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Opportunities to Strengthen Management and Safety in Some States' which 
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Report to Congressional Committees: 

United States Government Accountability Office: 

GAO: 

July 2008: 

Traffic Safety: 

NHTSA's Improved Oversight Could Identify Opportunities to Strengthen 
Management and Safety in Some States: 

Traffic Safety: 

GAO-08-788: 

GAO Highlights: 

Highlights of GAO-08-788, a report to congressional committees. 

Why GAO Did This Study: 

Traffic crashes kill thousands of Americans every year—in 2005, it was 
the leading cause of death among young Americans. To try to improve 
highway safety, Congress authorized a grant program overseen by the 
Department of Transportation’s (DOT) National Highway Traffic Safety 
Administration (NHTSA). In 2003, GAO recommended that NHTSA improve the 
consistency of its management reviews, a key aspect of NHTSA’s 
oversight. In response to a legislative mandate, GAO assessed (1) how 
states have used grant funding to address safety goals, (2) NHTSA’s 
progress in improving consistency in its management reviews, (3) the 
usefulness of its management review recommendations, and (4) approaches 
to further improve safety. In performing this work, GAO reviewed 
traffic safety data, analyzed state spending patterns, conducted site 
visits with eight states, and interviewed agency officials. 

What GAO Found: 

From fiscal year 1999 through 2007, states directed about 54 percent of 
NHTSA’s State and Community Highway Safety formula grant funding toward 
programs, including traffic enforcement, that address the leading 
causes of traffic fatalities—alcohol-impaired driving and driving 
without a safety belt, both of which are national safety goals. States 
directed the rest of this grant funding to a variety of safety 
programs, many of which address national goals but some of which target 
state-specific safety challenges such as driving safely in winter 
weather. To address safety goals, state highway safety offices disperse 
federal funding to “subgrantees,” such as local law enforcement or 
nonprofit agencies that carry out the safety programs. 

NHTSA implemented both Congress’ requirement that it conduct management 
reviews of states and territories on a 3-year schedule as well as GAO’s 
prior recommendation to improve the consistency with which it uses 
these reviews. GAO analyzed NHTSA’s management reviews and identified 
some variation in how information was documented. However, in 2007 
NHTSA took several steps, such as instituting a team to review the 
quality of management review reports, which should further improve the 
consistency of information contained in these reports—information NHTSA 
could use to assess the impact of its recommendations on state safety 
programs. 

GAO found NHTSA’s management review recommendations useful because they 
are designed to address fundamental management principles such as 
improving program planning and ensuring states’ compliance with 
statutes governing safety grants. Also, state officials said NHTSA’s 
recommendations serve as a useful management tool. However, NHTSA does 
not analyze the recommendations on a national level to target its 
technical assistance to common state challenges. GAO conducted such an 
analysis and found that the recommendations revealed common state 
challenges such as the need to improve monitoring of subgrantee 
activities and expenditures, which helps ensure that funds are used for 
the intended purpose. NHTSA also frequently recommended that states 
spend grant funding more quickly, which NHTSA officials believed would 
expand safety programs and, in turn, improve safety. 

From 1997 through 2006, the national traffic fatality rate—the number 
of traffic fatalities per 100 million vehicle miles traveled—declined 
14 percent, but traffic fatalities remained at about 43,000 per year as 
factors such as increases in the number of miles driven offset the 
decrease in the rate. NHTSA uses several approaches to help states 
reduce fatalities, including requiring program reviews in states that 
are not making adequate progress in reducing alcohol-impaired driving 
and increasing safety belt use. Yet some states with low or average 
fatality rates but a high number of fatalities may not be eligible for 
a required review under NHTSA’s current criteria. States with high 
total numbers of fatalities offer an opportunity to save the greatest 
number of lives, but for these states to receive an in-depth program 
review, the states must request and pay for such safety expertise. 

What GAO Recommends: 

GAO recommends that NHTSA, among other things, increase the usefulness 
of management review results to identify and address common state 
challenges and identify options to target safety expertise to states 
having a high number of fatalities. 

DOT generally agreed with the analysis and conclusions of this report 
but disagreed with one recommendation, which was revised to address 
NHTSA’s concerns. 

To view the full product, including the scope and methodology, click on 
[hyperlink, http://www.gao.gov/cgi-bin/getrpt?GAO-08-788]. For more 
information, contact Katherine A. Siggerud at (202) 512-2834 or 
siggerudk@gao.gov. 

[End of section] 

Contents: 

Letter: 

Results in Brief: 

Background: 

States Primarily Direct Section 402 Funding to National Safety 
Priorities: 

NHTSA Has Improved the Consistency of Its Management Review Process and 
Instituted New Processes That Could Help to Assess the Impact of Its 
Oversight: 

NHTSA's Management Review Recommendations Address Fundamental 
Management Principles and Could Be Analyzed at the National Level to 
Identify Common State Challenges: 

NHTSA's Approaches and Existing Financial Incentives Encourage States 
to Improve Safety, While Refinements Could Further Help States: 

Conclusions: 

Recommendations for Executive Action: 

Agency Comments and Our Evaluation: 

Appendix I: Objectives, Scope, and Methodology: 

Appendix II: GAO Contact and Staff Acknowledgments: 

Tables: 

Table 1: National Safety Priorities under SAFETEA-LU: 

Table 2: State Incentive Grant Expenditures on Traffic Safety Goals in 
Fiscal Year 2007: 

Table 3: Amount and Percentage of State Section 402 Expenditures 
Directed to Selected Program Areas for Fiscal Years 1999 through 2007: 

Table 4: NHTSA Recommendations to Address State Challenges for Managing 
Highway Safety Programs, Fiscal Years 2005 through 2007: 

Table 5: States Visited and Key Selection Criteria: 

Figures: 

Figure 1: Flow of Section 402 Funding from Federal to Local Level: 

Figure 2: Summary of NHTSA's Management Review Process and Estimated 
Number of Days for Each Stage of Process: 

Figure 3: Traffic Fatality Rates and Total Number of Fatalities, 1997 
through 2006: 

Figure 4: Alcohol-Related Fatalities--Average Annual State Fatality 
Rates and Corresponding Average Annual Number of Fatalities, 1998 
through 2006: 

Abbreviations: 

DOT: Department of Transportation: 

DOT IG: Department of Transportation's Office of the Inspector General: 

DWI: Driving While Intoxicated: 

GHSA: Governors Highway Safety Association: 

GTS: Grants Tracking System: 

NHTSA: National Highway Traffic Safety Administration: 

OMB: Office of Management and Budget: 

SAFETEA-LU: Safe, Accountable, Flexible, Efficient Transportation 
Equity Act: A Legacy for Users: 

STSF: Standardized Field Sobriety Test: 

United States Government Accountability Office: 

Washington, DC 20548: 

July 14, 2008: 

The Honorable Daniel K. Inouye: 
Chairman: 
The Honorable Ted Stevens: 
Vice Chairman: 
Committee on Commerce, Science, and Transportation: 
United States Senate: 

The Honorable James Oberstar: 
Chairman: 
The Honorable John L. Mica: 
Ranking Member: 
Committee on Transportation and Infrastructure: 
House of Representatives: 

Traffic crashes were the leading cause of death for young people in the 
United States in 2005,[Footnote 1] and, according to estimates by the 
National Highway Traffic Safety Administration (NHTSA), traffic crashes 
cost the United States over $230 billion in 2000 (about $275 billion in 
2007 dollars).[Footnote 2] Congress has developed many approaches to 
help states and communities reduce fatalities, including grants to 
support state highway safety programs as well as federal oversight of, 
and technical assistance to, state programs. Specifically, in 1966 
Congress authorized a formula grant program--the State and Community 
Highway Safety Grant Program (23 U.S.C. § 402), commonly referred to as 
the Section 402 program--that requires that each state have an approved 
highway safety program designed to address traffic safety issues. 
States can use Section 402 funding for law enforcement activities to 
reduce speeding, improvements to motorcycle safety training, or media 
campaigns to encourage drivers to use their safety belts, among other 
initiatives. More recently, the Safe, Accountable, Flexible, Efficient 
Transportation Equity Act: A Legacy for Users (SAFETEA-LU), authorized 
a total of nearly $2.4 billion for fiscal years 2005 through 2009 for 
traffic safety programs--including over $1 billion for the Section 402 
program and about $1.3 billion for safety incentive grants that focus 
on specific national safety priorities, such as alcohol-impaired 
driving. Some of these grants include eligibility criteria designed to 
encourage states to pass safety legislation or that target states with 
certain rates of fatalities to receive additional funds. 

NHTSA--located within the Department of Transportation (DOT)--is 
responsible for overseeing state highway traffic safety programs. It 
does so by reviewing states' management of state safety programs, as 
well as by providing training and technical assistance to state safety 
officials. This approach is designed to ensure that state safety 
programs have instituted essential planning and management processes 
for developing a highway safety program that can improve safety. In 
2003, we found that NHTSA's 10 regional offices conducted oversight 
inconsistently--specifically, the regional offices made inconsistent 
use of management reviews[Footnote 3] and resulting improvement plans 
that the offices developed for states. We recommended that NHTSA 
provide specific guidance to its regional offices on when to use these 
reviews.[Footnote 4] We reported that NHTSA's management reviews had 
commonly found problems with state safety programs. Since NHTSA did not 
routinely conduct these reviews, however, it was difficult to ensure 
that states were using federal funds for their intended purpose and in 
compliance with law. Further, in 2005 SAFETEA-LU added section 412 to 
23 U.S.C., which among other things included a requirement that NHTSA 
strengthen its oversight of state use of federal safety grants by 
reviewing each state's management of these grants once every three 
years and making recommendations. 

This report addresses your interest in information on how states have 
used Section 402 safety grants and other approaches currently available 
to improve safety outcomes and responds to a mandate enacted in SAFETEA-
LU that GAO determine whether NHTSA implemented the changes in its 
oversight approach that SAFETEA-LU added. Specifically, this report 
assesses (1) how states have used Section 402 funding to achieve 
national safety goals, (2) the progress NHTSA has made toward 
addressing consistency in the management review process, (3) how useful 
NHTSA's management reviews and recommendations are in improving 
management of state safety programs, and (4) the approaches currently 
available to improve safety outcomes. 

To assess these issues, we reviewed legislation, guidance, and 
procedures relevant to NHTSA's oversight of state highway safety 
grants, including NHTSA's management review process. We interviewed 
officials with NHTSA headquarters and regional offices and the 
Governors Highway Safety Association--a nonprofit association 
representing state highway safety programs. We also conducted site 
visits to eight states--Arizona, Idaho, Maine, Minnesota, Nevada, 
Texas, West Virginia, and Wisconsin--to gather state officials' views 
of NHTSA's oversight, including the management review process, and to 
discuss how states use Section 402 grants. In addition, we analyzed 
data provided by NHTSA on how states spent highway safety grants for 
fiscal years 1999 through 2007, and conducted a content analysis of the 
recommendations in all management reviews and completed corrective 
action plans developed in fiscal years 2005 through 2007. We conducted 
this performance audit from July 2007 through July 2008 in accordance 
with generally accepted government auditing standards. Those standards 
require that we plan and perform the audit to obtain sufficient, 
appropriate evidence to provide a reasonable basis for our findings and 
conclusions based on our audit objectives. We believe that the evidence 
obtained provides a reasonable basis for our findings and conclusions 
based on our audit objectives. See appendix I for more details on our 
scope and methodology. 

Results in Brief: 

According to NHTSA grant data, from fiscal years 1999 through 2007, 
states directed most of their Section 402 funding toward the leading 
causes of traffic fatalities and have also used this funding to address 
state-specific safety problems, many of which reflect national safety 
priorities. For example, states spent about 54 percent of their grant 
funding on activities, including traffic enforcement, designed to 
reduce alcohol-impaired driving and increase safety belt use, the top 
two factors contributing to traffic fatalities. States directed the 
remaining Section 402 funding to a variety of safety initiatives, many 
of which represent national goals but some of which address state- 
specific safety challenges. For instance, states directed funding to 
pedestrian and bicycle safety, a national safety priority, and NHTSA 
officials told us that some states fund initiatives on driving safely 
in winter weather conditions--a state-specific challenge. States also 
used the funding to address other state safety challenges that are not 
national priorities, such as aggressive driving and safety among young 
drivers. Officials in the eight states we visited said that Section 402 
funding provides flexible and stable support that ensures their ability 
to address a variety of traffic safety problems. Some officials also 
noted that Section 402 grants are complemented by incentive grants and 
that, in combination, these funding sources allow states to expand 
their core efforts and support innovative traffic safety programs. To 
address highway safety goals, state highway safety offices typically do 
not carry out programs themselves; instead, they disperse federal 
funding to "subgrantees," which are local agencies and state 
organizations that implement safety programming. Subgrantees generally 
include organizations such as state and local law enforcement agencies, 
fire departments, nonprofit organizations, and advertising agencies. 
State officials monitor subgrantees by reviewing performance reports 
documenting the activities implemented with grant funding--for 
instance, the number of overtime hours worked by law enforcement 
officers--as well as documentation of the expenses related to these 
activities. 

NHTSA implemented both the Section 412 requirement that it conduct 
management reviews of states and territories on a 3-year schedule, as 
well as our recommendation to improve the consistency with which it 
uses these reviews. However, we found some differences in NHTSA's 
documentation of the reviews and in its tracking of state action on the 
recommendations. During the 3-year period of fiscal years 2005 through 
2007, NHTSA conducted 56 of the required 57 reviews. NHTSA also refined 
its management review guidance for its regional offices to improve 
consistency and developed a tool--the corrective action plan--to track 
whether individual states implemented open recommendations emerging 
from NHTSA's management review. Despite these improvements, our 
analysis of NHTSA's management review reports and corrective action 
plans filed in fiscal years 2005 through 2007 revealed some differences 
in the information that NHTSA regional officials included in these 
documents. For instance, regional officials varied in the content 
included in the corrective action plans they developed; some plans 
included information on whether states implemented recommendations, 
while others did not. As a result, NHTSA cannot use these reports to 
describe on a national level the extent to which states acted on its 
advice and further cannot assess the impact of its recommendations to 
states. During fiscal year 2007, NHTSA initiated several steps that 
should help with such assessments. For example, NHTSA established a 
review team to read drafts of the management review reports to ensure 
that regional officials make recommendations in similar circumstances. 
NHTSA also developed additional guidance in response to state concerns 
regarding the presentation of some material in the management reviews 
by developing a collaborative working relationship with the Governors 
Highway Safety Association (GHSA). Specifically, future management 
review reports will differentiate between "findings" that are 
compliance-based problems the state is statutorily required to address 
and "management considerations" that identify improvements to the 
state's highway safety program but for which NHTSA cannot require state 
action. 

NHTSA's management reviews are designed to address fundamental 
management principles, and state officials with whom we spoke said the 
reviews are a useful management tool. However, NHTSA does not currently 
analyze the recommendations on a national level to identify common 
state challenges--a measure that could help NHTSA direct training and 
technical assistance to issues having the widest impact on state grant 
management. We analyzed the content of the reviews and found that NHTSA 
recommended that most states improve monitoring of subgrantee 
performance, expenditures, and equipment inventories. Because the 
structure of the highway safety grant program involves many subgrantees 
across a state, monitoring these subgrantees helps ensure that funds 
are used for their intended purpose and for programs that will help the 
state meet its safety goals. Our analysis also showed that NHTSA 
recommended to more than half of the states that they spend a higher 
percentage of the grant funding they receive each year. While states 
can roll over funds from one year to the next, some NHTSA officials 
believe spending more would expand the number or scope of safety 
programs the states implement each year, which could, in turn, improve 
safety. NHTSA and state officials with whom we spoke had different 
views on the underlying causes of low expenditure rates: Some NHTSA 
officials thought that better state planning would allow states to use 
more grant money each year, while several state officials said that 
delays in the release of federal funds shorten the number of months the 
state has to conduct safety programming, which causes the states to 
roll funds over to the next year. NHTSA has not definitively determined 
the underlying causes or impact of current state grant expenditure 
rates, although officials stated that prompt and effective use of these 
funds is a fundamental expectation. 

Finally, to help states reduce traffic fatalities, NHTSA uses several 
approaches to evaluate state progress toward performance goals and 
provide expert advice, and Congress has established financial 
incentives, including grant programs, to encourage states to pass 
safety legislation and improve safety outcomes. NHTSA's approaches 
include (1) evaluations comparing state-established traffic safety 
goals and corresponding performance measures with data showing the 
extent to which the states achieved the desired outcomes each year, (2) 
special management reviews conducted by NHTSA officials in states that 
have consistently high alcohol-related fatality rates or low safety 
belt use and lower-than-average improvement in these measures over 
time, and (3) voluntary technical program assessments in which states 
elect to participate in a review by independent leading experts of 
safety issues, including, but not limited to, alcohol-related and 
unbelted fatalities. In addition to these approaches, Congress 
encourages states to improve safety outcomes by offering incentive 
grants to states that pass safety legislation or meet specific 
performance benchmarks, as well as penalty transfer programs that 
discourage states from failing to pass certain types of safety 
legislation.[Footnote 5] In recent years, the overall rate of traffic- 
related fatalities in the United States has decreased. Despite this 
decreased fatality rate, increases in population and the number of 
vehicle miles traveled, among other factors, have resulted in the total 
number of fatalities remaining at about 43,000 per year. Although more 
time is needed to assess the impact of incentive grants on state 
performance and determine whether different types of incentives will be 
needed, refinements to certain aspects of NHTSA's approaches offer 
opportunities to reduce traffic fatalities. For example, in its recent 
evaluation of NHTSA's oversight of the highway safety grant program, 
the Department of Transportation's Inspector General found that states 
did not always use comparable performance measures in setting goals and 
reporting outcomes, which reduces NHTSA's ability to effectively 
analyze states' progress in its annual performance reviews. In 
addition, our analysis of safety data suggests that some states other 
than those NHTSA currently targets for special management reviews could 
benefit from review or technical assistance. Specifically, we found 
that some states have a consistently high total number of fatalities 
but are not among those states with the highest rates of alcohol- 
impaired driving fatalities or the lowest rates of safety belt use. As 
a result, these states do not meet NHTSA's current criteria for a 
special management review. To help lower overall fatalities, states 
must take advantage of the technical assistance offered by NHTSA 
regional officials or request a technical program assessment. 

To help states improve management of highway safety grants, we 
recommend that the Secretary of Transportation direct the Administrator 
of NHTSA to (1) periodically analyze recommendations made in its 
management reviews to identify common state challenges, (2) 
periodically assess the extent to which states implemented 
recommendations and identify barriers preventing states from doing so, 
(3) identify options to strengthen state monitoring of subgrantees, (4) 
determine the underlying causes and impact of low grant expenditure 
rates and identify potential solutions, and (5) identify options to 
target safety expertise and technical assistance to states with a high 
number of fatalities. DOT commented on a draft of this report and 
generally agreed with the analysis and conclusions of this report but 
disagreed with our draft recommendation that NHTSA evaluate the need to 
revise its criteria for selecting states for special management reviews 
to include states that have a high number of fatalities. We revised the 
recommendation to provide NHTSA with more flexibility to target its 
technical assistance. DOT did not comment on our first four 
recommendations. Finally, we incorporated DOT's technical comments 
throughout the report as appropriate. 

Background: 

The Section 402 program provides over $1 billion for fiscal years 2005 
through 2009 in federal funding to states[Footnote 6] for highway 
safety programs aimed at reducing traffic crashes and related deaths, 
injuries, and property damage. Each year, after states submit a highway 
safety plan to NHTSA that describes how they plan to use Section 402 
funding, this funding is distributed to all states according to a 
formula that accounts for state road miles and population but not 
differences in safety statistics such as fatality rates among 
states.[Footnote 7] These grants are administered by state highway 
safety officials who identify traffic safety priorities of greatest 
importance to their state and select and fund subgrantees to carry out 
safety programs (see fig. 1). Some states have hundreds of subgrantees, 
and state subgrantees typically include a variety of different 
organizations, such as state and local law enforcement agencies, fire 
departments, nonprofit organizations, and advertising agencies. 

Figure 1: Flow of Section 402 Funding from Federal to Local Level: 

This figure is a flow of Section 402 funding from federal to local 
level. 

[See PDF for image] 

Source: GAO; Nevada Department of Public Safety (photo). 

[A] A safety belt convincer aims to demonstrate the importance of 
wearing a safety belt by simulating the force of a low-speed collision 
for an individual seated in the convincer. 

[End of figure] 

In fiscal year 2007, states spent over $203 million in Section 402 
funding on traffic safety programs. States may use Section 402 grants 
to fund a wide range of programs that are designed to improve traffic 
safety primarily by influencing drivers' behavior and that reflect one 
of nine national safety priorities established by NHTSA regulation. 
(See table 1 for a list of the national priorities and examples of 
programs that address each priority.) States may also use Section 402 
funding to support safety issues specific to the state that are not 
addressed in the national safety goals--for example, winter driving 
safety in cold-weather states or street racing--if state officials 
submit supporting information to NHTSA. 

Table 1: National Safety Priorities under SAFETEA-LU: 

National safety priority: 1. Alcohol-and drug-impaired driving; 
Example programs: * purchase Driving Under the Influence trailer used 
by police officers to process alcohol-impaired drivers; 
* provide training for police officers on identifying and conducting 
standardized assessments of alcohol-impaired drivers. 

National safety priority: 2. Occupant protection (safety belt and child 
safety seat use); 
Example programs: * pay an advertising agency to develop radio ads that 
promote safety belt use; 
* pay technicians to educate community members about the proper 
installation and use of child safety seats. 

National safety priority: 3. Speeding; 
Example programs: * purchase speed radar equipment for local police 
departments. 

National safety priority: 4. Traffic law enforcement; 
Example programs: 
* pay police officers to work overtime hours dedicated to stopping 
impaired drivers. 

National safety priority: 5. Emergency medical services; 
Example programs: * develop a data registry of trauma injuries related 
to crashes. 

National safety priority: 6. Traffic records data; 
Example programs: * create and maintain statewide database of crash 
reports. 

National safety priority: 7. Motorcycle safety; 
Example programs: * improve the delivery of motorcycle rider training. 

National safety priority: 8. Pedestrian and bicycle safety; 
Example programs: * provide bicycle safety education and bicycle 
helmets to elementary school children. 

National safety priority: 9. Roadway safety[A]; 
Example programs: * purchase technical services, computer equipment, 
and software to help analyze roadway collisions. 

Sources: NHTSA and selected state highway safety plans. 

[A] According to NHTSA, Section 402 funding for roadway safety 
initiatives may be used to develop and implement systems and procedures 
for carrying out safety construction and operation improvements, but 
may not be used for highway construction, maintenance, or design 
activities. 

[End of table] 

While the Section 402 program provides flexible traffic safety funding 
for states, incentive grants are structured to encourage states to 
implement specific traffic safety initiatives. In 2005, SAFETEA-LU 
reauthorized funding for 2 incentive grants related to safety belt use 
and alcohol-impaired driving and authorized funding for 5 new incentive 
grants that encourage states to (1) implement legislation governing the 
use of safety belts, (2) implement legislation governing the use of 
child safety seats, (3) promote safety training for motorcyclists and 
increase awareness of motorcyclists among other drivers, (4) improve 
state traffic safety data systems, and (5) prohibit racial profiling. 
In fiscal year 2007, states spent over $191 million in incentive grant 
funding on traffic safety programs (see table 2). Unlike Section 402 
grants, which are distributed to all states, incentive grants require 
states to meet certain criteria to qualify for the grants. Also, the 
amount of incentive grant funding a state receives in a given year 
depends in part on the total number of states receiving the 
grant.[Footnote 8] 

Table 2: State Incentive Grant Expenditures on Traffic Safety Goals in 
Fiscal Year 2007: 

Dollars in millions. 

Traffic safety goals: Occupant protection (safety belt use); 
State expenditures[A]: $88.8. 

Traffic safety goals: Alcohol-impaired driving; 
State expenditures[A]: 85.0. 

Traffic safety goals: Traffic safety data; 
State expenditures[A]: 12.4. 

Traffic safety goals: Motorcycle safety; 
State expenditures[A]: 2.8. 

Traffic safety goals: Prohibit racial profiling; 
State expenditures[A]: 1.1. 

Traffic safety goals: Child safety seat use; 
State expenditures[A]: 0.9. 

Traffic safety goals: Total; 
State expenditures[A]: $191.0. 

Source: GAO analysis of NHTSA data. 

[A] State incentive grant expenditures in fiscal year 2007 totaled 
$191.1 million. The expenditures in this table do not add up to $191.1 
million due to rounding. 

[End of table] 

To help ensure that states are managing this highway safety funding 
efficiently, in compliance with laws and regulations, and in a manner 
that will effectively address state safety problems, NHTSA oversees 
state highway safety programs through its national headquarters office 
and 10 regional offices across the country. Each regional office has 
jurisdiction over several states. For example, NHTSA's Region 1 office, 
located in Cambridge, Massachusetts, oversees state highway safety 
programs in Connecticut, Maine, Massachusetts, New Hampshire, Rhode 
Island, and Vermont. 

NHTSA's oversight approach has evolved over time in response to 
congressional and state concerns, our recommendations, and NHTSA's own 
efforts to improve its oversight. According to NHTSA officials, over 
time, Congress has given NHTSA different levels of oversight authority 
over state highway safety programs. For example, prior to 1998, NHTSA 
had the authority to approve or disapprove state spending on specific 
safety programs, but Congress later removed this authority in response 
to a congressional and state concern that the program-by-program 
approval process was too restrictive. In response, NHTSA adopted a 
performance-based oversight approach in 1998, requiring states to 
develop performance plans that identify key state safety problems and 
set goals and performance measures to address these problems. In 2003, 
we raised a concern that NHTSA's oversight of states was inconsistent 
across its regional offices and recommended that NHTSA provide more 
specific guidance to its regional offices on when to conduct management 
reviews of state highway safety programs and how to measure state 
progress toward meeting safety goals. In response to the additional 
specificity in Section 412 of SAFETEA-LU regarding the scheduling of 
management reviews and our recommendation, NHTSA made several changes 
to its oversight approach, including clarifying and revising guidance 
to regional offices on the processes for conducting regular reviews of 
state use of grant funding. 

Currently, NHTSA's oversight approach includes processes that assess 
both state management capabilities as well as state performance in 
meeting safety goals. With respect to assessing state management 
capabilities, NHTSA regional officials monitor state grant spending 
throughout the year to determine whether states are expending funds in 
a timely fashion and to ensure that states are directing funds to the 
programs identified in their highway safety plans. In addition, 
regional officials conduct on-site management reviews once every 3 
years to assess state operations to ensure efficient administration and 
effective planning, programming, implementation, and evaluation of the 
state's highway safety program. After completing the management review, 
regional officials generally issue the following report to the state 
containing recommendations for improvement and jointly with state 
officials develop the following plan for implementing these 
recommendations. See figure 2 for a summary of NHTSA's Management 
Review Process. 

* Management review reports: Management review reports document the 
process NHTSA officials used to evaluate the state's grant management, 
identify areas in which the state excelled, and summarize NHTSA's 
recommended improvements to the state on how to more efficiently and 
effectively manage its grant program. NHTSA's recommendations can 
require that the state take action if the state is not in compliance 
with federal or state law, or can present a best practice that, if 
implemented, may improve management of the grant program or prevent the 
state from developing a compliance problem in the future.[Footnote 9] 
However, because NHTSA cannot require states to take action on best 
practice recommendations, they are not binding on the state. 

* Corrective action plans: When necessary based on the results of the 
review, NHTSA and the state highway safety office jointly develop a 
corrective action plan to address open recommendations in the 
management review final report, including tasks to complete the 
actions, target dates for completion of each task, and status notes 
indicating state progress on each required action. 

As required since SAFETEA-LU, in section 412, Title 23 U.S.C., NHTSA 
also compiles annual reports that summarize its management review and 
findings during each fiscal year. These reports, available on NHTSA's 
Web site, list some of the most common recommendations. 

Figure 2: Summary of NHTSA's Management Review Process and Estimated 
Number of Days for Each Stage of Process: 

This figure is a summary of NHTSA's management review process and 
estimated number of days for each stage of process. 

NHTSA regional office schedules a management review with a state and 
requests documentation: Initial contact; 

State highway safety office submits documents to NHTSA for review, and 
NHTSA provides information to the state on the management review 
process: 60 days; 

NHTSA regional office conducts management review on site with the state 
and provides preliminary observations at the end of review: 5 days; 

NHTSA prepares management review draft report, submits it to the state 
for comment, and uses an iterative process to address factual 
corrections and incorporate the state’s comments: 120 days; 

NHTSA transmits the report to the state governor’s representative who 
oversees the state highway safety program: 20 days; 

When necessary, NHTSA collaborates with the state to develop a 
corrective action plan to document state action on open 
recommendations: Ongoing. 

Estimated number of days for entire management review process: 205. 

[See PDF for image] 

Source: GAO analysis of NHTSA guidance. 

[End of figure] 

While NHTSA's oversight of state grant management helps ensure that 
states have management processes that are the basis for an effective 
highway safety program, it uses several additional approaches to assess 
state performance in improving safety outcomes. 

* Evaluation of state established traffic safety goals with safety 
outcomes: To evaluate whether states are improving safety outcomes, 
NHTSA regional and headquarters officials annually review states' 
progress toward safety goals. With input from NHTSA, each state 
annually establishes its goals and accompanying performance measures, 
as well as the programs it will fund to achieve these goals in the 
state's performance and highway safety plans. NHTSA regional staff 
review these plans using standard checklists for uniformity in their 
evaluation. At the end of the year, each state describes the outcomes 
of its efforts in an annual report, which NHTSA uses to track each 
state's progress against the goals the state established and provide 
feedback to states on the strengths and weaknesses of their programs. 
NHTSA officials told us that while they have the authority to approve 
state plans as a whole, they cannot require states to act on the 
feedback NHTSA officials offer. 

* Special management reviews: Each fiscal year, NHTSA headquarters 
officials compare state performance in two national safety priorities-
-alcohol-impaired driving and safety belt use--over the prior 3 years 
with average national performance in these areas over the same time 
period. For those states that have consistently had below-average 
safety belt use or an above-average impaired driving fatality rate and 
less than half of the national average improvement, NHTSA regional and 
headquarters subject matter experts conduct special management reviews, 
which involve an in-depth evaluation of a state's alcohol-impaired 
driving or safety belt program and result in recommendations for 
improvement. Regional officials follow up periodically with states to 
determine whether states have acted on these recommendations; however, 
because recommendations in a special management review generally do not 
relate to compliance issues, NHTSA cannot require state 
action.[Footnote 10] 

* Technical program assessments: At the request of a state, NHTSA 
officials told us they will coordinate a technical program assessment 
to evaluate one particular area of a state's highway safety program, 
such as traffic records, motorcycle safety, or emergency medical 
services, among others. NHTSA facilitates the assessment by bringing 
together leading experts in a particular program area to evaluate the 
state's program against the national highway safety program guideline 
for that subject. After completing the assessment, these experts 
produce a final report containing recommendations for strengthening the 
state's program. The report is the property of the state, and the state 
is not bound to implement any of its recommendations. 

Finally, NHTSA complements its oversight of states with training and 
technical assistance for state officials. NHTSA offers formal training 
through the Transportation Safety Institute in Oklahoma City on a range 
of highway safety topics, including courses on highway safety program 
management, financial management, and data analysis and evaluation. 
Most of the regional officials we spoke with said that NHTSA's regional 
offices also provide training for state officials, including some of 
the highway safety courses offered through the Transportation Safety 
Institute. In addition to offering formal training, NHTSA officials are 
available to states for technical assistance, which includes support on 
a broad range of issues. For example, several NHTSA regional officials 
told us that they share best practices, such as a model policy and 
procedures manual, between the states in their regions, and other 
regional officials told us that they provide feedback to states on 
incentive grant applications. NHTSA headquarters officials provide 
expert advice to states on the effectiveness of different strategies to 
address traffic safety problems, such as the relative effectiveness of 
laws, enforcement, and media campaigns in increasing safety belt use. 

States Primarily Direct Section 402 Funding to National Safety 
Priorities: 

In recent years, states spent about 54 percent of their Section 402 
funding to support safety programs, including traffic enforcement, 
intended to reduce alcohol-impaired driving and unbelted driving, the 
primary factors contributing to traffic fatalities and injuries. In 
addition to addressing these two national safety priorities, states 
have also used Section 402 funding to address state-specific problems-
-many of which are also national safety priorities, such as improving 
pedestrian and bicycle safety, but some of which are not, such as 
reducing aggressive driving. Highway safety officials in the eight 
states we visited said that Section 402 funding provides flexible and 
stable support for a variety of safety programs. Some officials also 
noted that Section 402 grants are complemented by incentive grants and 
that, in combination, these funding sources allow states to expand 
their key safety efforts and initiate innovative safety programs. To 
address safety goals, state highway safety offices distribute Section 
402 funding to local agencies and state organizations, known as 
subgrantees, that carry out traffic safety programs across the state. 
State officials also monitor subgrantees to ensure that the funding is 
used appropriately. 

States Use Section 402 Grants to Address the Main Causes of Traffic 
Fatalities and State-Specific Safety Problems: 

Since fiscal year 1999, states have directed about 54 percent of their 
Section 402 funding to traffic safety programs, such as traffic law 
enforcement, aimed at reducing alcohol-impaired driving and unbelted 
driving, the leading national causes of traffic fatalities and 
injuries.[Footnote 11] According to data from NHTSA's Grants Tracking 
System (GTS), states spent almost $1.5 billion in Section 402 funding 
on traffic safety programs for fiscal years 1999 through 2007.[Footnote 
12] As shown in table 3, states spent over half of this funding on 
three program areas: traffic law enforcement, occupant protection 
(safety belt use), and alcohol-impaired driving.[Footnote 13] According 
to a NHTSA official, traffic law enforcement is a strategy used 
primarily to reduce alcohol-impaired driving and increase safety belt 
use. During this time period, states also targeted Section 402 funding 
toward other key factors contributing to traffic fatalities by 
directing about $37 million to programs aimed at reducing speeding and 
about $10 million to programs intended to improve motorcycle safety 
(see table 3).[Footnote 14] 

Table 3: Amount and Percentage of State Section 402 Expenditures 
Directed to Selected Program Areas for Fiscal Years 1999 through 2007: 

Dollars in millions[A]. 

Section 402 program areas[B]: Program areas addressing leading causes 
of fatalities nationwide; 
Amount of 402 expenditures: [Empty]; 
Percentage of total 402 expenditures: [Empty]; 
Grouped percentage: 54.2. 

Section 402 program areas[B]: Traffic law enforcement; 
Amount of 402 expenditures: $374.0; 
Percentage of total 402 expenditures: 25.7; 
Grouped percentage: [Empty]. 

Section 402 program areas[B]: Occupant protection (safety belt use); 
Amount of 402 expenditures: 218.9; 
Percentage of total 402 expenditures: 15.0; 
Grouped percentage: [Empty]. 

Section 402 program areas[B]: Alcohol-impaired driving; 
Amount of 402 expenditures: 197.1; 
Percentage of total 402 expenditures: 13.6; 
Grouped percentage: [Empty]. 

Section 402 program areas[B]: Program areas addressing other traffic 
safety issues; 
Amount of 402 expenditures: [Empty]; 
Percentage of total 402 expenditures: [Empty]; 
Grouped percentage: 45.8. 

Section 402 program areas[B]: Community traffic safety projects; 
Amount of 402 expenditures: $245.6; 
Percentage of total 402 expenditures: 16.9; 
Grouped percentage: [Empty]. 

Section 402 program areas[B]: Planning and administration; 
Amount of 402 expenditures: 84.5; 
Percentage of total 402 expenditures: 5.8; 
Grouped percentage: [Empty]. 

Section 402 program areas[B]: Traffic records; 
Amount of 402 expenditures: 79.5; 
Percentage of total 402 expenditures: 5.5; 
Grouped percentage: [Empty]. 

Section 402 program areas[B]: Pedestrian and bicycle safety; 
Amount of 402 expenditures: 54.2; 
Percentage of total 402 expenditures: 3.7; 
Grouped percentage: [Empty]. 

Section 402 program areas[B]: Roadway safety; 
Amount of 402 expenditures: 53.2; 
Percentage of total 402 expenditures: 3.7; 
Grouped percentage: [Empty]. 

Section 402 program areas[B]: Speed control and enforcement; 
Amount of 402 expenditures: 37.4; 
Percentage of total 402 expenditures: 2.6; 
Grouped percentage: [Empty]. 

Section 402 program areas[B]: Emergency medical services; 
Amount of 402 expenditures: 30.8; 
Percentage of total 402 expenditures: 2.1; 
Grouped percentage: [Empty]. 

Section 402 program areas[B]: Motorcycle safety; 
Amount of 402 expenditures: 10.0; 
Percentage of total 402 expenditures: 0.7; 
Grouped percentage: [Empty]. 

Section 402 program areas[B]: Other program areas (11); 
Amount of 402 expenditures: 69.7; 
Percentage of total 402 expenditures: 4.8; 
Grouped percentage: [Empty]. 

Total; 
Amount of 402 expenditures: $1,455.1; 
Percentage of total 402 expenditures: 100; 
Grouped percentage: 100. 

Source: GAO analysis of NHTSA data. 

[A] We rounded the amount expended in each program area to the nearest 
hundred thousand. 

[B] Due to some overlap between program areas in GTS, we collapsed 
several program areas for our analysis. The occupant protection program 
area includes two smaller program areas: occupant protection and 
special occupant protection; the community traffic safety projects 
program area includes two smaller program areas: community traffic 
safety projects and Safe Communities; and the speed control and 
enforcement program area includes two smaller program areas: speed 
control and speed enforcement. 

[End of table] 

The three program areas support programs intended to reduce the 
incidence of alcohol-impaired and unbelted driving. Such programs 
include overtime hours for police officers dedicated to traffic law 
enforcement, training for police officers on identifying and assessing 
drivers who are under the influence of alcohol or other drugs, and 
media campaigns aimed at increasing safety belt use as well as 
campaigns targeting populations that are at high risk for driving while 
impaired by alcohol. Further, states increased the amount of Section 
402 funding that they spent on alcohol-impaired and unbelted driving 
from about $95 million in 2007 dollars (54 percent of spending) in 
fiscal year 1999 to about $119 million in 2007 dollars (58 percent of 
spending) in fiscal year 2007. Most noticeably, during this time, 
states increased the funding that they directed towards traffic law 
enforcement by about $23 million in 2007 dollars (a 55 percent 
increase). 

State highway safety officials with whom we spoke said that Section 402 
funding provides flexible support that ensures their ability to address 
a variety of state-specific traffic safety problems, many of which are 
also national safety priorities. GTS data for fiscal years 1999 through 
2007 indicate that, after targeting about 54 percent of their Section 
402 funding to alcohol-impaired and unbelted driving, states directed 
the remaining 46 percent of this funding toward 18 additional program 
areas.[Footnote 15] Many of these program areas address national safety 
priorities such as improving emergency medical services, data from 
traffic records, motorcycle safety, pedestrian and bicycle safety, and 
speed control and enforcement (see table 3).[Footnote 16] In addition, 
officials in one state told us that they have used some of their 
Section 402 funding to address state-specific concerns that are not 
explicitly included in the national safety priorities, including 
reducing aggressive driving and improving safety among young drivers, 
and NHTSA officials told us that cold weather states fund winter 
driving safety initiatives. 

Some state highway safety officials noted that incentive grants 
complement Section 402 funding and that, in combination, these grants 
allow states to expand their efforts to address key traffic safety 
problems and to support innovative traffic safety programs. Unlike 
Section 402 funding, incentive grants are statutorily designed to 
target specific safety issues and have eligibility requirements that 
states must meet to receive the funding. In this way, these grants are 
less flexible than Section 402 grants--for instance, the Motorcyclist 
Safety incentive grant is designed to fund rider training and driver- 
awareness educational programs. However, officials in all eight states 
we visited said they have used incentive grants to expand the core 
traffic safety activities they fund with Section 402 grants. For 
example, officials in one of these states told us they have used 
incentive grants aimed at improving traffic records to build upon the 
traffic data programs the state was already supporting with Section 402 
funds. Further, officials in two states told us they also use incentive 
grant funding to support innovative traffic safety programs they would 
not have been able to support with Section 402 dollars alone. For 
instance, officials in both states used an incentive grant targeted at 
alcohol-impaired driving to test and pilot innovative programs such as 
Driving While Intoxicated (DWI) courts that focus primarily on 
adjudicating cases involving alcohol-impaired drivers. 

States Fund Local Agencies to Implement Safety Programming: 

State highway safety offices work to achieve safety goals by 
distributing federal funding to local agencies and state organizations 
(subgrantees) that implement safety programming. State highway safety 
offices are designed to provide a link between federal funding and 
agencies that can implement safety programs, but these offices 
generally do not carry out programs themselves. Rather, state highway 
safety offices manage federal funding and grant requirements and 
develop partnerships with agencies--such as the state highway patrol, 
local law enforcement agencies, fire departments, nonprofit 
organizations, and advertising agencies--that have the resources to 
implement or support safety programming. The Section 402 program 
requires states to use at least 40 percent of this funding to directly 
support or for the benefit of political subdivisions, which can include 
directly funding a local organization to conduct safety programming in 
its surrounding community or funding the salaries of state patrol 
officers that provide traffic enforcement services to rural communities 
that do not have a local police department. Several state officials we 
spoke with noted that they exceed the 40 percent minimum requirement 
and distribute higher amounts to local subgrantees. 

State traffic safety officials administer the Section 402 program by 
identifying key state traffic safety problems, developing related 
safety goals, selecting and funding subgrantees to carry out programs 
that address these safety goals, and monitoring subgrantees. Highway 
safety officials are required to use a data-driven process to identify 
state traffic safety problems and establish performance goals. For 
example, Nevada's fiscal year 2008 plan identified impaired driving as 
the most common cause of fatal crashes and established a performance 
goal of reducing the number of such fatalities to 5.75 per 100,000 
people by 2008 (which would be down from 6.31 in 2005). After 
identifying state safety goals, officials identify potential 
subgrantees to initiate safety programming that can help the state 
improve safety outcomes. The states we visited accomplished this by 
issuing statewide requests for proposals requesting grant applications, 
by contacting potential subgrantees directly to encourage them to apply 
for funding, or by using both strategies. After soliciting grant 
applications, officials in most of the states we visited used a formal 
process to evaluate these applications and select subgrantees. Finally, 
state officials are required to monitor subgrantees' use of Section 402 
funding to ensure that subgrantees are using funding in accordance with 
federal grant requirements and for the activities approved by the 
state. In all eight states we visited, officials monitored subgrantees 
by reviewing performance reports documenting the activities implemented 
with grant funding--for instance, the number of overtime hours worked 
by law enforcement officers--as well as documentation of the expenses 
related to these activities. 

NHTSA Has Improved the Consistency of Its Management Review Process and 
Instituted New Processes That Could Help to Assess the Impact of Its 
Oversight: 

NHTSA implemented both the requirement that it conduct management 
reviews of states and territories on a 3-year schedule as well as our 
recommendation to improve the consistency with which it uses these 
reviews. NHTSA also refined management review guidance for its regional 
offices and developed the corrective action plan--a tool to track state 
implementation of management review recommendations and encourage 
states to act on NHTSA's advice. Our analysis of management review 
reports and corrective action plans for fiscal years 2005 through 2007 
revealed some differences among the regions with respect to the 
information the regions included in these documents, as well as how 
these documents organized information. As a result, NHTSA cannot use 
these reports to describe on a national level the extent to which 
states acted on its advice or assess the impact of its recommendations 
to states. NHTSA recently took steps to respond to state concerns and 
further improve consistency in the management reviews. These measures 
should improve the information available to NHTSA for analysis that 
could further enhance its oversight. 

NHTSA Addressed Section 412 Requirements and Our Previous 
Recommendations to Consistently Use Management Reviews: 

NHTSA implemented both the Section 412 requirement that it conduct 
management reviews of states and territories on a 3-year schedule as 
well as our recommendation to improve the consistency with which it 
uses these reviews. During the 3-year period of fiscal years 2005 
through 2007, NHTSA conducted 56 of the required 57 reviews or about 15 
to 20 reviews per year.[Footnote 17] Each of the 10 NHTSA regional 
offices performed one or more management reviews per year to ensure it 
reviewed each state or territory in its region during the 3-year cycle. 

NHTSA also refined its management review guidance for its regional 
offices. This guidance clarified the process each region is to use to 
initiate, conduct, and publish a final management review report. For 
example, it requires regional offices to provide to state highway 
safety offices (1) advanced notice before beginning a management 
review, (2) information on aspects of the state highway safety program 
that NHTSA officials would review, (3) a schedule of work, and (4) a 
list of materials and documents that the state highway safety office 
would need to provide the NHTSA regional office prior to the review. 
Some state officials told us that this guidance added clarity and 
consistency to the management review process, as they knew what to 
expect and had time to prepare more effectively for the review. NHTSA's 
guidance also provided its staff with more information on the aspects 
of the state highway safety office that NHTSA regional staff should 
analyze during a management review (what NHTSA referred to as "the 
elements of the review"), including issues related to organization and 
staffing, program management, and financial management. Lastly, NHTSA 
provided guidance to its regional offices on developing a draft report 
to incorporate states' comments and on preparing a final report that 
addressed all elements reviewed, including issues with compliance, best 
practices or commendations, recommendations, and other comments. This 
guidance was designed to ensure that NHTSA's regional offices would 
provide each state with a final management review report that outlined 
areas of improvement leading to changes in the state's grant management 
process and by extension each state's traffic safety program. 

Finally, NHTSA developed the corrective action plan to address open 
recommendations in the final management review report. NHTSA regional 
offices and states jointly develop corrective action plans to identify 
tasks the state should take to complete actions, target dates for the 
completion of each task, and status notes indicating progress of each 
action--as well as any issues preventing states from completing 
actions--to address the recommendations. NHTSA headquarters officials 
told us that based on the guidance they provided to regional officials, 
they expected that each region would produce a corrective action plan 
to track any open recommendations in the management reviews, including 
both compliance-based findings and best practice management 
considerations, although if states were able to address a 
recommendation prior to the final management review report being 
issued, regional offices did not need to include it in the corrective 
action plan. 

Despite Increased Consistency in the Use and Implementation of 
Management Reviews, Regions Provided Varying Information in Recent 
Reviews: 

Our analysis of fiscal year 2005 through 2007 management review reports 
and corrective action plans revealed some differences among the regions 
with respect to the information the regions included in these reports 
as well as how these documents organized information. This type of 
variation makes it more difficult for NHTSA to assess the impact of its 
oversight and advice to states on a national level. Some regional 
officials told us there were differences in how their office 
interpreted NHTSA's guidance for conducting the management reviews 
compared with other regional offices. We observed the following 
differences: 

* Organization and content in the management review reports varied: 
Regional officials adopted different approaches to documenting state 
performance on the management review elements. Some documented 
information when they identified problems or offered commendations, 
while others summarized information on each review element, indicating 
whether the states were achieving a satisfactory level of performance, 
needed improvement, or had exemplary performance. The number of 
recommendations also varied greatly among regional offices--for 
example, one region averaged almost 28 recommendations per review, 
while another averaged about 10. While this disparity could mean that 
states in some regions performed worse than states in other regions, it 
may also indicate that some regions were more stringent in their review 
than others. We noted, however, that many of the management reviews 
conducted in fiscal year 2007 more consistently organized information. 
NHTSA officials explained that in the fall of 2007 it rolled out a new 
template for the management reviews to improve consistency in report 
organization and content. 

* Variation in information summarized from NHTSA's review of subgrantee 
program documentation: States must keep documentation of the safety 
programs performed and expenses of state subgrantees receiving highway 
safety funding, and NHTSA analyzes this documentation during management 
reviews. However, we found variation in the extent to which management 
review reports summarized the outcomes of NHTSA staff's analysis. Some 
management review reports included a list of programs for which NHTSA 
officials had examined documentation, but no summary of whether the 
documentation was adequate. Other reports included several 
recommendations to the state on how to improve this documentation. A 
few reviews cited the adequacy of documentation for each program 
reviewed, noting specific inadequacies or that the program contained 
sufficient documentation of subgrantee activities and expenses. 

Reviewing documentation provided by subgrantees ensures that states and 
their subgrantees are spending federal funding on allowable costs, in 
keeping with federal requirements, and that the states have adequate 
documentation to support expenses. Such reviews can also identify 
misuse of federal funding. For example, officials from one regional 
office told us they uncovered a subgrantee embezzling funds during a 
review of the program's documentation, which led NHTSA officials to 
contact the state inspector general and other authorities to resolve 
this issue. The Department of Transportation's Office of the Inspector 
General (DOT IG) noted in its recent evaluation of NHTSA's highway 
safety program that several recent cases of false claims for work 
performed and embezzlement of grant funds resulted in convictions and 
the recovery of $119,000 in highway safety grant funding.[Footnote 18] 
The DOT IG recommended that NHTSA encourage states to conduct 
substantive testing of subgrantee grant expenditures to detect fraud, 
waste, and abuse--testing that NHTSA officials support but also 
recognize may be difficult for states given limited resources and that 
most state highway officials are program specialists rather than 
auditors. Consistent and thorough reporting of the outcomes of the 
program file reviews that NHTSA conducts during its management reviews 
would increase state accountability for comprehensively reviewing 
subgrantee documentation of activities performed and expenses incurred, 
and NHTSA's revised management review guidance should add consistency 
to the documentation of project file reviews. 

* Recommendations were inconsistently characterized: Management reviews 
did not always clearly distinguish between recommendations that 
addressed instances in which the state program was not complying with 
laws and regulations and was therefore statutorily required to take 
remedial actions and recommendations that were management best 
practices that would improve the state's program but on which NHTSA 
could not require the state to act. As a result, according to officials 
in some of the states we visited, state leadership penalized some state 
highway safety offices because it appeared that the state had multiple 
compliance problems in the management review report. NHTSA officials 
stated that they were not made aware of such incidents, and we did not 
independently confirm these statements. Nevertheless, as discussed in 
the next section, NHTSA has taken steps to improve the clarity of its 
management review reports. 

* Inconsistent use and content of the corrective action plans: NHTSA 
inconsistently used its corrective action plans, which it developed to 
track state implementation of its recommendations and encourage state 
action. As of March 2008, we found that 38 of the 56 states receiving a 
management review in fiscal years 2005 through 2007 had a corrective 
action plan, even though all reviews had recommendations and NHTSA 
headquarters' expectation was that regional staff would develop a plan 
any time there were open recommendations.[Footnote 19] The content of 
the corrective action plans also varied--for instance, some regions 
included all of the recommendations from the management review, while 
others included only some of the recommendations from the management 
review. In addition, corrective action plans did not always include 
information on whether states had implemented recommendations. 

As a result, NHTSA cannot describe--and we were unable to assess--on a 
national level the extent to which states are acting on NHTSA's 
recommendations, some of which require action on compliance issues. 
Further it cannot assess the impact of these recommendations on states. 
The DOT IG's evaluation also noted that NHTSA could improve its 
oversight, among other issues, by implementing a nationwide 
recommendation tracking system that could improve accounting for the 
disposition of recommendations to ensure follow-up for unresolved 
items, and NHTSA agreed to do so. Such information would allow NHTSA to 
identify how often states implemented its recommendations--both those 
that require action as well as those that NHTSA cannot require states 
to implement--and, to the extent that states did not act on NHTSA's 
advice, NHTSA could identify the barriers that prevented states from 
doing so. 

NHTSA Responded to State Concerns and Further Improved Consistency in 
the Management Reviews, Improving Information Available for Analysis: 

NHTSA recently took steps to respond to state concerns and further 
improve consistency in the management reviews--steps that should 
improve the information available for analysis that could further 
enhance NHTSA's oversight. In 2006, NHTSA began working with the 
Governors Highway Safety Association (GHSA) to refine how it 
categorizes recommendations in its management reviews, and NHTSA 
implemented new guidance in the summer of 2007. Specifically, NHTSA and 
GHSA collaborated to clearly distinguish between recommendations that 
NHTSA can require state offices to act on because the state is not in 
compliance with federal rules or regulations and recommendations that 
represent a management best practice. NHTSA updated its guidance in 
July 2007 and now differentiates between "findings" that are compliance-
based problems the state is statutorily required to address, and 
"management considerations" that identify improvements to the state's 
highway safety program but for which NHTSA cannot require state action. 

In addition to its collaboration with GHSA, NHTSA initiated several new 
processes related to how regional officials document management review 
reports and corrective action plans that should help NHTSA address some 
of the inconsistencies we found in the reports and plans for fiscal 
years 2005 through 2007. In November 2007, NHTSA trained regional staff 
on its recently updated management review guidance and introduced new 
templates associated with the management review process. These 
templates include initiation letters, close-out letters, and checklists 
for the review process, among others. NHTSA also established a team to 
read draft management review reports and ensure that recommendations 
are made in similar circumstances, that compliance issues include a 
description and reference to the relevant law or regulation, and that 
definitions and language are used consistently across the regions. 
Also, NHTSA's recent management review guidance indicates that regional 
office officials should summarize major issues identified during the 
review of state subgrantee program documentation.[Footnote 20] Several 
regional officials told us they thought these efforts will add more 
consistency to the management review reports. 

NHTSA also updated its guidance on the use of corrective action plans, 
which are now used when NHTSA identifies compliance-based findings and 
will not include management considerations. NHTSA plans to track 
management considerations in separate documents maintained by the 
regional offices. Specifically, in May 2008, NHTSA officials stated 
they developed the recommendation action tracking form that regional 
offices will be able to use to track state action in response to 
management considerations. Regional officials will follow up with 
states semiannually to update states' progress. According to NHTSA 
officials, GHSA and states requested that NHTSA drop management 
considerations from the management reviews altogether and base the 
reviews solely on compliance related issues. However, NHTSA officials 
disagreed, stating that they view NHTSA's role as including 
responsibility to disseminate best practices, and management 
considerations allow for this opportunity. In previous reports on 
similarly structured federal programs, we have recommended that other 
federal agencies disseminate best practices to state agencies or other 
grantees receiving federal funds. Additionally, in the long term, 
action on management considerations may prevent states from having 
compliance issues. 

NHTSA's Management Review Recommendations Address Fundamental 
Management Principles and Could Be Analyzed at the National Level to 
Identify Common State Challenges: 

NHTSA's management review recommendations--both its compliance-based 
findings and management considerations--address fundamental management 
principles, and state officials with whom we spoke said the review 
recommendations serve as a useful management tool and, in some cases, 
helped them obtain needed resources from state leadership. In the 
future, NHTSA could use information from the reviews to identify common 
state problems at a national level and direct resources accordingly. We 
conducted such an analysis and found that states experienced a number 
of common challenges such as needing to improve monitoring of 
subgrantees--an issue the DOT IG also identified in its report as a 
process in need of strengthening--and spending highway safety grant 
funding in a more timely fashion. As noted earlier, some of NHTSA's 
recent initiatives should improve the consistency of information 
documented in management reviews and corrective action plans. Such 
improvements could help NHTSA not only assess the impact of its 
oversight, but also identify common state challenges for which NHTSA 
may be able to provide additional assistance to states. 

NHTSA's Management Review Recommendations Address Fundamental 
Management Principles, and State Officials Found These Reviews Helpful: 

In its management reviews, NHTSA recommended actions to improve 
planning and implementation of programs, strengthen internal controls, 
ensure compliance with relevant laws and regulations, and address 
fundamental management principles. These actions are consistent with 
guidance and evaluation tools from the Office of Management and Budget 
(OMB) and GAO regarding oversight of federal grants and good management 
practices.[Footnote 21] For example, OMB guidance indicates that a 
recipient of a federal grant demonstrate that its planning will allow 
it to make effective use of federal funding. NHTSA's fiscal year 2005 
through 2007 management reviews examined several aspects of state 
highway safety office planning and made several recommendations that 
states could use to strengthen planning processes--for example, by 
using data on fatalities and injuries to better target federal dollars 
to the safety issues that are of greatest significance to the state. In 
addition, our work on internal controls and other management practices 
as well as OMB guidance suggests that processes like regular monitoring 
of the quality of state programs' performance over time, financial 
management accountability that provides assurances that programs are 
using funding in the intended manner, and having sufficient levels of 
well-trained staff to conduct the programs' work, can ensure that 
programs are run efficiently and effectively. NHTSA's management 
reviews and recommendations addressed each of these areas, as well as 
others that our work indicates are necessary for effective programs. 

State officials with whom we spoke viewed NHTSA management reviews 
favorably. They indicated that the recommendations served as a useful 
management tool and helped them focus on specific areas needing 
improvement. For example, officials from one state commented that the 
recommendations identified several ways the state could improve its 
processes, communication among staff, and monitoring of subgrantees. 
Officials from another state said that implementing the recommendations 
improved the state's highway safety program, for example, by 
recommending they hire a coordinator for youth programs. Officials from 
two other states noted respectively that the reviews helped the office 
focus on accomplishing important, basic aspects of their traffic safety 
program and gave them the "push" to complete projects such as updating 
their policy and procedures manual. Some state officials also told us 
that NHTSA sometimes made recommendations to assist the state highway 
traffic safety office in obtaining resources from state leadership that 
have authority over the office's budget or staff allocation. For 
example, NHTSA recommendations helped one state to hire additional 
staff and assisted another in obtaining funding from state leadership 
to send staff to training. 

Monitoring Subgrantees and Spending Grants in a Timely Manner Were 
Common State Challenges in Recent Management Reviews: 

Our analysis of the fiscal year 2005 through 2007 management review 
recommendations[Footnote 22] indicated that states face several common 
challenges in managing highway safety programs. These challenges 
include: 

* improving monitoring of subgrantees; 

* resolving financial management issues such as ensuring that expenses 
submitted by subgrantees were paid promptly and for the correct amounts 
or that the state used federal planning and administration funds for 
staff salaries only when appropriate; 

* strengthening planning processes and programming to better address 
traffic safety risks; 

* staffing issues such as clearly defining staff functions and the 
processes staff should use to perform their roles, as well as providing 
necessary training and development; 

* improving implementation of safety programming, such as ensuring that 
states have written requirements for subgrantees about how they manage 
their programs and reports the state expects to receive regarding 
subgrantee activities and progress toward milestones; and: 

* spending grant funding in a timely fashion. (See table 4 for a 
summary of the most common NHTSA recommendations.) 

Table 4: NHTSA Recommendations to Address State Challenges for Managing 
Highway Safety Programs, Fiscal Years 2005 through 2007: 

State challenge: Improve monitoring of subgrantees; 
Number of states and territories receiving the recommendation: 49. 

State challenge: Resolving financial management issues such as ensuring 
that expenses submitted by subgrantees were paid promptly and for the 
correct amounts or that the state used federal planning and 
administration funds for staff salaries only when appropriate; 
Number of states and territories receiving the recommendation: 48. 

State challenge: Strengthen planning processes and programming to 
better address traffic safety risks; 
Number of states and territories receiving the recommendation: 41. 

State challenge: Staffing issues such as clearly defining staff 
functions and the processes staff should use to perform their role, as 
well as providing necessary training and development[A]; 
Number of states and territories receiving the recommendation: 40. 

State challenge: Improve implementation of safety programming such as 
written requirements regarding subgrantees' management of their 
programs; 
Number of states and territories receiving the recommendation: 38. 

State challenge: Spend ("liquidate") grant funding in a timely fashion; 
Number of states and territories receiving the recommendation: 33. 

Source: GAO analysis of management review reports. 

[A] Staff functions and training were separate categories in our 
analysis, and recommendations were made to 40 states in both 
categories. 

[End of table] 

The most common recommendations we observed related to the need for 
state highway safety offices to strengthen the processes they use to 
monitor subgrantees. Federal regulations require monitoring of 
recipients of federal funds, including subgrantees. The DOT IG noted in 
its recent evaluation of NHTSA's highway safety program that such 
monitoring helps ensure that funds are being used for (1) their 
intended purpose, (2) for programs that will help the state meet its 
safety goals, and (3) in compliance with laws and regulations. Federal 
highway safety grant funding generally passes through state highway 
safety offices to local agencies and other subgrantees to implement 
programs. Because the structure of this grant program involves many 
organizations across a state, NHTSA often recommended that state 
highway safety offices develop and execute monitoring processes such 
as: 

* tracking and evaluating subgrantee performance, which could include 
reports on how many citations a local police department issued during 
overtime enforcement of impaired driving or the number of child safety 
seats a nonprofit agency installed in the cars of low income families; 

* financial accountability, which could include ensuring that 
subgrantees spent funds on items reviewed and approved by the state 
highway safety office and that the costs claimed are supported with 
documentation; and: 

* maintenance of inventories of equipment costing more than $5,000 and 
purchased with federal funds, which OMB requires. 

Some NHTSA regional officials told us that because state highway safety 
staff perform numerous duties, they can overlook monitoring and 
documenting subgrantee activities. In addition, some of these officials 
noted that new state staff often require training in monitoring, which 
suggests the importance of continual training on these processes. The 
DOT IG recommended that NHTSA encourage states to conduct comprehensive 
on-site reviews of subgrantee internal controls over grant 
expenditures, substantive testing of grant expenditures, or other 
procedures to prevent and detect fraud, waste, and abuse. 

Another frequently made recommendation and one that some NHTSA 
officials identified as potentially having an effect on state progress 
toward achieving its safety outcomes, was the need for states to 
liquidate grant funding in a timely fashion. In its management reviews, 
NHTSA recommended that 33 of the 56 states and territories reviewed 
increase the rate at which they spend federal dollars. Our analysis of 
data from NHTSA's Grants Tracking System, which contains information on 
state highway safety grant spending, showed that from fiscal year 1999 
through 2007, states spent between about 63 percent and 73 percent of 
Section 402 funding each year. States can carry unused funding into the 
next fiscal year--for example, states carried over about $103 million 
from fiscal year 2007 into fiscal year 2008, which is nearly half of 
the total Section 402 funds available to states in fiscal year 2007. 
Some NHTSA regional officials told us that low levels of expenditures 
indicate that states are not implementing as much safety programming as 
the states have funding for, which means that each year states could 
expand their efforts and potentially reduce fatalities, injuries, and 
crashes beyond what the state is currently accomplishing. Furthermore, 
according to NHTSA headquarters officials and as included in their 
recommendations to states in some management reviews, a fundamental 
expectation of Congress is that funds made available to states will be 
used promptly and effectively to address the highway safety problems 
for which they were authorized. Finally, one of the measures NHTSA uses 
in assessing the effectiveness of a state's highway safety program is 
whether available program funds are expended on a timely basis or 
whether funds remain largely unexpended and carried forward into a 
subsequent year. 

Many of the state officials we spoke with recognized liquidation rates 
as an issue but explained that such delays occur when the federal 
government operates under a continuing budget resolution, which 
prevents NHTSA from releasing the full amount of Section 402 funding to 
the states and in turn delays distribution of the funds to subgrantees. 
NHTSA officials we spoke with appreciated this concern, and 
headquarters officials noted that, in addition to delayed passage of 
appropriation bills, other factors can prevent states from spending the 
full amount of grants, including states awarding or implementing 
contract awards late, slow spending by subgrantees, or delayed project 
starts by subgrantees. Also, officials from some regional offices said 
that states often do not plan a large enough safety program to spend 
all of the Section 402 funding each year, regardless of whether a 
continuing budget resolution is likely, and better planning and 
management could increase liquidation rates. 

Management Review Recommendations Identify Common State Challenges That 
Could Help Direct Resources: 

By documenting areas of improvement for each state managing highway 
safety grants, management review recommendations provide insight into 
common state challenges. When analyzed systematically at a national 
level, such information could be used to direct technical assistance 
and training resources accordingly. Although NHTSA officials stated 
that they continually review the effectiveness of their recommendations 
and policies, NHTSA does not currently use the management reviews for 
this purpose. In its report, the DOT IG made a related observation and 
recommended that NHTSA develop a process to electronically track 
recommendations on a national level and provide all regional offices 
with access to this system to identify solutions for states with 
similar issues. 

As noted, the consistency of the information documented in management 
reviews and corrective action plans is a current barrier to analyzing 
problems that occur in many states. For example, regional officials did 
not consistently categorize similar recommendations--one region's 
management review classified the need for staff to receive training as 
a program management issue while another region listed it as a 
financial management issue, and yet another as an organization and 
staffing issue--thus making it more difficult to analyze 
recommendations on a national level. However, the steps NHTSA has 
recently implemented should improve the information included in the 
management reviews and corrective action plans developed in the next 3- 
year period. In addition, several other planned and currently available 
resources could be used to facilitate an analysis. 

* NHTSA officials told us, and indicated in their response to the DOT 
IG's recommendations, that they plan to create a compendium of 
management review recommendations on their intranet that would be 
searchable by all regional offices. Regional officials could use the 
compendium to see how other offices addressed challenges similar to 
ones they encountered--a practice NHTSA headquarters officials thought 
would improve consistency. If the database included all recommendations 
(findings and management considerations) from the fiscal year 2008 
through 2010 management reviews and information on whether states 
implemented the recommendations, NHTSA could also use it to analyze 
recommendations in the database to identify common state problems. As 
of February 2008, NHTSA was developing such a tracking system but had 
not yet implemented it. 

* To fulfill a requirement in Section 412, NHTSA currently develops 
brief summaries of the management reviews that list the common 
recommendations from each of the three review areas (organization and 
staffing, program management, and financial management) and has so far 
completed fiscal year 2005 and fiscal year 2006 summaries. NHTSA's 
summaries do not include--and Section 412 does not explicitly require-
-an analysis of the relative importance or potential effect these 
common problems could have on state programs or how these common issues 
could inform NHTSA's plans for training, technical assistance, or 
oversight, which are NHTSA's resources for influencing state programs. 
NHTSA officials stated that while they try to continually improve their 
programs, they do not currently use the recommendation summaries for 
this purpose. 

* NHTSA has a fairly extensive training and technical assistance 
program for states that includes formal classes on grant requirements, 
using data to identify safety challenges, and financial management of 
the grant program. In addition, each region organizes annual 
conferences to discuss topics like emerging safety issues and 
innovative programs states are testing. The states we visited all 
complimented NHTSA's support, and many noted several different areas in 
which NHTSA staff provided expert advice, including grant management 
and safety programming. NHTSA could use data from management reviews to 
efficiently direct some of these information-sharing resources to 
common challenges that states experience. 

NHTSA's Approaches and Existing Financial Incentives Encourage States 
to Improve Safety, While Refinements Could Further Help States: 

NHTSA uses several approaches to help states improve their traffic 
safety outcomes, and Congress has established incentive grants and, 
under Sections 154(c) and 164(b) to Title 23 U.S.C., penalty transfer 
programs to encourage states to improve safety. NHTSA provides expert 
advice to all states through its evaluation of state progress toward 
safety goals and performance measures established annually by each 
state, special management reviews for states not making adequate 
progress in the areas of alcohol-impaired driving and safety belt use, 
and voluntary technical program assessments for states requesting 
additional assistance in a variety of areas. Congress also offers 
financial incentives to improve state safety, including incentive 
grants that encourage states to pass safety legislation and achieve 
certain performance benchmarks, as well as penalty transfer programs 
that shift federal funding from road construction to behavioral safety 
programs for states that fail to pass safety legislation. However, it 
is too early to assess the impact of recently established incentive 
grants on traffic fatalities or to determine whether other types of 
incentives might be needed. Further, while the national traffic 
fatality rate has decreased, the number of fatalities has remained 
fairly constant over the last 10 years, offset by factors such as 
increases in population and the number of vehicle miles traveled. In 
addition, the DOT IG found that NHTSA could improve its annual 
oversight of state performance by encouraging states to use consistent 
performance measures in their safety plans and annual reports. We also 
found that some states have a consistently high number of fatalities 
but do not meet NHTSA's current selection criteria for a special 
management review. As a result, NHTSA must rely on the states to take 
advantage of the technical assistance offered by regional officials or 
to request a technical program assessment. Finally, existing incentive 
grants do not target states that have low or average fatality rates but 
high total numbers of fatalities. 

NHTSA Provides Expert Advice to Help States Make Progress toward Safety 
Goals, While Grant Programs Offer Financial Incentives for States to 
Improve Safety: 

NHTSA uses three approaches to evaluate state progress toward safety 
goals and provide states with expert advice to make the best use of 
traffic safety funding. These approaches are different from NHTSA's 
management reviews in that NHTSA focuses on aspects of a state's 
highway safety program that more directly address safety outcomes while 
management reviews focus on improving grant management processes. Each 
of NHTSA's performance evaluation processes is designed to target a 
slightly different group of states and provides a different type of 
advice. 

* Oversight of state performance: Each year, NHTSA evaluates the 
progress all states and territories made toward their established 
safety goals--such as reducing state traffic fatalities by a certain 
number--which ensures that all states receive at least some advice from 
NHTSA on how to improve their safety programs and outcomes.[Footnote 
23] States develop safety goals annually in their highway safety and 
performance plans, and NHTSA provides each state with an analysis of 
state-level traffic safety data, such as fatality rates, safety belt 
use, and alcohol-related fatalities. NHTSA also shares countermeasures 
that address safety problems specific to each state--for example, the 
use of sobriety checkpoints used by law enforcement officers to 
determine whether drivers are impaired--and provides feedback on state 
planning with respect to the programs the state plans to fund with its 
federal highway safety grants. Further, each December, states must 
submit to NHTSA regional offices an annual report on the previous 
fiscal year's program activities and the progress the state made toward 
achieving its goals. This process allows NHTSA to assess individual 
state performance in improving safety outcomes and to provide feedback 
to states on strengths and weaknesses in their programs. However, NHTSA 
officials told us that while they have the authority to approve state 
plans as a whole, they cannot require states to act on the feedback 
NHTSA officials offer unless there is a compliance issue. 

* Special management reviews: Beyond its annual evaluations, NHTSA 
targets additional resources toward states not making adequate progress 
in NHTSA's priority areas of reducing impaired driving fatalities and 
increasing safety belt use by selecting these states for special 
management reviews, which it began implementing in fiscal year 
2005.[Footnote 24] NHTSA conducted 30 special management reviews, 2 of 
which NHTSA officials noted actually combined elements of a special 
management review and technical program assessment, in the initial 3- 
year review cycle from January 2005 through September 2007 and, as of 
June 2008, planned to conduct at least two of these reviews in fiscal 
year 2008. Special management reviews involve an in-depth evaluation by 
NHTSA regional and headquarters officials of a state's impaired driving 
or safety belt program, including issues related to state leadership 
and state priorities, issues related to the funding and implementation 
of individual safety projects, program evaluation issues, and 
legislative issues such as the presence of safety legislation. NHTSA 
officials indicated that they often identify deficiencies in the 
state's safety program through these reviews and recommend steps that 
could improve the state program and potentially the state's safety 
outcomes. However, NHTSA officials stated that they cannot require the 
state to act on these recommendations unless there is a compliance 
issue. NHTSA officials told us that NHTSA pays the cost of these 
reviews and that they recently formed a team to examine the consistency 
and effectiveness of the special management review process. 

* Technical program assessments: NHTSA officials told us that they also 
coordinate voluntary technical program assessments for any state that 
wishes to improve its outcomes on specific traffic safety issues. 
Technical program assessments differ from special management reviews in 
several ways. First, assessments are available to any state, not just 
those with high fatality rates related to alcohol-impaired driving and 
low safety belt use rates, and states must request an assessment-- 
unlike with special management reviews where states are selected for 
evaluation by NHTSA. Second, assessments bring together leading 
independent experts in a particular topic area to evaluate the state's 
program; in contrast, special management reviews are conducted by NHTSA 
officials with subject-matter expertise. Third, assessments cover a 
wider range of safety issues, including alcohol-impaired driving, 
occupant protection (safety belts), occupant protection for children, 
motorcycle safety, emergency medical services, traffic records, and 
standardized field sobriety testing.[Footnote 25] Fourth, according to 
NHTSA officials, states pay most of the costs of the assessments, 
although in some cases NHTSA pays for a facilitator to participate in 
the assessment. NHTSA officials and highway safety officials in two of 
the states we visited noted that these assessment reports carry more 
authority with state leadership than special management reviews due to 
their independent nature. However, NHTSA officials noted that they 
cannot require states to implement the experts' recommendations. 

In addition to NHTSA's approaches, Congress designed financial 
incentives--incentive grants and penalty transfers--to encourage states 
to improve outcomes by passing safety legislation or meeting 
performance-based benchmarks. The incentive grants are designed to 
encourage states to do both of these things.[Footnote 26] Studies have 
shown a relationship between strong safety legislation and improvements 
in safety outcomes--for example, a 2006 NHTSA study[Footnote 27] found 
that states with primary safety belt laws had much lower fatality rates 
than all other states[Footnote 28]--and the Occupant Protection and 
Safety Belt Use incentive grants encourage states to pass such 
legislation by making that legislation one of the criteria for grant 
eligibility. Similarly, to qualify for the Child Safety and Booster 
Seat Use incentive grant, states must pass a law requiring any child 
under the age of 8 riding in a passenger vehicle to be secured in an 
appropriate child restraint system, with certain height and weight 
exceptions. In addition, several incentive grants use positive 
performance-based eligibility criteria to encourage and reward states 
for achieving certain levels of performance. For example, states that 
have not passed a primary safety belt law can qualify for the Safety 
Belt Use incentive grant if the state has achieved a safety belt use 
rate of at least 85 percent in the 2 preceding calendar years.[Footnote 
29] States with very low rates of impaired driving fatalities (an 
alcohol-related fatality rate of 0.5 or less fatalities per 100 million 
vehicle miles traveled) can automatically qualify for the Alcohol 
Impaired Driving Countermeasures incentive grant.[Footnote 30] 

Congress also uses penalty transfer programs to encourage states to 
pass other types of safety legislation that are expected to improve 
safety outcomes. For example, the law requires that a percentage of the 
state's Federal-Aid Highway program funding be transferred to the 
state's Section 402 safety program if the state fails to pass an open 
container law, which prohibits the possession of an open alcoholic 
beverage container or the consumption of any alcoholic beverage in a 
motor vehicle. 

Refinements to NHTSA's Approaches Could Help States Improve Safety, but 
More Time Is Needed to Assess the Impact of Incentive Grants: 

While the national traffic fatality rate has declined, the number of 
traffic fatalities has remained fairly level since 1997, as factors 
such as increases in population and the number of vehicle miles 
traveled offset improvements in the fatality rate.[Footnote 31] 
Although NHTSA provides expert advice to states, some opportunity to 
improve state--and thus national--outcomes such as decreasing 
fatalities could come from refinements to certain aspects of NHTSA's 
approaches to reviewing and providing feedback on state performance. 
For example, a recent DOT IG evaluation of NHTSA's highway safety 
program identified one opportunity for NHTSA to strengthen its annual 
review of state safety goals and outcomes--an approach NHTSA uses to 
ensure that all states receive some feedback on their performance. 
Specifically, the DOT IG found that states did not always use 
consistent performance measures between the performance plans that 
identify annual state safety goals and the annual reports that document 
state progress toward these goals. For example, the DOT IG noted that 
none of the 12 performance measures in one state's performance plan 
carried over to the state's annual report and 9 measures had no 
measurable targets. According to the DOT IG, the measures that states 
use in performance plans and annual reports must be comparable for 
NHTSA to effectively analyze states' progress. To better track state 
performance, the DOT IG recommended that NHTSA promote the development 
and adoption of consistent performance measures in state plans and 
provide guidance to the states to ensure state performance reports 
include trend lines determining whether the state is on track to meet 
its highway safety goals. In partnership with GHSA, NHTSA hired a 
contractor to develop a common set of performance measures that it 
plans to use to track progress at the national level and encourage 
states to use these measures as part of highway safety planning. 

Further, fatality data suggest that states other than those meeting the 
selection criteria for a special management review may benefit from 
additional technical assistance or review. Specifically, we found that 
some states have low or average fatality rates but a consistently high 
number of fatalities over time. From 1997 through 2006, national 
traffic fatalities per 100 million vehicle miles traveled declined by 
approximately 14 percent, from 1.65 to 1.41, while the number of 
fatalities remained fairly level at about 43,000 per year during this 
time period (see fig. 3) likely due to factors such as increasing 
population, the number of vehicle miles traveled, and use of 
motorcycles, among other factors. 

Figure 3: Traffic Fatality Rates and Total Number of Fatalities, 1997 
through 2006: 

This figure is a combination line and bar graph showing traffic 
fatality rates and total number of fatalities, 1997 through 2006. The X 
axis is the year, the left Y axis represents the fatality number, and 
the right Y axis represents the fatalities per 100 million vehicle 
miles traveled. 

Year: 1997; 
Total fatalities: 42,013; 
Fatalities per 100 million per miles traveled: 1.65. 

Year: 1998; 
Total fatalities: 41,501; 
Fatalities per 100 million per miles traveled: 1.58. 

Year: 1999; 
Total fatalities: 41,717; 
Fatalities per 100 million per miles traveled: 1.55. 

Year: 2000; 
Total fatalities: 41,945; 
Fatalities per 100 million per miles traveled: 1.53. 

Year: 2001; 
Total fatalities: 42,196; 
Fatalities per 100 million per miles traveled: 1.51. 

Year: 2002; 
Total fatalities: 43,005; 
Fatalities per 100 million per miles traveled: 1.51. 

Year: 2003; 
Total fatalities: 42,884; 
Fatalities per 100 million per miles traveled: 1.49. 

Year: 2004; 
Total fatalities: 42,836; 
Fatalities per 100 million per miles traveled: 1.45. 

Year: 2005; 
Total fatalities: 43,510; 
Fatalities per 100 million per miles traveled: 1.46. 

Year: 2006; 
Total fatalities: 42,642; 
Fatalities per 100 million per miles traveled: 1.41. 

[See PDF for image] 

Source: GAO analysis of NHTSA and FHWA data. 

[End of figure] 

On a state level, from 1998 through 2006, 27 states had average alcohol-
related fatality rates that were equal to or below the national average 
of 0.61 fatalities per 100 million vehicle miles traveled. However, 
despite their low or average fatality rates, 10 of these 27 states had 
an above-average number of fatalities, or an average of more than 336 
fatalities per year. During this time period, these 10 states accounted 
for a total of more than 55,000 fatalities, or over a third of the 
number of alcohol-related fatalities nationwide. Figure 4 below 
compares the average annual alcohol-related fatality rate per state and 
average annual number of alcohol-related fatalities per state from 1998 
through 2006 and shows that states with relatively low to average 
fatality rates can have high levels of fatalities. 

Figure 4: Alcohol-Related Fatalities--Average Annual State Fatality 
Rates and Corresponding Average Annual Number of Fatalities, 1998 
through 2006: 

This figure is a dot graph showing alcohol-related fatalities--average 
annual state fatality rates and corresponding average annual number of 
fatalities, 1998 through 2006. The X axis represents the average annual 
fatality rate per state[A], and the Y axis represents the average 
annual number of fatalities per state. 

Average Annual Number of Facilities per state: 37.4; 
Average Annual Fatality Rate per state[A]: 0.7784. 

Average Annual Number of Facilities per state: 431.9; 
Average Annual Fatality Rate per state[A]: 0.7478. 

Average Annual Number of Facilities per state: 231; 
Average Annual Fatality Rate per state[A]: 0.7595. 

Average Annual Number of Facilities per state: 481.2; 
Average Annual Fatality Rate per state[A]: 0.9138. 

Average Annual Number of Facilities per state: 1581.9; 
Average Annual Fatality Rate per state[A]: 0.5006. 

Average Annual Number of Facilities per state: 264.9; 
Average Annual Fatality Rate per state[A]: 0.6078. 

Average Annual Number of Facilities per state: 141.7; 
Average Annual Fatality Rate per state[A]: 0.4584. 

Average Annual Number of Facilities per state: 25.6; 
Average Annual Fatality Rate per state[A]: 0.7005. 

Average Annual Number of Facilities per state: 55.1; 
Average Annual Fatality Rate per state[A]: 0.6228. 

Average Annual Number of Facilities per state: 1275.6; 
Average Annual Fatality Rate per state[A]: 0.7385. 

Average Annual Number of Facilities per state: 546.2; 
Average Annual Fatality Rate per state[A]: 0.5099. 

Average Annual Number of Facilities per state: 61.7; 
Average Annual Fatality Rate per state[A]: 0.6768. 

Average Annual Number of Facilities per state: 142.4; 
Average Annual Fatality Rate per state[A]: 0.4707. 

Average Annual Number of Facilities per state: 99.9; 
Average Annual Fatality Rate per state[A]: 0.7028. 

Average Annual Number of Facilities per state: 623.6; 
Average Annual Fatality Rate per state[A]: 0.5942. 

Average Annual Number of Facilities per state: 320.4; 
Average Annual Fatality Rate per state[A]: 0.4498. 

Average Annual Number of Facilities per state: 176.9; 
Average Annual Fatality Rate per state[A]: 0.6204. 

Average Annual Number of Facilities per state: 289.4; 
Average Annual Fatality Rate per state[A]: 0.6196. 

Average Annual Number of Facilities per state: 440.9; 
Average Annual Fatality Rate per state[A]: 1.024. 

Average Annual Number of Facilities per state: 203.4; 
Average Annual Fatality Rate per state[A]: 0.3804. 

Average Annual Number of Facilities per state: 257.1; 
Average Annual Fatality Rate per state[A]: 0.4858. 

Average Annual Number of Facilities per state: 61.7; 
Average Annual Fatality Rate per state[A]: 0.4858. 

Average Annual Number of Facilities per state: 494.9; 
Average Annual Fatality Rate per state[A]: 0.4978. 

Average Annual Number of Facilities per state: 231.1; 
Average Annual Fatality Rate per state[A]: 0.4297. 

Average Annual Number of Facilities per state: 499.4; 
Average Annual Fatality Rate per state[A]: 0.7385. 

Average Annual Number of Facilities per state: 351.3; 
Average Annual Fatality Rate per state[A]: 0.9391. 

Average Annual Number of Facilities per state: 115.9; 
Average Annual Fatality Rate per state[A]: 1.1084. 

Average Annual Number of Facilities per state: 565.6; 
Average Annual Fatality Rate per state[A]: 0.6088. 

Average Annual Number of Facilities per state: 49.7; 
Average Annual Fatality Rate per state[A]: 0.6686. 

Average Annual Number of Facilities per state: 106; 
Average Annual Fatality Rate per state[A]: 0.572. 

Average Annual Number of Facilities per state: 57.7; 
Average Annual Fatality Rate per state[A]: 0.4583. 

Average Annual Number of Facilities per state: 280.8; 
Average Annual Fatality Rate per state[A]: 0.4038. 

Average Annual Number of Facilities per state: 205.2; 
Average Annual Fatality Rate per state[A]: 0.8824. 

Average Annual Number of Facilities per state: 162.1; 
Average Annual Fatality Rate per state[A]: 0.866. 

Average Annual Number of Facilities per state: 519.4; 
Average Annual Fatality Rate per state[A]: 0.3906. 

Average Annual Number of Facilities per state: 528.7; 
Average Annual Fatality Rate per state[A]: 0.4897. 

Average Annual Number of Facilities per state: 263.1; 
Average Annual Fatality Rate per state[A]: 0.5852. 

Average Annual Number of Facilities per state: 193.7; 
Average Annual Fatality Rate per state[A]: 0.5586. 

Average Annual Number of Facilities per state: 631.1; 
Average Annual Fatality Rate per state[A]: 0.6033. 

Average Annual Number of Facilities per state: 249.1; 
Average Annual Fatality Rate per state[A]: 1.3753. 

Average Annual Number of Facilities per state: 44.4; 
Average Annual Fatality Rate per state[A]: 0.5398. 

Average Annual Number of Facilities per state: 489.3; 
Average Annual Fatality Rate per state[A]: 1.037. 

Average Annual Number of Facilities per state: 81.8; 
Average Annual Fatality Rate per state[A]: 0.9592. 

Average Annual Number of Facilities per state: 506.6; 
Average Annual Fatality Rate per state[A]: 0.7486. 

Average Annual Number of Facilities per state: 1747.7; 
Average Annual Fatality Rate per state[A]: 0.7878. 

Average Annual Number of Facilities per state: 70.2; 
Average Annual Fatality Rate per state[A]: 0.299. 

Average Annual Number of Facilities per state: 361.1; 
Average Annual Fatality Rate per state[A]: 0.4713. 

Average Annual Number of Facilities per state: 31.7; 
Average Annual Fatality Rate per state[A]: 0.4134. 

Average Annual Number of Facilities per state: 284.2; 
Average Annual Fatality Rate per state[A]: 0.5236. 

Average Annual Number of Facilities per state: 353.1; 
Average Annual Fatality Rate per state[A]: 0.6033. 

Average Annual Number of Facilities per state: 152.6; 
Average Annual Fatality Rate per state[A]: 0.7709. 

Average Annual Number of Facilities per state: 67.3; 
Average Annual Fatality Rate per state[A]: 0.7747. 

[See PDF for image] 

Source: GAO analysis of NHTSA data. 

[A] The fatality rate is the number of fatalities per 100 million 
vehicle miles traveled. 

[End of figure] 

Given the relatively low fatality rates of these states, the high 
number of fatalities does not necessarily indicate a problem with the 
state's safety program. For example, many of the 27 states with below- 
average or average fatality rates have relatively large populations 
and, therefore, have a relatively high number of vehicle miles traveled 
and a relatively high number of fatalities. Specifically, 16 of these 
states had estimated populations of over 5 million as of July 1, 2006. 
In addition, NHTSA officials offered the following illustration. From 
2000 through 2006, 12,292 people died in Texas and 11,480 people died 
in California in alcohol-related crashes. Although the number of 
fatalities suggests these states have similar alcohol-related crash 
problems, on a per-mile driven basis, Texans were 53 percent more 
likely to die in an alcohol-related crash than Californians. Neither 
Texas nor California have met NHTSA's selection criteria for a special 
management review. 

Yet, states with high total numbers of fatalities offer an opportunity 
to save the greatest number of lives. Targeting these states could 
provide an opportunity to focus on reducing the total number of 
fatalities nationwide. Currently, these states receive feedback from 
NHTSA on their safety programs as a part of NHTSA's annual evaluation 
of state progress toward its performance goals, and NHTSA regional 
officials provide technical assistance as part of their oversight 
activities of states throughout the year. However, these states may not 
receive an in-depth programmatic review that could identify additional 
opportunities to reduce fatalities. For example, under NHTSA's current 
criteria for special management reviews, these states would not be 
selected for a review.[Footnote 32] In addition, although all states 
can request a technical program assessment and would receive similar 
programmatic advice as they would through a special management review, 
since January 2005, 3 of the 10 states that had an above-average number 
of alcohol-related fatalities per year requested and received an 
assessment focused on impaired driving. 

Recently established incentive grants primarily target states that take 
steps to improve safety outcomes either by passing legislation that 
research indicates improves safety outcomes or by achieving high levels 
of safety performance. However, current incentive grants are not 
specifically designed to target states with low or average fatality 
rates but high numbers of fatalities. In addition, these incentive 
grants have been in effect since October 2005, and it is too early to 
determine whether they will be effective in significantly improving 
state safety outcomes. Initial state responses to these incentives have 
varied. As we reported earlier this year, a number of states have been 
unable to pass the safety legislation necessary to qualify for 
incentive grants.[Footnote 33] In addition, some have yet to pass 
legislation that would allow them to avoid penalty transfers of funding 
from state road construction to traffic safety. At the end of 2007, 
about half of the states had passed primary safety belt laws, and about 
one-fourth of the states had passed child safety and booster seat 
laws.[Footnote 34] Seven of the eight states we visited had not passed 
primary safety belt laws--attributed by officials in one state to the 
political climate and the opposition of key legislators.[Footnote 35] 

Further, some states are still working to obtain incentive grants based 
on performance. For example, according to a NHTSA official, 5 states 
qualified for the Safety Belt Use incentive grant in fiscal year 2008 
by achieving an 85 percent safety belt use rate in 2006 and 
2007.[Footnote 36] In addition, officials in several of the states we 
visited as well as officials from GHSA noted that fewer states may 
qualify for grants like the Alcohol Impaired Driving Countermeasures 
incentive grant in the future because the performance and programmatic 
criteria that states must meet become more stringent over time. While a 
number of incentive grants provide resources to states achieving high 
levels of performance, the Alcohol Impaired Driving Countermeasures 
incentive grant also provides funding to the ten states with the 
highest alcohol-related fatality rates.[Footnote 37] 

Conclusions: 

Through its positive working relationship with states and GHSA and its 
own initiatives for continuous improvement, NHTSA has made considerable 
progress in improving the consistency of its oversight of state highway 
safety programs. Our analysis of the recommendations NHTSA made in its 
fiscal year 2005 through fiscal year 2007 management reviews showed 
that NHTSA focuses on fundamental management principles that can 
improve state management of highway safety programs. However, our 
analysis also showed that states experienced several common problems, 
some of which, if left unaddressed, could produce negative consequences 
such as lost equipment or misuse of federal funds. A periodic analysis 
of these recommendations on a national level could help NHTSA direct 
its training, technical assistance, and oversight to issues that could 
have the widest impact on improving state programs. Furthermore, a 
periodic analysis of the extent to which states acted on NHTSA's 
recommendations would help NHTSA to evaluate the impact of its 
recommendations and identify barriers that prevent states from taking 
action to improve management of their programs. NHTSA has worked to 
continually make improvements to its oversight of states, including 
recent steps to further improve the consistency of information 
available about its recommendations. A more systematic analysis of this 
information would likely enhance these efforts. 

Our analysis of NHTSA's recent management review recommendations 
identified several common challenges that states experienced during the 
initial 3-year cycle of management reviews--challenges that NHTSA could 
address in the near future. For example, the most common recommendation 
addressed the need for states to improve monitoring of subgrantee 
performance, expenditures, and equipment inventories--an issue the DOT 
IG also noted in its report and one that has the potential to prevent 
and detect misuse of federal funds. In addition, because the structure 
of the highway safety grant program involves many subgrantees across a 
state, monitoring these subgrantees helps ensure that funds are used 
for their intended purpose and for programs that will help the state 
meet its safety goals. NHTSA also frequently recommended that states 
increase the amount of grant funding states spend each year, an action 
that some NHTSA officials believe might contribute to improving safety 
outcomes by expanding the number or scope of safety programs the state 
implements each year. Making the best use of federal funding as 
possible each year can help to improve safety outcomes, and identifying 
the underlying causes of current liquidation rates as well as 
strategies to help states improve could accomplish this. 

Finally, our review found that states are directing Section 402 program 
and incentive grant funding primarily toward the two leading causes of 
fatalities in car crashes, and NHTSA takes an active role in providing 
oversight and technical assistance to help states achieve safety- 
related performance goals. However, the total number of fatalities has 
remained at about 43,000 for the last 10 years, and achieving further 
reductions in fatalities could be challenging as the national rate of 
traffic fatalities already declined by 14 percent during this period. 
NHTSA currently conducts special management reviews for states having 
the highest rates of fatalities related to alcohol-impaired driving and 
lowest rates of safety belt use, and all states can request that NHTSA 
coordinate a technical program assessment. However, because some states 
with a high total number of fatalities may not meet NHTSA's selection 
criteria for a special management review and may not elect to 
participate in an assessment, these states may not receive an in-depth 
programmatic review that could identify additional opportunities to 
reduce fatalities. In addition, current incentive grants do not 
specifically target these states, although these states may be eligible 
for incentive grants based on other criteria. 

Recommendations for Executive Action: 

We recommend that the Secretary of Transportation direct the 
Administrator of NHTSA to take the following five actions: 

* Periodically analyze, on a national level, all recommendations made 
to states to identify common challenges and areas in which NHTSA may 
need to focus its oversight or states may need additional help, such as 
training or technical assistance. 

* Periodically assess the extent to which states have implemented 
NHTSA's recommendations, and, when states have not, identify the 
barriers that prevent states from doing so and alter the type or focus 
of future recommendations as needed. 

* Identify options, such as new guidance or training for states, to 
strengthen state monitoring of subgrantee performance, activities, and 
expenditures. 

* Develop a working group with GHSA and state highway traffic safety 
offices as appropriate to identify the reasons for low annual rates of 
grant expenditures and solutions that could help address these 
challenges. 

* Identify options to target safety expertise and technical assistance 
to states with a high number of fatalities that would not qualify for a 
special management review. 

Agency Comments and Our Evaluation: 

We provided a draft of this report to the Secretary of Transportation 
(DOT) for review and comment. On behalf of DOT, the Senior Associate 
Administrator, Traffic Safety Control, provided comments via e-mail. 
DOT officials generally agreed with the analysis and conclusions of 
this report but disagreed with one of our draft recommendations--that 
NHTSA evaluate the need to revise its criteria for selecting states for 
special management reviews to include states that have a high number of 
fatalities. While DOT officials agreed that directing resources and 
technical assistance to states that have high numbers of fatalities 
represents an opportunity to save the greatest number of lives, they 
did not agree that conducting special management reviews would be the 
best way to do so. Specifically, DOT officials stated that special 
management reviews are initiated based on evidence that a state's 
program area performance is deficient, which is not necessarily the 
case for states with high numbers of fatalities. We continue to believe 
that these states would benefit from additional technical assistance or 
review and revised our recommendation to provide NHTSA with flexibility 
to determine the best approach to target expertise and technical 
assistance to these states. We revised our draft recommendation in this 
area accordingly. DOT did not comment on our other four 
recommendations. DOT also provided technical comments, which we 
incorporated as appropriate throughout the report. 

We are sending copies of this report to interested congressional 
committees, the Secretary of Transportation, and the Administrator of 
NHTSA. We will also make copies available to others upon request. In 
addition, the report will be available at no charge on the GAO Web site 
at [hyperlink, http://www.gao.gov]. 

If you or your staff have any questions about this report, please 
contact me at (202) 512-2834 or siggerudk@gao.gov. Contact points for 
our Offices of Congressional Relations and Public Affairs may be found 
on the last page of this report. GAO staff who made major contributions 
to this report are listed in appendix II. 

Signed by: 

Katherine A. Siggerud: 

Managing Director, Physical Infrastructure Issues: 

[End of section] 

Appendix I: Objectives, Scope, and Methodology: 

The Safe, Accountable, Flexible, Efficient Transportation Equity Act: A 
Legacy for Users (SAFETEA-LU) added Section 412 to Title 23 U.S.C., 
which among other things included a requirement that GAO analyze the 
effectiveness of the National Highway Traffic Safety Administration's 
(NHTSA) oversight of traffic safety grants and usefulness of the 
NHTSA's advice to states on the management of safety programs. In 
addition, as the federal government prepares to reauthorize highway 
safety programs, the Senate Committee on Commerce, Science and 
Transportation and the House Committee on Transportation and 
Infrastructure asked us to provide information on how states have used 
Section 402 safety grants and how NHTSA oversees state progress under 
these grants. To address these issues, we examined (1) how states have 
used Section 402 funding to achieve national safety goals, (2) the 
progress NHTSA has made toward addressing consistency in the management 
review process, (3) how useful NHTSA's management reviews and 
recommendations are in improving management of state safety programs, 
and (4) the approaches currently available to improve safety outcomes. 

To address each of our objectives, we reviewed relevant legislation, 
rule making, and guidance and conducted interviews with key officials. 
Specifically, we interviewed NHTSA officials from headquarters and the 
10 regional offices, as well as officials from the Governors Highway 
Safety Association (GHSA), a nonprofit association representing state 
highway safety programs, to gather their perspectives on these issues. 
To obtain insight from state officials on our objectives, we conducted 
site visits with eight traffic safety departments in Arizona, Idaho, 
Maine, Minnesota, Nevada, Texas, West Virginia, and Wisconsin and 
interviewed state highway traffic safety staff as well as two to three 
state subgrantee recipients of NHTSA's highway traffic safety funding 
in each state. We chose these states based on several criteria, 
including states that had (1) a management review in 2005 or early 
2006, (2) varying amounts of Section 402 grant funding and incentive 
grants that added to their overall safety grant funding, and (3) 
different geographic areas and NHTSA regions. See table 5 below for a 
summary of these criteria. 

Table 5: States Visited and Key Selection Criteria: 

State: Arizona; 
Date of last management review (2005 or early 2006): July 2005; 
Amount of Section 402 grant funding received in fiscal year 2006 
(rank): $3,497,557 (21); 
Incentive grants received in fiscal year 2006[A]: Alcohol-Impaired 
Driving Motorcyclist Safety Traffic Data; Geographic area/ NHTSA 
region: Western/Region 9. 

State: Idaho; Date of last management review (2005 or early 2006): 
February 2005; Amount of Section 402 grant funding received in fiscal 
year 2006 (rank): $1,296,592 (42); 
Incentive grants received in fiscal year 2006[A]: Alcohol-Impaired 
Driving Motorcyclist Safety Traffic Data; Geographic area/ NHTSA 
region: Pacific Northwest/ Region 10. 

State: Maine; Date of last management review (2005 or early 2006): June 
2005; Amount of Section 402 grant funding received in fiscal year 2006 
(rank): $1,073,507 (43); 
Incentive grants received in fiscal year 2006[A]: Alcohol-Impaired 
Driving Child Safety Seats Motorcyclist Safety Traffic Data; Geographic 
area/ NHTSA region: New England/Region 1. 

State: Minnesota; Date of last management review (2005 or early 2006): 
February 2005; Amount of Section 402 grant funding received in fiscal 
year 2006 (rank): $4,327,252 (16); 
Incentive grants received in fiscal year 2006[A]: Alcohol-Impaired 
Driving Motorcyclist Safety Traffic Data; Geographic area/ NHTSA 
region: Great Lakes/Region 5. 

State: Nevada; Date of last management review (2005 or early 2006): 
August 2005; Amount of Section 402 grant funding received in fiscal 
year 2006 (rank): $1,507,235 (37); 
Incentive grants received in fiscal year 2006[A]: Alcohol-Impaired 
Driving Motorcyclist Safety Traffic Data; Geographic area/ NHTSA 
region: Rocky Mountain/ Region 8. 

State: Texas; Date of last management review (2005 or early 2006): 
March 2006; Amount of Section 402 grant funding received in fiscal year 
2006 (rank): $15,070,584 (2); 
Incentive grants received in fiscal year 2006[A]: Alcohol-Impaired 
Driving Motorcyclist Safety Safety Belt Use; Geographic area/ NHTSA 
region: South Central/ Region 6. 

State: West Virginia; Date of last management review (2005 or early 
2006): August 2005; Amount of Section 402 grant funding received in 
fiscal year 2006 (rank): $1,443,924 (40); 
Incentive grants received in fiscal year 2006[A]: Alcohol-Impaired 
Driving Child Safety Seats Motorcyclist Safety Prohibiting Racial 
Profiling Traffic Data; Geographic area/ NHTSA region: Mid 
Atlantic/Region 3. 

State: Wisconsin; Date of last management review (2005 or early 2006): 
January 2005; Amount of Section 402 grant funding received in fiscal 
year 2006 (rank): $4,332,858 (15); 
Incentive grants received in fiscal year 2006[A]: Alcohol-Impaired 
Driving Motorcyclist Safety Traffic Data; Geographic area/ NHTSA 
region: Great Lakes/Region 5. 

Alcohol-Impaired Driving = Alcohol-Impaired Driving Countermeasure 
Incentive Grants Child Safety Seats = Child Safety and Child Booster 
Seat Incentive Grants Motorcyclist Safety = Motorcyclist Safety Grants 
Prohibiting Racial Profiling = Racial Profiling Prohibition Grant 
Safety Belt Use = Safety Belt Performance Grants Traffic Data = State 
Traffic Safety Information System Improvement Grants: 

Source: GAO. 

[A] As a part of our selection criteria, we focused on whether states 
had received incentive grants that had been added or significantly 
changed by SAFETEA-LU. However, we did not include in our criteria the 
incentive grant to prohibit racial profiling in fiscal year 2006 
because so few of the states that met our initial criteria of having a 
management review in 2005 or 2006 received this grant. 

[End of table] 

We complemented our discussions with officials from NHTSA, the states, 
and GHSA with additional methodologies specific to each of the 
objectives. To determine how states have used Section 402 funding to 
achieve national safety goals, we analyzed data from NHTSA's Grants 
Tracking System (GTS) on state Section 402 and incentive grant 
expenditures from fiscal years 1999 through 2007. Specifically, we used 
the data to determine the percentage of Section 402 funding that states 
spent on individual safety goals over fiscal years 1999 through 2007 
and looked for changes in spending patterns over this time period. 
Prior to our analysis, we reviewed NHTSA's technical documentation 
related to GTS and assessed the reliability of this data by 
interviewing NHTSA headquarters officials as well as highway safety 
officials responsible for entering data into GTS in the 8 states we 
visited, and we found that GTS data was reliable for the purposes of 
our report. 

To assess the progress NHTSA has made toward addressing consistency in 
the management review process, we reviewed prior GAO reports on NHTSA's 
oversight of states, NHTSA's 2004 report to Congress on changes to the 
management review process, NHTSA's guidance for carrying out management 
reviews, and templates NHTSA developed for written products produced 
during the review process. We also reviewed NHTSA's management review 
schedule to determine the approximate number of reviews completed 
yearly and the total number completed. In addition, we reviewed 56 
management review reports representing reviews conducted in fiscal 
years 2005 through 2007 to assess the consistency of these reports with 
respect to organization and content. We also reviewed the 38 corrective 
action plans available as of March 2008 to determine how often regional 
offices developed these plans, the number of management review 
recommendations included in the plans, and the extent to which the 
plans included information on whether states had implemented NHTSA's 
recommendations. 

To determine how useful management reviews and NHTSA's recommendations 
are to improving state safety programs, we reviewed GAO reports and 
Office of Management and Budget (OMB) publications related to oversight 
of federal grants, internal controls, and management principles related 
to running efficient and effective grant programs. We compared the 
management principles in these documents to NHTSA's guidance on the 
elements that should be examined in a management review to assess 
whether the management reviews address fundamental management 
principles established by GAO and OMB. In addition, we conducted a 
content analysis of 56 management review reports from fiscal years 2005 
through 2007 to determine the total number of recommendations that 
NHTSA made to states over this time period and assess whether there 
were commonalities in the recommendations that NHTSA made across 
states. With respect to liquidation rates, we used data from GTS to 
identify the average rate at which states liquidated Section 402 
funding from 1999 through 2007. We also reviewed NHTSA's summaries of 
the management reviews conducted in fiscal years 2005 and 2006 and 
summarized information from NHTSA's corrective action plans to 
determine the extent to which these tools had been used consistently by 
the regional offices. 

To describe the approaches NHTSA uses to improve safety outcomes, we 
reviewed NHTSA's procedures for (1) conducting special management 
reviews; (2) annual evaluations of state highway safety plans, 
performance plans, and annual reports; and (3) technical program 
assessments. We also reviewed the criteria NHTSA uses to select states 
for special management reviews and the schedule for conducting these 
reviews and technical program assessments over the last 3 years. 
Finally, we analyzed data provided by NHTSA on state performance with 
respect to the total number of alcohol-related fatalities and fatality 
rates as well as the number of unbelted fatalities and fatality rates 
from 1998 through 2006. 

We conducted this performance audit from July 2007 through July 2008 in 
accordance with generally accepted government auditing standards. Those 
standards require that we plan and perform the audit to obtain 
sufficient, appropriate evidence to provide a reasonable basis for our 
findings and conclusions based on our audit objectives. We believe that 
the evidence obtained provides a reasonable basis for our findings and 
conclusions based on our audit objectives. 

[End of section] 

Appendix II: GAO Contact and Staff Acknowledgments: 

GAO Contact: 

Katherine A. Siggerud, (202) 512-2834 or siggerudk@gao.gov: 

Staff Acknowledgments: 

In addition to the contact named above, other key contributors to this 
report were Cathy Colwell (Assistant Director), Caitlin Croake, Colin 
Fallon, Joah Iannotta, Bert Japikse, Thomas James, Thanh Lu, Grant 
Mallie, SaraAnn Moessbauer, and Nitin Rao. 

[End of section] 

Footnotes: 

[1] In 2005, motor vehicle crashes were the leading cause of death in 
the United States for young people ages 3 through 6 and 8 through 34. 
R. Subramanian, NHTSA, Traffic Safety Facts Research Note: Motor 
Vehicle Traffic Crashes as a Leading Cause of Death in the United 
States, 2005, DOT HS 810 936 (Washington, D.C., 2008). 

[2] Blincoe et al., NHTSA, The Economic Impact of Motor Vehicle 
Crashes, 2000 (Washington, D.C., 2002). The cost of traffic crashes 
includes the cost of fatalities, nonfatal injuries, and damaged 
vehicles. To adjust for inflation, we converted 2000 dollars into 2007 
dollars using a gross domestic product price index. 

[3] Management reviews generally involve reviewing a state's 
operational and financial management, grant projects, and whether 
states used funds in accordance with requirements. 

[4] See GAO, Highway Safety: Better Guidance Could Improve Oversight of 
State Highway Safety Programs, GAO-03-474 (Washington, D.C.: Apr. 21, 
2003). 

[5] GAO reported in March on NHTSA's incentive grants. See Traffic 
Safety: Grants Generally Address Key Safety Issues, Despite State 
Eligibility and Management Difficulties, GAO-08-398 (Washington, D.C.: 
Mar. 14, 2008). We reported in April on high-visibility enforcement: 
Traffic Safety: Improved Reporting and Performance Measures Would 
Enhance Evaluation of High-Visibility Campaigns, GAO-08-477 
(Washington, D.C.: Apr. 25, 2008). 

[6] In fiscal year 2007, all 50 states, the District of Columbia, 
Puerto Rico, Native American Nations, and 4 territories received 
Section 402 funding. In this report, we use the term "states" to refer 
to all of the entities that receive Section 402 funding. 

[7] The formula includes a minimum apportionment so that all states 
receive a minimum amount of dollars regardless of road miles and 
population. Section 402, Title 23 U.S.C., requires most states to 
provide matching funds of at least 20 percent of the total highway 
safety program costs, with the exception of states containing certain 
types of nontaxable federal lands. For these states, matching funds are 
calculated on a sliding scale and may be less than 20 percent of total 
highway safety program costs. 

[8] For more information on incentive grants, see GAO-08-398. 

[9] Beginning with fiscal year 2008 management reviews, recommendations 
that are compliance related are called findings while those that are 
best practices are called management considerations. This is discussed 
later in our report. 

[10] Following special management reviews, a performance enhancement 
plan is developed collaboratively between the regional office and the 
state. This plan details strategies for implementing recommendations, 
establishes target dates for completion of each recommendation, and 
contains status notes indicating progress toward meeting each 
recommendation. 

[11] According to data provided by NHTSA, alcohol-impaired and unbelted 
driving are the leading factors contributing to traffic fatalities. For 
example, from 2000 through 2006, these two factors contributed from 
about 78 percent to 84 percent of annual traffic fatalities. A NHTSA 
official noted that there is overlap between these factors, in that 
many of the people killed in alcohol-related crashes were also 
unbuckled. 

[12] Fiscal year 2007 data are the most current complete fiscal year 
data available. Because these are budget numbers, we are reporting them 
in nominal dollars. When evaluating trends in spending over time, we 
used budget numbers that we inflation-adjusted into constant 2007 
dollars. 

[13] These percentages may underestimate actual state spending because 
there is some overlap between program areas. According to NHTSA 
officials, states may use community traffic safety projects to address 
any traffic safety goal. For example, states may fund community 
projects to reduce alcohol-impaired driving but may categorize these 
activities in NHTSA's Grants Tracking System (GTS) as community traffic 
safety projects rather than alcohol-impaired driving activities. 

[14] According to data provided by NHTSA, speeding contributed from 30 
percent to 32 percent of annual traffic fatalities from 2000 through 
2006. Motorcycles were involved in an increasing percentage of fatal 
crashes over this time period, from about 7 percent in 2000 through 
about 12 percent in 2006. According to NHTSA, there is some overlap 
between speeding and other contributing factors such as alcohol- 
impaired driving and unbelted driving. 

[15] They also used the funding to pay grant planning and 
administration costs. 

[16] As noted earlier in this report, NHTSA's nine national safety 
priorities, established by rulemaking prior to SAFETEA-LU are: alcohol- 
and drug-impaired driving, occupant protection, traffic law enforcement 
activities, emergency medical services, traffic records, motorcycle 
safety, pedestrian and bicycle safety, roadway safety, and speed 
control. 

[17] American Samoa was the only state or territory that did not 
receive a management review for fiscal years 2005 through 2007. A NHTSA 
official told us that due to a limited travel budget, the regional 
office was unable to conduct an on-site management review during those 
fiscal years. The regional office plans on conducting an on-site visit 
in fiscal year 2008. American Samoa received $1.6 million in federal 
highway safety funding for fiscal year 2007, one of the lowest amounts 
of funding in the nation. 

[18] U.S. Department of Transportation, Office of the Inspector 
General, Best Practices for Improving Oversight of State Highway Safety 
Programs, MH-2008-046 (Washington, D.C., 2008). 

[19] For 5 of 18 states, corrective action plans were still being 
developed by March 2008 because the management review had taken place 
late in fiscal year 2007. 

[20] Additionally, NHTSA developed monitoring guidance for regional 
offices that includes the minimum number of times regional offices 
should conduct on-site monitoring of states. NHTSA officials believe 
this will ensure more consistency in the monitoring of grantees outside 
the management review. 

[21] See, for example, 2 CFR Part 215 (OMB Circular A-110) and OMB 
Circular A-102 (the Common Rule). Also see GAO, Standards for Internal 
Controls in the Federal Government, GAO/AIMD-00-21.3.1 (Washington, 
D.C.: November 1999); and Internal Control Management and Evaluation 
Tool, GAO-01-1008G (Washington, D.C.: August 2001). 

[22] These recommendations included findings and management 
considerations, as NHTSA did not differentiate these recommendations 
during this period. 

[23] We did not examine NHTSA's evaluations of the progress made by 
individual states and territories as part of this study. 

[24] To select states for a special management review, each year NHTSA 
headquarters officials compare state performance in impaired driving 
and safety belt use over the prior 3 years with average national 
performance over the same period. States with alcohol-related fatality 
rates consistently above the national average or safety belt use rates 
consistently below the national average that have also shown relatively 
low levels of improvement over time--defined as less than half of the 
average national improvement--may be selected to receive a special 
management review. 

[25] The Standardized Field Sobriety Test (SFST) is a battery of three 
tests administered and evaluated in a standardized manner to obtain 
validated indicators of impairment and establish probable cause for 
arrest. SFST training programs help law enforcement officers become 
more skillful at detecting DWI suspects, describe the behavior of these 
suspects, and present effective testimony in court. 

[26] The incentive grants include the Occupant Protection, Safety Belt 
Use, Child Safety and Booster Seat Use, Alcohol Impaired Driving 
Countermeasures, Motorcyclist Safety, and State Traffic Information 
Systems Improvement grants. 

[27] C. Liu et al., NHTSA, States with Primary Enforcement Laws Have 
Lower Fatality Rates, DOT HS 810 557 (Washington, D.C., 2006). This 
study was updated in 2008 and reached the same conclusion, although the 
difference in fatality rates between states with primary safety belt 
laws and all other states was smaller. 

[28] Primary safety belt laws allow law enforcement officers to stop a 
driver for not wearing a safety belt and issue a ticket. 

[29] In addition, states can qualify for a first-time Motorcyclist 
Safety incentive grant by meeting criteria including achieving a 
reduction in fatalities and crashes involving motorcycles in the 
preceding year. However, eligibility for the Occupant Protection grant 
is not tied to performance outcomes but rather to state action on four 
of six criteria, for example, establishing a statewide child passenger 
protection program that includes educational programs on proper safety 
seat use. Similarly, to be eligibile for a first-time State Traffic 
Information Systems Improvement grant, states must establish a traffic 
records coordinating committee and a related strategic plan, and 
certify that the state is using model data elements. 

[30] While the Alcohol Impaired Driving Countermeasures incentive grant 
targets states with very low fatality rates, it also targets states 
with very high fatality rates by automatically qualifying the ten 
states with the highest alcohol-related fatality rates for this grant. 
For more information, see GAO-08-398. 

[31] Calendar year 2006 fatality data is the most current complete year 
of fatality data available. 

[32] We analyzed data over 9 years to show general patterns over time. 
However, as noted above, NHTSA examines alcohol-related fatality data 
in 3-year intervals and compares performance during these intervals to 
performance in the base year prior to these intervals. 

[33] For more information, see GAO-08-398. 

[34] For more information, see GAO-08-398. 

[35] Texas was the only state that had a primary safety belt law in 
effect at the time of our visit. However, after our visit, Maine passed 
a primary safety belt law. 

[36] Beginning in fiscal year 2008, states can qualify for the Safety 
Belt Use incentive grant either by passing a primary safety belt law or 
by achieving a safety belt use rate of at least 85 percent in the two 
preceding calendar years. According to a NHTSA official, in fiscal year 
2008, only 1 new state qualified for this grant by passing a primary 
safety belt law. 

[37] For more information, see GAO-08-398. 

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