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Single Audits

Improving Quality

The Department of Health and Human Services (HHS), Office of Inspector General (OIG) has created this educational resource for recipients of Federal financial assistance, Federal program officials, and members of the audit community to strengthen their understanding of the scope, and improve the quality, of Single Audits.

Under the Single Audit Act Amendments of 1996, a Single Audit is an organization-wide audit of a non-Federal entity’s financial statements and of its expenditures of Federal awards. A Single Audit allows one audit to cover the audit requirements for multiple Federal awards.

HHS is the largest grant-making agency in the Federal Government, and quality Single Audits are a key component of the oversight of Federal funds for HHS programs. Under Title 2 Code of Federal Regulations (CFR) Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), HHS is charged with oversight responsibilities over Single Audits to monitor how recipients are using Federal funds for HHS programs. HHS has implemented the uniform guidance codified in 2 CFR 200 for HHS recipients at 45 CFR Part 75. High-quality Single Audits help HHS-OIG carry out its mission to provide oversight that promotes the economy, efficiency, effectiveness, and integrity of HHS programs.

Specifically, HHS-OIG uses Single Audits to identify instances of mismanagement of Federal funds, noncompliance, or indications of fraud, waste, and abuse within HHS programs.

HHS-OIG carries out oversight of Single Audit quality consistent with the duties and responsibilities outlined in section 4 of the Inspector General Act of 1978 (Public Law No. 95-452). HHS-OIG conducts its work in accordance with Generally Accepted Auditing Standards, Generally Accepted Government Auditing Standards, the requirements of the Uniform Guidance, and other legal, regulatory, and administrative requirements. In accordance with the specific oversight responsibilities under the Uniform Guidance, HHS-OIG:

  1. conducts desk reviews,
  2. performs quality control reviews, and
  3. provides technical assistance.

Further information about these activities appears elsewhere on this web page.

HHS-OIG’s oversight work has a direct, positive impact on improving the administration and performance of Federal programs. By working to improve the quality of Single Audits, HHS‑OIG provides assurance to the public that taxpayer dollars are being safeguarded and spent for their intended purposes, resulting in millions of Americans receiving improved health care and human services.

Additional Information