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Agency

ANALYSIS OF HHS ACCOUNTS UNDER THE CHIEF FINANCIAL OFFICER LEGISLATION

FDA

HASA

CDC

NIH

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Appropriation Account Tille

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Salaries and Expenses, FDA

Salaries and Expenses, FDA (Royalties)

Rental Payments (FDA)

Buildings and Facilities, FDA

Revolving Fund for Certification and Other Services
Cooperative Research and Development Agreements (FDA)
Food and Drug Administration Unconditional Gift Fund

HS Indian Health Services

Health Resources and Services

Health Professions & Nursing Student Loans (HRSA)
Consolidated Working Fund (HRSA)

Medical Facilities Guarantee and Loan Fund

Health Professions Graduate Student Loan Fund
Nurse Training Fund

Health Professions Education Fund

Vaccine Injury Compensation

Vaccine Improvement Program Trust Fund
Public Health Service Conditional Gift Fund, HRSA
Pallents' Benefit Fund, PHS Hospitals, HRSA

Indian Health Services (Medicare/Medicaid)
Indian Health Facilities

Disease Control, Research, and Training

Cooperative Research and Development Agreements (CDC)
Hazardous Substance Trust Fund (Transfer from EPA)
Gifts and Donations, CDC

Symbol

75_0390

75_0390
75X0391

Consolidated Working Fund (Grants for Research, IHS)

75X3921

Rents and Charges/Operation and Maintenance of Quarters (IHS) |75X5071
Contributions, Indian Health Facilities

74X8073

National Library of Medicine
John E. Fogarty International Center
Buildings and Facilities, NIH
National Institute on Aging
National Institute on Aging (Royalties)

National Institute of Child Health and Human Development
National Inst of Child Health & Human Dev (Royalties)
Office of the Director, NIH

Office of the Director, NIH (Royalties)
Research Resources
National Cancer Institute

National Cancer Institute (Royalties)

National Institute of General Medical Sciences

National Institute of Environmental Health Sciences

National Institute of Environmental Health Sciences (Royalties)

75_0600
751_0600

75_0601

75X0603

75X4309

75X5148

75X8247

75_0350

75_0350

75X3903

75X4430

75X4305

75X4306

75X4307

75_0320
7520X8175

75X8254

75X8889

75_0943

75X5146

75208145

75X8250

75_0807

75_0819

75X0838

75_0843

75J_0843
75_0844

75J_0844

75_0846

75J_0846
75_0848

75_0849

75_0849

75_0851

75_0862
75_0862

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1. Revolving Funds

2. Trust Funds

3. Pilot Program

4. Substantial Commercial Activity

5. Not Covered by Law

6. Not an Active Account

1

4

71,911,936

13.932.537

29.515,092

214,328.975

(700) 414,763.216

(1,011) 55,810.665 5 (104.332) 4

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1

2

2

5

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ANALYSIS OF HHS ACCOUNTS UNDER THE CHIEF FINANCIAL OFFICER LEGISLATION

Agency

NIH

Appropriation Account Title

OASH

National Heart, Lung, and Blood Institute

National Heart, Lung, and Blood Institute (Royalties)

National Institute of Dental Research

National Institute of Dental Research (Royalties)

National Institute of Diabetes, and Digestive and Kidney Diseases
Nat Inst of Diabetes, & Digestive & Kidney Diseases (Royalties)
National Institute of Allergy and Infectious Diseases

National Institute of Allergy & Infectious Diseases (Royalties)
National Institute of Neurological Disorders and Stroke

National Institute of Neurological Disorders & Stroke (Royalties)
National Eye Institute

National Institute of Arthritis & Musculoskeletal & Skin Diseases

ADAMHA Federal Subsidy for Saint Elizabeths Hospital

Management Fund, NIH

Management Fund, NIH (Royalties)

Service and Supply Fund, NIH

Cooperative Research and Development Agreements (NIH)
National Institutes of Health Unconditional Gift Fund
National Institutes of Health Conditional Gift Fund
Patients' Benefit Fund, National Institutes of Health

National Center for Nursing Research

National Institute on Deafness & Other Communication Disorders 75 0890

National Center for Human Genome Research

Construction and Renovation, Saint Bizabeths Hospital
Alcohol, Drug Abuse, and Mental Health

Alcohol, Drug Abuse, and Mental Health (Royalties)
Cooperative Research and Development Agreements (ADAMHA)
Saint Elizabeths Hospital Unconditional Gift Fund
Patients' Benefit Fund, Saint Elizabeths Hospital

Retirement Pay and Medical Benefits for Commissioned Officers Office of the Assistant Secretary for Health

Scientific Activities Overseas, Special Foreign Currency Program Service and Supply Fund, OASH

Public Health Service Unconditional Gift Fund

AHCPR Health Care Policy and Research

HCFA

Program Management, HCFA
Grants to States for Medicald

Payments for Credits against Health Care Contributions

Payments to Health Care Trust Funds

Symbol

Health Maintenance Organization Loan & Loan Guarantee Fund

Survey and Certification Revolving Fund

Federal Supplementary Medical Insurance Trust Fund

Federal Hospital insurance Trust Fund
Catastrophic

75_0872 75J_0872

75_0873

75_J_0873

75_0884

751_0884

75_0885

751_0885

75_0886

75 0886 75_0887

75_0888

75_0889

75_0891

75_3966

75J_3966 75X4554

75X5145

75X8248

75X8253

75X8888

75_1300

75X1312

75_1361

75_1361

75X5147

75X8555

75X8559

75_0379

75_1101

75X1102

75X4552

75X8249

75_1700

75_0511

75X0512

75X0513

75_0580

75X4420

75X4421

7520X8004 7520X8005 75X8184

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1. Revolving Funds

2 Trust Funds

3. Pilot Program

4. Substantial Commercial Activity

5. Not Covered by Law

6. Not an Active Account

11222

5654-26

555-2

5

2

5

5555-6226

1

ANALYSIS OF HHS ACCOUNTS UNDER THE CHIEF FINANCIAL OFFICER LEGISLATION

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LISTING OF HHS ACCOUNTS WHICH ARE AFFECTED BY FY 1991 WAIVER REQUEST

Agency

Appropriation Account Titile

Symbol

FDA

75_0600 75X5148

75X8247

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Enclosure B

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Question. In the past, you have said that a lack of government-wide accounting standards limits the auditing work that can be performed. Will the CFO Act change this?

Answer. One of the problems which we think will be found in the preparation of financial statements is the lack of coverage in the current accounting standards for dealing with certain financial arrangements that the Federal government makes. Generally, such financial arrangements are not acknowledged through transactions in the accounting records.

For example, the government has a reversionary interest in funds and assets provided to grantees on a conditional basis. When we know that a certain segment of the grantee population is not complying with these conditions, should we treat the applicable funds or assets as accounts receivables or perhaps as some kind of a contingent receivable? Generally accounting standards do not recognize contingent receivables.

These kinds of issues may be difficult for auditors to address because there may be problems in finding suitable guidance for handling them. These issues will not make it impossible to audit the statements, but may result in the need for numerous explanations of why the auditors could not reach a conclusion about whether the financial statements are fairly stated.

The passage of the CFO Act will not directly effect an improvement in Federal accounting standards. However, the creation of the Federal Accounting Standards Advisory Board (FASAB) may result in a longrange improvement in this situation. The FASAB was created at about the same time the CFO Act was passed. It was created to bring about improvements in Federal accounting standards and to put in place a process for developing accounting standards on a broader authority than was previously the case. Previously, Federal accounting standards were promulgated by the General Accounting Office. The FASAB has a composition which is quite broad; it should thus result in standards which are more broadly accepted by the Federal financial management community. As the FASAB becomes productive, the issues which management and auditors find troublesome in the preparation and audit of financial statements should be considered and resolved.

Question. Are you in favor of the Department's request to waive the CFO Act's audit requirements for some parts of HHS?

Answer. As I stated in my testimony, I support

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