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Fraud Reporting Requirements: A Guide for Federal Program Participants and Auditors

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Fraud Reporting Requirements: A Guide for Federal Program Participants and Auditors, from the U.S. Department of Education Office of Inspector General. It identifies its target audience as grantees and subgrantees receiving Department funding and the auditors who oversee those funds. It states that the guide summarizes the fraud reporting requirements most relevant to entities receiving pandemic relief funds and their auditors. It states that stakeholders raised questions about how and when to report fraud during OIG outreach focused on identifying fraud indicators and best practices.

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Fraud Reporting Requirements

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“Fraud Reporting Requirements: A Guide for Federal Program Participants and Auditors.” Original at oig.ed.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/fraud-reporting-requirements/, SHA-256 10de140684f952f51b63d376969efca62206087b08caba0e8143c73f5373e102.

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Fraud Reporting
Requirements
A Guide for Federal Program
Participants and Auditors
U.S. Department of Education  Office of Inspector General
                                                                                  Target Audience
                                                                                  Grantees and subgrantees receiving U.S. Department of
                                                                                  Education (Department) funding, and auditors who oversee
                                                                                  those funds.

                                                                                  Purpose
                                                                                  This guide summarizes the fraud reporting requirements
                                                                                  most relevant to entities receiving pandemic relief funds and
                                                                                  auditors of those entities. The Office of Inspector General (OIG)
                                                                                  has been conducting outreach with Department stakeholders
                                                                                  focused on identifying fraud indicators and best practices in
                                                                                  Federal education programs. In the course of our outreach,
                                                                                  stakeholders have raised questions about how and when to
                                                                                  report fraud. Therefore, we felt it was important to highlight
                                                                                  the fraud reporting requirements for grantees receiving Federal
                                                                                  education funds and their auditors.
                             Grant recipients and auditors should also review all laws, regulations, contracts or grant agreements, standards, and
                             guidance applicable to them to determine whether they have a professional or legal responsibility to report the
                             occurrence or suspicion of fraud.

                             Contents
                             Select a button below to learn more.


                                         Fraud Reporting for                      Fraud Reporting
          Background                                                                                                How to Report Fraud
                                       Grantees and Subgrantees                     for Auditors


U. S. Department of Education Office of Inspector General                                                                                         i
                                    Fraud Reporting for                         Fraud Reporting
    Background                                                                                                       How to Report Fraud
                                  Grantees and Subgrantees                        for Auditors




                                                                                                    Background
                                                                                 The OIG, as the independent oversight arm of the Department,
                                                                                 is responsible for protecting the integrity of Federal education
                                                                                 programs administered by the Department, ensuring vital
                                                                                 funds are used for allowable and intended purposes and in
                                                                                 accordance with all applicable requirements. The OIG relies
                                                                                 on entities that participate in Department programs and their
                                                                                 auditors to be alert to opportunities for fraud involving those
                                                                                 programs.
                                                                                   There has been a significant increase in grant funds for new
                                                                                   and existing programs from pandemic relief laws passed by
                                                                                   Congress. Most significant to the Department is the Education
                                                                                   Stabilization Fund, which provided the Department with more
                                                                                   than $280 billion to assist States, elementary and secondary
                             schools, institutions of higher education, and other education-related entities in meeting their needs and the needs
                             of students impacted by the coronavirus pandemic. The following graphic describes the primary types of assistance
                             established under the Education Stabilization Fund and the amount of funds for each.




U.S. Department of Education Office of Inspector General                                                                                        1
                                                      Education Stabilization
                                                         Fund Snapshot

           Funded through the CARES Act, the Coronavirus Response and Relief Supplemental Appropriations Act, and the American Rescue Plan




        $4.26                                     $190                                     $76.2                                  $5.5
       billion                                   billion                                  billion                                billion


Governor’s Emergency              Elementary and Secondary                    Higher Education Emergency                Emergency Assistance
Education Relief Fund             School Emergency Relief Fund                Relief Fund                               to Nonpublic Schools
Awarded To: Governor’s            Awarded To: State educational               Awarded To: IHEs                          Awarded To: Awarded
offices to provide to local       agencies to provide to LEAs and                                                       to Governor’s offices
                                                                              Purpose: Assist students affected
educational agencies              charter schools that are LEAs                                                         ($2.75 million from
                                                                              by the coronavirus pandemic with
(LEAs), institutions of higher                                                                                          Governor’s Emergency
                                  Purpose: A wide range of activities,        expenses such as food, housing,
education (IHEs), or other                                                                                              Education Relief Fund)
                                  including purchasing and using              technology, healthcare, childcare,
education-related entities
                                  technology for online learning,             and course materials; help Historically   Purpose: Provide services
the Governor deems
                                  co­ordinating efforts with public health    Black Colleges and Universities and       or assistance to nonpublic
essential
                                  departments, addressing the needs of        Minority Serving Institutions to cover    schools that enroll a
Purpose: Support efforts          disadvantaged student populations,          expenses related to closures and          significant percentage of
to provide educational            planning for school closures, purchas-      transitions to distance education, and    low-income students and
services to students and to       ing cleaning supplies, providing mental     help institutions of higher education     are most impacted by the
support ongoing operations.       health services, and implementing           cover lost revenue, technology, or        pandemic. Learn more.
Learn more.                       summer learning and supplemental            other expenses related to the cost of
                                  after-school programs. Learn more.          attendance. Learn more.
                                    Fraud Reporting for                             Fraud Reporting
    Background                                                                                                             How to Report Fraud
                                  Grantees and Subgrantees                            for Auditors




                                     Fraud Reporting for Grantees and Subgrantees
                             Grantees and subgrantees carrying out Department awards are subject to 2 Code of Federal Regulations (C.F.R.)
                             Part 200, “Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards” (Uniform
                             Guidance). The Uniform Guidance discusses responsibilities for reporting fraud.

                             Uniform Guidance Requirements
                                • Recipients, subrecipients, and applicants for a Federal award must disclose, timely and in writing to the Federal
                                  award agency or pass-through entity, all violations of Federal criminal law involving fraud, bribery, or gratuity
                                  violations potentially affecting the Federal award. (2 C.F.R. § 200.113)
                                • If the recipient’s or subrecipient’s total value of currently active grants, cooperative agreements, and procurement
                                  contracts from all Federal agencies exceeds $10 million, it must also report certain civil, criminal, or administrative
                                  proceedings to the System for Award Management.
                                • A recipient, subrecipient, or applicant that fails to make these disclosures may be subject to remedies such as the
                                  withholding of cash payments or further Federal awards, suspension or termination of the award, and suspension
                                  or debarment from Federal assistance programs or activities.
                             Many entities receiving Education Stabilization Fund awards also receive funds under Title IV of the Higher Education
                             Act of 1965, as amended (Title IV, HEA), or the Elementary and Secondary Education Act of 1965, as amended, (ESEA).




U.S. Department of Education Office of Inspector General                                                                                               3
                                    Fraud Reporting for      Fraud Reporting
    Background                                                                                     How to Report Fraud
                                  Grantees and Subgrantees     for Auditors




                                                             Title IV HEA Requirements
                                                                • Institutions of higher education that enter into a Program
                                                                  Participation Agreement with the Department agree to refer
                                                                  to the OIG Investigation Services any credible information
                                                                  indicating possible fraud related to Title IV program funds that
                                                                  an applicant, employee, third-party servicer, or other agent
                                                                  of the institution may have engaged in. (34 C.F.R. § 668.16(g))

                                                             ESEA Requirements
                                                                • Recipients of a grant or subgrant under the ESEA must display
                                                                  OIG’s hotline contact information so that any individual who
                                                                  observes, detects, or suspects improper use of taxpayer
                                                                  funds can easily report such improper use. (Section 9203
                                                                  of the Every Student Succeeds Act, which amended the
                                                                  ESEA in 2015)




U.S. Department of Education Office of Inspector General                                                                        4
                                    Fraud Reporting for                             Fraud Reporting
    Background                                                                                                              How to Report Fraud
                                  Grantees and Subgrantees                            for Auditors




                                                         Fraud Reporting for Auditors
                             Auditors should respond appropriately to fraud or suspected fraud identified during the engagement. Although the
                             auditor may suspect fraud or identify indicators of fraud, the auditor does not make legal determinations of whether
                             fraud has occurred. Therefore, it is important that auditors refer indications of fraud to the proper authorities.
                             Fraud reporting requirements for auditors depend on the type of engagement being performed and the standards
                             under which the engagement is performed. Audits of States, elementary and secondary schools, and public or private
                             nonprofit institutions of higher education are performed in accordance with standards for financial audits. Audits
                             of for-profit institutions of higher education receiving Higher Education Emergency Relief Fund (HEERF) grants are
                             performed in accordance with attestation standards for examination engagements.

                             Government Auditing Standards
                             The standards applicable to financial audits and examination engagements found in Government Auditing Standards
                             address communicating and reporting on internal control, compliance, and fraud. Below we have summarized those
                             requirements applicable to fraud reporting.
                                • Investigations or Legal Proceedings. Auditors may be required to communicate indications of certain types of
                                  fraud to law enforcement or investigatory authorities. However, auditors should avoid interference with investigations
                                  or legal proceedings when pursuing indications of fraud. Withdrawing from or deferring further work to avoid
                                  interference may be appropriate. (6.13–6.14 and 7.15–7.16)
                                • Reporting on Instances Fraud. When auditors identify or suspect fraud that is material, they should include
                                  relevant information in their report on internal control or compliance or their examination report. If the fraud is less
                                  than material but warrants the attention of those charged with governance, auditors should communicate relevant
                                  information about the fraud in writing to the audited entity officials. Auditors may consult with authorities or legal
                                  counsel about whether publicly reporting such information would compromise investigative or legal proceedings



U.S. Department of Education Office of Inspector General                                                                                                5
                                    Fraud Reporting for                           Fraud Reporting
    Background                                                                                                           How to Report Fraud
                                  Grantees and Subgrantees                          for Auditors




                                                                                   and may limit their public reporting to matters that would not
                                                                                   compromise those proceedings. (6.41, 6.44, 6.49 and 7.44-7.47)
                                                                                     • Direct Fraud Reporting to Parties Outside the Audited
                                                                                   Entity. Even if the auditor has resigned or been dismissed from
                                                                                   the audit or engagement before its completion, the auditor should
                                                                                   report identified or suspected fraud directly to parties outside the
                                                                                   audited entity in two circumstances:
                                                                                        • when audited entity management fails to satisfy legal or
                                                                                       regulatory requirements to report fraud to external parties or
                                                                                        • when audited entity management fails to take timely and
                                                                                       appropriate steps to respond to fraud that is likely to have a
                                                                                       material effect on the subject matter and involves funding
                                                                                       received directly or indirectly from a government agency.
                                                                                   Before reporting to outside parties, the auditor should first
                                                                                   communicate these circumstances to those charged with
                                                                                   governance. (6.53–6.56 and 7.51–7.54)

                             Generally Accepted Auditing Standards
                             Auditing standards generally accepted in the United States of America are codified in the AU-C sections of the
                             American Institute of Certified Public Accountants (AICPA) Professional Standards. “Consideration of Fraud in a
                             Financial Statement Audit,” AU-C section 240, addresses the auditor’s responsibilities relating to fraud in a financial
                             statement audit. The appendix to “Compliance Audits,” AU-C section 935, indicates that most of the AU-C section 240
                             requirements also apply to compliance audits. These sections address the following considerations related to fraud
                             reporting during a financial statement audit or compliance audit.
                                • Communications to Management and Those Charged with Governance. Auditors identify fraud or indicators
                                  of fraud should timely communicate these matters to the appropriate level of management. Auditors should use
                                  professional judgment to determine the appropriate level of management for reporting, but ordinarily it is at
                                  least one level above the person who appears to be involved with the suspected fraud. Auditors identifying or

U.S. Department of Education Office of Inspector General                                                                                             6
                                    Fraud Reporting for                           Fraud Reporting
    Background                                                                                                           How to Report Fraud
                                  Grantees and Subgrantees                          for Auditors




                                  suspecting fraud involving management, employees with significant roles in internal control, or others when the
                                  fraud is material, should timely communicate these matters, or any others matters related to fraud that the auditor
                                  considers relevant, to those charged with governance. (AU‑C § 240.39–41 and 240.A68)
                                • Communication to Regulatory and Enforcement Authorities. If auditors have identified or suspected fraud,
                                  they should determine whether they have a professional or legal responsibility to report the occurrence or
                                  suspicion to a party outside the entity. Although the auditor’s professional duty to maintain the confidentiality of
                                  client information may preclude such reporting, the auditor’s legal responsibilities, especially those requirements
                                  of audits of entities that receive government financial assistance, may override the duty of confidentiality in some
                                  circumstances. The auditor may consider it appropriate to seek legal advice when determining the appropriate
                                  course of action, including the possibility of reporting to regulators or others. (AU-C § 240.38, 240.42, 240.A66,
                                  and 240.A73–A74)

                             Attestation Standards
                             Attestation standards established by the AICPA, including those applicable to examination engagements of for-profit
                             institutions of higher education receiving HEERF grants, are codified in AT-C sections of AICPA’s Professional Standards.
                                • Practitioners should respond appropriately to fraud or suspected fraud identified during an examination engagement.
                                  (AT-C § 205.33)
                                • Examples of possible appropriate actions include discussing the matter with appropriate parties, obtaining legal
                                  advice about the consequences of different courses of action, and communicating with third parties including
                                  regulators, among others. (AT-C § 205.A29)
                                • Practitioners should communicate fraud or suspected fraud identified during the engagement to the responsible
                                  party or to the engaging party when the engaging party is not the responsible party. (AT-C § 205.85)

                             Uniform Guidance
                             Auditors performing single audits in accordance with Subpart F of the Uniform Guidance must report known or likely
                             fraud affecting a Federal award as an audit finding, unless the fraud was reported outside the auditor’s report under
                             the direct reporting requirements of Government Auditing Standards, as discussed above. However, the auditor is not
                             required to publicly report information that could compromise investigative or legal proceedings. (2 C.F.R. § 200.516)


U.S. Department of Education Office of Inspector General                                                                                            7
                                    Fraud Reporting for                         Fraud Reporting
    Background                                                                                                        How to Report Fraud
                                  Grantees and Subgrantees                        for Auditors




                                                    OIG Audit Guides
                                                    Examination engagements of for-profit institutions of higher education spending HEERF grants
                                                    are performed in accordance with the “Guide for Compliance Attestation Engagements of
                                                    Proprietary Schools Expending Higher Education Emergency Relief Fund Grants,” developed
                                                    by the OIG. This audit guide requires auditors to immediately report to OIG’s Investigation
                                                    Services when they detect indications of fraud related to HEERF funds or situations where the
                                                    auditor learned that management identified possible fraud related to HEERF funds and failed
                                                    to report the possible fraud as required. After reporting, the auditor is required to prepare
                                                    a separate written report concerning the fraud or fraud indicators. The report should be
                                                    submitted to OIG’s Investigation Services no more than 30 days after discovery of the act. The
                                                    separate written report should not be submitted with the audit or examination report, and
                                                    the contents of the report should not be reflected in the audit or examination report, unless
                                                    OIG Investigation Services has advised the auditor that they may do so.




U.S. Department of Education Office of Inspector General                                                                                        8
                                     Fraud Reporting for                          Fraud Reporting
    Background                                                                                                          How to Report Fraud
                                   Grantees and Subgrantees                         for Auditors




                                                                                How to Report Fraud

                                                           Help Us Identify and Stop Coronavirus Response Fraud
                                                           We all have a responsibility to help deter fraud, waste, and abuse and report it when
                                                           discovered. If you suspect fraud or something that could be fraud, report it to OIG’s
                                                           Investigation Services. Working together is the best way to stop those who seek to
                                                           enrich themselves with pandemic relief funds. Together, we can help ensure that this
                                                           funding is used as intended: helping our nation’s schools and students impacted by the
                                                           coronavirus pandemic.
     More Resources                                        Report Allegations of Fraud or Other Criminal Activity to
     Check out these brochures with                        Our Hotline
     more information on identifying and
     reporting fraud to the OIG.                           You may report identified or suspected fraud on our website at http://oighotline.ed.gov.
                                                           You may also call toll-free or write the Office of Inspector General.
        • Info for student aid administrators
        • Info for Governors’ offices, State               Inspector General Hotline     Inspector General Hotline
          educational agencies, and local                  1-800-MISUSED                 U.S. Department of Education
          educational agencies                             (1-800-647-8733)              Office of Inspector General
                                                                                         400 Maryland Ave., S.W.
                                                                                         Washington, D.C. 20202

          Click Here to Report
          Fraud to Our Hotline



U.S. Department of Education Office of Inspector General                                                                                         9


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