I'm leary of program ratings like this at OMB. Skimming the ratings for programs with which I used to be familiar doesn't give me a warm and fuzzy feeling; nor is the wording concrete enough to convey a clear message to the layman. In general, there's too much bureaucracy, too little involvement of the hands on people, too little significance to the ratings (i.e., does Congress increase or decrease appropriations based on the rating?). The Government Performance and Results Act (GPRA--I may have the title wrong) was enacted around 1990 and we've all seen the benefits from it.
Still, Rome wasn't built in a day.