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11.1

11.3

11.5

Identification code 09-20-0315-0-1-059

1964 actual

Personnel compensation:
Permanent positions..
Positions other than permanent..
Other personnel compensation...

17,195 -10

Total personnel compensation. 12.0 Personnel benefits....

17,185

16,653 -13,592 -165

1965 estimate

20,080 13,000

1 Includes capital outlay as follows: 1964, $4,397 thousand; 1965, $1,440 thousand; 1966, $29 thousand.

2 Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1963, $15,050 thousand; 1964 adjustments (-$165 thousand); 1964, $11,936 thousand; 1965, $5,340 thousand; 1966, $8,235 thousand.

11,541

1. Medical stockpile. The goal of this activity is to insure to the greatest extent possible the availability of adequate and usable medical supplies and equipment for civilian needs in time of disaster. Medical supplies and equipment are assembled into emergency hospitals that are pre-positioned in strategic locations under written agreement between the Federal Government and the custodial State. Funds previously appropriated provided for 2,820 such hospitals. The estimate for 1966 provides for the partial replacement of deteriorated supplies in the stockpile; the procurement of supplies to increase the operational capability of 1,930 pre-positioned hospitals having a 3-day supply to a 30-day supply of materials; increased maintenance activities of stock surveillance and quality control measures; and for placement of reserve bulk stocks in secured underground storage facilities.

1964 actual

11,541

13,592 -12,133

1,662 48

6

2. Emergency health training and community preparedness.-This program is concerned with the preparation of the Nation to meet its health needs in emergency situations through the development of plans and programs covering emergency health services, civilian health manpower, and health resources; implementation of emergency plans and programs in every State and community; development and initiation of training and health resources programs at the national and regional levels, and provision of assistance to States and communities toward achievement of emergency health capabilities; and through development of health rehabilitation and restoration plans to be utilized during the recovery period following an enemy attack or peacetime natural disaster.

Object Classification (in thousands of dollars)

1,716

150

1966 estimate

20,380

20,380 12,133

-24,513

1,781 27

9

8,000

1,817

152

1965 1966 estimate estimate

1,782 27

9

1,818 152

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1. To begin a 5-year program to establish regional medical care, research, and training complexes to be operated in conjunction with university medical schools and planned jointly with the communities to be served. Each would include regional centers capable of providing complicated expensive diagnostic and treatment services for a variety of ailments, including heart disease, cancer and stroke. These centers would be supported by diagnostic and treatment stations in existing community hospitals. Grants will be available for construction and operating expenses.

2. To authorize a 5-year program of grants to support initial staffing costs of community mental health centers

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Under proposed legislation, 1966.-As part of the Administration's program for the control of environmental pollution and promotion of natural beauty, legislation is proposed to stimulate action to prevent and eliminate pollution caused by combined storm sewers and sanitary sewers. Combined sewer systems are the source of substantial river pollution, especially in the vicinity of our older cities. Funds proposed will be used to make project grants for research and demonstrations, and construction of separate sewers or other means for avoiding pollution

from combined sewers.

The estimate also includes funds (a) to strengthen enforcement of water and air pollution control measures, (b) to provide for increased grants to State water pollution control agencies, (c) to make possible additional control funds to State and local agencies under the Clean Air Act, and (d) to initiate research, demonstrations and construction of facilities for the disposal of refuse and other solid

waste.

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Public enterprise funds:

10

14

21.98

24.98

10 70

OPERATION OF COMMISSARIES, NARCOTIC HOSPITALS

Program and Financing (in thousands of dollars)

Program by activities:
Operating costs, funded:
Cost of goods sold..
Other....

Total operating costs, funded...
Capital outlay: Purchase of equipment.

Total program costs, funded..
Change in selected resources 1

Total obligations......-----
Financing:

Receipts and reimbursements from non-
Federal sources:

Sale of commodities.

Other revenue....

Proceeds from sale of equipment.....
Unobligated balance available, start of

year...

Unobligated balance available, end of

year..

New obligational authority.

Relation of obligations to expenditures:
Total obligations.....

Receipts and other offsets (items 11-17).

71

Obligations affecting expenditures. 72.98 Obligated balance, start of year.. 74.98 Obligated balance, end of year..

90

93

94

Revenue
Expense

Expenditures.
Cash transactions:
Gross expenditures..
Applicable receipts..

1964 actual

Net operating income or loss.. Nonoperating income: Proceeds from sale of equipment...

Net income or loss for the year.
Analysis of retained earnings:
Retained earnings, start of year..

Retained earnings, end of year..

177

70

247

6

253

-2

252

-244
-3
-1

-27

23

252 -248

4 18 -25

-3

249 -252

1964

actual

1965 1966 estimate estimate

184

69

247

249

-2

1

-1

50

49

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183

70

253

I

1 Balances of selected resources are identified on the statement of financial condition.

1

49

50

254

2

256

Budget program.-This fund is used to provide canteen items for sale to patients at Fort Worth, Tex., and Lexington, Ky., hospitals (57 Stat. 617). Proceeds of sales are available for replenishing stock and operating expense. The capital investment consists of $10 thousand appropriated in 1944 and $2 thousand of donated assets. Earnings are retained to meet possible future losses.

Revenue, Expense, and Retained Earnings (in thousands of dollars)

-252

-4

-21

21

256 -256

23 -25

256 -257

1965 1966 estimate estimate

256

255

1

50

51

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APPENDIX TO THE BUDGET FOR FISCAL YEAR 1966

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1963 1964 1965 1966 actual actual estimate estimate

Total costs, funded. 94.0 Change in selected resources..

99.0

Total obligations.

42 23

45

Total number of permanent positions.
Average number of all employees.

Average GS grade.

Average GS salary..

Average salary of ungraded positions.

12

24

4

88

26

12

50

62

Analysis of Government Equity (in thousands of dollars)

4

27

31

62

Personnel Summary

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Object Classification (in thousands of dollars)

1964 actual

178

6

253

-2

252

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13 12 5.0

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1 The changes in these items are reflected on the program and financing schedule.

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46

8

13

12

5.5

24

3

9

90

$5,397 $6,139
$4,675

$4,433

27

21

1965 1966 estimate estimate

12

51

63

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63

1

65

5

1

180

13

12

Intragovernmental funds:

5.5 $6,074 $4,575

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The Bureau of State Services management fund finances the research services, business operations, program direction, and program services provided by the staffs of the Office of the Bureau Chief for the community health and the environmental health programs, and the Sanitary Engineering Center in Cincinnati, Ohio. Formulas for determining the contribution from each appropriation are 254 designed to reflect utilization of services performed by the

2

management fund.

256

296 -296

Includes capital outlay as follows: 1964, $42 thousand; 1965, $33 thousand; and

1966, $87 thousand.

Selected resources as of June 30 are as follows: Unpaid undelivered orders. 1963, $199 thousand (1964 adjustments, $8 thousand): 1964, $76 thousand; 1965,

$76 thousand; 1966, $76 thousand.

The centralized staffs of the environmental health and community health offices of the bureau chief, and the Sanitary Engineering Center provide supporting services to program activities as follows:

Research services provides the central administration and operations of services required for the conduct of research activities in environmental health programs at the Sanitary Engineering Center. Included are such services as technical reporting, library and reference services, biometric services, laboratory equipment design

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609 6 561 7.8 $7,823

1. Research supporting services provide the central ad$5.805 ministration and operation of services for the conduct of research activities such as the planning and supervising the design, construction, and development of new research facilities; providing laboratory animals, culture media, and glassware; design and fabrication of laboratory instrumentation; operating the NIH medical reference library including the translation of medical literature; scientific photography and medical arts; maintenance and alteration of all physical facilities including utility services; and environmental engineering services.

1 Includes capital outlay as follows: 1964, $536 thousand; 1965, $1,188 thousand; 1966. $1,565 thousand.

Selected resources as of June 30 are as follows: Unpaid undelivered_orders, 1963, $2,439 thousand (1964 adjustment. -$55 thousand); 1964, $2,257 thousand; 1965, $2,257 thousand; 1966, $2,257 thousand.

3 Reimbursements from non-Federal sources are derived from the sale of meals to employees and others (42 U.S.C. 290).

The National Institutes of Health management fund was established to facilitate the conduct of operations of the National Institutes of Health which are financed by two or more appropriations. The activities of the fund are financed primarily from advances and reimbursements from the several institutes. Formulas for determining the contribution from each institute are designed to reflect utilization of services performed by the management fund. Taken into consideration are such factors as the number of activated beds in the clinical center, number of laboratory workers, total personnel, and dollar level of grant, direct research, and direct operations funds obligated by the Institute. A small portion of the funds comes from reimbursements from outside sources, principally cafeteria receipts, and from other Government agencies.

The centralized organizations of the National Institutes of Health provide supporting services to all programs as follows:

2. Clinical supporting services consist of the operation of the 516-bed clinical center together with the laboratory space required for the treatment of research patients.

3. Administrative management includes personnel, supply, financial management, office services, plant safety, management audit and analyses, audit of activated grants, and printing and reproduction.

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APPENDIX TO THE BUDGET FOR FISCAL YEAR 1966

Personnel compensation: Permanent positions...Positions other than permanent.... Other personnel compensation..

Object Classification (in thousands of dollars)

1964 actual

1964 actual 1965 estimate 1966 estimate

$400,000

$406,899 34,077

25,000

440,976

425,000

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210,295 195,000

230,681

230,000

440,976 425,000

Total number of permanent positions.. Full-time equivalent of other positions.. Average number of all employees. Average GS grade.......

Average GS salary..

Average salary of ungraded positions..

$400,000 25,000

425,000

25,713

615

1,053

Personnel Summary

27,381

2,383

523 50 1,930

420 3,174

3,494

1,041 2

40,399 --44

40,354

4,552

120

4,326

7.1

$7,024

$5.104

1965 estimate

27,642 637

1,036

29,315

2,585

195,000 230,000

425,000

708

44 2,268

331

3,035

4,160

1,188

1966 estimate

4,754

118 4,393

7.3 $7,484

$5,133

27,936

655 1,072

29,663

2,641

631 49 2,374

348

3,322

4,456

1,565

43.634 -44

45,049 -44

43,590 45,005

4,775 121 4,420 7.3 $7,559

$5,142

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