Governance and accountability

Governance evidence

What agencies reported about the OMB M-25-21 minimum practices for high-impact AI. This is a disclosure analysis, not an audit, a compliance finding or an official assessment. An unanswered question is missing evidence, not evidence that a safeguard is absent.

Governance report

Practice-by-practice evidence

Denominator: 66 records · use cases designated high-impact

Reported in placeReported in progressNot applicableOther or ambiguous answerNo answer reported

Pre-deployment testing

Pre-deployment testing
Reported in place: 2 (3.0%)Pre-deployment testing
Reported in progress: 2 (3.0%)Pre-deployment testing
No answer reported: 62 (93.9%)

AI impact assessment

AI impact assessment
Reported in place: 1 (1.5%)AI impact assessment
Reported in progress: 3 (4.5%)AI impact assessment
No answer reported: 62 (93.9%)

Independent review

Independent review
Reported in place: 1 (1.5%)Independent review
Reported in progress: 3 (4.5%)Independent review
No answer reported: 62 (93.9%)

Ongoing monitoring

Ongoing monitoring
Reported in place: 2 (3.0%)Ongoing monitoring
Reported in progress: 2 (3.0%)Ongoing monitoring
No answer reported: 62 (93.9%)

Operator training

Operator training
Reported in place: 2 (3.0%)Operator training
Reported in progress: 2 (3.0%)Operator training
No answer reported: 62 (93.9%)

Fail-safe

Fail-safe
Reported in place: 2 (3.0%)Fail-safe
Reported in progress: 2 (3.0%)Fail-safe
No answer reported: 62 (93.9%)

Appeal process

Appeal process
Reported in progress: 2 (3.0%)Appeal process
Not applicable: 2 (3.0%)Appeal process
No answer reported: 62 (93.9%)

User and public consultation

User and public consultation
Reported in place: 1 (1.5%)User and public consultation
Reported in progress: 2 (3.0%)User and public consultation
Other or ambiguous answer: 1 (1.5%)User and public consultation
No answer reported: 62 (93.9%)

Practice	In scope	In place	In progress	N/A	Other	No answer	Answered	In place of applicable
Pre-deployment testing	66	2	2	0	0	62	6%	3% of 66
AI impact assessment	66	1	3	0	0	62	6%	2% of 66
Independent review	66	1	3	0	0	62	6%	2% of 66
Ongoing monitoring	66	2	2	0	0	62	6%	3% of 66
Operator training	66	2	2	0	0	62	6%	3% of 66
Fail-safe	66	2	2	0	0	62	6%	3% of 66
Appeal process	66	0	2	2	0	62	6%	0% of 64
User and public consultation	66	1	2	0	1	62	6%	2% of 66

Answered = records with any answer ÷ records in scope. In place of applicable = reported in place ÷ (in scope minus not applicable, precluded and waived). Unanswered records stay in that denominator, so the rate is a lower bound on reported evidence, not an estimate of real practice.

Agency-by-safeguard heatmap

Cell: share reported in place, among applicable recordsIn place Answered

Agency by governance practice
	Testing	Impact assess.	Indep. review	Monitoring	Training	Fail-safe	Appeal	Consultation	n
VA	–	–	–	–	–	–	–	–	62
DOJ	0%	0%	0%	0%	0%	0%	0%	0%	2
SSA	100%	100%	100%	100%	100%	100%	0%	0%	1
STATE	100%	0%	0%	100%	100%	100%	0%	100%	1

Hatched cells: the agency answered nothing for that practice, so there is no evidence either way. Compare agencies with care: each agency is one reporting unit, and portfolios differ in size and type.

Records requiring further investigation

65 records with at least one practice unanswered or in progressOpen in explorer

Use case	Stage	Test	AIA	Review	Monitor	Train	Fail-safe	Appeal	Consult
Community Treatment Pipeline Screening DOJ · DOJ-0149	Deployed	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress
UpToDate DOJ · DOJ-0170	Deployed	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress
Electronic Health Record AI Enhancements STATE · R3248	Deployed	Reported in place	Reported in progress	Reported in progress	Reported in place	Reported in place	Reported in place	Not applicable	Reported in place
AGFA DR 800 with MUSICA Dynamic VA · VA-24-1069	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Xeleris V VA · VA-24-1397	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
TrueFidelity CT Deep Learning Image Reconstruction VA · VA-24-1766	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
AIDOC BriefCase VA · VA-24-1803	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
iCAD ProFound AI VA · VA-24-1848	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Circle CVI42 VA · VA-24-1934	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
VA CART Adenoma Detection VA · VA-24-2008	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Zio ECG Utilization Service VA · VA-24-2754	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
SOMATOM go.Up; SOMATOM go.Now; SOMATOM go.All; SOMATOM go.Top; SOMATOM go.Sim; SOMATOM go.Open Pro; SOMATOM VA · VA-24-3131	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
3M/Solventum 360 Encompass Computer Assisted Coding - Auto Suggestion VA · VA-24-3205	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Vivid iq VA · VA-24-3213	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
EchoPAC Software Only, EchoPAC Plug-In VA · VA-24-3295	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Densitas Density AI VA · VA-24-3414	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Riverain ClearRead CT VA · VA-24-3455	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Transpara Breast Care VA · VA-24-3537	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
XIDF-AWS801, Angio Workstation (Alphenix Workstation), V9.5 VA · VA-24-3541	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Workflow Box VA · VA-24-3705	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
eCaremanager (Philips) VA · VA-24-3906	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Voluson Expert 22, Voluson Expert 20, Voluson Expert 18 VA · VA-24-3951	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
CareLink Home Monitoring VA · VA-24-4107	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
GE Portable Critical Care Suite 2.x VA · VA-24-413	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Stratification Tool for Opioid Risk Mitigation (STORM) VA · VA-24-4152	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Vereos PET/CT VA · VA-24-4197	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
REACH VET Suicide Risk Prediction and Recovery Engagement VA · VA-24-4234	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Venue Fit VA · VA-24-4238	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Velacur VA · VA-24-4279	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Syngo Application Software VA · VA-24-4320	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Rapid AI VA · VA-24-4353	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Spine Planning (2.0), Elements Spine Planning, Elements Planning Spine VA · VA-24-4361	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Preventice BodyGuardian Remote Monitoring System VA · VA-24-4599	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
EPIQ Series Diagnostic Ultrasound System; Affiniti Series Diagnostic Ultrasound System VA · VA-24-4607	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
OPTIS Mobile Next Imaging System, OPTIS Integrated Next Imaging System VA · VA-24-4689	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
O-arm O2 Imaging System VA · VA-24-4730	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
MAGNETOM Vida; MAGNETOM Lumina; MAGNETOM Aera; MAGNETOM Skyra; MAGNETOM Prisma; MAGNETOM Prisma fit VA · VA-24-4812	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
3D Quorum VA · VA-24-4923	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
QVCAD System VA · VA-24-5005	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Quantra VA · VA-24-5046	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Discovery MI Gen2 VA · VA-24-5140	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Genius AI VA · VA-24-5169	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
CT CoPilot VA · VA-24-5222	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Cranial Navigation, Navigation Software Cranial, Navigation Software Craniofacial, Cranial EM System, Automatic Registration iMRI VA · VA-24-5263	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Nediser Reports QA VA · VA-24-5464	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Care Assessment Needs (CAN) Score VA · VA-24-5501	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
VA CART SYNTAX Risk Model VA · VA-24-5542	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
VA CART Mortality Model VA · VA-24-5583	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
VA CART Nephropathy Risk Model VA · VA-24-5624	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
BioPlex 2200 ANA Screen with Medical Decision Support Software for Use with BioPlex 2200 Multi-Analyte Detection System VA · VA-24-5714	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
VA CART Bleeding Risk Model VA · VA-24-5788	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Aplio i900, Aplio i800 and Aplio i700 Software V8.1 Diagnostic Ultrasound System VA · VA-24-5960	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Acumen Hypotension Prediction Index - EV1000 Clinical Platform, Acumen Hypotension Prediction Index - Hemosphere Advanced Monitoring Platform, Acumen Hypotension Prediction Index, Hemosphere Advanced Monitoring Platform - Pressure VA · VA-24-6042	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Continuous Glucose Monitoring Summary VA · VA-25-1506	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
CarestreamCS 9600 VA · VA-25-1891	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
No Missed Malignancy (NMM) VA · VA-25-2045	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Sleep Apnea VA · VA-25-2168	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Coordinated Care Tracking System (CCTS) Generative AI Support VA · VA-25-2209	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Siemens Sequoia Crown VA · VA-25-2516	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Philips 7300 C VA · VA-25-4280	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
VASQIP Mortality Calculator VA · VA-25-4960	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Frailty Risk Analysis VA · VA-25-5001	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Butterfly iQ3 Ultrasound System VA · VA-25-5189	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
CareView Patient Safety System VA · VA-25-5313	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
GE Omni Legend VA · VA-25-6290	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported

Unanswered analytical questions

Generated from the data; for follow-up with agencies

VA designated 62 use cases high-impact but answered none of the minimum-practice questions for any of them. Were the practices assessed, and where is that recorded?
3 high-impact use cases are reported as deployed while their AI impact assessment is reported in progress. Was deployment authorised before the assessment was complete?
2 high-impact use cases mark an appeal process as not applicable. On what basis was each individual outcome judged not contestable?
3 high-impact use cases report using PII but give no link to a Privacy Impact Assessment. Is a PIA published elsewhere?

These are questions the inventory raises but cannot answer. They are not findings of non-compliance.