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CDC Lacked Documentation for Its Redirections of PEPFAR Funds to Support the COVID-19 Response

Issued on  | Posted on  | Report number: A-04-23-01028

Report Materials

Why OIG Did This Audit

  • In April 2020, the Office of Management and Budget allowed Federal awarding agencies to repurpose their awards to support the COVID-19 response.
  • HHS and the U.S. Agency for International Development OIGs collaboratively audited each of their agencies’ redirection of the President’s Emergency Plan for AIDS Relief (PEPFAR) funds for the COVID- 19 response.
  • This audit assessed the Centers for Disease Control and Prevention’s (CDC’s) adherence to applicable regulations and guidance in redirecting its PEPFAR award funds to support the COVID-19 response.

What OIG Found

  • CDC did not maintain documentation to show that it followed guidance issued by the Office of the U.S. Global AIDS Coordinator.
  • For 69 of the 104 cooperative agreements in our sample, representing approximately $25.2 million in redirections, CDC lacked documentation for at least one of the requirements.

What OIG Recommends

We recommend that CDC develop, implement, and maintain a centralized repository to store required documentation pertaining to PEPFAR funds that are redirected due to a pandemic or other emergency.

CDC concurred with our recommendation.

25-A-04-052.01 to CDC - Open Unimplemented
Update expected on 08/26/2025
We recommend that the Centers for Disease Control and Prevention: Develop, implement, and maintain a centralized repository to store required documentation pertaining to PEPFAR funds that are redirected due to a pandemic or other emergency.

View in Recommendation Tracker
Report Type
Audit
HHS Agencies
Centers for Disease Control and Prevention
Issue Areas
Departmental Operational Issues Emergency Preparedness and Response Financial Stewardship Public Health Issues
Target Groups
-
Financial Groups
Grants Other Funding

Notice

This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.