Finding 529409 (2024-001)

Significant Deficiency
Requirement
P
Questioned Costs
-
Year
2024
Accepted
2025-03-21

AI Summary

  • Core Issue: The Schedule of Expenditures of Federal Awards (SEFA) misclassified the HIV-Related Training and Technical Assistance program, impacting accurate financial reporting.
  • Impacted Requirements: Internal controls over SEFA reporting were ineffective, violating 2 CFR 200.303 and 200.510 regarding proper classification of federal awards.
  • Recommended Follow-Up: Implement stronger controls for SEFA reporting to ensure accurate classification of federal awards, as indicated in the updated HRSA award template.

Finding Text

Information on the Federal Program: Federal Program: HIV - Related Training and Technical Assistance - Aids Education and Training Centers Assistance Listing: 93.145 Federal Agency: U.S. Department of Health and Human Services – Health Resources and Services Administration (HRSA) Grant Award Number: 6 U1OHA30535-08-01 Award Periods: July 1, 2023 through June 30, 2024 Pass-Through Agency: Columbia University Grant Award Number: U1SHA46532 Award Periods: September 1, 2023 through August 31, 2024 Criteria or Specific Requirement (Including Statutory, Regulatory, or Other Citation): 2 CFR 200.303 requires that a non-Federal entity must “(a) establish and maintain effective internal control over the Federal award that provides reasonable assurance that the non-Federal entity is managing the Federal award in compliance with Federal statutes, regulations, and the terms and conditions of the Federal award. These internal controls should be in compliance with guidance in “Standards for Internal Control in the Federal Government” issued by the Comptroller General of the United States and the “Internal Control Integrated Framework,” issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). The Uniform Guidance 2 CFR section 200.510 states, “(b) Schedule of expenditures of Federal awards. The auditee must also prepare a schedule of expenditures of Federal awards (SEFA) for the period covered by the auditee’s financial statements, which must include the total Federal awards expended as determined in accordance with §200.502, Basis for determining Federal awards expended.” Condition: The Schedule of Expenditures of Federal Awards (the Schedule) did not accurately classify the HIV-Related Training and Technical Assistance – Aids Education and Training Centers program. The final Schedule was corrected for the misclassification.   Cause: The internal control over the SEFA reporting process was not operating effectively to appropriately classify grant awards on the SEFA. Effect or Potential Effect: Management included the HIV-Related Training and Technical Assistance grant (Assistance Listing 93.145) in the amount of $5,642,581 in the Research & Development (R&D) cluster. Questioned Costs: None. Context: Total R&D Cluster expenses included on the draft Schedule was $592,460,606 for the year ended June 30, 2024. Total R&D expenses included on the final Schedule were $586,818,025 for the year ended June 30, 2024. Total expenditures on the SEFA did not change. Identification as a Repeat Finding, if Applicable This is not a repeat finding. Recommendation: We recommend that management implement more robust controls to ensure accurate reporting of federal awards on the SEFA. Management’s Response: Department of Health and Human Services – Health Resources and Services Administration (HRSA) updated the award template utilizing a new federal format. Modification of this federal award template has allowed HRSA to indicate/flag (item 18 in the Notice of Grant Award - R&D “no”) whether the federal program is R&D in a manner not previously recorded or visible. This indicator flag now indicates AETC is non-R&D, therefore, we have reflected it appropriately in the FY24 SEFA. We will strengthen our controls for monitoring the cluster to ensure appropriate classification paying attention to any indications in the Notice of Grant Award.

Categories

Reporting

Other Findings in this Audit

  • 529408 2024-001
    Significant Deficiency
  • 1105850 2024-001
    Significant Deficiency
  • 1105851 2024-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
12.910 Research and Technology Development $3.66M
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $2.47M
93.317 Emerging Infections Programs $1.93M
84.181 Special Education-Grants for Infants and Families $1.55M
93.368 21st Century Cures Act - Precision Medicine Initiative $1.18M
93.778 Medical Assistance Program $1.06M
93.233 National Center on Sleep Disorders Research $1.04M
93.575 Child Care and Development Block Grant $1.03M
93.917 Hiv Care Formula Grants $893,645
93.969 Pphf Geriatric Education Centers $797,666
93.918 Grants to Provide Outpatient Early Intervention Services with Respect to Hiv Disease $773,632
93.914 Hiv Emergency Relief Project Grants $765,991
93.318 Protecting and Improving Health Globally: Building and Strengthening Public Health Impact, Systems, Capacity and Security $669,848
93.687 Maternal Opioid Misuse Model $641,273
93.941 Hiv Demonstration, Research, Public and Professional Education Projects $608,761
93.225 National Research Service Awards Health Services Research Training $534,769
93.632 University Centers for Excellence in Developmental Disabilities Education, Research, and Service $525,467
93.396 Cancer Biology Research $508,561
93.153 Coordinated Services and Access to Research for Women, Infants, Children, and Youth $506,527
93.840 Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders $496,399
93.253 Poison Center Support and Enhancement Grant $478,294
93.998 Autism and Other Developmental Disabilities, Surveillance, Research, and Prevention $442,061
81.RD Department of Energy $332,551
84.027 Special Education Grants to States $304,590
43.008 Office of Stem Engagement (ostem) $289,466
93.262 Occupational Safety and Health Program $262,446
93.069 Public Health Emergency Preparedness $250,000
93.394 Cancer Detection and Diagnosis Research $222,544
93.994 Maternal and Child Health Services Block Grant to the States $212,133
43.RD National Aeronautics and Space Administration $206,134
98.001 Usaid Foreign Assistance for Programs Overseas $196,673
93.127 Emergency Medical Services for Children $192,642
93.185 Immunization Research, Demonstration, Public Information and Education Training and Clinical Skills Improvement Projects $190,586
47.074 Biological Sciences $155,823
84.326 Special Education Technical Assistance and Dissemination to Improve Services and Results for Children with Disabilities $153,614
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $152,555
93.145 Hiv-Related Training and Technical Assistance - Aids Education and Training Centers $149,557
93.226 Research on Healthcare Costs, Quality and Outcomes $148,697
21.027 Covid-19 Coronavirus State and Local Fiscal Recovery Funds $143,806
93.361 Nursing Research $142,072
93.078 Strengthening Emergency Care Delivery in the United States Healthcare System Through Health Information and Promotion $136,639
93.110 Maternal and Child Health Federal Consolidated Programs $133,451
93.788 Opioid Str $128,889
93.104 Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (sed) $122,699
93.865 Child Health and Human Development Extramural Research $122,506
93.251 Early Hearing Detection and Intervention $114,858
93.310 Trans-Nih Research Support $97,309
10.310 Agriculture and Food Research Initiative (afri) $93,379
93.080 Blood Disorder Program: Prevention, Surveillance, and Research $86,453
93.279 Drug Use and Addiction Research Programs $81,447
93.250 Geriatric Academic Career Awards Department of Health and Human Services $78,464
93.315 Rare Disorders: Research, Surveillance, Health Promotion, and Education $76,831
47.041 Engineering $70,648
93.398 Cancer Research Manpower $70,032
93.286 Discovery and Applied Research for Technological Innovations to Improve Human Health $66,969
66.509 Science to Achieve Results (star) Research Program $61,928
47.076 Stem Education (formerly Education and Human Resources) $58,281
93.268 Immunization Cooperative Agreements $58,168
12.351 Scientific Research - Combating Weapons of Mass Destruction $51,417
93.351 Research Infrastructure Programs $50,560
93.103 Food and Drug Administration Research $47,316
93.866 Aging Research $46,025
93.958 Block Grants for Community Mental Health Services $45,668
45.024 Promotion of the Arts Grants to Organizations and Individuals $44,775
93.350 National Center for Advancing Translational Sciences $44,229
47.070 Computer and Information Science and Engineering $43,050
93.879 Medical Library Assistance $39,133
93.839 Blood Diseases and Resources Research $38,545
12.420 Military Medical Research and Development $37,828
93.946 Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs $37,389
93.121 Oral Diseases and Disorders Research $36,702
93.283 Centers for Disease Control and Prevention Investigations and Technical Assistance $35,466
10.216 1890 Institution Capacity Building Grants $34,369
93.135 Centers for Research and Demonstration for Health Promotion and Disease Prevention $32,403
93.838 Lung Diseases Research $30,300
93.399 Cancer Control $29,292
84.325 Special Education - Personnel Development to Improve Services and Results for Children with Disabilities $28,196
93.213 Research and Training in Complementary and Integrative Health $27,145
16.053 Sexual Assault Forensic Examinations $26,275
93.884 Primary Care Training and Enhancement $24,258
93.630 Developmental Disabilities Basic Support and Advocacy Grants $24,146
93.067 Global Aids $23,512
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $21,757
12.600 Community Investment $20,816
47.049 Mathematical and Physical Sciences $19,980
93.393 Cancer Cause and Prevention Research $19,255
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $17,927
47.079 Office of International Science and Engineering $16,981
93.172 Human Genome Research $15,854
93.247 Advanced Nursing Education Workforce Grant Program $14,733
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $14,360
93.837 Cardiovascular Diseases Research $14,287
93.478 Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees $12,869
47.075 Social, Behavioral, and Economic Sciences $11,833
93.859 Biomedical Research and Research Training $11,469
16.838 Comprehensive Opioid, Stimulant, and Other Substances Use Program $11,430
93.397 Cancer Centers Support Grants $9,093
93.395 Cancer Treatment Research $9,057
93.855 Allergy and Infectious Diseases Research $7,349
93.173 Research Related to Deafness and Communication Disorders $6,897
93.558 Temporary Assistance for Needy Families $6,846
93.077 Family Smoking Prevention and Tobacco Control Act Regulatory Research $6,532
93.136 Injury Prevention and Control Research and State and Community Based Programs $5,803
93.307 Minority Health and Health Disparities Research $5,688
93.273 Alcohol Research Programs $5,494
93.867 Vision Research $5,443
93.242 Mental Health Research Grants $4,707
12.RD Department of Defense $4,144
93.113 Environmental Health $3,528
93.RD Department of Health and Human Services $3,421
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $2,559
93.989 International Research and Research Training $1,248
93.084 Prevention of Disease, Disability, and Death by Infectious Diseases $366
12.300 Basic and Applied Scientific Research $307
10.001 Agricultural Research Basic and Applied Research $58
93.658 Foster Care Title IV-E $-58
93.470 Alzheimer’s Disease Program Initiative (adpi) $-73
93.426 The National Cardiovascular Health Program $-399