the State's accounting, procurement, subagreement administration, and property management systems A discussion of problem areas examined or noted Recommendations for remedying -any deficiencies noted. .The State and the RPM 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. 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. However, if significant policy or programmatic issues are raised in IX-28 ------- DRAFT 11/15/85 EXHIBIT IX-4 SAMPLE COST EXHIBIT FOR DRAFT AUDIT REPORT Summary of CERCLA Credit Period Costs Claimed and Results of the EPA Audit for XYZ Site Audit Findings Description Amount Claimed Enforcement Activities Water Supply and Pollution Control Commission $31,265 Bureau of Solid Waste Management 864 Office of the Attorney General 4,460 Subtotal - Enforcement $36,589 Drum Removal Activities Water Supply and Pollution Control Commission/Office of the Attorney General $400,000 TOTAL Accepted Questioned Notes $14,904 864 $16,361 -0- Note 1 -0-- ' 4,460 $15,768 $20,821 -0- $400,000 $420.821 Note 4 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 Average Cost per Sample Costs of XYZ Site Samples Costs Claimed Costs Questioned 648 23 $14,904 $31,265 $16,361 IX-29 ------- DRAFT 11/15/85 Note 2 Costs representing salary, travel, and indirect costs of agency personnel who performed sample monitoring and compliance inspections have been accepted based on additional information submitted by the auditee. Note 3 Represents $4,460 relating to personnel costs for an assistant attorney general (computered 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 financial 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. $400,000 TOTAL COSTS QUESTIONED $420.821 IX-30 ------- DRAFT 11/15/85 the draft report, the RPM should forward a copy to the Chief, SRCB* in EPA Headquarters for assistance. State and Regional comments on the draft audit report are required, by EPA Order 2750, to be provided to the DIGA within 30 days of the draft report's distribution date. Should an extention be required, it may be requested by the Action Offici-al for approval by the DIGA; extensions of up to 30 days, are approved automatically. Comment on the draft report should be considered an important part of the resolution 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, The correct address is: Chief, State and Regional Coordination Branch Hazardous Site Control Division (WH-548E) U.S. Environmental Protection Agency 401 M Street, S.W. Washington, D.C. 20460 IX-31 ------- DRAFT 11/15/85 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 Auditors will hold a formal exit conference with involved personnel at the completion of audit field work, or after comments on the draft audit report have been received. Meetings will occur separately with State and Regional staffmembers. 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. Improvements or corrective actions initiated during the course of the audit will be identified. Regional and State personnel will be informed to submit any requests for external audit reports to the DIGA for release in accordance with the provisions of the Freedom of Information Act. Auditors also 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 within two weeks. IX-32 ------- DRAFT 11/15/85 C.5 Final Audit Report A final audit report then 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 written State and OIG comments on the draft report whose length permit reproduction. After the final report's preparation, the DIGA will transmit it directly to the Action Official; the Action Official must send a copy of this report to the State within 15 days of the report date, and also should forward a copy to SRCB 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 proactive implementation of corrective action. C.6 Findings and Recommendations Related to EPA Adminstration An audit of a response agreement primarily examines the State's performance under that agreement. EPA IX-33 ------- DRAFT 11/15/85 oversight and adminitration, however, also are evaluated in the course of the audit. Findings and recommendations on EPA deficiencies will be addressed by the OIG in a * separate report or letter to the responsible EPA official. D. RESOLUTION OF AUDIT FINDINGS AND FOLLOW-UP ACTIONS The final audit report is developed to provide advice to the RA, as the Action Official, in making a final audit determination for each of the IG's findings. The Action Official, then, can reject or sustain these audit findings. The Action Official's determination will be reported in a letter to the State, including 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 dispute and to issue an audit determination to the. IX-34 ------- DRAFT • 11/15/85 State. For additional guidance on this subject, refer to EPA Order 2750, "Management of EPA Audit Reports and Follow-up Actions," issued in June 1984, which establishes responsibilities and procedures for processing audit reports and follow-up actions. D.1 Review of Final Audit Report and Resolution of State Disputes The Action Official should carefully review the contents 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 sustain costs which 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; the report transmittal memorandum, therefore, must highlight potentially controversial decisions. If the Action Official considers taking a position which the State may not find acceptable, every effort should be made to come to agreement before the final determination is issued. If appropriate, the Action Official should issue an initial determination and ask the State for any rebuttal. This initial determination and any supplemental IX-35 ------- DRAFT 11/15/85 analysis should be sent to the State as soon as possible but at least within 45 days of the final report date. Non-monetary findings should be resolved through negotiation. These negotiations should involve appropriate State personnel, the RPM, a senior grants specialist, and an Agency attorney. When appropriate, audit staff members should be consulted. The DIGA 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 any negotiation or rebuttal by the State should be confirmed in the letter of final determination. D.2 Resolution of DIGA Disputes If the Action Official considers taking a position which differs from the auditors'-recommendation in the final audit report, the findings in question must be discussed with the DIGA. The Office of Regional Counsel also should be consulted if the difference is based on an interpretation of law, regulation, guidance, or EPA authority. IX-36 ------- DRAFT 11/15/85 When the questioned costs in the final audit report total at least $100,000, the Action Official cannot issue .a final determination until all differences are resolved; * . To this end, the Action Official must provide a proposed final determination to the DIGA within 90 days. If the DIGA agrees with the proposed final determination, it 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, the final determination must be withheld until the dispute is resolved. The DIGA has 15 days to resolve any differences. At that time it must either accept the Action Official's position and close out the audit report or notify OAIGA of the disagreement. Once the matter has been referred, OAIGA has 45 days to resolve the issue with the RA as the Action Official. 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 take any action within 60 days of the Action IX-37 ------- DRAFT 11/15/85 Official's transmittal of a proposed final determination, the audit will be considered closed 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 determination letter to the State. 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 SRCB in EPA Headquarters-. The date that this determination letter is due .to the State depends on the total amount of questioned and set- aside costs. A final determination letter must be sent to the State within 180 days of the final audit report date if the questioned costs total $100,000 or more and within 150 days if these costs are less than $100,000. Determination letters should accomplish the following: Specify the Agency's final position on all findings and recommendations. As appropriate. IX-38 ------- DRAFT 11/15/85 the legal and/or other basis for the position should be stated. All questioned and set aside costs must either be sustained and, therefore, disallowed or accepted as allowed. Identify the actions the State must take to be in compliance with EPA regulations and policies. Confirm and explain EPA/State agreements reached during the resolution process. » Identify any amounts due to EPA because of disallowed costs. Provide standard payment instructions (see Grants Administration Manual, Chapter 38, subparagraph 8f(3)). If the final determination places any requirements on the State, notify the State of its dispute rights. Requests for review must be submitted within 30 days of the date of the decision (see 40 CFR Part 3d, Subpart L and Chapter 35, Grants Administration Manual). IX-39 ------- DRAFT 11/15/85 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 determination 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 clearly, identify why the report is considered incomplete or inaccurate. The Action Official then must issue a revised final determination; the audit response will not be considered adequate until the RA has done so. E. IMPLEMENTATION OF CORRECTIVE ACTIONS The Action Official is responsible for ensuring that any corrective actions required by the final determination IX-40 ------- DRAFT 11/15/85 are implemented. There are several steps that the Regional office can take to ensure State compliance with required corrections. These- include: Require the State to develop a written, corrective action plan as part of the final determination and to periodically report or progress Re-audit the response agreement, as appropriate, to determine whether corrective actions have been instituted Add special terms and conditions to the response agreement to require compliance with corrective actions or clarify EPA requirements. The Region should consider audit findings and State good-faith efforts to comply with them before awarding additional funds or subsequent Cooperative Agreements. To obtain reimbursement for disallowed costs, the Region must immediately forward to its Servicing Finance Office a copy of the final determination letter which IX-41 ------- DRAFT 11/15/85 sustained questioned 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 determination. The Financial Management Office has full responsibility for all billings, offsets, or other acceptable financial adjustments for CERCLA credit claim costs and sustained questioned or set-aside costs. IX-42 ------- |