Finding 609315 (2022-011)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2022
Accepted
2023-03-30

AI Summary

  • Core Issue: The Department did not consistently review compliance visits for vaccine providers as required by its policy.
  • Impacted Requirements: This finding relates to the need for effective control and accountability for vaccines under the Vaccines for Children (VFC) program.
  • Recommended Follow-Up: Ensure all compliance visits are reviewed according to Department policy to address potential unresolved issues with vaccine quality and availability.

Finding Text

Federal Agency: Department of Health and Human Services Federal Program Title: Immunization Cooperative Agreements Assistance Listing: 93.268 Federal Grant ID Numbers: 5 NH23IP922601-03-00, 1 N23IP922601-01-00, and 6 NH23IP922601-02-00 Pass-Through Entity: Not applicable Award Period: October 01, 2019, through September 30, 2024 Type of Finding: Significant deficiency in internal control over compliance, other matters Criteria: The Office of Management and Budget?s (OMB) 2022 Compliance Supplement states that effective control and accountability must be maintained for all vaccines under the Vaccines for Children (VFC) program. Vaccines must be adequately safeguarded and used solely for authorized purposes in accordance with guidance set forth in 42 USC 1396s. To comply with this requirement, the Department?s Vaccines for Children Operation Guide requires that all completed VFC compliance site visits be reviewed by the VFC coordinator, immunization program manager, or a designee. Condition: The Department did not consistently perform reviews of compliance visits of vaccine providers in accordance with its policy. Questioned Costs: None Context: We tested 37 compliance visits of providers to ensure the Department complied with applicable Special Tests and Provisions requirements. We determined the Department had not reviewed four of the compliance visits as of the end of our fieldwork. Cause: Due to the prioritization of annual VFC and other vaccine program enrollments, the Department was unable to review the site visits for these providers. Effect: In the absence of a compliance visit review, providers could have unresolved issues that could affect the quality and quantity of vaccines provided to VFC recipients. Recommendation: We recommend the Department ensure compliance visits are reviewed in accordance with Department policy. Prior Year Single Audit Finding Number: Not applicable Views of Responsible Officials and Corrective Action Plan: Management agrees with the finding. See Corrective Action Plan at page 112.

Categories

Special Tests & Provisions Subrecipient Monitoring Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 32857 2022-012
    Significant Deficiency
  • 32858 2022-013
    Significant Deficiency
  • 32859 2022-014
    Significant Deficiency
  • 32860 2022-015
    Significant Deficiency
  • 32861 2022-012
    Significant Deficiency
  • 32862 2022-013
    Significant Deficiency
  • 32863 2022-014
    Significant Deficiency
  • 32864 2022-015
    Significant Deficiency
  • 32865 2022-007
    Significant Deficiency
  • 32866 2022-008
    Significant Deficiency
  • 32867 2022-009
    Significant Deficiency
  • 32868 2022-010
    Significant Deficiency
  • 32869 2022-008
    Significant Deficiency
  • 32870 2022-009
    Significant Deficiency
  • 32871 2022-010
    Significant Deficiency
  • 32872 2022-011
    Significant Deficiency
  • 32873 2022-011
    Significant Deficiency
  • 32874 2022-017
    Significant Deficiency
  • 32875 2022-018
    Significant Deficiency
  • 32876 2022-017
    Significant Deficiency
  • 32877 2022-018
    Significant Deficiency
  • 32878 2022-017
    Significant Deficiency
  • 32879 2022-018
    Significant Deficiency
  • 32880 2022-012
    Significant Deficiency
  • 32881 2022-016
    Significant Deficiency Repeat
  • 32882 2022-018
    Significant Deficiency
  • 32883 2022-012
    Significant Deficiency
  • 32884 2022-016
    Significant Deficiency Repeat
  • 32885 2022-018
    Significant Deficiency
  • 32886 2022-004
    Material Weakness Repeat
  • 32887 2022-005
    Significant Deficiency Repeat
  • 32888 2022-004
    Material Weakness Repeat
  • 32889 2022-005
    Significant Deficiency Repeat
  • 32890 2022-004
    Material Weakness Repeat
  • 32891 2022-005
    Significant Deficiency Repeat
  • 32892 2022-004
    Material Weakness Repeat
  • 32893 2022-005
    Significant Deficiency Repeat
  • 32894 2022-004
    Material Weakness Repeat
  • 32895 2022-005
    Significant Deficiency Repeat
  • 32896 2022-004
    Material Weakness Repeat
  • 32897 2022-005
    Significant Deficiency Repeat
  • 32898 2022-006
    Significant Deficiency
  • 32899 2022-006
    Significant Deficiency
  • 609299 2022-012
    Significant Deficiency
  • 609300 2022-013
    Significant Deficiency
  • 609301 2022-014
    Significant Deficiency
  • 609302 2022-015
    Significant Deficiency
  • 609303 2022-012
    Significant Deficiency
  • 609304 2022-013
    Significant Deficiency
  • 609305 2022-014
    Significant Deficiency
  • 609306 2022-015
    Significant Deficiency
  • 609307 2022-007
    Significant Deficiency
  • 609308 2022-008
    Significant Deficiency
  • 609309 2022-009
    Significant Deficiency
  • 609310 2022-010
    Significant Deficiency
  • 609311 2022-008
    Significant Deficiency
  • 609312 2022-009
    Significant Deficiency
  • 609313 2022-010
    Significant Deficiency
  • 609314 2022-011
    Significant Deficiency
  • 609316 2022-017
    Significant Deficiency
  • 609317 2022-018
    Significant Deficiency
  • 609318 2022-017
    Significant Deficiency
  • 609319 2022-018
    Significant Deficiency
  • 609320 2022-017
    Significant Deficiency
  • 609321 2022-018
    Significant Deficiency
  • 609322 2022-012
    Significant Deficiency
  • 609323 2022-016
    Significant Deficiency Repeat
  • 609324 2022-018
    Significant Deficiency
  • 609325 2022-012
    Significant Deficiency
  • 609326 2022-016
    Significant Deficiency Repeat
  • 609327 2022-018
    Significant Deficiency
  • 609328 2022-004
    Material Weakness Repeat
  • 609329 2022-005
    Significant Deficiency Repeat
  • 609330 2022-004
    Material Weakness Repeat
  • 609331 2022-005
    Significant Deficiency Repeat
  • 609332 2022-004
    Material Weakness Repeat
  • 609333 2022-005
    Significant Deficiency Repeat
  • 609334 2022-004
    Material Weakness Repeat
  • 609335 2022-005
    Significant Deficiency Repeat
  • 609336 2022-004
    Material Weakness Repeat
  • 609337 2022-005
    Significant Deficiency Repeat
  • 609338 2022-004
    Material Weakness Repeat
  • 609339 2022-005
    Significant Deficiency Repeat
  • 609340 2022-006
    Significant Deficiency
  • 609341 2022-006
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.778 Medical Assistance Program $5.69B
10.551 Supplemental Nutrition Assistance Program $1.78B
93.575 Child Care and Development Block Grant $324.94M
10.542 Pandemic Ebt Food Benefits $315.36M
84.010 Title I Grants to Local Educational Agencies $267.74M
93.767 Children's Health Insurance Program $179.66M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $175.65M
21.019 Coronavirus Relief Fund $160.58M
93.323 Epidemiology and Laboratory Capacity for Infectious Diseases (elc) $157.33M
10.557 Special Supplemental Nutrition Program for Women, Infants, and Children $64.33M
21.027 Coronavirus State and Local Fiscal Recovery Funds $61.30M
84.126 Rehabilitation Services_vocational Rehabilitation Grants to States $51.19M
93.268 Immunization Cooperative Agreements $46.93M
93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $46.59M
93.658 Foster Care_title IV-E $43.68M
93.568 Low-Income Home Energy Assistance $43.05M
93.563 Child Support Enforcement $36.27M
10.561 State Administrative Matching Grants for the Supplemental Nutrition Assistance Program $35.01M
12.401 National Guard Military Operations and Maintenance (o&m) Projects $34.96M
96.001 Social Security_disability Insurance $34.08M
93.959 Block Grants for Prevention and Treatment of Substance Abuse $30.82M
84.367 Improving Teacher Quality State Grants $29.61M
16.575 Crime Victim Assistance $29.23M
93.659 Adoption Assistance $26.93M
84.048 Career and Technical Education -- Basic Grants to States $21.53M
93.788 Opioid Str $21.44M
66.468 Capitalization Grants for Drinking Water State Revolving Funds $21.43M
84.424 Student Support and Academic Enrichment Program $20.52M
93.667 Social Services Block Grant $20.29M
66.458 Capitalization Grants for Clean Water State Revolving Funds $18.05M
84.287 Twenty-First Century Community Learning Centers $17.87M
10.555 National School Lunch Program $16.20M
93.434 Every Student Succeeds Act/preschool Development Grants $12.62M
93.994 Maternal and Child Health Services Block Grant to the States $12.49M
14.228 Community Development Block Grants/state's Program and Non-Entitlement Grants in Hawaii $12.37M
93.558 Temporary Assistance for Needy Families $9.76M
84.002 Adult Education - Basic Grants to States $9.36M
93.069 Public Health Emergency Preparedness $9.32M
84.181 Special Education-Grants for Infants and Families $8.27M
93.940 Hiv Prevention Activities_health Department Based $8.22M
84.027 Special Education_grants to States $7.90M
93.217 Family Planning_services $7.65M
10.649 Pandemic Ebt Administrative Costs $7.40M
66.605 Performance Partnership Grants $7.26M
93.569 Community Services Block Grant $7.23M
97.042 Emergency Management Performance Grants $6.90M
39.003 Donation of Federal Surplus Personal Property $6.83M
97.039 Hazard Mitigation Grant $6.74M
15.RD Wildlife Restoration and Basic Hunter Education $6.25M
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $5.79M
84.369 Grants for State Assessments and Related Activities $5.68M
93.499 Low Income Household Water Assistance Program $5.49M
93.898 Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations $5.40M
84.365 English Language Acquisition State Grants $5.25M
20.218 National Motor Carrier Safety $4.93M
10.560 State Administrative Expenses for Child Nutrition $4.79M
14.218 Community Development Block Grants/entitlement Grants $4.79M
84.282 Charter Schools $4.48M
93.136 Injury Prevention and Control Research and State and Community Based Programs $4.44M
15.611 Wildlife Restoration and Basic Hunter Education $4.41M
12.404 National Guard Challenge Program $4.23M
15.RD Sport Fish Restoration $4.20M
64.005 Grants to States for Construction of State Home Facilities $4.02M
81.214 Environmental Monitoring/cleanup, Cultural and Resource Mgmt., Emergency Response Research, Outreach, Technical Analysis $3.94M
10.582 Fresh Fruit and Vegetable Program $3.89M
93.471 Title IV-E Kinship Navigator Program (a) $3.89M
20.600 State and Community Highway Safety $3.85M
97.067 Homeland Security Grant Program $3.72M
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $3.70M
10.558 Child and Adult Care Food Program $3.59M
84.377 School Improvement Grants $3.47M
93.354 Public Health Emergency Response: Cooperative Agreement for Emergency Response: Public Health Crisis Response $3.39M
66.460 Nonpoint Source Implementation Grants $3.27M
16.738 Edward Byrne Memorial Justice Assistance Grant Program $3.27M
17.285 Apprenticeship USA Grants $3.22M
93.498 Provider Relief Fund $3.17M
93.674 John H. Chafee Foster Care Program for Successful Transition to Adulthood $2.91M
11.419 Coastal Zone Management Administration Awards $2.81M
97.012 Boating Safety Financial Assistance $2.75M
16.034 Coronavirus Emergency Supplemental Funding Program $2.72M
15.614 Coastal Wetlands Planning, Protection and Restoration Program $2.69M
14.231 Emergency Solutions Grant Program $2.66M
93.982 Mental Health Disaster Assistance and Emergency Mental Health $2.54M
11.307 Economic Adjustment Assistance $2.48M
17.503 Occupational Safety and Health_state Program $2.45M
15.605 Sport Fish Restoration Program $2.43M
84.358 Rural Education $2.33M
10.664 Cooperative Forestry Assistance $2.31M
93.426 Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke $2.27M
20.616 National Priority Safety Programs $2.26M
16.588 Violence Against Women Formula Grants $2.26M
14.241 Housing Opportunities for Persons with Aids $2.23M
93.889 National Bioterrorism Hospital Preparedness Program $2.19M
10.162 Inspection Grading and Standardization $2.13M
93.991 Preventive Health and Health Services Block Grant $1.97M
10.676 Forest Legacy Program $1.96M
45.310 Grants to States $1.91M
93.045 Special Programs for the Aging_title Iii, Part C_nutrition Services $1.88M
93.053 Nutrition Services Incentive Program $1.85M
93.665 Emergency Grants to Address Mental and Substance Use Disorders During Covid-19 $1.84M
93.387 National and State Tobacco Control Program (b) $1.76M
93.497 Family Violence Prevention and Services/ Sexual Assault/rape Crisis Services and Supports $1.75M
93.435 Innovative State and Local Public Health Strategies to Prevent and Manage Diabetes and Heart Disease and Stroke- $1.74M
93.669 Child Abuse and Neglect State Grants $1.62M
15.226 Payments in Lieu of Taxes $1.55M
10.568 Emergency Food Assistance Program (administrative Costs) $1.52M
11.RD Southeast Area Monitoring and Assessment Program $1.48M
23.002 Appalachian Area Development $1.47M
97.047 Pre-Disaster Mitigation $1.46M
93.958 Block Grants for Community Mental Health Services $1.45M
15.622 Sportfishing and Boating Safety Act $1.45M
90.404 2018 Hava Election Security Grants $1.40M
84.196 Education for Homeless Children and Youth $1.38M
93.775 State Medicaid Fraud Control Units $1.36M
81.U01 State Energy Conservation $1.35M
59.075 Shuttered Venue Operators Grant Program $1.31M
84.013 Title I State Agency Program for Neglected and Delinquent Children and Youth $1.17M
97.045 Cooperating Technical Partners $1.15M
81.042 Weatherization Assistance for Low-Income Persons $1.12M
17.235 Senior Community Service Employment Program $1.12M
20.615 E-911 Grant Program $1.11M
93.044 Special Programs for the Aging_title Iii, Part B_grants for Supportive Services and Senior Centers $1.10M
66.805 Leaking Underground Storage Tank Trust Fund Corrective Action Program $1.09M
93.556 Promoting Safe and Stable Families $1.07M
93.686 Ending the Hiv Epidemic: A Plan for America Ryan White Hiv/aids Program Parts A and B (b) $1.04M
93.671 Family Violence Prevention and Services/domestic Violence Shelter and Supportive Services $1.01M
20.608 Minimum Penalties for Repeat Offenders for Driving While Intoxicated $994,117
20.219 Recreational Trails Program $991,345
93.235 Affordable Care Act (aca) Abstinence Education Program $969,316
16.554 National Criminal History Improvement Program (nchip) $968,719
17.504 Consultation Agreements $965,606
93.566 Refugee and Entrant Assistance_state Administered Programs $930,564
12.400 Military Construction, National Guard $916,488
15.904 Historic Preservation Fund Grants-in-Aid $908,961
12.113 State Memorandum of Agreement Program for the Reimbursement of Technical Services $899,520
93.747 Elder Abuse Prevention Interventions Program $897,354
81.041 State Energy Program $894,458
93.630 Developmental Disabilities Basic Support and Advocacy Grants $893,311
45.025 Promotion of the Arts_partnership Agreements $892,443
15.RD State Wildlife Grants $865,636
84.011 Migrant Education_state Grant Program $839,378
97.056 Port Security Grant Program $835,227
66.802 Superfund State, Political Subdivision, and Indian Tribe Site-Specific Cooperative Agreements $822,364
84.177 Rehabilitation Services_independent Living Services for Older Individuals Who Are Blind $821,104
10.576 Senior Farmers Market Nutrition Program $788,714
84.173 Special Education_preschool Grants $768,791
93.324 State Health Insurance Assistance Program $766,063
66.039 National Clean Diesel Emissions Reduction Program $753,950
10.579 Child Nutrition Discretionary Grants Limited Availability $741,861
93.116 Project Grants and Cooperative Agreements for Tuberculosis Control Programs $729,920
93.092 Affordable Care Act (aca) Personal Responsibility Education Program $699,750
11.RD Coastal Zone Management Estuarine Research Reserves $669,294
66.034 Surveys, Studies, Research, Investigations, Demonstrations, and Special Purpose Activities Relating to the Clean Air Act $665,251
93.150 Projects for Assistance in Transition From Homelessness (path) $663,113
15.916 Outdoor Recreation_acquisition, Development and Planning $650,588
93.366 State Actions to Improve Oral Health Outcomes and Partner Actions to Improve Oral Health Outcomes $640,578
93.093 Affordable Care Act (aca) Health Profession Opportunity Grants $633,939
16.576 Crime Victim Compensation $628,399
93.645 Stephanie Tubbs Jones Child Welfare Services Program $625,499
16.741 Dna Backlog Reduction Program $590,722
10.565 Commodity Supplemental Food Program $590,365
66.817 State and Tribal Response Program Grants $574,342
15.957 Historic Preservation Fund Grants to Provide Disaster Relief to Historic Properties Damaged by Hurricane Sandy $565,466
93.052 National Family Caregiver Support, Title Iii, Part E $552,992
11.RD Marine Fisheries Initiative $532,750
93.941 Hiv Demonstration, Research, Public and Professional Education Projects $523,673
93.197 Childhood Lead Poisoning Prevention Projects_state and Local Childhood Lead Poisoning Prevention and Surveillance of Blood Lead Levels in Children $518,194
93.073 Birth Defects and Developmental Disabilities - Prevention and Surveillance $508,544
97.133 Preparing for Emerging Threats and Hazards $481,777
93.071 Medicare Enrollment Assistance Program $470,446
15.616 Clean Vessel Act Program $470,364
66.804 Underground Storage Tank (ust) Prevention, Detection, and Compliance Program $468,899
95.001 High Intensity Drug Trafficking Areas Program $456,166
93.586 State Court Improvement Program $435,461
93.RD Flexible Funding Model - Infrastructure Development and Maintenance for State Manufactured Food Regulatory Programs $420,755
10.680 Forest Health Protection $414,774
93.RD Rare Disorders: Research, Surveillance, Health Promotion, and Education $412,113
16.543 Missing Children's Assistance $405,584
93.336 Behavioral Risk Factor Surveillance System $403,841
16.017 Sexual Assault Services Formula Program $402,261
84.372 Statewide Longitudinal Data Systems $400,436
93.369 Acl Independent Living State Grants $397,817
14.267 Continuum of Care Program $395,970
93.599 Chafee Education and Training Vouchers Program (etv) $393,823
14.401 Fair Housing Assistance Program_state and Local $390,694
10.652 Forestry Research $385,580
16.813 Nics Act Record Improvement Program $374,970
84.187 Supported Employment Services for Individuals with the Most Significant Disabilities $373,892
66.419 Water Pollution Control State, Interstate, and Tribal Program Support $349,962
93.791 Money Follows the Person Rebalancing Demonstration $339,638
93.104 Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (sed) $338,444
59.061 State Trade and Export Promotion Pilot Grant Program $335,021
64.124 All-Volunteer Force Educational Assistance $332,401
94.006 Americorps $327,619
93.643 Children's Justice Grants to States $322,431
93.048 Special Programs for the Aging_title Iv_and Title Ii_discretionary Projects $317,064
16.540 Juvenile Justice and Delinquency Prevention_allocation to States $316,537
84.184 Safe and Drug-Free Schools and Communities_national Programs $310,958
93.436 Well-Integrated Screening and Evaluation for Women Across the Nation (wisewoman) $305,862
93.634 Support for Ombudsman and Beneficiary Counseling Programs for States Participating in Financial Alignment Model Demonstrations for Dually Eligible Individuals $304,328
10.912 Environmental Quality Incentives Program $297,999
16.742 Paul Coverdell Forensic Sciences Improvement Grant Program $292,504
97.008 Non-Profit Security Program $272,037
20.703 Interagency Hazardous Materials Public Sector Training and Planning Grants $270,304
16.593 Residential Substance Abuse Treatment for State Prisoners $255,788
11.RD Atlantic Coastal Fisheries Cooperative Management Act $255,018
20.106 Airport Improvement Program $252,715
93.072 Lifespan Respite Care Program $251,215
93.977 Preventive Health Services_sexually Transmitted Diseases Control Grants $250,747
16.827 Justice Reinvestment Initiative $248,928
20.614 National Highway Traffic Safety Administration (nhtsa) Discretionary Safety Grants $244,371
93.042 Special Programs for the Aging_title Vii, Chapter 2_long Term Care Ombudsman Services for Older Individuals $239,098
93.251 Early Hearing Detection and Intervention $234,349
66.040 State Clean Diesel Grant Program $231,792
93.110 Maternal and Child Health Federal Consolidated Programs $227,573
93.917 Hiv Care Formula Grants $219,862
21.016 Equitable Sharing $216,854
16.750 Support for Adam Walsh Act Implementation Grant Program $213,140
93.777 State Survey and Certification of Health Care Providers and Suppliers (title Xviii) Medicare $208,316
16.838 Comprehensive Opioid Abuse Site-Based Program $206,940
15.RD Cooperative Endangered Species Conservation Fund $202,269
84.326 Special Education_technical Assistance and Dissemination to Improve Services and Results for Children with Disabilities $201,690
93.RD Food and Drug Administration_research $199,341
97.023 Community Assistance Program State Support Services Element (cap-Ssse) $199,064
84.U01 American Printing House for the Blind (aph) - Non Cash $196,598
15.RD National Cooperative Geologic Mapping Program $191,235
97.041 National Dam Safety Program $184,895
97.044 Assistance to Firefighters Grant $181,197
15.626 Enhanced Hunter Education and Safety Program $173,880
66.461 Regional Wetland Program Development Grants $173,202
10.678 Forest Stewardship Program $171,532
11.RD Cooperative Fishery Statistics $166,810
10.934 Feral Swine Eradication and Control Pilot Program (c, Z) $166,529
66.454 Water Quality Management Planning $165,991
93.470 Alzheimer's Disease Program Initiative (adpi) $165,000
16.609 Project Safe Neighborhoods $164,209
93.130 Cooperative Agreements to States/territories for the Coordination and Development of Primary Care Offices $162,324
66.809 Superfund State and Indian Tribe Core Program Cooperative Agreements $155,065
10.697 State & Private Forestry Hazardous Fuel Reduction Program $154,379
23.011 Appalachian Research, Technical Assistance, and Demonstration Projects $153,858
93.600 Head Start $153,283
66.RD Regional Wetland Program Development Grants $150,394
81.104 Environmental Remediation and Waste Processing and Disposal $139,784
93.127 Emergency Medical Services for Children $138,484
10.525 Farm and Ranch Stress Assistance Network Competitive Grants Program (b) $136,220
10.535 Snap Fraud Framework Implementation Grant $136,000
16.U01 Domestic Cannabis Eradication/suppression Program (dce/sp) $135,480
81.RD Environmental Monitoring/cleanup, Cultural and Resource Mgmt., Emergency Response Research, Outreach, Technical Analysis $130,555
10.093 Voluntary Public Access and Habitat Incentive Program $129,800
93.RD Antimicrobial Resistance Surveillance in Retail Food Specimens $125,213
93.RD Cooperative Agreements to Support State-Based Safe Motherhood and Infant Health Initiative Programs $124,473
93.270 Adult Viral Hepatitis Prevention and Control $119,144
16.836 Indigent Defense $118,714
10.351 Rural Business Development Grant $116,147
93.297 Teenage Pregnancy Prevention Program $115,740
84.425 Education Stabilization Fund $111,480
66.444 Lead Testing in School and Child Care Program Drinking Water (sdwa 1464(d)) (a) $110,480
11.RD Habitat Conservation $108,460
81.106 Transport of Transuranic Wastes to the Waste Isolation Pilot Plant: States and Tribal Concerns, Proposed Solutions $107,973
45.RD Promotion of the Humanities Office of Digital Humanities $107,354
93.314 Early Hearing Detection and Intervention Information System (ehdi-Is) Surveillance Program $106,869
10.855 Distance Learning and Telemedicine Loans and Grants $105,937
20.232 Commercial Driver's License Program Improvement Grant $105,882
12.RD Aquatic Plant Control $104,264
93.079 Cooperative Agreements to Promote Adolescent Health Through School-Based Hiv/std Prevention and School-Based Surveillance $101,735
17.005 Compensation and Working Conditions $95,860
93.597 Grants to States for Access and Visitation Programs $95,039
16.825 Smart Prosecution Initiative $93,503
93.236 Grants to States to Support Oral Health Workforce Activities $87,840
84.144 Migrant Education_coordination Program $86,235
11.420 Coastal Zone Management Estuarine Research Reserves $85,018
16.735 Prea Program: Demonstration Projects to Establish 'zero Tolerance' Cultures for Sexual Assault in Correctional Facilities $81,252
16.607 Bulletproof Vest Partnership Program $79,491
10.931 Agricultural Conservation Easement Program $77,057
84.305 Education Research, Development and Dissemination $74,471
81.086 Conservation Research and Development $72,603
93.RD Telehealth Programs $71,792
15.RD U.s. Geological Survey Research and Data Collection $68,944
20.240 Fuel Tax Evasion-Intergovernmental Enforcement Effort $68,195
10.541 Child Nutrition-Technology Innovation Grant $64,220
66.312 State Environmental Justice Cooperative Agreement Program $64,013
14.921 Older Adults Home Modification Grant Program $61,719
15.634 State Wildlife Grants $60,578
10.572 Wic Farmers' Market Nutrition Program (fmnp) $59,766
97.082 Earthquake Consortium $59,576
16.710 Public Safety Partnership and Community Policing Grants $57,190
15.RD Fish and Wildlife Management Assistance $55,984
15.RD Coastal $54,753
20.205 Highway Planning and Construction $46,748
10.902 Soil and Water Conservation $46,195
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $44,749
93.041 Special Programs for the Aging_title Vii, Chapter 3_programs for Prevention of Elder Abuse, Neglect, and Exploitation $44,681
10.RD Rural Cooperative Development Grants $44,234
10.575 Farm to School Grant Program $42,839
16.816 John R. Justice Prosecutors and Defenders Incentive Act $42,695
93.103 Food and Drug Administration Research $39,185
10.691 Good Neighbor Authority $38,191
15.657 Endangered Species Conservation ? Recovery Implementation Funds $37,975
93.RD Mental Health Research Grants $37,855
16.751 Edward Byrne Memorial Competitive Grant Program $34,445
10.170 Specialty Crop Block Grant Program - Farm Bill $33,551
12.RD Navigation Projects $33,029
16.922 Equitable Sharing Program $31,015
15.RD White-Nose Syndrome National Response Implementation $29,618
15.RD Sportfishing and Boating Safety Act $23,100
10.534 Cacfp Meal Service Training Grants $23,082
97.083 Staffing for Adequate Fire and Emergency Response (safer) $22,596
97.043 State Fire Training Systems Grants $19,950
11.RD Unallied Science Program $19,927
66.818 Brownfields Assessment and Cleanup Cooperative Agreements $17,643
15.630 Coastal Program $17,320
11.RD Integrated Ocean Observing System (ioos) $16,204
10.RD Grants for Agricultural Research, Special Research Grants $13,444
20.513 Enhanced Mobility of Seniors and Individuals with Disabilities $13,443
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nations Health $12,500
93.334 The Healthy Brain Initiative: Technical Assistance to Implement Public Health Actions Related to Cognitive Health, Cognitive Impairment, and Caregiving at the State and Local Levels $12,233
11.RD Interjurisdictional Fisheries Act of 1986 $11,859
12.617 Economic Adjustment Assistance for State Governments $11,145
15.RD Endangered Species Recovery Implementation $9,507
10.171 Organic Certification Cost Share Programs $8,876
15.RD National Ground-Water Monitoring Network $7,023
97.029 Flood Mitigation Assistance $6,631
93.103 Food and Drug Administration_research $6,446
11.RD Marine Debris Program $5,857
11.RD Sea Grant Support $5,831
45.129 Promotion of the Humanities_federal/state Partnership $5,394
81.U02 Power Commission Fees $5,114
47.RD Computer and Information Science and Engineering $5,000
16.582 Crime Victim Assistance/discretionary Grants $4,999
97.046 Fire Management Assistance Grant $4,926
20.301 Railroad Safety $4,414
10.545 Farmers Market Supplemental Nutrition Assistance Program Support Grants $3,837
16.RD State Justice Statistics Program for Statistical Analysis Centers $3,754
16.844 Combatting Contraband Cell Phone Use in Prisons (b) $3,186
84.334 Gaining Early Awareness and Readiness for Undergraduate Programs $3,167
20.111 Aircraft Pilots Workforce Development Grant Program $2,500
11.RD Coastal Zone Management Administration Awards $2,455
93.043 Special Programs for the Aging_title Iii, Part D_disease Prevention and Health Promotion Services $2,450
10.153 Market News $2,088
11.RD Unallied Management Projects $1,609
16.745 Criminal and Juvenile Justice and Mental Health Collaboration Program $1,306
11.RD Office for Coastal Management $900
93.603 Adoption Incentive Payments $851
15.438 National Forest Acquired Lands $785
11.RD Climate and Atmospheric Research $694