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Results of Validation Actions: Regions document increased citizen involvement
using milestone as a method to measure progress.
September 30. 1991 Status Update: Workplan complete.
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FISCAL YEAR 1991
CATS Tracking Numbly; 90—1x2
Assessable Unit/AU #: OERR\HSCD\1902
Title of Material Weakness; Superfund Program: T.jgfr-ian to Citizens/Change
Actions Where Merited
Description of Material Weakness and Its Impact on Agency Oirations; EPA
managers and staff should listen carefully to what citizens are saying, take the
time necessary to deal with their concerns, change planned actions where citizen
suggestions have merit, and then explain to citizens what EPA has done and why.
WorkDlan i: 00583
Functional Category in Statistical Sumntf*Ty; program Management
Appropriation/Program Element; Superfund/68/20X8145/TFAY9a
Administrative Activity/Program Activity; Program Activity
Year Identified; 1989
Source of Discovery; The "Management Review of the Superfund Program"
Original Target Correction Date; 12/31/90
T^Tn^fcgd Correction Date in fast Y**^**ys Report; 12/31/90
Actual Completion Date; 01/22/91
Corrective Actions Taken;
M/S # MILESTONE TITLE ORIG PLAN ACTUAL
M 003 Report on Training Needs 04/30/90 04/30/90 04/30/90
M 004 Draft "SS" on Techniques 07/31/90 07/31/90 08/14/90
M 005 Wrkpln to meet Trng. Needs 08/31/90 08/31/90 08/30/90
M 006 **FinaI Short Sheet 12/31/90 12/31/90 01/22/91
M 007 Verification of Completion 01/22/91 01/22/91 01/22/91
of Validation Actions; EPA managers and staff "^** techniques in
milestone short 'sheet to improve communications with citizens.
30. 1991 Stat?ig updM"*** Workplan complete.
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FISCAL YEAR 1991
CATS Tracking Number: 90^1311
Assessable Unit/AU #: OERR\HSCD\1902
Title of Material Weakness; Superfund Program: Discuss Site Early/Make Docu.
More Readily Avail.
Description of Material Weakness and Its Impact on Agency Operations; EPA should
discuss site findings and decisions as they are developed, not only at the end
of the feasibility study. While a formal comment period is required only at the
proposed plan stage, EPA should make documents available to citizens and to PRPs
throughout the cleanup process, and be open to continually receiving comments.
EPA should be more aggressive about supplying information to citizens and their
technical advisors. Citizens' access to information should be comparable to that
of PRPs. Neither citizens nor PRPs should have to wait until the end of the
remedial investigation and feasibility study to learn the results of the
studies. EPA should ensure access to information by (1) establishing information
repositories that are convenient to the affected public; (2) completing any
necessary review of documents quickly, so the documents can be released; (3)
placing documents in the administrative record and the information repositories
as soon as possible; and (4) notifying citizens of the availability of that
information through fact sheets and other mailings.
WorkDlan #: 586
Functional Category in Statistical Sunnp'*''^: Program Management
Appropriation/Program Element; Superfund/68/20X8145/TFAY9A
Administrative Activity/Program Activity: Program Activity
Year Identified; 1989
Source of Discovery; The "Management Review of the Superfund Program"
Original Target Correction Date; 10/31/90
Targeted Correction Date in La^t Year's Report: 10/31/90
Actual Completion Date; 11/02/90
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U. S. ENVIRONMENTAL PROTECTION AGENCY
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FISCAL YEAR 1991
ENCLOSURE D
PAGE 47 OF 97
Corrective Actions Taken:
M/S # MILESTONE TITLE
M 004 Conduct Survey
M 005 Report en Survey Results
M 009 Issue Draft SS w/Recanmendations
M 006 **Final SS and Recommendations
M 007 Verification
GRIG .PLAN ACTUAL
05/24/90 05/24/90 05/23/90
06/30/90 06/30/90 06/29/90
07/31/90 07/31/90 08/02/90
10/31/90 10/31/90 11/02/90
11/02/90 11/02/90 11/02/90
of Vali^tion Actions; Regions apply guidance on discussing site
findings early to provide citizens and PRPs access to information.
30. 1991
Workplan complete.
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 48 OF 97
FISCAL YEAR 1991
CATS Tracking Number: 90—Ial4
Assessable Unit/AU #: OERR\HSCD\1902
Title of Material Weakness; Superfund Program; Problems Staff Turnover Creates
for Community
Description of Material Weakness and Its Impact on Agency Operations; EPA should
be sensitive to the problems that staff turnover create for a community and
should preserve the continuity of staff assignments as much as possible. For
example, these problems should be considered as costs in deciding whether to
rganize. EPA managers should try to keep continuity and site history on the
team if one team member must be replaced. For example, if the site manager is
new, the community relations coordinator probably should not be switched. EPA
should'educate new staff about the site's history, the community's involvement
and concerns, and the importance of these concerns. EPA should communicate staff
changes to the community and demonstrate that their concerns are understood.
WorkPlan i: 590
Functional Category in Statistical Sumntf*'»^t prnep"am Management
Appropriation/Program Element: Superfund/68/20X8145/TFAY9A
Achr" nistrative Activity/Program Activity; Progr*111 Activity
VMIT- THarrt-i fieri! 1989
Source of Disooverv: The "Management Review of the Superfund Program"
Original T^T^get Correction Date; 12/31/90
Targeted Correction Date in Ta«st Year's Report; 12/31/90
Actual Completion Date; 12/19/90
Corrective Actions Taken;
M/S # MILESTONE TITLE GRIG PLAN ACTUAL
M 002 Draft "SS" 05/21/90 05/21/90 05/18/90
M 003 Receive Comments on SS 07/02/90 07/02/90 06/25/90
M 004 **Final "SS11 12/31/90 12/31/90 12/19/90
M 005 Verification of Completion 12/19/90 12/19/90 12/19/90
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FISCAL YEAR 1991
of Validation Actions; Regions follow suggestions' in nemo to minimize
staff turnover and to increase continuity of personnel on teams.
30. 1991 Stat1'^ Update; Workplan complete.
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FISCAL YEAR 1991
CATS Tracking Number: 90-1x3
Assessable Unit/AU #: OERR\HSCD\1902
Title of Material Weakness; Superfund Program: Commitment to Communication
of Mat^yjal Weakrv^^g and I*1*? Impact on Agency Or^rations; Obtain
introduction by Administrator to replace community relations video introduction
by Lee Thomas.
WorkDlan I; 00626
Functional Category in Statistical Summary: Program Management
Appropriation/Program Element; Superfund/68/20X8145/TFAY9A
Administrative Activity /Program Activity: Program Activity
Year Identified; 1989
Source of Discovery; The "Management Review of the Superfund Program"
Original Target Correction Date: 12/31/89
TaTcrefcg|-aTr/s Report: 12/31/89
Actual Completion Date: ' 10/22/90
Reason for Change in Datefs) ; The Administrator has agreed, his time permitting,
to make introductory remarks for a CR training video. HSCD staff is working
closely with the Administrator's staff to develop a schedule. The video is part
of the CR training skills course and provides a useful introduction to CR and SF.
Corrective Actions Taken;
M/S # MILESTONE TITLE ORIG PLAN ACTUAL
M 002 **Complete Training Video W/Admin 12/31/89 09/30/90 10/22/90
M 003 Verification of Completion 10/22/90 10/22/90 10/22/90
of Validation Actions; "Community Relations Video" available to public
30. 1991 Status Update; "Workplan Complete
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FISCAL YEAR 1991
CATS Tracking Numl"|gT'; 90—Ia5
Assessable Unit/AU #: OERR\HSCD\1902
Title of Material Weakness; Superfund Program: Regulatory/policy barriers on
the use of treatment technologies
of RCRA land ban or other rules on use of alternative technologies should be
carefully evaluated to identify technologies that may be precluded by the rules.
OSWER should explore ways to apply these rules that preserve their intent and
spirit without restricting use of viable treatment approaches for Superfund
sites.
Wortolan ti 564
Functional Category in Statistical Summary: Program Management
Appropriation/Program Element; 68/20X8145/TFAY9A
Administrative Activity/Program Activity: Prrrp-am Activity
Year Identified; 1989
Source of Discovery; The "Management Review of the Superfund Program"
Original Target Correction Datg; 09/30/91
Targeted Correction Date in Last Year's Report; 09/30/91
Actual Completion Date; 09/30/91
Reason for Change in Datefs); All activities transferred to workplan 01027.
Corrective Actions Taken;
M/S # MILESTONE TTTLE ORIG PLAN ACTUAL
M 003 Support OSW Soil and Debris Reg 09/30/91 09/30/91 09/30/91
M 004 Verification of Completion 09/30/91 09/30/91 09/30/91
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MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 52 OF 97
FISCAL YEAR 1991
Pgsults of Validation Actions; Regions "««» treatability variance to develop
treatment standards for contaminated soil and debris until treatment standards
are promulgated. Evaluation of short-sheets will be done on a case-by-case basis
within the Regions.
September 30. 1991 s*~^*""g Update: Vforkplan Complete
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MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 53 OF 97
FISCAL YEAR 1991
CATS Tracking Number; 90-1X
Assessable Unit/AU #: OERR/HSCD/1902
Title of Material Weakness: Superfund Program: Five-Year Review of Sites
of EPA's long term effort to monitor site conditions, EPA will conduct a review
of all sites at least every five years after the initiation of the remedial
action where hazardous substances remain on site. This will ensure that the
remedy at each site is fully protective of human health and the environment. EPA
will also maintain the effectiveness of the remedy over the long-term by promptly
correcting any additional problems that may arise at sites where our monitoring
indicates that further response actions are necessary to protect human health and
the environment. To assure the public that EPA is carefully monitoring and
maintaining each site, EPA will report annually the results of all five-year
reviews that were conducted during the preceding twelve month period. EPA will
also create a "monitoring list" of sites at which it will conduct reviews.
WorkDlan t: 00570
Functional Category in Statistical Suinn^yy; Program Management
Appropriation/Program Element; Superfund/68/20X8145/TFAY9A
Administrative Activity/Program Activity; Program Activity
Year Identified; 1989
Source of Discovery: The "Management Review of the Superfund Program"
Original Target Correction Date; 01/31/91
Targeted Correction Date in Last Year's Report: 03/30/91
Current Target Date: 07/15/91
Critical Milestones in Planned Corrective Action;
AJ Completed Actions/Events;
* Indicates milestones added since last year's letter.
M/S # MILESTONE TITLE GRIG PLAN ACTUAL
M 005 Issue Draft Guidance 01/31/91 01/31/91 11/13/90
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FISCAL YEAR 1991
M/S #
M 006
M 009*
B.
M/S #
M
MILESTONE TITLE
Issue Short
Sheet/Guidance
Issue Short Sheet
Planned Act ions /Events
MILESTONE TITLE
007* Verification of
ORIG
03/30/91
07/15/91
(Short-Term
ORIG
07/15/91
PLAN
04/12/91
07/15/91
- Next 12
PLAN
07/15/91
ACTUAL
05/23/91
08/19/91
Months):
ACTUAL
09/30/91
Completion
Validation Process to be Used; Regions use guidance to conduct 5-year reviews.
Corrective Action Plan Status Updates;
o September 30. 1991. Stat"<* Update; Issuance of the short sheet in August
1991, represented the final milestone for this activity. While HSCD plans to
issue supplementary guidance, follow-up with the Regions on schedule for actual
reviews, and concur in initial Regional reviews, these are merely implementation
steps of the above policy.
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FISCAL YEAR 1991
CATS Tracking Number; 90-1A51
Assessable Unit/AU /; OERR\OPM\1902
Title of Material Weakness; Superfund Program: Timely and accurate
dissemination of information, Phase I
Description of Material Weakness and its Impact on Agency Operations; In
response to weaknesses identified in the 90-day Study with respect to the
programs ability to quickly disseminate consistently formatted and managed
guidance and policy direction to the regional users, a variety of remedies were
proposed and have been completed as planned. These included:
development of a Publications Standard Handbook which presents acceptable
standards for planning, controlling, designing, formatting, obtaining
concurrence, and managing distribution of ALL documents required to
perform the work of the Superfund program.
development and transmittal of the Office Director-level directives that
require usage of same, and
development, testing and utilization of software, including a centrally
managed PC label system to control distribution and an inventory
management software system.
These tools were essential to the development and maintenance of a
controlled system to ensure that all Superfund information is readily available
to the users.
Work Plan *: 00557
Functional Category in Statistical Summary: Program Management
Appropriation/Program Element; Superfund; 68/20X8145/TFAY9A
Administrative Activity/Program Activity; Program Activity
Year Identified: 1989
Source of Discovery; The "Management Review of the Superfund Program"
Original Target Correction Date: 01/31/89
Targeted Correction Date in T^^t Y^^r's Report; 01/31/89
Actual Completion Date; 09/30/91
for dianae in Date: Activity was expanded.
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MATERIAL WEAKNESS/ CORRECTIVE ACTIONS PAGE 56 OF 97
FISCAL YEAR 1991
Corrective Actions Taken; *Milestones added since last year's letter.
M/S # MILESTONE TITLE ORIG PLAN ACTUAL
M 001 Establish Workgroup and Hold 1st Mtg. 10/15/89 10/15/89 10/15/89
M 002 Define Mechanism for Automating 11/15/89 11/15/89 11/15/89
M 003 Identify and Formalize Distrib. Sys. 01/30/90 01/30/90 01/30/90
M 004 Develop Draft Formats/Procedures 03/01/90 03/01/90 03/01/90
M 007 Finalize Lists and Agreements 06/30/90 06/30/90 06/30/90
M 006 Test Automated System 05/01/90 07/30/90 07/30/90
M 008 Finalize Format and Procedures 08/15/90 08/15/90 08/15/90
M 009 System in Place and Operational 09/30/90 09/30/90 09/30/90
M 010 Validate and Fine-Tune System 09/30/91 09/30/91 09/30/91
M 011*Verification of Completion 09/30/91 09/30/91 09/30/91
of Valjri^tion Actions; Publications Standard Handbook and associated
document development controls have already cut 3-6 weeks and as much as 20
percent from the costs associated with developing and printing a major guidance
or technical document. More measurable saving is expected in FY 1992 and will
be carefully examined. The centralized PC label system, when fully operational,
is expected to save 2-3 clerical FTEs and will reduce document distribution time
by as much as one week. Validation will occur in FY 1991.
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U. S. ENVIRONMENTAL PROTECTION AGENCY
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FISCAL YEAR 1991
ENCLOSURE D
PAGE 57 OF 97
Title of Material Weakness: Timely and Accurate Dissemination of Information,
Phase II .
Work Plan #\ 00568
mailing list of key constituents; communications plan; and information kit on the
program.
Functional Category in Statistical Summary! Program Management
Appropriation/Program Element: Superfund; 68/20X8145/TFAY9A
Administrative Activity/Program Activity; program Activity
Year Identified: 1989
Source of Discovery; The "Management Review of the Superfund Program"
Original T^Tfet CotiucLion Date: 11/30/89
Correction
in Ta
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
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FISCAL YEAR 1991
of Validation Actions; Information Kit is frequently requested,
therefore fills the gap.
September 30. 1991 Status Update: Workplan ocnplete.
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FISCAL YEAR 1991
CATS Tracking Number: 90-1x5
Assessable Unit/AU /; OERR\OPM\1911
of MatpT-Jal Weakness; Superfund Program: Eliminate Jargon from Superfund
Lexicon
Description of Mat^^ial Weakness and jt'-g Impact on Agency Operations: Issue
matrix of alternative terms to be used.
Work Plan *: 00569
Functional Category in Statistical Summary: Program Management
Appropriation/Program Element: Superfund; 68/20XS145/TFAY9A
Administrative Activity /Program Activity; Program Activity
Year Identified: 1989
Source of Discovery; The "Management Review of the Superfund Program"
Original Target Correction Date; 03/31/90
Targeted Correction Date in Tjast Year's Report: 03/31/90
Actual Completion Date; 11/30/90
Reason for Change in Date (si ; Delayed due to need for senior management to sign
off.
Corrective Actions Taken; * Milestones added since last year's letter.
M/S # MILESTONE TITLE ORIG PLAN ACTUAL
M 002* Issue Jargon Matrix 03/31/90 05/31/91 06/04/91
M 005* Verification of Completion 07/04/91 07/04/91 06/10/91
Results of Validation Actions; Office Director has noted the importance of
speaking clearly and writing in an understandable fashion at OERR-wide staff
meetings and in memos to staff. In addition, the staff that reviews
correspondence has been empowered to return responses if they are "jargony".
September 30. 1991 Statiig Tifrfate: Workplan complete.
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FISCAL YEAR 1991
CATS Trading Numly"; 90— 1A26
Assessable Unit/AU if: OERR\OPM\1911
Title of Material Weakness: Superfund Program: Environmental Results Indicators
Description of Mat^'rial Weakness and its Impact on Agency Oty"ations; Inadequate
attention has been paid to developing and communicating a meaningful national
picture of the Superfund program's accomplishments. Moreover, the language that
has been used to discuss progress has not conveyed progress in a way the public
could understand. Ineffective communication of the program's accomplishments
reduced the public credibility of the program, and placed impediments on program
progress due to the need to respond to frequent program criticisms. By October
1, 1989, begin collection of data to report environmental results indicators for:
the number of sites where exposure from air, surface water arid/or ground water
releases of hazardous substances have been controlled; progress towards meeting
the human health and/or ecological goals at sites; the amount of hazardous
materials treated or removed and area of material contained.
WorkDlan #: 00548
Functional Category in Statistical Sumn^yy; Program Management
Appropriation/Program Element: Superfund; 68/20X8145/TFAY9a
Administrative Activity /Program Activity; Program Activity
Year Identified; 1989
Source of Discovery: The "Management Review of the Superfund Program"
Original Target Correction Date; 4/30/90
Targeted Correction Date in Tagt Yef^'s Report; 4/30/90
Ac*"113! Completion Date: 09/15/91
Reason for Change in Date(s) ; Scope of data collection, quality assurance, and
analytic review work was substantially larger than originally planned. Draft
final report has gone through extensive structural and editorial changes which
have significantly delayed its completion.
Critical Milestones in FY 1991 Planned Corrective Action;
A. Completed Actions/Even^'^- * Indicates milestones ackfeicl since last year's
letter.
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MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 61 OF 97
FISCAL YEAR 1991
M/S # MILESTONE TTTLE ORIG PLAN ACTUAL
M 021 Complete Regional Quality Assurance 04/27/90 04/30/90 06/28/90
M 028 Contaminant Groupings 05/18/90 05/18/90 05/18/90
M 026 Meet With Regions on FY 91 Rqmts. 05/24/90 05/24/90 05/24/90
M 029 Groundwater Pump and Treat 05/31/90 05/31/90 06/11/90
M 023 Draft Final Report 06/10/90 06/10/90 06/08/90
M 027 Population Data Analysis 06/10/90 06/10/90 06/05/90
M 024 Communications Strategy 06/20/90 06/20/90 06/20/90
M 020 Work With HSCD on El Data Reporting 07/01/90 07/01/90 07/01/90
M 022 Resolve Issues from QA 05/18/90 07/10/90 07/26/90
M 008 **Final FY 1990 El Report 04/30/90 10/12/90 10/26/90
M 009 Regional El Procedures in Place 07/01/90 11/08/90 11/20/90
M 010 Issue Semi-Annual El Report 11/30/90 04/30/91 / /
M Oil* Verification of Conpletion 09/30/91 09/30/91 09/15/91
of Validation Process; Management has used a variety of CERCLIS data
analyses to validate the accuracy and completeness of the environmental
indicators data that have been collected. Similar analytic techniques will be
used to assess the completeness of El data reporting by the Regions in the coming
year.
Corrective Action Plan St-at^s
o September 30. 1991. Status Update: Data collection for the initial
environmental indicator report was completed in March 1990. Data analysis and
quality assurance proceeded through Summer 1990. The final report was completed
in October 1990 and released by the Administrator in December 1990. Work is
underway to prepare an updated Superfund environmental indicator report with
information through the end of 1990. Current schedule calls for
completion in April 1991.
The FY 1991 report, entitled "Superfund: Reporting Progress Through
Environmental Indicators, FY91 Update" was approved by the Assistant
Administrator and sent to the Deputy Administrator on August 2, 1991. On August
29, 1991, the Assistant Administrator held a brainstorming/strategy session to
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MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 62 OF 97
FISCAL YEAR 1991
discuss the El messages and how best to make them known to the public. It was
decided that fact sheets of El progress should be developed and made available
to many offices within the Agency, with the hope that Superfund progress would
be incorporated into other Agency papers and briefings. No formal announcement
of this second El report is expected. Future reports will be issued on an annual
basis. This completes the workplan.
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 63 OF 97
FISCAL YEAR 1991
CATS Tracking Number; 90-1
Title of Material Weakness; Superfund Program; Settlement Tools - Provide
training
Work Plan *; 90002
Description of Material Weakness and its Impact on Agency Operations: Establish
clearinghouse of information on use of settlement tools, and develop case-method
training for RPMs and regional attorneys.
Functional Category in Statistical Summary; Program Management
Apptopriation/Program Element; Superfund Trust Fund
Administrative Activity/Program Activity; Program Management
Year Identified; 1989
Source of Discovery; The Administrator's request for a major review of the
Superfund Program.
Original Target Correction Date; 09/30/90
Targeted Correction Pat** fo Ta^t Year's Report; 09/30/90
Actual Completion Date; 12/30/90
•
Reason for Change in Date(s); Travel restrictions on regional training and
extensive comment/revision of training materials.
Corrective Actions Taken; Course developed; pilot test in Wash., .DC on 8/15-
16/90
Settlement Tools training course completed 12/3/90 and incorporated into
the Superfund Academy.
Regional offerings — 10/90 - 3/91
Repeated offerings of course as needed
Results of Validation Actions; 1) Student evaluations (short/long term); 2)
improvement in program performance.
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MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 64 OF 97
FISCAL YEAR 1991
CATS Tracking NuiP^|0'r: 90—1
Title of Material Weakness: Superfund Program: Info. Release to Potentially
Responsible Parties
Work Plan #: 90008
Description of Material Weakness and its Impact on Agency Operations: Prepare
directive on importance of releasing information; develop guidance, databases and
other resources; develop policy statement; and follow with a practical memorandum
on systems for information release.
Functional Category in Statistical Summary; Program Management
Appropriation/Proqr?«n Figment: Superfund Trust Fund
Af^ipi nistrative Activity/Proc|t'am Activity: Piyyji'*"* Management
Year Identified; 1989
Source of Discovery; The Administrator's request for a major review of the
Superfund Program.
Original Target Correction Date: 06/30/90
T^yxreted Correction Date in I^gf- Y^^r's Report: 06/30/90
Actual Completion Date; 02/28/91
Reason for Change in Date f si ; Expansion of types of models available for use
required more time for compilation.
Corrective Actions Taken: Waste-in Guidance signed and transmitted to Regions
02/22/91.
Specific guidance and models on waste-in lists and volumetric rankings.
of valjffotion Actions: Regional Comment — Responses from Regions 1, 3,
5, 6, and 9 have been positive thus far on usefulness of guidance. No formal
feedback system other than regional reviews contemplated at this time.
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FISCAL YEAR 1991
CATS Tracking Number: 90—1
Title of Material Weakness: Superfund Program: Responsible Party Search
Enhancement
Work Plan t: 90019
Description of Material Weakness and its Impact on Agency Operations: Establish
national criteria for re-doing RP searches.
Functional Category in Statistical Summary; Program Management
Appropriation/ Program Element; Superfund Trust Fund
Administrative Activity /Program Activity; Program Activity
Year Identified; 1989
Source of Discovery: Administrator's request for a major review of the Superfund
Program.
Original Target Correction Date: 09/30/90
Targeted Correction Date in Last Year's Report: 09/30/90
Actual Completion Date; 06/01/91
Reason for Change in Date (si ; March 1991 Regional/Headquarters agreement to
update the 12/28/89 guidance. This 12/89 guidance was too resource intensive on
Regions.
Corrective Actions Taken; Memo to Regions establishing ground rules on 12/28/89.
Follow-up meetings with individual Regions.
Criteria established. FY 91 Strategy was issued by 3/1/91. Meetings with
Regions were held on 3/25/91.
'g of Valifrfotion Actions; Evaluation of quality of PRP search. A recently
concluded series of PRP search audits revealed a better quality of PRP searches
from the contractors and better oversight by Regional offices.
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MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 66 OF 97
FISCAL YEAR 1991
Title of Material Weakness: Data Integrity for Pesticides and Toxic Substances
of Material Weakness and Its Impact on Agency Operations: Office of
Compliance Monitoring (CCM) has determined that its laboratory data integrity
program constitutes a material weakness. Several factors have been identified
by management that require corrective actions. For instance, inspectors lack
training in fraud detection in a laboratory setting. Currently, CCM cannot offer
its inspectors this specialized training because there is no known Federal entity
or contractor with the required expertise. The OIG is conducting a survey of
laboratories, industry, and Federal agencies to determine if there is any
expertise which could be utilized to train OCM's inspectors. The findings of
this survey should become available in FY 92 when the OIG publishes its final
report of the Good Laboratory Practice Program review.
The effectiveness of the program is weakened by the advance notice that
laboratories are given (2-weeks) prior to an inspection. COM plans to revise on
a pilot basis the notification procedures within the first quarter of FY 92.
The program also lacks the means to identify laboratories based on the
specified studies that they are contracted to conduct. CCM is reviewing the need
to prepare a new regulation for periodic reporting of this information.
Currently, the identification of the authorizing laboratory is required to be on
its published studies. There is, however, no mechanism to funnel this
information on completed studies and studies- in-process to CCM. The reporting
requirement will not only require the identification of the laboratories and the
studies they are conducting, but also the identification of the chemicals
associated with the studies. This will enable better oversight and management
of the studies done by the laboratories.
This program is further exacerbated by the fact that there is no
consistency in the training of Headquarters, Regional, and NEIC inspectors. CCM
is already planning a major training program in September, 1992. This training
will incorporate new information and techniques based on the results and
recommendations presented in the OIG's final GLP report, and the revised
Enforcement Response Policy (ERP) for the FIFRA GLP regulations.
Functional Category in Statistical Surnn^rv: Program Execution
Appropriation/Program Element: Pesticides Enforcement
Administrative Activity /Program Activity: Program Activity
Year Identified: 1991
Source of Discovery; AICR
Original Target Correction Date; 1992
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Date: 1992
(""'"i'tical Milggtorv^s in Corrective Action;
A. Completed Actions/Events; OCM has taken action on the recommendations
presented in the OIG's special review of the GLP Program disraisspd earlier in
this report. For instance, OCM was instrumental in preparing the Agency's
proposed legislation that would recognize GLP . violations as FIFRA violations.
Also, an interim Enforcement Response Policy (ERP) for the FIFRA GLP regulations
was completed in September 1991. This policy provided guidance for determining
whether to assess a GLP violation under FIFRA section 12 (a) (2) (Q) as a high,
middle, or low level violation. OCM has requested additional resources in the
President's FY 1993 budget to expand its coverage of the regulated community as
recommended by the OIG. OCM has also completed the initial planning in the
development of a corrective action plan as outlined below.
B. Planned Act ions /Events (FY 19921 ;
Initiate, on a pilot basis, a revision of the
inspection notification procedures ............... 12/91
Implement a revised neutral administrative scheme
for laboratory selection procedures .............. 2/92
Initiate an inspector training program which
incorporates results/recommendations of OIG and
IF a source is found, fraud detection in a
laboratory setting ............................... 9/92
C. Planned Actions/Events (FY 1993 and beyond) : OCM will expand its coverage
of the regulated community when it conducts laboratory inspections and data
audits.
Validation Process to be Used; Management will verify completion and
effectiveness of the above corrective actions based on evaluations of the
training programs and the performance of the inspectors.
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Title of Material Weakness: Growing Backlog of Requests for Audits of EPA
Contractors
have shown potentially millions of dollars in questioned costs and major internal
control weaknesses with accounting and time keeping systems. At present, the
limited number of contract incurred cost audits and system reviews does not
represent adequate audit coverage of EPA contracts. Almost 90 percent of EPA's
contracting dollars are spent on cost reimbursable contracts. This type of
contract provides few incentives for contractors to control costs. The
responsibility and associated risk rests, with the Government and places the
Government in the position of assuming a proportionately ' greater risk.
Therefore; it is critical that incurred cost audits of contracts be conducted in
a timely manner. In addition, there is a substantial and growing backlog of
requests for audits of EPA contractors, including at least 390 unmet requests for
incurred costs audits. The lack of timely contract audit coverage leaves the
Agency vulnerable.
The OIG cannot currently provide strony oversight to the Agency's contract
funds and cannot fulfill the Agency's demands for contract audits. Audits of the
Agency's contractors are needed to provide the Agency's contracting officials
with information necessary to effectively: (1) award a contract, (2) substantiate
the claims submitted for payment, (3) determine compliance with legal and
administrative conditions, and (4) identify potential indicators of fraud,
illegal acts or irregularities. The OIG has identified in the current and future
budget requests, the level of additional resources needed to meet the Agency's
demand for contract audits.
Functional Category in Statistical Sumn^yy; Procurement
Appropriation/Program Element; 6810112/S&E N3AS5A and Superfund NWAY5A
Year Identified; Fiscal 1989 and 1991
Source of Discovery; Fiscal 1989 and 1991 FMFIA Review Process and the ongoing
review by the Office of Audit's Contract Task Force.
Current Target Date; Ongoing
in Corrective Action;
A. Completed Actions/Events; To provide additional audit coverage, the OIG
has several initiatives underway, including, formally assuming cognizance for
12 major EPA contractors, hiring auditors with extensive financial auditing
experience and implementing an expanded contract audit strategy including 'closer
coordination with the Defense Contract Audit Agency. However, OIG non-Superfund
resources have not kept pace with EPA's increased contract workload. Funding for
audits of non-Superfund contracts was substantially reduced; therefore, only high
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priority assignments (preaward audits) could be performed. Accordingly, we have
requested additional resources for contract audit work in the fiscal 1992 & 1993
budgets.
B. Planned Actions/Events (FY 1992) ; We will request additional resources for
contract audits in the fiscal 1994 budget.
C. Planned Actions/Events (FY 1993 and beyond) ; Justify to the Office of
Management and Budget and the Congress the need for additional resources to
provide coverage of the Agency's contracts. A request for additional resources
has been considered in the current and future budget submissions.
to be Used; To compare the budget request, the actual
resources received, and the Agency's demand for contract audits.
Correct ive Action Plan Sta^1*18 Udat
o September 30. 1991. S^tr^s Update; ppqiiggt^d additional contract resources
in the fiscal 1992 and 1993 budgets.
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Title of Material Weakness; Implementation of Storm Water Permitting
Requirements Under the Clean Water Act.
Description of Material Weakness and Its Impact on Agency Operations; The Clean
Water Act amendments of 1987 included requirements and deadlines for storm water
permits under the NPDES program (deadlines and requirements for EPA application
regulations, submission of applications by the regulated community, issuance of
permits, study and reports on unregulated universe of storm water discharges, and
development of regulatory approach for unregulated universe (moratorium
sources) ) . EPA has worked to meet these requirements, but has missed deadlines
in the law and is substantially behind in dealing with the moratorium of
unregulated discharges of storm water (the moratorium on coverage of this
universe by the NPDES program expires in October 1992) . Storm water permitting
requirements (before dealing with the moratorium sources) will more than triple
the universe of NPDES dischargers. All of the above create potential material
weakness in the NPDES program (and other water programs) due to the magnitude of
the universe to be regulated and the resource burden associated with such an
increase in the universe.
Functional Cat^^ory in Statistical Sumn«ry; program Management:— Program
Execution.
Auoropi iation/Program Element; Salaries and Expenses and Abatement and Control
appropriations; Permit Issuance, Section 106 Grants, and Construction Grants
Appropriation; Section 104 (b) (3) Grants program elements.
Administrative Activity/Program Activity;
Identified; 1991
Source of Discovery; Informal assessment of progress in meeting 1987 CWA
requirements for storm water; also, implementation issues raised at Headquarters,
regional and state levels.
Original Target Correction Date: Not applicable. This is a newly identified
material weakness.
Current Target Date; No date yet. Will be developed as part of corrective
action plan.
for Change in Datefs) ;
Critical Milestones in Corrective Action: Not applicable.
A. Completed Act ions/ Events T
B. Planned Actions/Events fFY 1992) ; 1/15/92 .Complete corrective action
plan.
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C. Planned Actions/Events (FY 1993 and beyond); To be developed as part, of
the corrective action plan.
Validation Process to be Used; The validation process management will use to
verify completion and effectiveness of the corrective actions will be developed
as part of the corrective action plan.
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of Ma^Tial Weakrv^y! Management of R&D Extramural Resources
Description of Material Wgaknggs and Its Impact on Agency Operations: Almost 70%
of ORD's total research budget is used to fund extramural activities, i.e.,
contracts, grants, cooperative agreements and interagency agreements. With
increases in R&D funding and limitations on FTEs, increasing demands and strains
are being placed on our ability to adequately manage our extramural resources and
related instruments such as contracts, research grants, cooperative agreements,
and interagency agreements. The growing disparity between program size and human
resources creates a material weakness in extramural management with a
vulnerability for potential fraud, waste, and mismanagement of federal funds.
Functional Cateqorigs in Statistical Sumnvyryj Procurement and Grants Management.
Appropriation/Program Element; Environmental Protection Agency-Salaries and
Expense, Research and Development, and Superfund Appropriations.
Administrative Activity/Program Activity; Administrative Activity.
Identified; FY 1990
Source of Discovery; ORD conducted a comprehensive assessment of its work force
during the latter part of FY 1989. This analysis was conducted in response to
a request from Congressman Scheuer, chairman of the House Sub-Committee on
Natural Resources, Agriculture Research and Environment, to assess the skills and
talents required to accomplish ORD's scientific mission. One of the five
strategic areas of importance the work force study addressed was "Is that portion
of the work force charged with "extramural" management adequate and appropriate
to the mission?"
The results of the work force analysis along with the expressed concerns
from the Inspector General prompted ORD to conduct an assessment of extramural
management. A questionnaire was developed to assess the adequacy of procedures
and resources for each extramural management instrument. Each ORD assessable
unit completed the set of questionnaires. According to the work force study and
the subsequent lab questionnaire, ORD allocates approximately 300-400 FTEs to
extramural activities which translates to 16%-22% of ORD's work force managing
nearly 70% of ORD's resources. The reports have indicated a definite weakness
in several areas. The highest rated problems were identified as:
o adequacy of extramural management training;
o sufficient number of people to perform contract
management;
o conduct of inspections of contractor work at site;
o adequacy of contract administration files;
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o performance of yearly inventories of government furnished property;
o monitoring expenditures to determine if they are reasonable in terms
of the work performed; and
o monitoring expenditures to ensure individual ceilings are not
These data are considered a base line for use by an ORD/Agency task force
to achieve process improvements, establish adequate training, establish
management controls and identification of resource shortages. This task force
will use a TQ# approach and is expected to visit each ORD laboratory in FY 1992 .
Original Target Correction Date: June 1992
Targeted Correction Date in T>st Year's Report: June 1992
Current Target Date; 1994
Critical Milestones in Corrective Action:
1. Complete analysis of data gathered by questionnaires on extramural
management instruments and issue report.
Planned Completion Date: December 1990
Completed: December 1990
2. Complete data collection and analysis of work force '90 data.
Planned Completion Date: March 1991
Completed:
3 . Develop event cycle documentation for each extramural management instrument
to be included in each assessable unit's documentation for FY 1991.
Planned Completion Date: March 1991
Completed: August 1991
4 . Identify additional manpower required to adequately manage ORD's extramural
resources.
Planned Completion Date: May 1991
Completed: May 1991
5. Integrate identified requirements into the budget and planning process for
FY 1993.
Planned Completion Date: May 1991
Completed: June 1991
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6. Develop schedule of training for personnel with extramural management
responsibilities.
Planned Completion Date: September 1991
Revised Completion Date: June 1992
7. Develop policy and procedures for extramural management activities within
ORD.
Planned Completion Date: December 1991
8. Conduct on-site reviews and analysis of the management of ORD's extramural
resources.
Planned Completion Date: June 1992
A. Completed Actions/Events; Briefly describe actions taken since the last
njport to OMB.
Corrective Action milestones 1 through 5 completed.
ORD established a Senior Council on Management Controls that has focused
on providing guidance on correcting extramural management issues.
B. Planned Actions/Events (Short-Term - Next 12 Months);
1. Corrective Action Milestones 6 through 8 to be completed within the next
12 months'.
2. Request Agency approval to establish a Senior level Acquisition Manager to
provide oversight and guidance for extramural activities.
3. In January 1992, begin an on-site review of each laboratory's extramural
management processes and controls and develop corrective action plans where
necessary.
C. Planned Actions/Events (Longer Term); Maintain a Senior level of
management oversight of extramural activities throughout ORD and provide a
proactive approach in identifying and correcting problems.
Validation Process to be Used; An on-site review of each laboratory's extramural
management processes will be conducted to ensure appropriate controls and
control techniques are in place and are effective. These reviews will be
conducted jointly with the Contracts Management Divisions in FTP and Cincinnati.
ORD has established a Senior level Council on Management Controls that will
advise and oversee the extramural management review process.
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Corrective Action Plan Stat"?
30. 1991. Status
1. ORD assigned a Senior level position to serve as an Acquisition Manager to
oversee ORD's extramural program.
2. ORD Senior Managers were briefed on the findings of the studies that were
conducted and documented during FY 1991.
3. ORD and the Contracts Management Divisions in FTP and Cincinnati have
agreed to a joint review, using a TCpI approach, of ORD's extramural management
program.
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FISCAL YEAR 1991
Title of Material Weakness; ORD Laboratory Buildings and Facilities
Description of Material Weakness and Its Impact on Agency Operations; The Office
of Research and Development is responsible for providing high quality, timely,
scientific and technical information in the service of Agency goals. This
research program is conducted through twelve environmental laboratories across
the country, employing some 2000 people with an annual budget of $380 million.
A majority of these facilities are over 20 years old and are in a serious state
of disrepair. Some labs have been cited for OSHA violations, and for being out
of compliance with other Federal/State regulations. In addition, Congressionally
approved research initiatives are postponed or delayed beyond the time frame
needed because necessary facilities modifications are not funded. Without
adequate facilities to perform the Agency's research, the base on which the
development of policy, guidance, standards, regulations, and the appropriate
tools for implementing pollution abatement strategies is seriously weakened.
Functional Category in Statistical Sumn^Ty; Property and Inventory Management
Appropriation/Program Element; Environmental Protection Agency -Salaries and
Expenses, Research and Development, and Buildings and Facilities Appropriations.
Administrative Activity/Program Activity; Program Activity
Year Identified; FY 1989
Source of Discovery; An effort to coordinate and improve the quality of ORD's
annual buildings and facilities budget submission resulted in an onslaught of
project proposals that painted a dismal picture of the research and developments,
particularly the remote laboratories. A more in-depth review was conducted to
determine the magnitude of the problem. Management visits to various
laboratories resulted in "horror stories" of deficiencies that were impairing
ORD's research program and situations that were potentially harmful to laboratory
staff. In addition, EPA Health and Safety Audits, and Environmental Compliance
Audits identified areas needing immediate attention.
Original Target Correction Date; December 1990
Targeted Correction Date in T;ast Yf^r's Report; December 1990
Qirrent Target Date; June 1993
Reason for Change in Date (si; The targeted date relies on the Agency's effort
to develop a master plan for all EPA facilities. The effort began in FY 1991 and
is scheduled for completion in FY 1993. The master plan will provide Agency-
level base data to be used in establishing funding requirements for facility
improvements to support the Agency's mission.
Critical Milestones in Corrective Action:
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1. Develop a Facilities Management Plan to collect data to adequately document
ORD's research facility needs.
Planned Completion Date: July 1990
Completion Date: August 1991
2. Develop procedures to systematically link B&F budgeting with ORD and Agency
long-term strategic planning.
Planned Completion Date: October 1990
Revised Completion Date: September 1993
3. Develop prioritization methodology to determine B&F priorities based on
short-term and long-term strategic planning.
Planned Completion Date: January 1990
Completion Date: January 1990
4. Develop Agency level budget initiatives to address critical B&F needs.
Planned Completion Date: Annual Activity
5. Develop systematic methodology to accomplish required repair and improvement
projects to ensure compliance with OSHA and other Federal/State regulations.
Planned Completion Date: December 1990
Completion Date: June 1991
6. Develop Policies and Procedures to direct ORD's B&F activities.
Planned Completion Date: October 1990
Revised Completion Date: June 1992
A. Completed Actions/Events;
Milestone # 1:
1. The Facilities Management Plan was fully implemented in FY 1991.
2. EPA's Environmental Health and Safety Office audited several of the
ORD laboratories for Fire Protection and Life Safety. The audits identified and
quantified health and safety deficiencies that EPA has committed to correcting
using a time-phased approach.
Milestone # 2:
1. In FY 1990, ORD requested that the Facilities Management and Services
Division, OARM, provide a master plan for each ORD facility to link physical
plant needs, strategic research needs and B&F budgeting to support ORD and Agency
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long-term planning. OARM approved this request and expanded it into an Agency-
wide initiative to develop a master plan that includes all Agency facilities.
The effort began in FY 1991.
Milestone # 3:
1. Developed an automated methodology that was used to rank the FY 1992 B&F
budget submission. This methodology has been institutionalized in the ORD B&F
process.
Milestone # 4:
1. ORD annually submits initiatives for the outyear budget submissions to
provide increased resources for repair and upkeep under $75K (our annual needs
exceed $3.5 million), and initiatives for projects over $75K. In 1991, EPA
provided ORD with $200K for minor repair and improvement projects and ORD was
able to divert an additional $500K toward these needs.
Milestone # 5:
1. Provide follow-up to Environmental Compliance Audits on each of the ORD
laboratories to ensure a corrective action plan is prepared that addresses the
appropriate issues and projects requiring B&F resources are included in the
budget request.
Milestone # 6:
1. Prepared draft policy and procedure.
C. Planned Actions/Events;
Milestone # 2:
1. Work with the Agency to complete the master plan and to ensure that ORD's
physical plant needs and research needs are incorporated into the final document
and that the B&F budget requests adequately represent the needs identified.
2. Provide the Agency with critical data necessary to gaining additional B&F
resources for the B&F projects that cost less than $75K as well as for the
projects that cost more than $75K.
3. Work with the Agency to determine the methodology to manage B&F projects
that cost less than $75K.
Milestone # 6:
1. Complete the policies and procedures and submit them for internal review.
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Budget Implications. If Any: The above corrective action plan provided for the
development and implementation of a facilities management plan. This plan
addresses the total requirements of the research and development laboratories,
identifying needs of both the physical-plant and the research program.
In FY 1991, ORD did not have any authority to fund minor repair and
improvement projects costing $75K and under. In FY 1992, ORD has been given the
authority to fund these projects, but has not been given resources for these
projects. Any funding in FY 1992 will come from the R&D expenses which is
already critically under-funded.
ORD has an average annual need of approximately $3.5M for project: costing
$75K and less. ORD was provided with $700K to fund these projects. The lack of
funding for basic repair and maintenance and for laboratory modification for
research activities is exacerbating previously identified health and safety
problems and unduly delaying critical research projects. In addition, the
Agency's B&F appropriation that covers the greater than $75K projects is not
adequate to mitigate the effects of long-term neglect for the EPA-owned
laboratories. ORD's annual Repair and Improvement request in the B&F submission
averages approximately $12M which is primarily for the EPA-owned laboratories.
Without additional funding the physical condition of the research and development
laboratories will deteriorate even further, greatly impairing EPA's research
program.
Valiciation Pixx'g's'-s ta? be Used: The ffat-a that was generated £tmn the datratvuga
and from the B&F submissions led ORD to request that the Agency provide a master
plan of each ORD facility. The master plan will provide Agency-level validation
of ORD's needs and link these needs to the Agency's B&F request.
Corrective Action Plan Status Updates;
o September 30. 1991. Status Update;
Milestone # 2: The Agency's initiative to develop an Agency-wide master
plan will provide the B&F budgeting link with ORD and Agency long-term strategic
planning. This effort began in FY 1991 and will continue through FY 1993.
Milestone # 6: The draft policies and procedures is under internal ORPM
review.
The remaining milestones have been completed.
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Title of Material Wgaknggs; Agency-wide Audit Follow—up
Description of Material Weakness and Its Impact on Agency Operations;
EPA offices' compliance with audit management practices are not adequate to
ensure that management's corrective actions taken in response to audit findings
and recommendations are implemented fully.
Inaccurate data entered in the Agency's Management Audit Tracking System
(MATS) by EPA offices results in the reporting of inaccurate information in the
"Semiannual Management Report to Congress," as required by the IG Act Amendments
of 1988. Without strong audit management practices, offices may not be
implementing follow-up actions fully and effectively.
Functional Category in Statistical Sumn«yy; Program ManagumMMfryprngram Execution
Appropriation/Program Element; Environmental Protection Agency/All
Appropriations
ive Activity/Program Activity; Administrative Activity
Identified; 1989
Source of Discovery; 1989 OIG Special Review on Audit Follow-up
TrV'Tfgt'Od OotiBUt.ion Date in Ir*gt Y^^r's Report; 9/90
Current Target Date; 4th qtr FY 1992
Reason for Change in Date f si ; The Resource Management Division made significant
progress in correcting many of the problems in audit follow-up. The central
database was completed and a reporting process put in place which allowed EPA to
meet the reporting requirements of the IG Act Amendments of 1988. However, our
analysis and the 1990 Inspector General Special Review of EPA's Audit Follow-up
indicated that significant additional work was required in EPA offices to correct
the weakness..
Critical Milestones in Corrective Action;
A. Completed Actions/ Events; (actions taken since, the last report to OMB)
1. Develop an audit follow-up on-site review protocol and establish audit
follow-up as a standard item to be included in Management Assistance Reviews.
Beginning date: 3rd qtr FY 1991
Completion date: May 1991
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2. Modify the existing Management Audit Tracking System (MATS) to expand its
capabilities and enhance its user friendliness.
Beginning date: February 1991
Conpletion date: July 1991
B. Planned Act ions/Events fShort-Term - Next 12 Months);
1. Survey MATS users on their issues and concerns with the system. Build
these concerns into planning process for any future, ongoing MATS enhancement
efforts.
Beginning date: 1st qtr FY 1992
Conpletion date: 4th qtr FY 1992
2. Develop an Audit Quality Assurance program to establish forms, policies and
procedures to ensure the highest quality of data entered into MATS.
Beginning date: May 1991
Completion date: 4th qtr FY 1992 (revised)
3. Develop additional Audit follow-up guidance that will update the EPA orders
and directives on audit management and provide for greater uniformity of audit
follow-up procedures.
Beginning date: 1st qtr FY 1991
Conpletion date: FY 1992 although activities will be ongoing
4. Conduct Quality Assurance reviews in several EPA locations to assess the
accuracy of data entered in MATS.
Beginning date: May 1991
Completion date: FY 1992 although activities will be ongoing
C. Planned Actions/Events (Longer Term): The short-term, planned corrective
actions for FY 1991 and FY 1992 are anticipated to remedy the weakness in FY
1992.
Validation Process to be Used; The Quality Assurance reviews begun in FY 1991
will test transactions, evaluate controls, and result in a written report. These
reports will validate the effectiveness of actions or identify additional actions
needed. In addition, we anticipate that the OIG will perform a Special Review
of Audit Follow-up again in 1992.
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ENCLOSURE D
PAGE 82 OF 97
Cor
live Action Plan Status Updates:
Sentemher 30. 1991. Status Undate:
Milestone A-l
Milestone A-2
Milestone B-l
Completed in May 1991
MATS contractor delivered MATS 2.0 on July 15,
1991 with a number of refinements to broaden its
usefulness and reduce the need for shadow
systems.
On-site reviews have identified users' concerns
with MATS. These reviews will continue in FY
1992.
Milestone B-2
Milestone B-3
Milestone B-4
Contractor has completed five site reviews in
preparation for drafting the QA manual. Expected
delivery of the manual is 2nd quarter 1992.
MATS Bulletins are planned for release in the 2nd
quarter 1992. These bulletins will provide
technical updates on audit tracking and follow-
up.
QA reviews have been conducted in several
locations. Reviews have been conducted in FTP
and Regions II, V, VII, and IX.
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Title of Material Weakiv?gg»; R&D Laboratory Operating Expenses
of Material Weaknggs and Its Impact on Agency Operations; A lade of
sufficient resources for laboratory operating expenses has created a material
weakness in our research programs. The lack of resources could significantly
impair the fulfillment of ORD's laboratory research mission if left unoorrected.
The shortage of resources for laboratory operating expenses has adversely
affected activities such as telecommunications, mail services, janitorial
services, computer operations, warehouse operations, training and the ability to
purchase specialized laboratory supplies for ORD's research projects.
The amount of shortfall to fund laboratory operating expenses increased
over the past several years because a disproportionate share of those dollars
were needed to fund PC&B. In many cases, the shortfall in S&E operating expenses
was partially funded by diverting funds from other high priority programs.
Authority for use of the Research and Development (R&D) appropriation for
the financing of expenses was provided in the FY 1991 Appropriations Act.
Congress also established a ceiling in the R&D account for operating expenses,
however a comprehensive definition of operating expenses was not provided. This
may have resulted in an inconsistent application of the use of the R&D
appropriation for expenses across the ORD community.
Functional Catgcrory in Statistical Sumryyv; prnrp-ayn execution.
Appropriation/Program Element: Environmental Protection Agency-Research and
Development Appropriation, Program Elements CA2H1A for Field and laboratory
Expenses and CA3H1A for Headquarters Expenses. Superfund Appropriation,
Administrative Ceiling
Administrative Activity /Program Activity: Program Activity.
Year Identified; FY 1990, Revised FY 1991
Source of Discovery; The increasing costs for personnel compensation and
benefits (PC&B) over the past several years has eroded the base of available
funds to operate the Research and Development laboratories. This inadequate
purchasing base has resulted in a reduction in the amount of specialized supplies
that scientists are able to purchase. One laboratory reported that supply
dollars are currently only 10% of those needed to conduct planned experiments.
To identify and quantify the problem, ORD conducted a comprehensive review
of laboratory infrastructure and resource needs. Preliminary results indicate
a requirement for resources for laboratory operating expenses far in excess of
currently available or anticipated funds. A recent management review of the
Environmental Monitoring and Assessment Program identified a possible
inconsistency in the use of the R&D appropriation to fund laboratory operating
expenses.
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 84 OF 97
FISCAL YEAR 1991
Original Target Correction Datei December 1992.
current Target Date; December 1992: Internal ORD management improvement actions.
December 1995: Completion of proposed 5-year phased plan for addressing operating
expense funding shortfall. Will require support from outside ORD.
in Curujctive Action;
1. Complete analysis of data gathered in the comprehensive review of
laboratory operating expenses to include an analysis of direct and indirect cost,
one-time costs, and a shortfall analysis by comparison of data with operating
plans.
Completed Date: November 1990
2. Issue final report on laboratory operating expenses.
Completed Date: December 1990
3. Develop ORD strategies and priorities to address laboratory operation
expense requirements.
Completed Date: April 1991
Milestone Revised:
(a) Develop ORD process for operating expense budgeting to
provide for laboratory input and Office Director review and
prioritization.
Completed date: April 1991
(b) Develop ORD strategies and priorities to address laboratory operating
expense requirement through planning and execution.
Planned completion date: December 1991
# 4 Addition to Milestones:
4 . Develop comprehensive definition of operating expenses and appropriate use
of appropriations.
Planned completion date: December 1991
5. Develop a mechanism to ensure full capture of direct/ indirect research
project costs.
Planned Completion Date: To be determined after
completion of "4." above
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MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 85 OF 97
FISCAL YEAR 1991
6. Integrate laboratory operating expense requirements into the ORD planning
and budgeting process.
Planned Completion Date: June 1991
Revised planned completion date: March 1992
7. Develop techniques for analyzing the application and
achievement of plans against utilization
Planned Completion Date: To be determined after
ocnpletion of "5." above
8. Conduct a follow-up review of laboratory operating expense requirements.
Planned Completion Date: December 1992
Critical Mil^^>pg|g in OortBtjtive Action;
A. Completed Actions/Events; A comprehensive analysis was conducted of
identified laboratory requirements against available funding. The results of
this analysis indicate a requirement far in excess of available funding.
Identified needs were used to. establish the FY 1992 operating plans, providing
funding for critical needs. The data was also used in developing budget
justifications and issue papers for the FY 1993 submission to the Agency and OMB.
A process was established for the laboratories to have input into the ORD
planning and budget process to identify and prioritize their needs/ allow for
review by ORD Office Directors and overall prioritization for input into the
budget submission.
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MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 86 OF 97
FISCAL YEAR 1991
B. Planned Actions/Events (Short-Tenn - Next 12 Months) ; A workshop on
laboratory budgeting is scheduled for October 1991 to develop strategies to
enhance the process and to identify indirect vs direct costs for better
accounting of needs based on the research program vs administrative overhead.
This workshop will also help to refine a definition of operating expenses and
appropriateness of funding mechanisms for laboratory operating expenses.
The FY 1994 process will begin earlier this year to provide timeliness for
input into the budget submission. Strategies and formats will be developed at
the October workshop and will be refined in later working sessions.
C. Planned Actions/Events (Longer Term) : Corrective Action Milestone 6, a
review of the process and its effectiveness is to be completed in December 1992 .
Validation Process to be Used; A follow-up analysis of ORD laboratory operating
expenses will be conducted to assess progress on reducing the deficiency.
Corrective Action Plan Stat"-**
September 30. 1991. Status Update:
Milestone # 1 - Completed November 1990
Milestone # 2 - Completed Dprrp-mbpr 1990
Milestone # 3 -
(a) Completed April 1991
(b) Workshop on Lab Budgeting scheduled for October
1991 to develop strategies for laboratory budgeting.
Milestone # 4 New Milestone added based on identified
need. Workgroup established to develop and obtain
necessary concurrences on definition of operating
expenses. .
Milestone # 5 - Revised date of March 1992. Changes in the
FY 1993 budget process require an earlier submission of needs
to have inpact on actual budget submission.
Milestone # 6 Follow-up review to be done by December
1992.
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 87 OF 97
FISCAL YEAR 1991
Title of Material Weakness; Lack of effectiveness and productivity in the
Chemical Testing Program.
Description of Ma'***>v'ial Weakrv^gg and It's Impact on Agency Oty-ations:
Perhaps the most fundamental aspect of the Agency's toxic substances regulatory
effort is the need to obtain accurate and reliable data, particularly scientific
data, on chemical substances so that the Agency can, with confidence, make
appropriate regulatory decisions on their manufacture, distribution, use and
disposal. To the degree that chemical test data do not exist and cannot readily
be obtained, the Agency may be prevented from, or at lease impeded in, taking
appropriate regulatory action. For many existing chemicals and most new
chemicals, such data are often not available and must be generated through
chemical testing activities on the part of industry. Where data must be
produced, EPA must encourage or demand the production of such data. In some
cases, industry will voluntarily perform the necessary testing, but in other
cases EPA must take regulatory action to insure that testing takes place and that
test data are generated and provided to the Agency. Section 4 of TSCA given EPA
the authority to require such testing.
Rulemaking in general, and test rules are no exception, is often a slow and
resource-intensive process. While this may, in part, explain the performance to
date of the GTS chemical testing program, the fact remains that GTS has
promulgated only a few section 4 test rules. As a consequence, only a limited
number of the many thousands of chemicals that could or should be tested have
undergone the testing necessary to yield the test data on which further
regulatory rulemaking decisions must be based.
In response to the acknowledged shortcoming of the chemical testing program
as it has operated 'in the past, GTS has instituted a series of corrective
measures to improve the program. These actions emphasize the purpose of the
program as not simply to promulgate test rules, but rather to encourage testing
of all chemicals for which testing is needed by whatever means are at EPA's
disposal. In particular, the program will: encourage voluntary testing on the
part of industry; enlist greater numbers of chemical industry testing efforts,
through the OECD; and implement multi-chemical rules that will more efficiently
and more rapidly put the industry on notice as to the chemicals that the Agency
has an interest in.
Functional Category in Statistical Sumn^'yy; Program Execution
Appropriation/Program Element;
Appropriations: 6810200 and 681/20108
Program Element: JNL2S
Administrative Activity /Program Activity; Program Activity
Year Identified; 1990
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 88 OF 97
FISCAL YEAR 1991
Source of Discovery: The material weakness came to light through several
different sources over a period of time. They include the GAO audit of the
program, a planned AICR review, the August 15, 1990, meeting of the Agency's
Senior Council on Management Controls; and general discussions internal to GTS
and OPTS. These developments taken together led OTS management to identify the
chemical testing program as a material weakness.
In June 1991, GAO issued a second report, Toxic Substances: EPA's Chemical
Testing Program Has Not Resolved Safety Concerns (RCED-91-136). This report
mmended that EPA establish and implement criteria and a methodology for
determining when chemicals present risks that would trigger implementation of
TSCA regulatory provisions. GAO also recommended that the Agency implement an
information system to track the status of chemicals being tested and identify
ways to make TSCA test results more readily available to other regulatory
agencies, researchers, and other interested parties.
Original Target Correction Date; September 1992
Targeted Correction Date in M^t Y«?arfs Report: September 1992
Current Target Date; September 1992
Critical Milgston^g in Corrective Action:
A. Completed Actions/Events; In March 1991, OTS developed and ia-qic** proposed
generic test rules for obtaining neurotoxicity data, and developmental and
reproductive toxicity data. Work is almost complete on 1) developing and issuing
a proposed .multi-chemical test rule for glycidols; 2) developing and issuing a
proposed multi-chemical test rule for aryl phosphates; and 3) fully implementing
the process for producing, reviewing, publishing and annually updating the Master
Testing List.
B. Planned Act ions /Events fFY 19921 :
Develop and issue proposed multi-chemical
test rule for aryl phosphates ................... 10/91
Issue final generic test rule for obtaining
neurotoxicity data .............................. 11/91
Issue final generic test rule for obtaining
developmental and reproductive toxicity data. . . . 6/92
Issue final multi-chemical test rule for
glyvifold ........................................ 9/92
Material weakness judged to be corrected ........ 9/92
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 89 OF 97
FISCAL YEAR 1991
C. Planned Actions/Events fFY 1993 and beyond) : Conduct AICR of revised
Chemical Testing Program 12/92.
Validation Process to be Used: OTS will conduct an AICR to evaluate the newly
implemented process, procedures, rules and other features of revisions to the
chemical testing program. The AICR will determine whether these changes and
improvements are functioning in an optimal manner. OTS will judge the success
of correcting the lack of efficiency and productivity in the program by
evaluating whether appropriate processes are in place which we can reasonably
expect will lead, in time, to the anticipated increase in the amount of chemical
testing that is necessary to support an effective TSCA regulatory program.
Corrective Action Plan
o September 30. 1991. Status Update; We have a delay in issuing the multi-
chemical test rule for glycidols because 1) OGC identified numerous issues during
streamlined review that necessitated substantial redrafting of the package; and
2) CMB's review period covered 90-days rather 'than the 15-30 days as planned.
We received substantial new information and technical and policy issues
associated with the multi-chemical test rule for aryl phosphates and the OMB
review period added two months to the original schedule thereby delaying the
issuance.
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 90 OF 97
FISCAL YEAR 1991
Title of Material Weakness: R&D Scientific and Technical Equipment
Description of Material Weakness and Its Impact on Agency Operations; A large
portion of ORD's scientific/technical equipment is old, technologically
antiquated, and needs to be replaced. The Agency is in danger of not being able
to carry out its research responsibilities required by Federal statutes. EPA has
no plan for equipment planning, conducting proper forecasting, or planning for
sufficient budgetary .support to reach an acceptable state of scientific equipment
in the next five years.
Functional Category in Statistical Summary; Property and Inventory Management.
Appropriation/Program Element: Environmental Protection Agency - Research and
Development and Superfund Appropriations
Administrative Activity/Program Activity: program Activity
Year Identified; FY 1988
Source of Discovery; In FY 1986, ORD experienced an extreme shortage of Salaries
and Expense funds; therefore, sufficient funds were not available in any one
account to allow for the acquisition of major scientific equipment. However, by
pooling a part of ORD's resources to create a capital equipment escrow, some
items of equipment could be purchased. The Assistant Administrator for ORD
established a Capital Equipment Committee to manage these resources. During this
process, a complete inventory of ORD's scientific equipment was conducted. An
analysis of this inventory identified the majority of ORD's scientific equipment
to be antiquated and technologically obsolete.
Original Target Correction Date; March 30, 1990
Targeted Correction Date in Last Year's Report: September 30, 1994
Current Target Date; September 30, 1994
Reason for Change in Datefs) ; The material weakness is a more complex issue than
initially described in FY 1988. The broadened plan for the revised corrective
actions will be implemented over a five-year period based on availability of
resources.
Milgstongs in Corrective Action;
A. Completed Actions/Events; The inventory of ORD's scientific equipment was
updated in April 1990. Based on the current inventory a five-year plan was
developed to replace equipment over 7 years old and to purchase state-of-the-art
equipment for new research initiatives. A budget initiative for the FY 1993
budget submission was prepared requesting resources for the five-year plan to
upgrade ORD's scientific equipment base.
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 91 OF 97
FISCAL YEAR 1991
B. Planned Actions/Events (Short-Term - Next 12 Months) : Planned actions for
FY 1992 include recertifying that prior years' replacement needs are still un-
met. The inventory will be updated annually arid we will continue to submit
budget initiatives to request resources to meet the plan to upgrade ORD's
scientific equipment.
C. Planrvpd Actions/Event'^ (Longer Term) ;
1. ORD will update the inventory of scientific equipment annually to
determine un-met needs.
2. Based on emerging research initiatives, we will forecast needs for
new equipment.
3 . A review will be conducted of the equipment replacement program and
revisions made as necessary.
4. Budget initiatives will be prepared to seek prior years' un-met
needs and current needs as identified in the five-year plan.
5. A new five-year plan to cover fiscal years 95 through 99 will be
Budget Implications. If Any; The corrective action plan to upgrade ORD's
scientific and technical equipment is dependent upon resources appropriated
through the fruHgoh process.
Validation Process to be Used; A complete analysis of ORD's equipment inventory
and review of the corrective action plan will be conducted each year over the
life of the five-year plan. Revisions will be made as necessary and incorporated
into the budget initiative prepared for the next years' submission.
Corrective Action Plan Status Updates:
o September 30. 1991 Status Update;
1. A budget initiative was submitted in ORD's FY 1993 budget submission-
requesting additional funds for the equipment upgrade.
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 92 OF 97
FISCAL YEAR 1991
Title of Material Weakness: Antimicrobial Program
Description of Ma*"^Tial Weaknggs and I^-s Impact on Aciency
A GAO audit identified a material weakness in the program's data integrity
assurance process, system support, and enforcement follow-up. OPP has responded
specifically in Congressional hearings to issues raised by GAO.
Functional Category in Statistical Smnrc«'''vi Program Execution
Appropriation/Program Element; Registration
Administrative Activity/Program Activity; Registration
Ygar Identified; 1990
Source of Discovery; GAO Audit
Original Target Correction Date; 1992
Targeted Correction Date in Fast*. year's Report; 1992
Current Target Date; 1992
Critical Mil<*5fr?rv?s in Corrective Action;
A. Completed Act ions/ Events: In September 1990, EPA signed an •Interagency
Agreement with the Food and Drug Administration (FDA) to test samples of suspect
products used on medical instruments and to test products prior to registration
if the registration data appears questionable.
FDA agreed to conduct efficacy testing for all products bearing sporicidal
claims, except gaseous sterilants. FDA received samples for all products
designated for testing. FDA has completed testing on three products. EPA has
reviewed the data on these products and plans to extend the Interagency Agreement
for an additional year to complete the planned testing.
On January 21, 1991, OPP officially responded to GAO's recommendations.
B. Planned Act ions/ Events (FY 1992) ;
Finalize the strategy for Agency action if
failing data is submitted ....................... 12/91
Develop a comprehensive inspection scheme
to target laboratories testing high volume
disinfectants ................................... 12/91
C. Planned Actions/Events (FY 1993 and beyond) ; Fund proposal » to. conduct
research and development work on the AOAC Sporicidal Test Method. Prepare
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS /CORRECTIVE ACTIONS PAGE 93 OF 97
FISCAL YEAR 1991
written guidance for data auditors. Develop an ongoing national disinfectant
strategy.
Validation Process to be Used; Science ASvisory Panel Sub-Panel Review, among
others still to be determined.
Corrective Action Plan Stat"-1*
o September 30. 1991. Status Update; Test Method Research and Development -
A cooperative agreement for statistical support was awarded to Dr. Martin
Hamilton, Montana State University. The agreement for research on the AOAC
sporicidal test is under review within the Grants Office.
Product Testing and Agency Response to Failing Data - The Agency received
failing data on sporicidal claims for two products. The Agency has developed a
•follow-up strategy where OCM will issue a stop sale and civil penalty for every
batch found to fail the screening tests being conducted by FDA. OCM will proceed
with enforcement testing, using the same standards and test procedures required
for the original registration of the product. OCM will issue a stop sale and
civil complaint against the two products concurrent with a public notice/press
release information users of the failure and the enforcement action.
Laboratory Testing Capability - OPP has established its laboratory needs
for antimicrobial product testing and is exploring the availability of facilities
to conduct the various tests used to determine antimicrobial product
effectiveness .
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 94 OF 97
FISCAL YEAR 1991
Title of Material Weakness: Disposal Program
Description of Material Weakness and Its Impact on Agency Operations: OPP has
a process in place to effectively implement the disposal program and manage the
resources involved. However, the disposal program is subject to the influence
of many factors outside of OPP's control. These outside factors have the
potential to create a material weakness in the program. The full range of these
factors and their potential for impacting the program need to be assessed.
Functional Category in Statistical Summary: Program Execution
Appropriation/Program Element; Disposal
Administrative Activity/Program Activity: Program Activity
Year Identified: 1990
Sriirng nf ni.grrruip'ry; Management Review
Original T^yget Correction Date: 1992
Correction Date in Tast*. VAar/s Report: 1992
Turret Date: 1992
Critical Mil
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS /CORRECTIVE ACTIONS PAGE 95 OF 97
FISCAL YEAR 1991
Finalize Report to Congress ..................... 6/92
C. Planned Actions/Events (FY 1993 and beyond) ; Closeout investigation to
verify completed corrective actions.
Validation Process to be Used: Closeout investigation.
Corrective Action Plan Status Updates:
30. 1991. Sfcat"g Update: Phase 1, procedural regulations are in
red border review. OPP is participating in an Inter-agency committee on
hazardous materials listings and is evaluating pesticides listed, and those that
would be listed if the listing criteria were broadened.
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS/CORRECTIVE ACTIONS PAGE 96 OF 97
FISCAL YEAR 1991
PART THREE. DESCRIPTION OF CORRECT^ MATERIAL
CATS Tracking Number; 90-1
Title of Material Weakness; Inability to Associate Data on Compliance and
Enforcement Activities From Various Offices' Data Bases.
of Enforcement was seriously hampered in its ability to develop enforcement
actions, set enforcement priorities and target enforcement, respond to crises,
and conduct program oversight because of the inability to associate data on
compliance and enforcement activities from the various program offices data
bases.
Functional Category in Statistical Summary- Program Execution and Systems
Development and Implementation
Appropriation/Program Element; 6820200/AJAH3A
Administrative Activity/Program Activity; Enforcement
Year Identified; FY 1989
Source of Discovery; IG Audit and OE Senior Management
Original Target Correction Date; 12/90
Targeted Correction Date in Last Year/s Rpport; 12/90
Actual Completion Date; 2/21/91
Reason for change in Date; Delays occurred in the initial development of IDEA
because of the inability to quickly resolve with the National Computer Center
(NCC) how direct access to the data systems running in ADABAS would be provided.
As a result, several of the milestone dates were achieved two months later than
originally planned.
Corrective Actions Taken; Validation of the effectiveness of the corrective
action is tied to the use of the capability. All headquarters and regional
offices have been trained on the use of IDEA and currently several offices are
incorporating analysis using IDEA in enforcement screening, enforcement
targeting, and strategic planning. Procedures have been developed requiring that
before individual can use IDEA and gain access to enforcement sensitive data,
authorization must be granted at the DAA or DRA level. Additional procedures are
being developed to provide access to nonsensitive data.
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U. S. ENVIRONMENTAL PROTECTION AGENCY ENCLOSURE D
MATERIAL WEAKNESS/CORRECTIVE ACTIONS P.AGE 97 OF 97
FISCAL YEAR 1991
•
Critical Mil«?stongs completion Date
1. Form workgroup to develop linking
mechanism, resource requirements and
schedule for Implementation. 11/89
2. Define linking approach and system
to be linked 11/89
3. Develop resource requirements and
construct a strategy for implementation,
including a project plan (review projected
milestones and revise as appropriate) 3/2/90
4. Modify systems where necessary to
accommodate link ID number. -. . 9/30-90
5. Complete update of systems with link
ID number for current records. 1/91
6. Develop automated ID number assignments
procedures and programs. 2/21/91
7. Final implementation of linkage capability
including ongoing operations and maintenance. 2/21/91
Results of Validation Actions; Validation of the effectiveness of the corrective
action is tied to the use of the capability. All headquarters and regional
offices have been trained on the use of IDEA and currently several offices are
incorporating analysis using IDEA in enforcement screening, enforcement
targeting, and strategic planning. Procedures have been developed requiring that
before individuals can use IDEA and gain access to enforcement sensitive data,
authorization must be granted at the DAA or DRA level. Additional procedures are
being developed to provide access to nonsensitive data. .
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 1 OF 15
FISCAL YEAR 1991
SECTION 4 ASSURANCE AND SUPPORTING DOCUMENTATION
We reviewed our accounting system in use during FY 1991, in
accordance with the Guidelines for Evaluating Financial
Management/Accounting Systems issued by the Office of Management
and Budget (OMB), and based on the principles and standards
developed by the Comptroller General and implemented through OMB
Circular A-127.
We continued our evaluation of all system functions during
this past year as part of an on-going Quality Assurance Program.
The completed evaluations included tests of transactions and
certifications from financial management offices as to the adequacy
of their internal and accounting controls. There is no assurance,
of course, that the system operates at all times in accordance with
the test results. The results of the review described above,
assurance given by Agency officials, and other information provided
indicate that our accounting system, taken as a whole, generally
conforms to the principles and standards developed by the
Comptroller General and implemented through OMB Circular A-127.
Exceptions to overall compliance with applicable principles and
standards are the material nonconformances identified in this
enclosure.
During FY 1991, we continued monitoring, implementing and
enhancing our accounting system, the Integrated Financial
Management System (IFMS). Our implementation is a multi-year
effort, which will result in a modern, efficient, economical and
effective accounting system. As part of this system
implementation, we have identified problems and developed
appropriate action plans to resolve them. We have revised the
implementation dates for different IFMS functions based on our
experiences. We have developed procedures to ensure adequate
testing is performed to meet users' needs prior to implementing the
functions.
At the end of FY 1991, there were five instances of accounting
system material nonconformances that continue to exist. These
nonconformances are accounts receivable; reconciliation to Treasury
reports; property and accounting records reconciliation; general
ledger adjustments; and interfaces between IFMS and other
administrative systems. Further details on these nonconformances,
together with plans and schedules for corrective action are
contained in this enclosure.
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 2 OF 15
FISCAL YEAR 1991
ACCOUNTING SYSTEM COMPONENTS
EPA has one primary accounting system which is the Integrated
Financial Management System (IFMS). Three subsidiary systems
provide substantial accounting information to IFMS. They are
Payroll/Personnel System (EPAYS), Contract Payment System (CPS),
and Automated Document Control Register (AOCR). In addition, four
administrative systems contain accounting data. These systems are
Contract Information System (CIS), Grants Information and Control
System (GICS), Personal Property Accountability System (PPAS), and
Resources Management Information System (RMIS).
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 3 OF 15
FISCAL YEAR 1991
Part 1. Summary of Pending Material Nonconformances
Year
Target for Current
Title (s) of First Correction Target for
nonconformances Reported in FY 1990 Correction Page
Regional accounts receivable recording, documentation, and
collection problems have impacted the accuracy of the general
ledger accounts receivable balances.
1989 1993 1993 4
Comprehensive reconciliation between Treasury reports and IFMS
needs to be performed.
1988 1993 1993 7
Reconciliation with property and accounting records for FY 1989 and
1990 needs to be performed.
1983 1992 1992 9
General ledger accounts adjustments as the result of the
implementation of IFMS need to be accomplished.
1989 1993 1992 11
Opportunities exist for greater interface between the accounting
system and other administrative systems.
1985 1992 1993 13
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 4 OF 15
FISCAL YEAR 1991
Part 2. Description of Non-conformances
Name of System; Integrated Financial Management System
Title of Material Nonconformance; Regional accounts receivable
recording, documentation, and collection problems have impacted the
accuracy of the general ledger accounts receivable balances.
System Type; Core Financial
Functional Category in Statistical Summary; General Ledger Control
Appropriation; All appropriations
Administrative Activity/Program Activity; Administrative
Pace of Corrective Action;
Year Identified; FY 1989
Original Targeted Correction Date; March 1990
Targeted Correction Date in Last Year/s Report; June 1993
Current Target Date; June 1993
Reason for Change in Datefs); Does not apply
Description of Material Nonconformance and Its Impact on Agency
Operations; In FY 1990, we identified several potential unrecorded
accounts receivable in the regional offices. These unrecorded
receivables were the result of program officials not promptly
notifying the servicing finance office of the creation and
disposition of the receivables. Also, inadequate policies and
procedures contributed to the problem. Because of this problem,
the accuracy of the general ledger accounts receivable balances was
questionable.
To correct this deficiency, during FY 1991, we issued new
policies and procedures for accounts receivable. Also, regional
finance offices were required to perform a reconciliation of all
open IFMS receivables. In addition, we created an Agency-wide
Accounts Receivable Task Force (ARTF) that is visiting each region
to identify and resolve problems with accounts receivable. The
ARTF visited four regions in FY 1991. The remaining regions will
be visited in FY 1992 and 1993.
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 5 OF 15
FISCAL YEAR 1991
Source of Discovery of Material Nonconformance; FY 1989
transaction testing, Regional FMFIA Certification, Report of
Assurance from Component System Manager for IFMS, and OIG Audit
Report E1SJF9-05-0274-0100207 Review of Superfund Cost Recovery
Accounts Receivable Establishment and Collection.
Critical Milestones in Corrective Action;
Completion Date
Critical Milestones Original Plan Current Plan
A. Completed actions/events
MILESTONE TITLE
Automated calculation of interest, penalties and
handling. 06/89 03/90 03/90
Demand and Billing Letters.
06/89 03/90 03/90
Issue policy and procedures to track enforcement actions
that result in accounts receivable.
02/90 01/91 11/90
Implement IFMS on-line .write-off of uncollectible
accounts. 06/89 04/91 03/91
First round of on-site verification reviews.
10/90 06/91 07/91
B. Planned actions/events (short term - next 12 months)
Enhance on-line write-off capability.
04/91 03/92
Second round of on-site verification reviews.
06/92 06/92
Provide additional capabilities in the calculation of
interest, penalties, and handling charges.
09/92 09/92
C. Planned actions/events (longer term)
Third round of on-site verification reviews.
06/93 06/93
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 6 OF 15
FISCAL YEAR 1991
Validation Process to be Used; A task force has been created that
will review accounts receivable at each finance office. The task
force visited four regional finance offices in FY 1991.
The Financial Compliance and Quality Assurance Staff will follow-up
on issues raised by the task force during Quality Assurance Reviews
of the regions.
In FY 1991, the OIG conducted a follow-up review of corrective
actions taken since their initial review of accounts receivable.
The OIG concluded that current corrective actions by EPA
appropriately address the issue of accounts receivable.
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 7 OF 15
FISCAL YEAR 1991
Name of System: Integrated Financial Management System
Title of Material Nonconformance; Comprehensive reconciliation
between Treasury reports and IFMS needs to be performed.
System Type; Core Financial
Functional Category in Statistical Summary! Data accuracy,
timeliness, comparability, usefulness
Appropriation; All appropriations
Administrative Activity/Program Activity; Administrative
Pace of Corrective Action;
Year Identified; FY 1988
Original Targeted Correction Date; December 1988
Targeted Correction Date in Last Year/s Report; June 1993
Current Target Date; June 1993
Reason for Change in Date(si; Does not apply
Description of Material Nonconformance and Its Impact on Agency
Operations; During the initial implementation of IFMS, cash
reconciliation reports were not available. Therefore,
reconciliation between the Agency's general ledger and external
Treasury reports could not be accomplished in a timely manner. In
addition, revised procedures for assuring reconciliation of cash
balances were inadequate to address the problem.
During FY 1991, detailed reports needed to perform the cash
reconciliation were produced. Monthly cash reconciliations between
the Agency and Treasury are now being performed.
Source of Discovery of Material Nonconformance; FY 1989 Report of
Assurance from Component System Manager for IFMS.
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 8 OF 15
FISCAL YEAR 1991
Critical Milestones in Corrective Action;
Completion Date
Critical Milestones Original Plan Current Plan Actual
A. Completed actions/events
MILESTONE TITLE
Develop necessary reports to facilitate the Treasury
reconciliation process. 09/89 06/91 06/91
B. Planned actions/events (short term - next 12 months)
None
C. Planned actions/events (longer term)
Perform a comprehensive review of Treasury records and
the Agency's general ledger on 9/30/92 to ensure
reconciliation of balances.
09/89 06/93
Validation Process to be Used; With the availability of detailed
cash reports, the Financial Reports and Analysis Branch (FRAB) has
and will continue to review the monthly cash reconciliations made
by the regional offices. The Financial Compliance and Quality
Assurance Staff (FCQAS) will coordinate with FRAB to identify
regional problems with the cash reconciliation. If required, FCQAS
will review this item as part of their visits to regional financial
management offices.
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 9 OF 15
FISCAL YEAR 1991
Name of System; Integrated Financial Management System/Personal
Property Accountability System
Title of Material Nonconformance; Reconciliation with property and
accounting records for FY 1989 and 1990 needs to be performed.
System .Type; Core Financial Subsidiary System and Personal
Property Accountability System
Functional Category in Statistical Summary; Property
Bureau/Appropriation;' All appropriations
Administrative Activity/Program Activity: Administrative
Pace of Corrective Action;
Year Identified: FY 1983
Original Targeted Correction Date; December 1989
Targeted Correction Date in Last Year's Report; May 1992
Current Target Date; May 1992
Reason for Change in Date(si; Does not apply
Description of Material Nonconformance and Its Impact on Agency
Operations; In the past, property values were recorded in the
Agency's General Ledger accounts based upon the data contained in
the Personal Property Accountability System (PPAS). Procedures for
assuring that all property acquisitions were reflected in the PPAS
have been inadequate. For an interface between the Integrated
Financial Management System (IFMS) and PPAS to operate properly,
the Financial Management Division (FMD) must be assured of the
accuracy of property values maintained in PPAS.
In FY 1991, we initiated revised procedures for capitalization of
property. These procedures require the regional finance offices to
coordinate with the regional property offices to ensure that items
capitalized are in PPAS and the financial data is reconciled.
Further, we have provided items capitalized in FY 1989 and FY 1990
to the system manager for PPAS. The information will be reconciled
with PPAS.
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 10 OF 15
FISCAL YEAR 1991
Source of Discovery of Material Nonconformance: EPA OIG Audit
P5EH7-11-0022-80028 dated October 7, 1987 and GAO Report AFMD 90-
20.
**
Critical Milestones in Corrective Action;
Completion Date
Critical Milestones Original Plan Current Plan
A. Completed actions/events
MILESTONE TITLE
Define requirements to reconcile data between FMS and
PPAS. 03/87 03/87 08/87
Develop a reconciliation process (interim procedure until
new system is implemented).
07/88 07/88 07/88
Implement the reconciliation process (interim procedure
until new system is implemented).
10/88 10/88 12/88
Implement distributed data entry PPAS network and a
national PPAS. 04/88 04/89 06/89
Require comprehensive inventories be conducted in all
accountable areas. 05/89 12/89 05/90
Implement modified reconciliation process that does not
rely totally on PPAS. . 06/91. 06/91 07/91
B. Planned actions/events (short term - next 12 months)
Perform reconciliation based on modified procedures using
FY 1989 and 1990 data. 05/92 05/92
Validation Process to be Used; On a monthly basis, the Financial
Reports and Analysis Branch (FRAB) is reviewing the regional
capitalization reports submitted based on the revised
reconciliation procedures issued. If problems are identified, FRAB
will work with the Financial Compliance and Quality Assurance Staff
to include this item as part of a Quality Assurance Review of a
specific regional financial management office. In addition, we
will request that regional finance offices conduct transaction
testing of property for FY 1992.
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 11 OF 15
FISCAL YEAR 1991
Name of System: Integrated Financial Management System
Title of Material Nonconformance; General ledger account
adjustments as the result of the implementation of IFMS need to be
accomplished.
System Type; Core Financial
Functional Category in Statistical Summary? General Ledger Control
Bureau/Appropriation; All appropriations
Administrative Activity/Program Activity; Administrative
Pace of Corrective Action;
Year Identified; FY 1989
Original Targeted Correction Date; February 1990
Targeted Correction Date in Last Year's Report; February 1992
Current Target Date; October 1992
Reasons for Change in Datefsi; The completion date has been
revised to reflect the extensive work to identify the detailed
corrective actions required.
Description of Mate'rial Nonconformance and Its Impact on Agency
Operations; Although the system has been accurately recording
transactions for FY 1990 and 1991, the validity of certain closing
balances for FY 1989 is questionable. In FY 1989, we converted
our accounting data from our former Financial Management System
(FMS) to IFMS. During this conversion, some transactions were
improperly classified, affecting the closing balances in certain
accounts.
We have identified the differences in the FY 1989 closing balances.
Our next step is to validate and verify the composition of the
differences. Once this task has been completed, we will make the
necessary adjusting entries in IFMS.
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 12 OF 15
FISCAL YEAR 1991
Source of Discovery of Material Nonconformance: FY 1989
transaction testing, Regional FMFIA Certification, and Report of
Assurance from Component System Manager for IFMS.
Critical Milestones in Corrective Action;
Completion Date
Critical Milestones Original Plan Current Plan Actual
A. Completed actions/events
MILESTONE TITLE
Automatically perform month-end and year-end closing and
roll over General Ledger account balances.
01/90 02/92 11/90
Install Enhanced General Ledger edits in IFMS.
03/91 06/91 06/91
B. Planned actions/events (short term - next 12 months)
None
C. Planned actions/events (longer term)
Correct FY 1989 FMS to IFMS conversion errors.
02/92 10/92
Adjust beginning account balances.
02/92 10/92
Adjust and reclassify transactions, as appropriate.
02/92 10/92
Update policies and procedures for recording transactions
in IFMS.
10/90 10/92
Validation Process to be Used; The supporting documentation of the
adjustments will be maintained for review. FCQAS will conduct a
review to ensure adequate documentation has been developed to
support the accuracy of the adjustments.
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 13 OF 15
FISCAL YEAR 1991
Name of System; Integrated Financial Management System
Title of Material Nonconformance; Opportunities exist for greater
interface between the accounting system and other administrative
systems.
System Type; Core Financial
Functional Category in Statistical Summary; Interfaces with
subsidiary/program systems
Bureau/Appropriation; All appropriations.
Administrative Activity/Program Activity: Administrative
Pace of Corrective Action;
Year Identified; FY 1985
Original Targeted Correction Date; June 1990
Targeted Correction Date in Last Year/s Report; September
1993
Current Target Date; September 1993
Reason for Change in Datefsi; Does not apply
Description of Material Nonconformance and Its Impact on Agency
Operations; Data maintained in the accounting system and used by
other key administrative systems could be transferred between the
respective systems more efficiently and effectively. OMB Financial
Management System Objectives require electronic communications
between systems to avoid duplication of data entry. During FY 1991
we continued to work toward developing the necessary electronic
interfaces.
Critical Milestone in Corrective Action;
Completion Date
Critical Milestones Original Plan Current Plan Ar*nai
A. Completed actions/events
MILESTONE TITLE
Install interface (IFMS/GICS).
09/88 06/89 06/89
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 14 OF 15
FISCAL YEAR 1991
Implement a national PPAS.
12/88 06/89 06/89
B. Planned actions/events (short term - next 12 months)
Define requirements for IFMS and PPAS.
01/91 04/92
Detailed Design (IFMS/PPAS).
03/92 03/92
Analyze for further enhancements (IFMS/GICS).
03/92 03/92
C. . Planned actions/events (longer term)
Implementation (IFMS/PPAS).
10/92 10/92
Define requirements (IFMS/GICS).
01/93 01/93
Detailed design (IFMS/GICS).
06/93 06/93
Install new interface (IFMS/GICS).
09/93 09/93
Additional milestones will be added as new systems are developed,
such as the Integrated Contract Management System which will
replace the Contract Information System.
Source of Discovery of Material Nonconformance; This issue was
reconfirmed with the implementation of IFMS in FY 1989 and reported
in the Report of Assurance from Component System Manager for IFMS.
Prior to FY 1989 > EPA had identified this nonconformance as it
related to EPA's Financial Management System which IFMS replaced.
Validation Process to be Used; The Financial Compliance and
Quality Assurance Staff will review this item as part of their work
on IFMS and FMFIA. In addition, we expect that GAO, OIG, and
Superfund auditors to be actively involved with auditing various
portions of IFMS along with other administrative systems.
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U.S ENVIRONMENTAL PROTECTION AGENCY ENCOLSURE E
REVIEW PROCESS PAGE 15 OF 15
FISCAL YEAR 1991
Part 3. Material Nonconformances Corrected
Name of System; Integrated Financial Management System
Title of Material Nonconformance; (s) Financial reporting under the
Integrated Financial Management System (IFMS) is incomplete.
System Type; Core Financial
Functional Category in Statistical Summary; Data accuracy
timeliness, comparability, and usefulness
Appropriation; All appropriations
Year Identified; FY 1989
Original Targeted Correction Date; September 1990
Corrective Actions Taken; For the short-term, we relied on ad hoc
reporting capabilities of the former system and developed special
reports. After reviewing the needs of the users, we decided to
develop and implement an ad hoc reporting system called the
Management and Accounting Report System (MARS).
Results of Validation Actions Taken; The Financial Compliance and
Quality Assurance Staff attended training in MARS to ensure that
the system would provide information needed by users. In addition,
we monitored general MARS D-Mail announcements concerning the
issues raised by users. As a last step in our validation, we
reviewed the MARS Hotline Reports for the type of questions and
issues being raised by users. We also contacted users who had
reported errors.
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