The Hot Coffee module for Rockstar's Grand Theft Auto: San Andreas and its temporary re-rating to AO (adults only) by the ESRB has focused more attention on how video games are rated in the U.S. However, in the United Kingdom, game raters scratched their heads and wondered what all the fuss was about. The difference points up the cultural and procedural game ratings system differences among different territories of the world. Patricia Vance, president of the ESRB, says the organization needs full disclosure of all pertinent content by the publishers of the games, This is accomplished with a detailed written questionnaire that documents everything thats relevant to our rating system. In asking for pertinent content, the meaning is spelled out so that game publishers will not misinterpret it easily, says Vance. ESRB also includes information regarding review of content and how to prepare it for submission. If publishers still are uncertain, the can refer to the contact information on the ESRB's Web site and reach those in the ratings department, whom they probably already know. Vance is aware that the next generation of game consoles and more advanced technology will substantially change the face of the industry, and urges parents to be more vigilant. Topics covered include the voluntary system used by most videogame retailers in the United Kingdom (who will not sell un-rated games), the single video game rating system that is now administered by the VSC in the UK and the Netherlands institute for the classification of audiovisual media (and is used by 20 companies), UK ratings (percentages used by the BBFC in the UK), and government oversight in Australia.