Office
of the Inspector General
Larry G.
Massanari
Acting
Commissioner of
Social Security
Inspector General
Audit of the Social Security Administration’s Fiscal Year 2000 Annual Performance Report (A-02-01-11008)
The attached final report presents the results of our audit. Our objective was to determine compliance with the Government Performance and Results Act and assess the Fiscal Year 2000 Annual Performance Report as a document that describes in a meaningful way the accomplishments of the Social Security Administration.
Please comment within 60 days from the date of this memorandum on corrective action taken or planned on each recommendation. If you wish to discuss the final report, please call me or have your staff contact Steven L. Schaeffer, Assistant Inspector General for Audit, at (410) 965-9700.
James G. Huse, Jr.
OFFICE OF
THE INSPECTOR GENERAL
SOCIAL SECURITY ADMINISTRATION
AUDIT OF THE
SOCIAL SECURITY ADMINISTRATION’S
FISCAL YEAR 2000
ANNUAL PERFORMANCE REPORT
September
2001
A-02-01-11008
AUDIT REPORT
Mission
We improve SSA programs and operations and protect them against fraud, waste, and abuse by conducting independent and objective audits, evaluations, and investigations. We provide timely, useful, and reliable information and advice to Administration officials, the Congress, and the public.
Authority
The Inspector General Act created independent audit and investigative units, called the Office of Inspector General (OIG). The mission of the OIG, as spelled out in the Act, is to:
Conduct and supervise independent and objective audits and investigations relating to agency programs and operations.
Promote economy, effectiveness, and efficiency within the agency.
Prevent and detect fraud, waste, and abuse in agency programs and operations.
Review and make recommendations regarding existing and proposed legislation and regulations relating to agency programs and operations.
Keep the agency head and the Congress fully and currently informed of problems in agency programs and operations.
To ensure objectivity, the IG Act empowers the IG with:
Independence to determine what reviews to perform.
Access to all information necessary for the reviews.
Authority to publish findings and recommendations based on the reviews.
Vision
By conducting independent and objective audits, investigations, and evaluations, we are agents of positive change striving for continuous improvement in the Social Security Administration's programs, operations, and management and in our own office.
The objective of the audit was to determine compliance with the Government Performance and Results Act (GPRA) and assess the Fiscal Year (FY) 2000 Annual Performance Report (APR) as a document that describes in a meaningful way the accomplishments of the Social Security Administration (SSA). This audit was initiated as part of the Office of the Inspector General's (OIG) on-going evaluation of GPRA implementation, and in response to congressional interest in GPRA.
GPRA of 1993 established a framework through which Federal agencies are required to set goals, measure performance, and report on the extent to which the goals were met. To accomplish this, agencies are required to prepare 5-year strategic plans, annual performance plans (APP), and annual performance reports (APR).
The strategic plan includes a comprehensive mission statement, identifies general goals and objectives, describes how the agency intends to achieve those goals and identifies critical external factors that could affect achievement of strategic goals and objectives. The strategic plan is the starting point for setting annual goals. The APP provides the direct link between the strategic goals and agency performance. The APP identifies
(1) the annual performance goals the agency will use to gauge progress toward accomplishing its strategic goals and (2) performance measures to be used to assess annual progress. The APR, due by March 31 of each year, compares an agency’s performance with the goals established in its APP, evaluates its goals for the current year, in light of the prior year’s performance, and summarizes the results of program evaluations completed.
SSA was a pilot agency to develop APPs and APRs prior to full implementation of GPRA in March 2000. SSA began reporting its accomplishments as part of the agency’s Accountability Report in FY 1995. SSA submitted its first strategic plan under GPRA, "Keeping the Promise," in September 1997, and released its second strategic plan, "Mastering the Challenge," for FY’s 2000 through 2005 in September 2000. SSA’s first APP, which defined performance indicators and goals for FY 1999, was completed in February 1998. SSA released its FY 2000 and 2001 APPs in February 1999 and February 2000, respectively.
RESULTS OF REVIEW
SSA’s FY 2000 APR continues to demonstrate a strong commitment tocomply with GPRA’s objectives and complies with the reporting requirements. The APR tracks performance against established goals and generally offers a rationale for unmet goals and the strategies needed to attain them. Recognizing the evolving implementation of GPRA, we believe that opportunities exist to provide an even more meaningful assessment of SSA’s performance. These opportunities include more comprehensive and accurate reporting of overall performance, clearly discussing performance for each measure, and discussing the effect of unmet measures upon strategic goals. Further, the extent to which the APR provides meaningful performance information depends upon the measures established in the APP. In response to recommendations made in previous OIG and U.S. General Accounting Office (GAO) reports, SSA has taken action to improve its FY 2001 and 2002 APP to include more outcome-based measures, as well as goals for measurable management challenges. These actions, and the issues raised in this report, should translate into more informative future APRs.
CONCLUSION AND RECOMMENDATIONS
GPRA is intended to increase agency accountability through a program of strategic planning, establishment of annual goals, and reporting of annual performance against goals. SSA’s FY 2000 APR displays a firm commitment by SSA management to comply withthe intent of GPRA, and provide Congress and the public an objective accounting of SSA performance. GPRA implementation will continue to be an evolutionary process as agencies continue developing outcome-based measures, and enhance the systems and processes that produce credible performance data. The FY 2000 APR reflects certain weaknesses in this implementation that have subsequently been addressed by SSA through strengthened annual performance plans. To enhance the value of future APRs, we recommend that SSA:
AGENCY COMMENTS
SSA agreed in principle with the three recommendations we made. SSA noted that it will continue to strive to enhance the discussion in the APR of actual performance and its ramifications on goal attainment and future strategies. The full text of SSA’s comments is included in Appendix A.
OIG RESPONSE
We are pleased that SSA agreed with our recommendations and believe that implementation of the recommendations will lead to an APR which is a more meaningful document by which SSA’s performance can be assessed.
Page
INTRODUCTION 1
RESULTS OF REVIEW 4
APR Discloses That Many of SSA’s FY 2000 Goals Were Met 4
Opportunities Exist for More Meaningful Reporting 5
CONCLUSION
AND RECOMMENDATIONS 10
APPENDICES
APPENDIX A - Agency Comments
APPENDIX B - OIG Assessment of SSA's Progress in Addressing Significant Management Challenges
APPENDIX
C - Status of FY 2000 Goals and Measures As Reported in the FY
2000 APR
APPENDIX
D - OIG Contacts and Staff Acknowledgements
APP APR DI FY GAO GPRA OIG OMB SSA |
Annual Performance Plan Annual Performance Report Disability Insurance Fiscal Year General Accounting Office Government Performance and Results Act Office of the Inspector General Office of Management and Budget Social Security Administration |
SSI |
Supplemental Security Income |
The objective of the audit was to assess the Fiscal Year (FY) 2000 Annual Performance Report (APR) as a document that describes in a meaningful way the accomplishments of the Social Security Administration (SSA). This audit was initiated as part of the Office of the Inspector General's (OIG) on-going evaluation of the Government Performance and Results Act (GPRA) of 1993 implementation, and to respond to congressional interest in GPRA.
The intent of GPRA is to improve the performance of Government programs by having agencies clarify their missions, establish goals and strategies for attaining them, measure performance, and report progress in achieving established goals. The first APR required by GPRA was due March 31, 2000, and reported on accomplishments for FY 1999.
The strategic plan includes a comprehensive mission statement, identifies general goals and objectives, describes how the agency intends to achieve those goals and identifies critical external factors that could affect achievement of strategic goals and objectives. The strategic plan is the starting point for setting annual goals. The Annual Performance Plan (APP) provides the direct link between the strategic goals and agency performance. The APP identifies: (1) the annual performance goals the agency will use to gauge progress toward accomplishing its strategic goals and (2) performance measures to be used to assess annual progress. An APR, due by March 31 of each year, compares agency performance with the goals established in its APP, evaluates its goals for the current year in light of the prior year’s performance, and summarizes the results of program evaluations completed.
SSA was a pilot agency that developed APPs and APRs prior to full implementation of GPRA in March 2000. SSA began reporting its accomplishments as part of the Accountability Report in FY 1995. SSA submitted its first strategic plan under GPRA, "Keeping the Promise," in September 1997, and released its second strategic plan, "Mastering the Challenge," for FY’s 2000 through 2005 in September 2000. SSA’s first APP, which defined performance indicators and goals for FY 1999, was completed in February 1998. SSA released the FY 2000 and 2001 plans in February 1999 and February 2000, respectively.
GPRA specifies the content of the APR, and implementing guidance is provided by the Office of Management and Budget (OMB). Basically, the APR contains two main parts: (1) a report on actual performance achieved as compared with the performance goals established in the APP; and (2) the plans and schedules to achieve any goals that were not met. Specifically, the APR must:
Since 1995, SSA has reported performance data in its Annual Accountability Report under OMB authority to consolidate various reporting requirements under this report. SSA released its first APR as required by GPRA in November 1999, which reported on SSA performance toward the goals established in the FY 1999 APP. The FY 2000 APR was released in December 2000.
The Reports Consolidation Act of 2000 requires that an agency's Accountability Report contain a statement by the OIG that summarizes what the OIG considers to be the most serious management and performance challenges facing the agency and briefly assesses the progress in addressing those challenges. Since this Act was passed subsequent to SSA's release of its FY 2000 APR, the OIG's statement was issued as an addendum to the FY 2000 APR. The OIG's statement contained in Appendix B of this report, discusses SSA's progress in addressing major management challenges. This report addresses SSA's overall performance for all goals reported in the APR.
To meet our objectives, we analyzed SSA’s FY 2000 APR to assess its adherence to GPRA requirements and implementing guidance from OMB. The reliability of the reported performance is not within the scope of this audit, but is being addressed in individual OIG auditsreports on each of the performance goals. We reviewed reports by the GAO and The Mercatus Center of George Mason University, and the Association of Government Accountants (AGA) that analyzed SSA’s FY 1999 APR to assess the extent to which concerns with prior APR's were addressed.
The GAO reviewed the FY 1999 APRs and FY 2001 APPs of 24 agencies (including SSA) at the request of Senators Fred Thompson and Joseph I. Lieberman, Committee on Governmental Affairs. The Mercatus Center also reviewed the FY 1999 APR of the same 24 agencies as part of its on-going research on GPRA implementationBeginning with the FY 1998 Accountability Reports, the AGA initiated the Certificate of Excellence in Accountability Reporting by Federal Agencies Program, a voluntary program in which agencies submit their Accountability Reports to .
Supported by our knowledge of SSA operations and GPRA documents, we analyzed the FY 2000 APR to assess the extent to which it provided a balanced and informative presentation of SSA’s performance against the goals established in the FY 2000 APP. Additionally, we reviewed the changes made to the FY 20012001 and draft FY 2002 APP to determine whether the related subsequent APR would be more informative. Specific comments related to the FY 2001 APP are communicated in a separate report.
Our field work was conducted at the OIG New York Field Office and SSA Headquarters in Baltimore, Maryland during January and February 2001. The entity audited was the Office of Strategic Management within the Office of the Commissioner. Our audit was performed in accordance with generally accepted government auditing standards, as applicable to a performance audit.
SSA’s FY 2000 APR continues to demonstrate a strong commitment by SSA management to comply with GPRA objectives and reporting requirements. The APR complies with GPRA, and tracks performance against established goals and generally offers a rationale for unmet goals and the strategies needed to attain them.
We believe opportunities exist to provide an even more meaningful assessment of SSA’s performance. These opportunities include more comprehensive and accurate reporting of overall performance, clearly discussing performance for each measure, and discussing the effect of unmet measures upon strategic goals. Further, the extent to which the APR provides meaningful performance information directly depends upon the quality of the goals and measures established in the related APP. Prior reviews by the OIG identified actions to make the FY 1999 and 2000 APP more meaningful. Actions already taken by SSA and agreement to implement OIG recommendations to enhance the FY 2001 APP should result in more informative future APRs.
APR DISCLOSES THAT MANY OF SSA’S FY 2000 GOALS WERE MET
SSA’s FY 2000 APR is evidence of SSA’s commitment to meet GPRA objectives and complies with GPRA and OMB reporting requirements. SSA incorporated its GPRA Performance Report in its FY 2000 Accountability Report, which was released in December 2000, ahead of the required deadline of March 30, 2001. GPRA performance is reported in both the Management’s Discussion and Analysis section of SSA’s Annual Accountability Report, as well as in the separate APR section. The former provides an informative overall assessment of performance and discloses performance for key indicators in each of SSA's strategic objectives. The APR contains a detailed accounting of performance for most measures. Performance is discussed under each of SSA’s five strategic goals in both sections.
The APR disclosed that SSA has demonstrated an improvement in meeting established goals and in fact met or exceeded 66 percent of the indicators for which it had an established goal in FY 2000 or for which data was available to evaluate its measures. (Refer to Appendix B for a comparison of planned to actual performance.) Additionally, SSA further reported that 44 percent of the measures included in the APR represented an improvement over performance achieved in the previous year.
In terms of progress toward its strategic goals, for FY 2000, SSA reported meeting:
OPPORTUNITIES EXIST FOR MORE MEANINGFUL DISCLOSURE
For the most part, the APR clearly discloses the goals and measures that were established and assesses progress made toward achieving them. As required, an explanation for why a goal was not met, when applicable, is provided, along with plans to ensure future achievement. We believe that opportunities exist to further enhance the usefulness of future APR's. SSA should include: (1) a consistent and clear identification of overall performance; (2) a more comprehensive discussion of what was planned and actually achieved for certain measures; and (3) an overall assessment of how performance achieved furthers each of the strategic goals.
More Comprehensive and Accurate Reporting of Overall Performance Possible
In the APR, SSA summarizes its overall performance and provides a detailed accounting of each measure. In the summarization of its performance, SSA reports that 66.2 percent of its FY 2000 goals were met and 33.8 percent were not met. However, these statistics, as disclosed in a footnote, excluded budgeted workload measures and indicators that did not have a FY 2000 goal or for which data was not available. The exclusions included 12 budgeted workload measures, representing 13 percent of all measures, and 14 performance measures, or 15 percent of all measures, for which data were not currently available. Similarly, when comparing FY 2000 to FY 1999 performance, SSA excluded 26 non-numeric measures. We believe all indicators should be included when SSA summarizes its performance, whether the indicator is a budgeted workload, numeric and nonnumeric, or those for which data are unavailable. Including all indicators in the presentation and calculation of overall performance would provide a more comprehensive picture of annual performance, as well as of trends from year to year.
Also, we were unable to reconcile data in SSA’s summary of overall performance presented in the pie charts entitled Summary of Achievement FY 2000 Performance Goals and Comparison of FY 2000 Performance to FY 1999 Performance. SSA lacked documentation to support its conclusion that 66 percent of the FY 2000 measures were met. Other conclusions reached were also not supported. For instance, the APR concludes that SSA continues to demonstrate a favorable trend in performance from year to year. In support of this statement, the APR graphically reports that FY 2000 performance met or surpassed FY 1999 performance for 44 percent of FY 2000 numeric indicators, while falling short in 56 percent. However, the FY 1999 APR reported that 73 percent of FY 1999 indicators met or surpassed performance in FY 1998. This data would not indicate a favorable trend. While drafting the APR, SSA believed there was a favorable trend in performance, but final performance data demonstrated that such a trend did not exist. The narrative explaining a positive trend was not adjusted in the final APR to reflect actual performance.
More Specific Information on Performance Needed
SSA generally provides informative data to permit the reader to make an assessment of performance that did not meet individual goals and to evaluate the actions planned to ensure accomplishment of the goals in the future. For instance, SSA reports that it did not meet the goal to prepare a final report on the effects of 1996 Welfare Reform legislation on children receiving Supplemental Security Income (SSI) who have disabilities because needed data from other Federal agencies was not available. However, it does provide a date when the final report will be available. Similarly, SSA provided a detailed explanation for not meeting the goal to complete an employee survey, and included a timeframe for achieving the goal.
Performance information for other measures was not as clear or informative. We believe opportunities exist to provide additional information for some measures that would allow a better assessment of what was actually accomplished. For instance:
Further, we noted in the audit review of the FY 2001 APP that these types of output goals should be avoided because their achievement does not truly reflect SSA performance since SSA does not control the workflow. While output measures are often appropriate, representative payee actions are an output measure that conveys little meaning since varied actions, which can be processed within the context of representative payee actions, are counted together. For this reason, OIG previously recommended that separate measures be established for discrete representative payee workloads to better reflect performance. Additionally, SSA has begun an initiative to increase representative payee accountability, an issue of congressional interest. Accordingly, a measure could be established for representative payee accountability.
Other opportunities exist to provide a clearer explanation for actual performance or why performance is not reported. For instance:
Need for Overall Assessment of Performance upon Strategic Goals
While SSA reports that 66 percent of its goals were met or exceeded, neither an assessment of problem areas nor the effect of both met and unmet goals upon the applicable strategic goals is clear. For instance, SSA does not give an overall assessment of the effect of unmet goals on the strategic goal of delivering customer responsive, world-class service. SSA did not meet 15 (48 percent), met 13 (42 percent), and did not have the data to determine its performance for 3 (10 percent) of the goals under this strategic goal. SSA explains that since it did not meet some of its service delivery targets, it used a lessons learned approach and realized it must continue to improve data collection methods and internal processes, be more efficient, and otherwise modify strategies so as to be more responsive to customers' needs and expectations.
We believe further discussion about those goals which were not met did not always explain how performance would be improved. For instance, in explaining why customers' rating of service, which was significantly lower than the prior year, did not meet the goal, SSA notes that its revised methodology for measuring satisfaction includes a larger segment of customers who are more dissatisfied than those who are not. SSA noted that the target for FY 2001 may have to be reconsidered. However, there is no discussion as to how this rating can be improved, or why it may not be possible to improve.
IMPROVEMENTS IN THE FY 2001 APP AND DRAFT FY 2002 APP SHOULD RESULT IN MORE MEANINGFUL REPORTING IN FUTURE APRs
The APR’s ability to convey an informative picture of SSA’s performance in meeting its goals and mission is a product of the quality of the measures established in the APP. Implementation of GPRA is an evolving process, and both the GAO and OIG have recommended actions to increase the usefulness of SSA’s APPs to decisionmakers. SSA agreed in principle with these recommendations and has taken action to address many of them in its FY 2000, 2001, and draft FY 2002 APPs. GAO concluded, for example, that SSA has established more useful goals and measures in the FY 2001 APP relating to strengthening the public’s understanding of Social Security programs and also to measuring decisional accuracy at the hearings level.
The establishment of more outcome oriented measures that focus on quality and timeliness in the FY 2001 APP should translate into more informative and accountable performance reporting in the upcoming FY 2001 APR. OIG had discussed with SSA specific areas where this could be accomplished, and the revised FY 2001 APP responds in part to OIG’s observations. Additional opportunities to enhance the usefulness of the FY 2001 and future APPs are discussed in a separate OIG report.
Conclusion and Recommendations
GPRA is intended to increase agency accountability through a program of strategic planning, establishment of annual goals, and reporting of annual performance against goals. SSA’s FY 2000 APR displays a firm commitment by SSA management to comply with the intent of GPRA and provide Congress and the public an objective accounting of SSA performance. GPRA implementation will continue to be an evolutionary process as agencies continue developing outcome-based measures and enhance the systems and processes that produce credible performance data. Since the APR reflects the goals and measures set in the related FY 2000 APP, actions taken by SSA to improve the usefulness of its FY 2001 APP, and those recommended by OIG for future APPs, should result in more informative APRs.
To enhance the value of future APRs, we recommend that SSA:
AGENCY COMMENTS
SSA agreed in principle with the three recommendations we made. SSA noted that it will continue to strive to enhance the discussion in the APR of actual performance and its ramifications on goal attainment and future strategies. The full text of SSA’s comments is included in Appendix A.
OIG RESPONSE
We are pleased that SSA agreed with our recommendations and believe that implementation of the recommendations will lead to an APR which is a more meaningful document by which SSA performance can be assessed.
Appendix A
Agency Comments
Appendix B
The
Office of the Inspector General’s Assessment
of
the Social Security Administration’s
Progress
in Addressing Significant Management Challenges
January 17, 2001
The Honorable
Kenneth S. Apfel
Commissioner
of Social Security
Dear Mr. Apfel:
In November 2000, the President signed the Reports Consolidation Act of 2000, which requires Inspectors General to provide a summary and assessment of the most serious management and performance challenges facing the agencies and the agencies’ progress in addressing them. This document, which is an amendment to the "Social Security Performance and Accountability Report for Fiscal Year 2000," responds to these new requirements.
In December 1999, we identified the following 10 significant management issues facing the Social Security Administration (SSA) for Fiscal Year (FY) 2000:
SOLVENCY SYSTEMS SECURITY & CONTROLS
PROGRAM COMPLEXITY FRAUD RISK
GPRA DISABILITY REDESIGN
EARNINGS SUSPENSE FILE SERVICE TO THE PUBLIC
ENUMERATION IDENTITY THEFT
During FY
2000, SSA took action to address these issues, many of which are of a long-term
nature and do not lend themselves to quick fixes. Our assessment of the status
of these 10 management challenges is enclosed.
We recently issued a new list of management challenges facing SSA for FY 2001 and will provide a summary assessment on these issues in the FY 2001 "Social Security Performance and Accountability Report."
Sincerely,
James G.
Huse, Jr.
Inspector General of Social Security
Office
of the Inspector General’s Assessment of
the
Social Security Administration’s Progress in Addressing Significant Management
and Performance Challenges Identified
in December 1999
SOLVENCY
Both the Office of the Inspector General (OIG) and SSA agreed that SOLVENCY of the Social Security Program remains a major concern. Under current estimates, expenditures from the Trust Fund will exceed tax receipts in 2015, and tax receipts will meet approximately 72 percent of scheduled benefit payments after 2037. Ultimate action rests with the President and Congress to continue bi-partisan reform efforts to find a solution to this important national issue. However, SSA needs to be involved in these discussions and to provide valuable information to support these efforts. In
FY 2000, SSA had established goals to conduct research in an effort to identify areas in which policy changes may be needed to strengthen the programs and to help policymakers address program issues. Similar goals to produce studies have been established for FY 2001, including a goal to prepare analyses on the distributional and fiscal effects of solvency proposals. Such analysis will provide decisionmakers the information necessary to assess the impacts of changes to the programs on various populations. The value of which will depend upon SSA’s success in strengthening its modeling capability to project income into future years and to analyze the distributional effects of alternative policies.
SYSTEMS SECURITY AND CONTROLS
While SSA successfully transitioned to Year 2000, SYSTEMS SECURITY AND CONTROLS remain a management challenge. It implemented recommendations we made to ensure SSA’s ability to respond effectively to a disruption in business operations, and it has made notable progress to strengthen and improve controls over the protection of information and separation of duties. However, SSA still needs to complete and test disaster recovery plans for non-headquarter locations. During
FY 2000, in response to Presidential Decision Directive 63 and recommendations from our audit work, SSA addressed information protection issues. It has: (1) issued security policies in accordance with Federal requirements; (2) implemented network monitoring and a process for monitoring inappropriate access to SSA mainframe computer systems; (3) strengthened physical access controls at the National Computer Center and procedures for removing systems access when no longer needed;
(4) reduced vulnerabilities in the mainframe operating system; and (5) finalized accreditation and certification of systems. Despite these accomplishments, a weakness in SSA’s controls to protect its sensitive information is a reportable condition within the FY 2000 Financial Statement Audit. SSA’s security framework for its network and distributed systems is weak or incomplete. While SSA has documented security goals and objectives for network and distributed systems, it needs to assess risk in those areas, issue technical guidance to help achieve the security goals and objectives, and more effectively monitor inappropriate system activity in non-headquarter locations. Congress recently passed the Government Information Security Reform Act that requires Federal agencies to examine the adequacy and effectiveness of information security policies, procedures, and practices in plans and reports relating to information resources management, among other issues. At this point in time, we have concerns as to whether SSA would be in compliance with the Act.
PROGRAM COMPLEXITY
PROGRAM COMPLEXITY of the Supplemental Security Income (SSI) program and the disability claims process presents a challenge to SSA’s administration. SSI eligibility partly depends upon complicated determinations of self-reported income and available resources. In October 1998, SSA issued its first management report on the SSI program that detailed plans to improve payment accuracy, increase continuing disability reviews (CDR), combat fraud, and collect overpayments. We have reported about improper and inaccurate payments in the SSI program and made recommendations to simplify some of processes within it. During FY 2000, SSA implemented several of its planned initiatives. As a result, SSA reported that it met or exceeded its FY 2000 goals for CDRs, SSI dollars reported from investigative activities, and for SSI debt collected. Previous OIG work has demonstrated that weaknesses exist in the data system used to measure these goals. Information about SSI payment accuracy for FY 2000 will not be available until April 2001. SSA has also implemented initiatives to improve service delivery for disability claimants. One of these initiatives has focused on achieving consistent decisions through consistent application of law.
FRAUD RISK
FRAUD RISK, involving fraudulent schemes to obtain Social Security numbers (SSN), to receive retirement, disability and SSI benefits, and to handle other beneficiaries benefits, is a major concern. Fraud risk is especially problematic in SSI because of the dependence upon recipients self-reporting of changes in their income and personal circumstances that affect benefit eligibility and amounts. SSA is addressing fraud risk on numerous fronts that both seek to prevent and detect fraud, including CDRs, improvements in annual earnings postings and records maintenance, improvements to debt collection, enhanced representative payee monitoring, and expanding computer matches to detect unreported resources. In FY 2000, SSA continued to enhance existing computer matches and initiated new ones, such as access to State records on-line and access to Office of Child Support Enforcement databases to detect unreported income. SSA initiated in FY 2000, an enhanced program to conduct on-site and financial reviews of representative payees. In addition, the OIG began to audit organizational payees as needed in response to certain "trigger" events, such as third-party reports of misuse; complaints from vendors of failure to receive payment, or failure to complete the annual accountability report. The OIG continues to play a significant role in SSA’s efforts to combat fraud. The Cooperative Disability Investigation teams, led by OI Special Agents, have been very effective in detecting and preventing SSI and disability fraud. During FY 1999 and 2000, the goals for both investigations conducted and criminal convictions, were exceeded as was SSI and Old-Age, Survivors, and Disability Insurance dollar amounts reported from investigative activities. The OIG is currently reviewing the accuracy of these performance measures.
GOVERNMENT PERFORMANCE AND RESULTS ACT
OIG reviews of SSA’s FY 1999 and 2000 Annual Performance Plans (APP) and its
FY 1999 Annual Performance Report concluded that SSA demonstrates a commitment to GPRA and has improved the usefulness of its APPs. Recognizing the evolving nature of GPRA reporting, we believe that SSA can make future APP’s more useful to decisionmakers by continuing to develop more outcome-based measures and developing goals for those management challenges for which corrective action is measurable. For instance, SSA has no goals related to management of the Earnings Suspense File, which has continued to increase. The usefulness of any GPRA reporting is dependent upon the reliability and validity of the information agencies use to report their performance toward meeting goals. SSA recognizes that the OIG plays a vital role in assuring that the systems used to produce performance data are reliable. Consequently, the OIG initiated a 3-year effort to review all SSA’s performance measures by FY 2001. To date, OIG has completed 18 reviews that included
24 measures, and made recommendations to address weaknesses in data sources and inaccurate measurements that impact the reliability of the performance data. SSA has responded favorably to most of these recommendations. As Congress increasingly relies upon GPRA reporting to make budget decisions, SSA will have to ensure that resource use is tied to performance, and that customer’s expectations and performance goals recognize that quality must also be maintained in meeting service level objectives.
DISABILITY REDESIGN
The disability claims process has presented challenges by its complexity and SSA has been involved in a multiyear effort to improve performance in initial and appeal disability claims. Process Unification is the overarching theme for all DISABILITY REDESIGN initiatives, which will ensure fairness and consistency during the hearing process. For instance, in FY 2000, SSA awarded a contract to design a methodology to validate a single disability medical listing and has as a goal in
FY 2001 to prepare a preliminary report on the development of the validation methodology. SSA still has to complete updating the mental disorders list. SSA also issued a report that identifies areas where improvement is needed in the disability adjudication process, which is a major part of the Disability Redesign initiative. This initiative involves achieving consistent application of law and regulation to make the correct determination as early in the claim process as possible, and to expedite the process through streamlining it. After several years of study, SSA began pilot programs in 10 States in FY 2000 that provide greater authority to the disability examiner, ensure appropriate case development, increase claimant interaction, and eliminate the reconsideration step at the Disability Determination Services offices. A related effort is the Hearings Process Improvement initiative. Pilots of this initiative were implemented in 37 hearing offices in FY 2000, and the remaining offices implemented the new process in October and November of 2000. OIG is scheduled to assess the success of the pilot initiatives in FY 2001. In addition, in FY 1999, SSA began implementation of its Electronic Disability (eDib) System that is the Agency’s technological approach to automating the disability claims process. The OIG has been periodically monitoring the Electronic Service Delivery aspects of eDib through various SSA steering committees. We plan to conduct a survey of the eDib system development to assess the system for potential vulnerabilities and reporting on areas of concern. Also, as part of our continual monitoring of the eDib system we will evaluate development of the system.
EARNINGS SUSPENSE FILE
The Earnings Suspense File (ESF) is a file of wage items and does not represent a "fund" of money. The file consists of wage items that failed to match SSA’s name and SSN validation criteria. From 1937 to 1998, the ESF accumulated over 219 million
W-2s and over $291 billion in wages, with 7 million W-2s and over $31 billion in wages added in 1998 alone. SSA has developed a Tactical Plan containing an overall strategy and several individual projects designed to reduce the rate of growth and size of the Suspense File. The changes called for in the plan are long-term, however, and several factors hinder the efforts with the most potential to reduce the Suspense File’s size and growth. Our review of SSA's ESF activities disclosed that despite numerous efforts, the volume of suspended wages continues to increase. During FY 2000, SSA was finalizing projects related to providing 1) error feedback to employers on new hire reports and 2) overnight electronic name/Social Security number verification services to employers. SSA also recently brought in an outside contractor to review the content of the ESF and make recommendations on purge/archive criteria to be used to delete inactive or unidentifiable records from the suspense file. These efforts can assist in reducing both new additions to the ESF as well as the overall size of the existing ESF. Other efforts need to move forward if SSA wants to demonstrate its commitment to reducing the ESF. For example, SSA has conducted a number of meetings with the Internal Revenue Service (IRS) to ensure that penalties are assessed on employers who submit bad wage data, but as of this writing, we are not aware of any penalties that have been assessed on any of these employers. In addition, SSA recently decided to end one of its initiatives where the Agency rejected electronic media from employers if more than 50 percent of the wage reports were in error in the hopes that a more accurate tape would be resubmitted. The lack of IRS penalties, as well as the elimination of the electronic media error threshold, highlights some of the problems facing SSA as it attempts to deal with an ever-increasing suspense file. Since we have linked SSN misuse and identity theft to the Suspense File, we believe that a timely resolution to this problem is very important.
SERVICE TO THE PUBLIC
SSA is committed to providing world-class SERVICE TO THE PUBLIC but it continues to be a challenge as customers’ expectations increase and SSA faces downsizing and increasing workloads. A significant amount of SSA’s workforce is expected to retire at the same time that SSA expects greatly increased retirement and disability workloads. Additional pressure on SSA’s ability to meet customer expectations is created by budgetary, hiring, and technological limitations. In fact, in FY 2000, SSA failed to meet some of its goals that directly measure customer satisfaction. For instance, goals for the percent of core business customers rating SSA’s service as excellent, very good, or good, as well as for the percent of employers rating SSA’s overall service as excellent, very good, or good were not met. Further, for FY 2001, SSA lowered its goals for the number of initial disability claims processed and the percent of 800-number callers getting through on their first attempt, as well as within 5 minutes, due to reduced funding. While SSA is seeking alternative methods to provide service delivery options to the public, obstacles to client authentication to ensure confidentiality of information for on-line services have presented problems. SSA has updated its estimate on when it will be able to receive secure public inquiries on-line from FY 2000 to the end of FY 2002. OIG will continue to monitor the Agency’s efforts to ensure that there is no trade-off between fraud prevention and customer service.
ENUMERATION
Through its ENUMERATION process, SSA issued over 17 million original and replacement SSN cards in FY 1999 to U.S. citizens and aliens. Our audit and investigative work show that some SSN applications are processed based on false documentation. We commend SSA for taking initiatives aimed at preventing the issuance of a fraudulent SSN, especially the development of software to interrupt the issuance of SSN cards in fraud-prone scenarios. However, we believe that SSA still needs to improve controls over the enumeration process. We previously recommended that SSA propose legislation that disqualifies individuals who improperly attain SSNs from receiving work credits for periods that they were not authorized to work in the United States. However, SSA believes that this proposal would be too difficult to administer. During a National Anti-Fraud Committee meeting in June 2000, we led discussions with management concerning the possibility of requiring individuals to show picture identification when doing business with SSA. The Agency believes this would go against the core philosophy that created Social Security. We continue to believe that the Agency needs to make preventative action a major priority, since fraudulent SSN activity will increase as the SSN becomes used more and more as the universal identifier and individuals seek to hide their earnings or to work illegally.
IDENTITY THEFT
IDENTITY THEFT, when someone uses another’s personal information without that individual’s knowledge to commit a crime, became a crime itself when Congress passed the Identity Theft and Prevention Act. False identities are used to defraud SSA. For instance, unscrupulous individuals can assume the identity of another person, alive or dead, and work under the stolen SSN, while receiving disability benefits under their own SSN. Our investigative work shows that this crime is on the upswing. SSA has recognized the need to reduce its vulnerability to identity theft and has begun to focus more diligently on its prevention methods. To that end, SSA has developed initiatives aimed at detecting fraudulent birth certificates and fraudulent immigration documents. The Agency has also identified fraud-prone situations where identity theft is likely to occur. Additionally, the Agency is designing software to interrupt the issuance of SSN cards in certain scenarios that have been determined to be fraud-prone. SSA will be provided with an important tool in the fight against identify theft if Congress passes legislation that restricts the uses of SSNs. SSA continues to face the difficult challenge of balancing anti-fraud measures and achieving its goal of world-class service.
Status of FY 2000 Goals and Measures As Reported in the FY 2000 Annual Performance Report
Strategic Goal: To promote valued, strong and responsive social security programs and conduct effective policy development, research and program evaluation. |
14 out of 16 goals achieved 1 goal not achieved Data not available for 1 goal |
|||||
INDICATOR |
GOAL |
STATUS |
||||
1 |
Identification, development and utilization of appropriate barometer measures for assessing the effectiveness of OASDI programs. |
Identify and define barometer measures to be used. |
Achieved |
|||
2
|
Preparation of analyses and reports on the effect of OASDI programs on different populations in order to identify areas for policy change and develop options as appropriate. |
Prepare analyses and reports on the following topics: •The effect of OASDI programs on women. •The effect of OASDI programs on minorities. •The effect of OASDI programs on low-wage workers. • Study on characteristics of people receiving DI benefits. •Analysis on the effect of changes in Social Security retirement benefits on the DI program. |
Achieved |
|||
3 |
Preparation of analyses and reports on demographic, economic and international trends and their effects on OASDI programs in order to anticipate the need for policy change and develop options as appropriate. |
Prepare analyses on the following topics: • Trends in marriage, divorce and re-marriage and effects on the Social Security programs. • Immigration and Social Security. • Lifetime redistributional effects of Social Security cohorts. • International retirement policy reform |
Achieved |
|||
4 |
Preparation of research and policy analyses necessary to assist the Administration and Congress in developing proposals to strengthen and enhance the solvency of OASDI programs. |
FY 2000 Goal: Prepare analyses on the distributional and fiscal effects of solvency proposals developed by the Administration, Congress and other policymakers. |
Achieved |
|||
5 |
Identification, development and utilization of appropriate barometer measures for assessing the effectiveness of the SSI program. |
Identify and define barometer measures to be used. |
Achieved |
|||
6 |
Expansion and acquisition of data on the characteristics of SSI populations in order to improve capacity to provide analyses, identify areas for policy change, and develop options as appropriate. |
Link survey data with programmatic data. |
Achieved |
|||
7 |
Preparation of a report and completion of data collection on the SSI Childhood Disability Survey in order to assess the impact of welfare reform, identify areas of potential policy change and develop options as appropriate. |
1: Prepare final report on the effects of 1996 welfare reform legislation on SSI children with disabilities. 2: Begin implementation of a national survey of children with disabilities. |
Not Achieved
Achieved
|
|||
8 |
Preparation of analyses on sources of support for the SSI population in order to identify areas for better coordination with other social benefits and develop options as appropriate. |
Prepare the analysis. |
Achieved |
|||
9 |
Increase the number of DI adult worker beneficiaries who begin a trial work period. |
10-percent increase in the number of DI beneficiaries beginning trial work periods. |
Not Available. |
|||
10 |
Increase in the number of SSI disabled beneficiaries, aged 18-64, participating in 1619(a) status. |
10-percent increase (21,744) in the number of SSI disabled beneficiaries aged 18-64 participating in 1619(a) status. |
25,772 Achieved |
|||
11 |
Preparation of a research design to develop techniques for validating medical listings. |
Award a contract to design a methodology to validate a single listing. |
Achieved |
|||
12 |
Preparation of reports on results of the Disability Evaluation Study in order to identify potentially eligible disabled populations, interventions that enable continued work effort among the disabled and guide changes to the disability decision process. |
Complete pilot study. |
Achieved |
|||
13 |
Creation of a Disability Research Institute. |
Award contract to establish the Disability Research Institute. |
Achieved |
|||
14 |
Percent of customers assigning a high rating to the quality of SSA’s research and analysis products in terms of accuracy, reliability, comprehensiveness and responsiveness. |
Develop customer survey and data collection mechanism. |
Achieved |
|||
15 |
Issuance of periodically updated research and policy agenda. |
Issue the initial research and policy agenda. |
Achieved |
Strategic Goal: To deliver customer responsive, world-class service. |
13 out of 31 goals achieved 15 goals not achieved Data not available for 3 goals |
||
16 |
RSI claims processed |
3,134,800 |
3,404,938 Achieved |
17 |
SSI Aged claims processed |
144,200 |
153,474 Achieved |
18 |
Initial disability claims processed |
2,144,000 |
2,035,627 Not Achieved |
19 |
Disability claims pending (initials) |
408,000 |
535,407 Not Achieved |
20 |
Hearings processed |
622,400 |
539,426 Not Achieved |
21 |
Hearings pending |
209,000 |
346,756 Not Achieved |
22 |
Social Security number requests processed |
16,300,000 |
17,128,073 Achieved |
23 |
800 Number calls handled |
60,000,000 |
59,500,000 Not Achieved |
24 |
Percent of SSA’s core business customers rating SSA’s overall service as "excellent," "very good" or "good" |
88% |
82% Not Achieved |
25 |
Percent of SSA’s core business customers rating SSA’s overall service as "excellent" |
37% |
29% Not Achieved |
26 |
Percent of SSA’s core business customers rating the clarity of SSA’s notices as "excellent," "very good" or "good" |
82% |
Not Available |
27 |
Percent of employers rating SSA’s overall service as "excellent," "very good" or "good" |
93% |
82% Not Achieved |
28 |
Percent of employers rating SSA’s overall service as "excellent" |
13% |
6% Not Achieved |
29 |
Percent of callers who successfully access the 800-number within 5 minutes of their first call |
92% |
92.9% Achieved |
30 |
Percent of callers who get through to the 800-number on their first attempt |
86% |
88.4% Achieved |
31 |
Percent of 800-number calls handled accurately - payment accuracy |
95% |
Not Available |
32 |
Percent of 800-number calls handled accurately - service accuracy |
90% |
Not Available |
33 |
Percent of public with an appointment waiting 10 minutes or less |
85% |
84.2% Not Achieved |
34 |
Percent of public without an appointment waiting 30 minutes or less |
70% |
73.2% Achieved |
35 |
New or expanded services available over the phone |
Take retirement or survivors claims immediately over the telephone, or in person, as long as the applicant has all the information needed. |
Achieved |
36 |
New or expanded services available electronically |
1: Provide overnight electronic Social Security number verification for employers. 2: Give employers the option to transmit wage reports to SSA electronically using a personal computer or high-speed data transmission lines. 3: Establish capacity to receive secure, online public inquiries about claims and benefits. 4: Establish the capacity for attorneys to check hearings schedules over the Internet. |
1: Not Achieved
2: Achieved
3: Not Achieved
4: Not Achieved
|
37 |
Number of customers accessing Social Security Online (in millions) |
15.8 |
13.2 Not Achieved |
38 |
Percent increase in the number of Social Security Statement inquiries processed on the Internet |
50% |
55% Achieved |
39 |
Initial disability claims average processing time (days) |
115 |
102 Achieved |
40 |
Hearings average processing time (days) |
257 |
297 Not Achieved |
41 |
Percent of OASI claims processed by the time the first regular payment is due or within 14 days from effective filing date, if later |
83% |
86.9% Achieved |
42 |
Percent of initial SSI Aged claims processed within 14 days of filing date |
66% |
74.4% Achieved |
43 |
Percent of original and replacement SSN cards issued within 5 days of receiving all necessary documentation |
97% |
98.9% Achieved |
Strategic Goal: To make SSA program management the best in business, with zero tolerance for fraud and abuse. |
9 out of 20 goals achieved 4 goals not achieved Data not available for 7 goals |
|||||
44 |
Periodic CDRs processed |
1,882,700 |
1,836,510 Not Achieved |
|||
45 |
SSI non-Disability Redeterminations |
2,238,550 |
2,182,027 Not Achieved |
|||
46 |
Annual Earnings Postings |
258,900,000 |
277,145,696 Achieved |
|||
47 |
Representative Payee actions |
6,990,600 |
6,151,264 Not Achieved |
|||
48 |
Dollar accuracy of OASI payment outlays, Percent without overpayments |
99.8% |
Not Available |
|||
49 |
Dollar accuracy of OASI payment outlays, Percent without underpayments |
99.8% |
Not Available |
|||
50 |
DDS decisional accuracy rate |
97% |
Not Available |
|||
51 |
Office of Hearings and Appeals (OHA) decisional accuracy rate |
87% |
Not Available |
|||
52 |
Dollar accuracy of SSI payment outlays, Percent without overpayments |
95% |
Not Available |
|||
53 |
Dollar accuracy of SSI payment outlays, Percent without underpayments |
98.8% |
Not Available |
|||
54 |
Percent of SSNs issued accurately |
99.8% |
Not Available |
|||
55 |
Percent of multi-year CDR plan completed |
63% |
68.8% Achieved |
|||
56 |
Percent of wage items posted to individuals’ records by September 30 |
98% |
97.6% Not Achieved |
|||
57 |
Percent of earnings posted correctly |
99% |
99% Achieved |
|||
58 |
Number of investigations conducted (i.e., closed) |
7,600 |
8,051 Achieved |
|||
59 |
OASDI dollar amounts reported from investigative activities |
$40 million |
$46 million Achieved |
|||
60 |
SSI dollar amounts reported from investigative activities |
$80 million |
$128 million Achieved |
|||
61 |
Number of criminal convictions |
1,800 |
2,604 Achieved |
|||
62 |
OASDI debt collected |
$1,274.9 million |
$1,343.5 million Achieved |
|||
63 |
SSI debt collected |
$684.8 million |
$701.6 million Achieved |
Strategic Goal: To be an employer that values and invests in each employee. |
10 out of 16 goals achieved 4 goals not achieved Data not available for 2 goals |
||
64 |
Percent of offices with access to Interactive Video Training/Interactive Distance Learning (IVT/IDL) |
100% |
98.8% Not Achieved |
65 |
Formal management development programs implemented |
1: Complete Senior Executive Service (SES) Candidate Development Program 2: Continue Advanced Leadership Program (ALP) 3: Continue Leadership Development Program (LDP) |
Achieved
Achieved
Achieved
|
66 |
Percent of managerial staff participating in management/leadership development experiences |
33 1/3% |
33 1/3% Achieved |
67 |
Percent of employees reporting they are satisfied with the level of security in their facility |
75% |
Not Available |
68 |
Percent of environmental air quality surveys completed and percent of the corrective actions taken when called for - Facilities surveyed |
20% |
20.6% Achieved |
69 |
Percent of environmental air quality surveys completed and percent of the corrective actions taken when called for - Corrective actions taken |
75% |
76.6% Achieved |
70 |
Number of facilities having water quality testing and percent of corrective actions taken when called for -– Facilities surveyed |
600 |
291 Not Achieved |
71 |
Number of facilities having water quality testing and percent of corrective actions taken when called for -– Corrective actions taken |
100% |
100% Achieved |
72 |
Number of relocated offices having security surveys and percent of accepted security recommendations implemented - Offices surveyed |
150 |
152 Achieved |
73 |
Number of relocated offices having security surveys and percent of accepted security recommendations implemented – Accepted recommendations taken |
85% |
Not Available |
74 |
Create Agency change strategy |
Develop and implement strategy |
Achieved |
75 |
Complete Agency plan for transitioning to the workforce of the future |
1: Implement competency-based models for recruitment and training needs assessment 2: Complete employee survey 3: Publish an Agency transition plan |
1: Not Achieved
2: Not Achieved 3: Achieved
|
Strategic Goal: To strengthen public understanding of the social security programs. |
1 out of 2 goals achieved data not available for 1 goal |
||
76 |
Percent of public who are knowledgeable about Social Security programs |
65% |
Not Available |
77 |
Percent of individuals issued Social Security Statements as required by law |
100% |
100% Achieved |
Selected Indicator Performance for FY 1999: These performance indicators are found in the FY 1999 APP. However, because actual, full-year data was not available when SSA’s FY 1999 APR was published, they are being reported as follows. The numbers assigned to each indicator correlate to the number assigned in the FY 1999 APR. |
3 out of 5 goals achieved 2 goals not achieved |
||
36 |
Percent of wage items posted to individuals’ records by September 30 |
98% |
92.9% Not Achieved |
38 |
Dollar accuracy of OASI payment outlays |
Percent without overpayments 99.8% Percent without underpayments 99.8% |
99.8% Achieved
99.9% Achieved
|
39 |
DDS decisional accuracy |
97% |
96.7% Not Achieved |
40 |
Percent of SSNs issued accurately |
99.8% |
99.8% Achieved |
Appendix
D
OIG Contacts and Staff Acknowledgments
OIG Contacts
Frederick
Nordhoff, Director, Financial Management and Performance Monitoring Audit Division,
(410) 966-6676 Timothy Nee, Deputy Director, (212) 264-5295
Acknowledgments
In addition to those named above:
John Harrison,
Senior Auditor
Denise
Ramirez, Program Analyst
Annette
DeRito, Program Analyst
For additional copies of this report, please contact the Office of the Inspector General’s Public Affairs Specialist at (410) 966-5998. Refer to Common Identification Number A-02-01-11008.
Overview of the Office of the Inspector General
Office of Audit
The Office of Audit (OA) conducts comprehensive financial and performance audits of the Social Security Administration’s (SSA) programs and makes recommendations to ensure that program objectives are achieved effectively and efficiently. Financial audits, required by the Chief Financial Officers Act of1990, assess whether SSA’s financial statements fairly present the Agency’s financial position, results of operations, and cash flow. Performance audits review the economy, efficiency, and effectiveness of SSA’s programs. OA also conducts short-term management and program evaluations focused on issues of concern to SSA, Congress, and the general public. Evaluations often focus on identifying and recommending ways to prevent and minimize program fraud and inefficiency.
Office of Executive Operations
The Office of Executive Operations (OEO) provides four functions for the Office of the Inspector General (OIG) – administrative support, strategic planning, quality assurance, and public affairs. OEO supports the OIG components by providing information resources management; systems security; and the coordination of budget, procurement, telecommunications, facilities and equipment, and human resources. In addition, this Office coordinates and is responsible for the OIG’s strategic planning function and the development and implementation of performance measures required by the Government Performance and Results Act. The quality assurance division performs internal reviews to ensure that OIG offices nationwide hold themselves to the same rigorous standards that we expect from the Agency. This division also conducts employee investigations within OIG. The public affairs team communicates OIG’s planned and current activities and the results to the Commissioner and Congress, as well as other entities.
Office of Investigations
The Office of Investigations (OI) conducts and coordinates investigative activity related to fraud, waste, abuse, and mismanagement of SSA programs and operations. This includes wrongdoing by applicants, beneficiaries, contractors, physicians, interpreters, representative payees, third parties, and by SSA employees in the performance of their duties. OI also conducts joint investigations with other Federal, State, and local law enforcement agencies.
Counsel to the Inspector General
The Counsel to the Inspector General provides legal advice and counsel to the Inspector General on various matters, including: 1) statutes, regulations, legislation, and policy directives governing the administration of SSA’s programs; 2) investigative procedures and techniques; and 3) legal implications and conclusions to be drawn from audit and investigative material produced by the OIG. The Counsel’s office also administers the civil monetary penalty program.