This is the accessible text file for CG Presentation number GAO-11-815CG entitled 'Meeting the Fiscal and Management Challenges Facing Government' which was released on July 15, 2011. This text file was formatted by the U.S. Government Accountability Office (GAO) to be accessible to users with visual impairments, as part of a longer term project to improve GAO products' accessibility. Every attempt has been made to maintain the structural and data integrity of the original printed product. Accessibility features, such as text descriptions of tables, consecutively numbered footnotes placed at the end of the file, and the text of agency comment letters, are provided but may not exactly duplicate the presentation or format of the printed version. The portable document format (PDF) file is an exact electronic replica of the printed version. We welcome your feedback. Please E-mail your comments regarding the contents or accessibility features of this document to Webmaster@gao.gov. This is a work of the U.S. government and is not subject to copyright protection in the United States. It may be reproduced and distributed in its entirety without further permission from GAO. Because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately. Meeting the Fiscal and Management Challenges Facing Government: AGA Professional Development Conference: Atlanta, GA: July 11, 2011: Gene L. Dodaro: Comptroller General of the United States: U.S. Government Accountability Office: GAO-11-815CG: Overview: * Long Term Fiscal Projections: * GPRA Modernization Act Goals: * Financial Management Challenges: * Overlap, Fragmentation, and Duplication: * GAO's High-Risk List An Update: Long Term Fiscal: Figure: Federal Budget Trends under Different Fiscal Policy Simulations: [Refer to PDF for image: multiple line graph] Percentage of GDP: Year: 2000; Baseline extended: 2.405%; Alternative: 2.405%. Year: 2001; Baseline extended: 1.254%; Alternative: 1.254%. Year: 2002; Baseline extended: -1.497%; Alternative: -1.497%. Year: 2003; Baseline extended: -3.439%; Alternative: -3.439%. Year: 2004; Baseline extended: -3.532%; Alternative: -3.532%. Year: 2005; Baseline extended: -2.558%; Alternative: -2.558%. Year: 2006; Baseline extended: -1.877%; Alternative: -1.877%. Year: 2007; Baseline extended: -1.157%; Alternative: -1.157%. Year: 2008; Baseline extended: -3.186%; Alternative: -3.186%. Year: 2009; Baseline extended: -10.021%; Alternative: -10.021%. Year: 2010; Baseline extended: -8.917%; Alternative: -8.917%. Year: 2011; Baseline extended: -9.843%; Alternative: -9.843%. Year: 2012; Baseline extended: -7.008%; Alternative: -7.14%. Year: 2013; Baseline extended: -4.294%; Alternative: -6.41%. Year: 2014; Baseline extended: -3.091%; Alternative: -6.421%. Year: 2015; Baseline extended: -3.027%; Alternative: -6.806%. Year: 2016; Baseline extended: -3.441%; Alternative: -7.523%. Year: 2017; Baseline extended: -3.078%; Alternative: -7.492%. Year: 2018; Baseline extended: -2.915%; Alternative: -7.666%. Year: 2019; Baseline extended: -3.182%; Alternative: -8.232%. Year: 2020; Baseline extended: -3.237%; Alternative: -8.635%. Year: 2021; Baseline extended: -3.206%; Alternative: -8.954%. Year: 2022; Baseline extended: -3.537%; Alternative: -9.63%. Year: 2023; Baseline extended: -3.702%; Alternative: -10.357%. Year: 2024; Baseline extended: -3.977%; Alternative: -11.115%. Year: 2025; Baseline extended: -4.375%; Alternative: -11.911%. Year: 2026; Baseline extended: -4.553%; Alternative: -12.513%. Year: 2027; Baseline extended: -4.837%; Alternative: -13.125%. Year: 2028; Baseline extended: -5.231%; Alternative: -13.851%. Year: 2029; Baseline extended: -5.527%; Alternative: -14.491%. Year: 2030; Baseline extended: -5.816%; Alternative: -15.131%. Year: 2031; Baseline extended: -6.103%; Alternative: -15.775%. Year: 2032; Baseline extended: -6.504%; Alternative: -16.422%. Year: 2033; Baseline extended: -6.677%; Alternative: -17.075%. Year: 2034; Baseline extended: -6.958%; Alternative: -17.735%. Year: 2035; Baseline extended: -7.234%; Alternative: -18.396%. Year: 2036; Baseline extended: -7.509%; Alternative: -19.063 Year: 2037; Baseline extended: -7.9%; Alternative: -19.849%. Year: 2038; Baseline extended: -8.159%. Year: 2039; Baseline extended: -8.413%. Year: 2040; Baseline extended: -8.661%. Year: 2041; Baseline extended: -8.908%. Year: 2042; Baseline extended: -9.153%. Year: 2043; Baseline extended: -9.398%. Year: 2044; Baseline extended: -9.645%. Year: 2045; Baseline extended: -9.897%. Year: 2046; Baseline extended: -10.286%. Year: 2047; Baseline extended: -10.547%. Year: 2048; Baseline extended: -10.806%. Year: 2049; Baseline extended: -11.064%. Year: 2050; Baseline extended: -11.192%. Year: 2051; Baseline extended: -11.597%. Year: 2052; Baseline extended: -11.876%. Year: 2053; Baseline extended: -12.159%. Year: 2054; Baseline extended: -12.45%. Year: 2055; Baseline extended: -12.752%. Year: 2056; Baseline extended: -13.061%. Year: 2057; Baseline extended: -13.229%. Year: 2058; Baseline extended: -13.679%. Year: 2059; Baseline extended: -13.993%. Year: 2060; Baseline extended: -14.166%. Source: GAO. Note: Data are from GAO's January 2011 simulations based on the Trustees' assumptions for Social Security and the Trustees' and the CMS Actuary's assumptions for Medicare. [End of figure] Figure: Debt Held by the Public Under Two Fiscal Policy Simulations: [Refer to PDF for image: multiple line graph] Percent of GDP: Historical high: 109 percent in 1946. Fiscal year: 2000; Baseline extended: 34.7%; Alternative: 34.7%. Fiscal year: 2001; Baseline extended: 32.5%; Alternative: 32.5%. Fiscal year: 2002; Baseline extended: 33.6%; Alternative: 33.6%. Fiscal year: 2003; Baseline extended: 35.6%; Alternative: 35.6%. Fiscal year: 2004; Baseline extended: 36.8%; Alternative: 36.8%. Fiscal year: 2005; Baseline extended: 36.9%; Alternative: 36.9%. Fiscal year: 2006; Baseline extended: 36.5%; Alternative: 36.5%. Fiscal year: 2007; Baseline extended: 36.2%; Alternative: 36.2%. Fiscal year: 2008; Baseline extended: 40.2%; Alternative: 40.2%. Fiscal year: 2009; Baseline extended: 53.52%; Alternative: 53.52%. Fiscal year: 2010; Baseline extended: 62.14%; Alternative: 62.14%. Fiscal year: 2011; Baseline extended: 69.38%; Alternative: 69.38%. Fiscal year: 2012; Baseline extended: 73.90%; Alternative: 74.04%. Fiscal year: 2013; Baseline extended: 75.52%; Alternative: 77.77%. Fiscal year: 2014; Baseline extended: 75.30%; Alternative: 80.77%. Fiscal year: 2015; Baseline extended: 74.88%; Alternative: 83.84%. Fiscal year: 2016; Baseline extended: 75.01%; Alternative: 87.61%. Fiscal year: 2017; Baseline extended: 75.20%; Alternative: 91.65%. Fiscal year: 2018; Baseline extended: 75.31%; Alternative: 95.81%. Fiscal year: 2019; Baseline extended: 75.75%; Alternative: 100.43%. Fiscal year: 2020; Baseline extended: 76.22%; Alternative: 105.26%. Fiscal year: 2021; Baseline extended: 76.66%; Alternative: 110.24%. Fiscal year: 2022; Baseline extended: 77.45%; Alternative: 115.73%. Fiscal year: 2023; Baseline extended: 78.1%; Alternative: 121.48%. Fiscal year: 2024; Baseline extended: 79.19%; Alternative: 127.72%. Fiscal year: 2025; Baseline extended: 80.59%; Alternative: 134.58%. Fiscal year: 2026; Baseline extended: 82.15%; Alternative: 141.82%. Fiscal year: 2027; Baseline extended: 83.91%; Alternative: 149.33%. Fiscal year: 2028; Baseline extended: 86.00%; Alternative: 157.28%. Fiscal year: 2029; Baseline extended: 88.39%; Alternative: 165.64%. Fiscal year: 2030; Baseline extended: 90.96%; Alternative: 174.36%. Fiscal year: 2031; Baseline extended: 93.70%; Alternative: 183.32%. Fiscal year: 2032; Baseline extended: 96.74%; Alternative: 192.57%. Fiscal year: 2033; Baseline extended: 99.84%. Fiscal year: 2034; Baseline extended: 103.11%. Fiscal year: 2035; Baseline extended: 106.5%. Fiscal year: 2036; Baseline extended: 110.12%. Fiscal year: 2037; Baseline extended: 113.95%. Fiscal year: 2038; Baseline extended: 117.85%. Fiscal year: 2039; Baseline extended: 121.90%. Fiscal year: 2040; Baseline extended: 126.05%. Fiscal year: 2041; Baseline extended: 130.30%. Fiscal year: 2042; Baseline extended: 134.63%. Fiscal year: 2043; Baseline extended: 139.05%. Fiscal year: 2044; Baseline extended: 143.54%. Fiscal year: 2045; Baseline extended: 148.12%. Fiscal year: 2046; Baseline extended: 152.91%. Fiscal year: 2047; Baseline extended: 157.78%. Fiscal year: 2048; Baseline extended: 162.72%. Fiscal year: 2049; Baseline extended: 167.73%. Fiscal year: 2050; Baseline extended: 172.76%. Fiscal year: 2051; Baseline extended: 178.04%. Fiscal year: 2052; Baseline extended: 183.39%. Fiscal year: 2053; Baseline extended: 188.83%. Fiscal year: 2054; Baseline extended: 194.36%. Fiscal year: 2055; Baseline extended: 199.97%. Source: GAO. Note: Data are from GAO's January 2011 simulations based on the Social Security Trustees' assumptions for Social Security and the Medicare Trustees' and the Centers for Medicare & Medicaid Services Office of the Actuary's assumptions for Medicare. [End of figure] Figure: Potential Fiscal Outcomes: Revenues and Composition of Spending under Baseline Extended Simulation: [Refer to PDF for image: combined stacked vertical bar and line graph] Percentage of GDP: Fiscal year: 2010; Net interest: 1.4%; Social Security: 4.8%; Medicare & Medicaid[A]: 5%; All other spending: 12.6%; Revenue: 14.9%. Fiscal year: 2020; Net interest: 3.3%; Social Security: 5.2%; Medicare & Medicaid[A]: 6.3%; All other spending: 9.1%; Revenue: 20.7%. Fiscal year: 2030; Net interest: 4.2%; Social Security: 6%; Medicare & Medicaid[A]: 7.6%; All other spending: 8.9%; Revenue: 20.8%. Fiscal year: 2040; Net interest: 5.7%; Social Security: 6.2%; Medicare & Medicaid[A]: 8.7%; All other spending: 8.9%; Revenue: 20.8%. Note: Data are from GAO's January 2011 simulations based on the Trustees' assumptions for Social Security and Medicare. [A] This also includes spending for insurance exchange subsidies and CHIP. Source: GAO. [End of figure] Figure: Potential Fiscal Outcomes: Revenues and Composition of Spending under Alternative Simulation: [Refer to PDF for image: combined stacked vertical bar and line graph] Percentage of GDP: Fiscal year: 2010; Net interest: 1.4%; Social Security: 4.8%; Medicare & Medicaid[A]: 5%; All other spending: 12.6%; Revenue: 14.9%. Fiscal year: 2020; Net interest: 4.4%; Social Security: 5.2%; Medicare & Medicaid[A]: 6.7%; All other spending: 10.7%; Revenue: 18.3%. Fiscal year: 2030; Net interest: 7.8%; Social Security: 6%; Medicare & Medicaid[A]: 8.6%; All other spending: 10.8%; Revenue: 18%. Fiscal year: 2040; Net interest: 12.5%; Social Security: 6.2%; Medicare & Medicaid[A]: 10.4%; All other spending: 10.8%; Revenue: 18%. Source: GAO. Note: Data are from GAO's January 2011 simulations based on the Trustees' assumptions for Social Security and the CMS Actuary's assumptions for Medicare. [A] This also includes spending for insurance exchange subsidies and CHIP. [End of figure] Figure: State and Local Operating Balance Measure, as a Percentage of Gross Domestic Product: [Refer to PDF for image: multiple line graph] Positive Balance: Surplus. Negative Balance: Deficit. Year: 2005; Balance: 0.1%. Year: 2006; Balance: 0.3%. Year: 2007; Balance: 0.1%. Year: 2008; Balance: -0.4%. Year: 2009; Balance: 0%. Year: 2010; Balance: 0%. Year: 2011; Balance: -0.4%. Year: 2012; Balance: -0.7%. Year: 2013; Balance: -0.9%. Year: 2014; Balance: -1%. Year: 2015; Balance: -1.1%. Year: 2016; Balance: -1.2%. Year: 2017; Balance: -1.3%. Year: 2018; Balance: -1.4%. Year: 2019; Balance: -1.5%. Year: 2020; Balance: -1.6%. Year: 2021; Balance: -1.7%. Year: 2022; Balance: -1.8%. Year: 2023; Balance: -1.7%. Year: 2024; Balance: -1.8%. Year: 2025; Balance: -1.9%. Year: 2026; Balance: -1.9%. Year: 2027; Balance: -1.9%. Year: 2028; Balance: -2%. Year: 2029; Balance: -2.1%. Year: 2030; Balance: -2.1%. Year: 2031; Balance: -2.2%. Year: 2032; Balance: -2.2%. Year: 2033; Balance: -2.2%. Year: 2034; Balance: -2.3%. Year: 2035; Balance: -2.3%. Year: 2036; Balance: -2.4%. Year: 2037; Balance: -2.5%. Year: 2038; Balance: -2.5%. Year: 2039; Balance: -2.6%. Year: 2040; Balance: -2.6%. Year: 2041; Balance: -2.7%. Year: 2042; Balance: -2.7%. Year: 2043; Balance: -2.7%. Year: 2044; Balance: -2.8%. Year: 2045; Balance: -2.8%. Year: 2046; Balance: -2.9%. Year: 2047; Balance: -3%. Year: 2048; Balance: -3%. Year: 2049; Balance: -3%. Year: 2050; Balance: -3%. Year: 2051; Balance: -3.1%. Year: 2052; Balance: -3.2%. Year: 2053; Balance: -3.2%. Year: 2054; Balance: -3.2%. Year: 2055; Balance: -3.3%. Year: 2056; Balance: -3.3%. Year: 2057; Balance: -3.3%. Year: 2058; Balance: -3.4%. Year: 2059; Balance: -3.4%. Year: 2060; Balance: -3.4%. Source: GAO simulations, updated April 2011. Note: Historical data are from the Bureau of Economic Analysis's National Income and Product Accounts from 1980 to 2009. Data in 2010 are GAO estimates aligned with published data where available. GAO simulations are from 2011 to 2060, using many Congressional Budget Office projections and assumptions, particularly for the next 10 years. Simulations are based on current policy. [End of figure] GPRA Modernization Act Goals: * Adopting a more coordinated and crosscutting approach to achieving common goals, * Addressing weaknesses in major management functions. * Ensuring performance information is both useful and used in decision making. * Instilling sustained leadership commitment and accountability for achieving results. * Engaging Congress in identifying management and performance issues to address. Coordinated and Crosscutting Approaches to Achieve Common Goals: The act requires OMB, in coordination with 13 agencies, to: * Develop long-term, outcome-oriented goals for a limited number of crosscutting policy areas. * Provide information annually on how these crosscutting goals will be achieved. Effective implementation of these requirements could help inform reexamination or restructuring efforts. Addressing Weaknesses in Major Management Functions: Agencies need more effective management capabilities to better implement programs and policies. The act requires OMB to develop goals to improve management functions across the government, including in the following areas: * Financial management. * Human capital. * Information technology. * Procurement and acquisition. * Real property. Ensuring Performance Information is Useful and Used: To ensure performance information will be both useful 15 and used, it must meet various users' needs for completeness, accuracy, validity, timeliness, and ease of use. The act has several requirements that could help meet these needs: * Agencies to disclose more information on the accuracy and validity of their performance data, such as data sources. * Quarterly, rather than annual, reporting for priority goals. * Information to be posted on a governmentwide website. To ensure that federal officials have the knowledge and 16 skills necessary to use the information they are gathering, the act requires OPM to: * Identify key skills and competencies needed to carry out performance management activities. * Incorporate those skills and competencies into relevant position classifications and agency training. The Need for Reliable Cost Information: Greater need than ever for timely and accurate information about costs of specific programs and services for use in performance metrics. Reliable cost information can help: * Provide accurate comparisons on costs/benefits; * Inform budgets and proposals for reorganization/consolidation; * Identify potential cost control, efficiencies, and waste; * Benchmark programs and activities; * Set appropriate fees to recover the costs of services; * Measure program and managers' performance. Sustained Leadership Commitment and Accountability for Results: The act creates several new leadership structures and 17 responsibilities aimed at sustaining attention on improvement efforts: * At the agency level, a Chief Operating Officer and Performance Improvement Officer at each agency. * A governmentwide Performance Improvement Council to assist in carrying out the governmentwide performance and reporting requirements of the act. * Quarterly reviews for the governmentwide and agency priority goals that involve top leadership. Engaging Congress: The act significantly enhances requirements for agencies to consult with Congress when establishing or adjusting governmentwide and agency goals. * OMB and agencies are to consult with relevant committees, obtaining majority and minority views, about proposed goals at least once every 2 years. * In addition, OMB and agencies are to describe how they incorporated congressional input into their goals. * OMB is required to report on unmet agency goals each year, and where a goal has been unmet for 3 years, OMB can propose the program for termination or restructuring, among other actions. GPRA Modernization Act Implementation Timelines: * June 30, 2011 — Quarterly agency priority progress reviews, consistent with the Act, begin for the goals listed in the FY11 Budget * February 6, 2012 — - OMB publishes interim federal government priority goals and prepares federal government performance plans, consistent with the Act; - Agencies adjust their current strategic plans, prepare performance plans, and identify new or update existing agency priority goals to make them consistent with the Act. * No later than February 27, 2012 — Agencies make performance reporting updates on FY2011 performance consistent with the Act. * June 30, 2012 — Quarterly federal government priority progress reviews begin. * No later than October 1, 2012 — Governmentwide performance website launched. * February 3, 2014 — Full Implementation with a new strategic planning cycle. Financial Management Challenges: CFO Act Key Accomplishments and Progress Made: * Cultural change — accountability. * Governmentwide leadership structure and agency CFOs. * New accounting and reporting standards. * Preparing timely, auditable financial statements. * Strengthening internal control. * Improving financial management systems. * Improving performance information. * Establishing fiscal sustainability reporting. * Issuing summarized financial reports, including the governmentwide Citizen's Guide. Results of the FY 2010 Financial Audits: 20 of 24 CFO Act Agencies received unqualified audit opinions on their accrual-based financial statements. (Only 6 did in 1996.) Three major impediments continue to prevent GAO from rendering an opinion on the U.S. government's accrual-based consolidated financial statements: * Financial management problems at the Department of Defense (DOD). * Inability to adequately account for and reconcile intragovernmental activity and balances between federal entities. * Ineffective process for preparing the consolidated financial statements. U.S. Government's Consolidated Financial Statements - Getting to a Clean Opinion: Department of Defense (DOD): * Several entities have received a clean opinion: - U.S. Army Corp of Engineers, Defense Finance and Accounting Service, Defense Commissary Agency, Defense Contract Audit Agency, Military Retirement Fund. * U.S. Marine Corps working toward an auditable Statement of Budgetary Resources as a first step. Lessons learned may pave the way for other military services. * DOD focus on improving business systems, ensuring reliability of budget information, and existence and completeness of all mission- critical assets. * Financial Improvement and Audit Readiness plan (FIAR) defines path for DOD's plans to achieve auditability by 2017. Intragovernmental activity & balances between federal entities: Key actions taken/planned by Treasury: * Developed and issued Intragovernmental Business Rules. * Established various focus groups, consisting of Treasury and federal entity personnel. * Developed and implemented intragovernmental confirmation and reporting and analysis systems. * Developing financial statements for the General Fund of the U.S. Government to help address unreconciled differences existing between the General Fund and federal entity trading partners related to appropriation and other intragovernmental transactions. Consolidated financial statements (CFS) preparation process: Key actions taken/planned by Treasury: * Developed, documented, and implemented numerous standard operating procedures. * Hired contractors to assist in addressing certain control deficiencies. * Continuing to execute and implement corrective action plans to address previously identified control deficiencies. * Considering obtaining personnel from certain other entities, with additional financial reporting expertise, to assist Treasury during the year-end CFS preparation process. Increases in Improper Payment Estimates: Improper payment estimated amounts have been steadily rising over the years, primarily due to expansion in the number of programs being measured. However, the fiscal year 2010 increase in the estimates was primarily related to an increase in reported outlays and, for the Unemployment Insurance and Earned Income Tax Credit programs, increases in reported error rates. The fiscal year 2010 $125.4 billion improper payment estimate rose $16.2 billion from the prior year estimate of $109.2 billion. Fiscal Year 2010 Improper Payment Estimates by Program: Figure: 10 programs account for 94 percent of the fiscal year 2010 $125.4 billion estimate: [Refer to PDF for image: vertical bar graph] Program: Medicare Fee-for-Service; Improper Payment Estimate: $34.3 billion. Program: Medicaid (state administered program); Improper Payment Estimate: $22.5 billion. Program: Unemployment insurance (state administered program); Improper Payment Estimate: $17.5 billion. Program: Earned Income Tax Credit; Improper Payment Estimate: $16.9 billion. Program: Medicare Advantage; Improper Payment Estimate: $13.6 billion. Program: Supplemental Security Income Program; Improper Payment Estimate: $4.8 billion. Program: Old Age and Survivor's Insurance; Improper Payment Estimate: $3.2 billion. Program: Supplemental Nutrition Assistance Program (state administered program); Improper Payment Estimate: $3.2 billion. Program: National School Lunch Program (state administered program); Improper Payment Estimate: $1.5 billion. Program: Federal Student Aid--Pell Grant; Improper Payment Estimate: $1.0 billion. Program: Other; Improper Payment Estimate: $7.9 billion. Source: GAO analysis. [End of figure] Improper Payments Elimination and Recovery Act of 2010: In July 2010, the President set goals under the Accountable Government Initiative which include (1) reducing overall improper payments by $50 billion by fiscal year 2012 and (2) recapturing at least $2 billion in actual improper payments by fiscal year 2012. On July 22, 2010, the Improper Payments Elimination and Recovery Act (IPERA) was enacted. IPERA establishes additional requirements related to (1) manager accountability, (2) recovery auditing, (3) compliance and noncompliance determinations and reporting, and (4) an opinion on internal controls over improper payments. IPERA requirements related to agencies' improper payment estimating and reporting, manager accountability, recovery auditing, and compliance determinations and reporting, became effective for fiscal year 2011 under OMB's April 14, 2011, implementing guidance. OMB expects to issue guidance related to providing an opinion on internal controls over improper payments in the future. Challenges to a More Comprehensive Picture of Improper Payments: Full extent of improper payments is still unknown because some agencies have not yet reported estimates for all risk-susceptible programs. Categories of improper payments and the root causes are not consistently identified in programs' improper payment estimates or included in aggregate estimates. Corrective actions are unique to specific entities and programs across the federal government. Need to increase the use of technology and tools to prevent, reduce, and recover improper payments. Overlap, Fragmentation, and Duplication: GAO Reporting on Overlap, Fragmentation and Duplication in Federal Programs: Section 21 of P.L. 111-139, enacted in February 2010, required that the Comptroller General: * conduct routine investigations to identify programs, agencies, offices, and initiatives with duplicative goals and activities within Departments and government-wide, and; * report annually to Congress on the findings, including the cost of such duplication and with recommendations for consolidation and elimination to reduce duplication. GAO drew on a variety of sources to identify potential areas of focus: GAO: * Over 200 reports that highlight the potential for duplication, overlap, or fragmentation. * Major cost saving opportunities identified on GAO Web site. * GAO High Risk series. * Previous GAO work on government restructuring and reorganization. External Sources: * OMB’s Program Assessment Rating Tool (PART). * President’s Budget Terminations, Reductions, and Savings list. * CBO Budget Options. * Academia, public policy organizations, think tanks. Summary of 2011 report (GAO-11-318SP): * 34 areas where agencies, offices, or initiatives have similar or overlapping objectives or provide similar services to the same populations; or where government missions are fragmented across multiple agencies or programs. * 47 additional areas describing other opportunities for agencies or Congress to consider taking action that could either reduce the cost of government operations or enhance revenue collections for the Treasury. * Depending on the extent of actions taken, these savings and revenues could collectively result in tens of billions of dollars in annual savings. Examples of DOD-Related Duplication and Cost Savings or Revenue Enhancement Issues: Duplication, Overlap, or Fragmentation: * Military medical command structures; * Counter-IED Efforts; * Intelligence, Surveillance, and Reconnaissance Capabilities; * Warfighter Urgent Needs Processes; * Tactical Wheeled Vehicles Purchases; * Prepositioning Programs; * Business System Modernization Efforts. Cost Savings or Revenue Enhancement: * Assessing Costs and Benefits of Overseas Military Presence Options; * Developing a Total Compensation Approach to Manage Growth in Military Personnel Costs; * Opportunities to Better Manage DOD's Spare Parts Inventory and Weapons Systems Acquisition; * Improving the Cost-Effectiveness of Sustaining Weapon Systems; * Improving Corrosion Prevention and Control Practices. GAO High Risk List-An Update: 2011 High-Risk Update (GAO-11-278): 2011 List — 30 areas total * One DOD-specific area removed: - Personnel Security Clearances. * Seven DOD-specific areas related to business operations: - Management Approach to Business Transformation; - Business Systems Modernization; - Support Infrastructure Management (Narrowed in Scope); - Financial Management; - Supply Chain Management; - Weapon Systems Acquisition; - Contract Management. Removing High-Risk Designations: Five criteria for determining whether a high-risk area can be removed: * Demonstrated top leadership commitment to addressing the problems. * Capacity (people and resources). * Corrective action plan. * Demonstrated progress that is sustainable. * A program to monitor corrective measures. Closing Thoughts: The nation is facing the daunting challenges of recovering from a 28 serious recession while facing serious long-term fiscal challenges that simulations show —absent significant policy changes—growing deficits accumulating to an unsustainable increase in debt. In this fiscal environment, DOD cannot afford to miss opportunities to address inefficiencies in its key business areas as well as across the Department. In many areas, some of which I have outlined today, DOD can achieve tangible and sustainable outcomes that will ultimately provide better support to the warfighter and free up resources for higher priority needs. To do so, it will take strong leadership, sound plans, valid performance metrics and reliable data to measure progress, and tough choices to alter course if programs aren't performing. On the Web: Web site: [hyperlink, http://www.gao.gov/]. Contact: Chuck Young, Managing Director, Public Affairs, youngc@gao.gov: (202) 512-4800: U.S. Government Accountability Office: 441 G Street NW, Room 7149: Washington, D.C. 20548: Copyright: This is a work of the U.S. government and is not subject to copyright protection in the United States. The published product may be reproduced and distributed in its entirety without further permission from GAO. However, because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately.