Federal Reports

The Cybersecurity and Infrastructure Security Agency (CISA) had extensive products and services to manage risks and mitigate cybersecurity threats to critical water and wastewater infrastructure and increase its resiliency. However, CISA did not consistently collaborate with the Environmental Protection Agency and the Water and Wastewater Systems Sector to leverage and integrate its cybersecurity expertise with stakeholders’ water expertise.

During fiscal years 2018 through 2022, we issued 61 reports and 178 recommendations for improving conditions at the Southwest border. As of August 17, 2023, 144 recommendations were closed, 31 recommendations were resolved and open, and 3 recommendations remained unresolved.

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Tomah VA Medical Center in Wisconsin. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (suicide prevention initiatives)The OIG issued five recommendations for improvement in three areas:1. Medical staff privileging• Ongoing Professional Practice Evaluations2. Environment of care• Environment of care inspections• VA police response times to panic alarm testing in the inpatient mental health unit3. Mental health• Monthly outreach activities• Monthly suicide-related data reporting to local mental health and quality management leaders

This report contains information about recommendations from the OIG's audits, evaluations, reviews, and other reports that the OIG had not closed as of the specified date because it had not determined that the Department of Justice (DOJ) or a non-DOJ federal agency had fully implemented them. The list omits information that DOJ determined to be limited official use or classified, and therefore unsuitable for public release.The status of each recommendation was accurate as of the specified date and is subject to change. Specifically, a recommendation identified as not closed as of the specified date may subsequently have been closed.

The Office of the Inspector General conducted an evaluation to determine if the Tennessee Valley Authority (TVA) is performing preemployment suitability and onboarding steps necessary for access in a timely manner. We found TVA was allowing access to TVA facilities while not always performing preemployment suitability and onboarding steps in a timely manner. Specifically, we determined that the Form I-9, for 381 of 1,571 personnel (24 percent) hired between October 1, 2021, and June 30, 2023, was either not completed in a timely manner or never completed in accordance with the Immigration Reform and Control Act of 1986 and 8 Code of Federal Regulations §§ 274a.1-274a.14. However, according to TVA Police and Emergency Management personnel, physical access should have been revoked but was not because Human Resources and Administration does not notify them when the I-9 threshold is exceeded. Additionally we identified opportunities to strengthen TVA Standard Programs and Processes to better align with federal requirements.

VA’s Financial Management Business Transformation Service (FMBTS) is leading and managing the implementation of the Integrated Financial and Acquisition Management System (iFAMS), an enterprise-wide modernization effort to replace legacy systems that facilitate the department’s financial and contracting activities. FMBTS personnel are responsible for training end users, which is critical to a successful iFAMS deployment across VA. FMBTS conducts a post-training survey but does not solicit feedback on end users’ tasks and daily activities, and the timing of this survey immediately after training does not allow FMBTS to assess how users apply instruction when conducting role-specific activities in iFAMS. The VA OIG surveyed a statistical sample of 255 end users to assess satisfaction with iFAMS training. The team found that end users had concerns with the training provided for some tasks and day-to-day activities, leaving FMBTS with opportunities to enhance the training program. Addressing training weaknesses now is important because over 100,000 employees have yet to be trained on the system.

Attached is the Defense Intelligence Agency (DIA) Office of the Inspector General (OIG) Semiannual Report (SAR) to Congress. This document highlights our oversight efforts from April 1, 2023 to September 30, 2023.