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Congressional Justification FY 2022

Department of Health and Human Services
National Institutes of Health
National Library of Medicine (NLM)

2022 Congressional Justification (PDF)
2022 Fact Sheet (PDF)

FY 2022 Budget

Director's Overview

Close-up portrait photograph of Patricia Flatley Brennan, RN, Ph D. smiling with clasped hands under her chin.

Patricia Flatley Brennan R.N., Ph.D

Mission
The National Library of Medicine (NLM) is a leader in biomedical and health data science research and the world’s largest biomedical library.  Our research and information services support scientific discovery, health care delivery, and public health decision making.  We pioneer new ways to make biomedical data and information more accessible, build tools for better data management and personal health, and help create a more diverse and data-skilled workforce.  Our work enables researchers, clinicians, and the public to use a wealth of biomedical data to improve health. There is not a biomedical discovery, public health advance, or clinical care action in the past 30 years that has not benefited from NLM resources.

As 1 of the 27 Institutes and Centers of the National Institutes of Health (NIH), NLM actively contributes to and enhances the discovery and outreach efforts of the NIH. We conduct and support research in computational biology and computational health sciences, and we gather and disseminate biomedical and health data and scientific information resources to enable discovery and health.  Our Congressional authorization, as relevant now as it was 65 years ago, charges NLM to acquire, organize, preserve, publish, and make available biomedical and health information to support research and public health.  We are distinctive within the NIH because of our substantial investment in sustainable biomedical information systems that make scientific literature, genomic, clinical, and other types of biomedical data readily available to those who need it.  We are unique because we stimulate and support innovative research in data science and information management that transcends specific disease areas and data types.

Key NLM Work and Innovation
As NLM works to achieve key objectives of our Strategic Plan — to accelerate data powered discovery and health, reach new users in new ways, and prepare a workforce for a future of data-driven research and health — we also support NIH-wide efforts to answer the call to respond to national priorities, close the gap in health disparities, and capitalize on fundamental investments.  We do this through effective preservation of our valued scientific and data resources, judicious investments in extramural and intramural research, informed stewardship of Federal resources, and innovative partnerships to align priorities and leverage investments across HHS, the Federal government, and the biomedical research community.

Answering the call to respond to national priorities
NLM was quick to act on multiple fronts to improve the understanding of SARS-CoV-2 and aid in the global response to the COVID-19 pandemic.  In January 2020, NLM released the first fully annotated SARS-CoV-2 gene sequence to the public through our GenBank® database, the world’s largest database of publicly available genetic sequences.  It is a significant accomplishment to release a fully annotated digital genetic sequence of a virus within a month of its detection in a human population.  Because NLM maintains extensive data repositories of nucleic acid sequences, the building blocks of genes, researchers were able to search NLM’s entire Sequence Read Archive (SRA) to better understand and characterize the biological properties of SARS-CoV-2 in record time.[1]  NLM created a dedicated website, the SARS-CoV-2 Data Resources page,[2] for researchers to search, retrieve, and analyze data for more than 70,000 digital genomic sequences of the virus.  Providing free access to SARS-CoV-2 viral genome sequence data assures rapid dissemination and maximum impact of these data.

Graphic image with text heading of - Submit SARS-Cov-2 sequences

From January through September 2020, scientists have submitted data for more than 70,000 SARS-CoV-2 sequences to NLM's growing public archive.

We facilitate scientific discovery by connecting our data and information resources, including linking the results of individual clinical trials to associated journal publications that summarize the study.  Scientists and clinicians at NIH and around the world use our resources to accelerate the development of new approaches for COVID-19 testing, evaluate promising vaccine candidates, and demonstrate the effectiveness of new therapeutics.  NLM rapidly expanded access to full-text coronavirus-related scientific journal articles through our PubMed Central® (PMC) digital archive.  Following a call to action issued by the White House Office of Science and Technology Policy and science policy leaders of other nations, NLM began working with the global publishing community to make tens of thousands of research publications related to coronaviruses, and associated data, freely and immediately available to the public in forms that support automated text mining.  By collaborating with publishers, scholarly societies, and leading information technology (IT) companies, we helped make a massive collection of coronavirus-related information immediately accessible to artificial intelligence (AI) and machine learning researchers to accelerate discoveries about COVID-19.  To ensure rapid dissemination of comprehensive information about COVID-19 research, NLM adapted and streamlined submission procedures associated with our ClinicalTrials.gov database to prioritize the processing of coronavirus-related information, and to make study results more readily discoverable.  We implemented new features to ensure that information about COVID-19 studies registered on the World Health Organization’s International Clinical Trial Registry Platform are discoverable through ClinicalTrials.gov.  Our intramural and extramural research programs also pivoted to address the COVID-19 public health challenge.  For example, NLM intramural researchers and scientists supported by NLM grants began collaborating on wastewater surveillance for early detection of SARS-CoV-2. 

Closing the gap in health disparities
NLM offers unique information resources to close the gap in health disparities.  We support projects that provide health information to populations experiencing health disparities, including women with disabilities, low-income Hispanic children, and sexual and gender minorities.  Through more than 8,000 organizational members of our Network of the National Library of Medicine (NNLM), we deploy community-relevant strategies to make NLM’s resources known to everyone, from researchers to clinicians, to the general public.  With more than 60 percent of NNLM members serving underserved communities, this network provides a trusted local platform for outreach and engagement in support of major NIH initiatives such as the All of Us Research Program, the Helping to End Addiction Long-termSM (HEAL) initiative, and the Rapid Acceleration of Diagnostics (RADxSM) initiative addressing the COVID-19 pandemic.

NLM tools such as the NIH Common Data Elements (CDE) Repository provide researchers with access to systematic ways to characterize the age, gender, and racial and ethnic aspects of participants in research studies.  Use of formal approaches to define these important demographic characteristics allows researchers to better integrate the findings of one study with those from another, and better demonstrate the role of Federally funded research in illuminating the health challenges and health outcomes facing our country. Having a systematic way to express chronological age of participants also allows NLM’s ClinicalTrials.gov repository to meet NIH’s public commitment and public accountability for age-inclusivity in clinical trials.    

We strive to improve the diversity of the biomedical information science workforce, both within NLM and the larger scientific community.  Working with faculty in our 16 university-based research training programs, NLM is improving the pipeline of young scholars from groups underrepresented in the field of biomedical information science.  We are working with NLM-supported investigators to expand the engagement of scientific partners from all sectors of society.  For example, one of our university-based training grants is sponsoring summer research training for undergraduates at tribal colleges based on National Academy of Sciences recommendations on course-based undergraduate research experiences.  NLM supports research grants to apply computational and information approaches to reduce bias in health data and health communication.  For example, one project is building and evaluating a social signal processing model to improve patient-clinician communication among low income, racially diverse patients in primary care.  This research is expected to yield a new approach for the next generation of health care providers and educators; empower patients experiencing health disparities; and promote health care access, quality, and equity.

Capitalizing on fundamental investments and beyond
Establishing common vocabularies across clinical care settings improves the coordination of health care and the use of clinical data for research.  For more than 20 years, NLM has served as the central coordinating body for clinical terminology standards nationally.  Our efforts to develop, maintain, and disseminate terminology standards for medical concepts, laboratory tests, and drug names support communication among health information systems, and provide a foundation for enhanced interoperability among electronic health records (EHRs) and other critical health care information systems.  Our long-standing terminology efforts contributed to the COVID-19 response by allowing access to near-real time clinical information to guide the diagnosis, treatment, and prevention of this disease.

NLM serves as a trusted source for the world’s biomedical knowledge.  We adapt to changing technologies that support biomedical discovery and enhance individual and public health.  Over the past year, we increased use of commercial cloud computing by moving several of our essential public-facing resources to commercial cloud platforms.  We worked across NIH to ensure that commercial cloud providers have the necessary security protocols and data integrity operations to protect NLM’s valued biomedical resources.  Effective use of cloud computing improves efficiency, reliability, and security; it also opens new opportunities for discovery.  Moving large biomedical databases such as SRA to the cloud enables explorations not possible in smaller, on-premise computer systems.  It also democratizes access for scientists, industry, and the general public to use these resources for innovation.

Future Initiatives
NLM will continue to lead the development of analytics that uncover new patterns and biomedical phenomena from large genetic and literature databases, create innovative ways to reach scientists and society with trustable health information, and develop health data literacy among scientists, clinicians, librarians, and consumers.  Priorities for FY 2022 include efforts to:

  • Accelerate biomedical and health data science. Through increased investments in intramural and extramural research, NLM will create strategies that support efficient and accurate exploration of large biomedical databases and generate new analytical methods and models to gain new insights from clinical data.  We will also streamline our university-based research training programs to meet the information and training needs of future biomedical informatics scholars.  
  • Support public accountability and open science. We will leverage our expertise in creating high-quality, sustainable, and secure databases that make biomedical research information and data publicly accessible, such as ClinicalTrials.gov, PMC, and SRA.  We will make them accessible to support the emerging needs of scientists and the public.
  • Modernize NLM’s infrastructure. With the support and collaboration of other components of NIH, we will build a 21st century digital library that uses our collections to offer literature, data, analytical models, and new approaches to scientific communications that are accessible, sustainable, and available 24 hours a day, 7 days a week. 
  • Contribute to NIH- and government-wide priorities. We will share our scientific, policy, and program expertise in data science, data management, infrastructure, security, and workforce development to support priorities empowered by data science, AI, and open science.  We will provide critical support to NIH efforts such as health across the life span and the science of aging, including understanding why and how cells age (cellular senescence).  


Overall Budget Policy: The FY 2022 President’s Budget request is $474.9 million, an increase of $12.7 million from the FY 2021 Enacted level for NLM, which was $462.1 million.  Funds are included to strengthen intramural research in computational health and computational biology and enhance NLM’s most critical information services, including those that provide access to published biomedical literature, scientific and clinical data, and consumer health information.  We will also provide mission critical support for NIH data science goals and data sharing policies.  NLM will continue key intramural data science activities, including processing and organizing genomic data essential to understanding the novel coronavirus and updating clinical terminology standards required for interoperability of U.S. health data.  NLM will award an estimated 32 new research project grants through its extramural programs.  NLM will continue its outreach programs that promote access and training in the effective use of NLM resources for scientists, clinicians, patients, and the general public, while continuing to advance community engagement in the NIH All of Us Research Program.

[1] www.biorxiv.org/content/10.1101/2020.08.07.241729v1

[2] https://www.ncbi.nlm.nih.gov/sars-cov-2/


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Major Changes in the Budget Request

Major changes in the FY 2022 President’s Budget request for the National Library of Medicine (NLM) are briefly described below, by budget mechanism and activity detail.  Note that there may be overlap between budget mechanism and activity detail; thus, these highlights will not sum to the total for NLM’s FY 2022 President’s Budget request, which is $474.9 million, an increase of $12.7 million from the FY 2021 Enacted level of $462.1 million.  Within the FY 2022 request level and informed by the NLM Strategic Plan 2017-2027 and the NIH Strategic Plan for Data Science, NLM will pursue its highest priorities through strategic investments and careful stewardship of appropriated funds.

Extramural Programs (+$1.7 million; total $68.0 million):
With this increased level of funding, NLM will maintain support for its 16 university-based biomedical informatics and data science training programs, which will be recompeted in FY 2022.  NLM will award an estimated 32 new research project grants in biomedical informatics and data science and will maintain support the outreach and stakeholder engagement efforts of the newly configured Network of the National Library of Medicine.

Intramural Programs (+$10.6 million; total $385.4 million):
NLM’s intramural programs encompass intramural research and research training, as well as biomedical information services that support advances in computational health and computational biology; development of advanced biomedical information systems, standards, and research tools; acquisition, storage and distribution of biomedical data; and delivery of reliable, high-quality information services.  NLM will strengthen and activities that support NIH-wide interests in data science.  NLM will continue to enhance its information services while providing additional support for mission critical systems that are heavily used by researchers, clinicians, and the general public.  NLM will continue to support work to update and expand research use of clinical vocabularies and data interoperability standards that are increasingly important to NIH’s data science efforts.

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Budget Mechanism Total 1

(Dollars in Thousands)

MECHANISM FY 2020 Final FY 2021 Enacted FY 2022 President's Budget FY 2022+/-FY 2021 Enacted
No. Amount No. Amount No. Amount No. Amount
Research Projects:                        
 Noncompeting 78 $29,717 82 $26,949 88 $30,355 6 $3,406
 Administrative Supplements (9) 649 (0) 0 (0) 0 (0) 0
 Competing:                
Renewal 1 310 2 1,049 1 518 -1 -531
New 27 9,385 32 10,412 31 10,115 -1 -297
Supplements 0 0 0 0 0 0 0 0
 Subtotal, Competing 28 $9,695 34 $11,462 32 $10,634 -2 -$828
Subtotal, RPGs 106 $40,061 116 $38,411 120 $40,989 4 $2,578
 SBIR/STTR 4 1,653 5 1,553 5 1,599 0 46
Research Project Grants 110 $41,713 121 $39,964 125 $42,588 4 $2,624
Research Centers:                        
 Specialized/Comprehensive 0 $244 0 $32 0 $27 0 -$5
 Clinical Research 0 0 0 0 0 0 0 0
 Biotechnology 0 0 0 0 0 0 0 0
 Comparative Medicine 0 0 0 0 0 0 0 0
 Research Centers in Minority Institutions 0 0 0 0 0 0 0 0
Research Centers 0 $244 0 $32 0 $27 0 -$5
Other Research:                        
 Research Careers 12 $1,646 6 $616 2 $186 -4 -$430
 Cancer Education 0 0 0 0 0 0 0 0
 Cooperative Clinical Research 0 0 0 0 0 0 0 0
 Biomedical Research Support 0 0 0 0 0 0 0 0
 Minority Biomedical Research Support 0 0 0 0 0 0 0 0
 Other 40 24,891 41 25,316 39 24,806 -2 -510
Other Research 52 $26,537 47 $25,931 41 $24,991 -6 -$940
 Total Research Grants 162 $68,494 168 $65,928 166 $67,606 -2 $1,679
Ruth L Kirschstein Training Awards: FTTPs   FTTPs   FTTPs   FTTPs  
 Individual Awards 9 $367 8 $357 7 $330 -1 -$27
 Institutional Awards 0 0 0 0 0 0 0 0
Total Research Training 9 $367 8 $357 7 $330 -1 -$27
Research & Develop. Contracts 0 $16 0 $17 0 $16 0 $0
 (SBIR/STTR) (non-add) (0) (16) (0) (17) (0) (16) (0) (-0)
Intramural Research 557 367,417 638 374,847 638 385,397 0 10,550
Res. Management & Support 90 20,616 103 20,990 103 21,514 0 525
SBIR Admin. (non-add) (0) (0) (0) (0) (0) (0) (0) (0)
Construction    0    0    0    0
Buildings and Facilities    0    0    0    0
Total, NLM 647 $456,911 741 $462,138 741 $474,864 0 $12,726


Appropriations Language

For carrying out section 301 and title IV of the PHS Act with respect to health information communications, [$463,787,000]$474,864,000: Provided, That of the amounts available for improvement of information systems, $4,000,000 shall be available until September 30, [2022]2023: Provided further, That in fiscal year [2021]2022, the National Library of Medicine may enter into personal services contracts for the provision of services in facilities owned, operated, or constructed under the jurisdiction of the National Institutes of Health (referred to in this title as "NIH").

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Summary of Changes

Summary of Changes

(Dollars in Thousands)

FY 2021 Enacted $462,138
FY 2022 President's Budget $474,864
Net change $12,726

 

CHANGES FY2021 Enacted FY 2022 President's Budget Built-In Change from FY 2021 Enacted
FTEs Budget Authority FTEs Budget Authority FTEs Budget Authority
A. Built-in:            
 1. Intramural Programs:            
  a. Annualization of January 2021 pay increase & benefits   $104,521   $107,712   $278
  b. January FY 2022 pay increase & benefits   104,521   107,712   2,914
  c. Paid days adjustment   104,521   107,712   0
  d. Differences attributable to change in FTE   104,521   107,712   0
  e. Payment for centrally furnished services   4,579   4,808   229
  f. Cost of laboratory supplies, materials, other expenses, and non-recurring costs   265,748   272,878   6,124
  Subtotal           $9,545
 2. Research Management and Support:            
  a. Annualization of January 2021 pay increase & benefits   $13,142   $13,541   $35
  b. January FY 2022 pay increase & benefits   13,142   13,541   364
  c. Paid days adjustment   13,142   13,541   0
  d. Differences attributable to change in FTE   13,142   13,541   0
  e. Payment for centrally furnished services   846   888   42
  f. Cost of laboratory supplies, materials, other expenses, and non-recurring costs   7,002   7,086   126
  Subtotal           $567
  Subtotal, Built-in           $10,112

 CHANGES FY2021 Enacted FY 2022 President's Budget Program Change from FY 2021 Enacted
No. Amount No. Amount No. Amount
B. Program:            
  1. Research Project Grants:            
   a. Noncompeting 82 $26,949 88 $30,355 6 $3,406
   b. Competing 34 11,462 32 10,634 -2 -828
   c. SBIR/STTR 5 1,553 5 1,599 0 46
   Subtotal, RPGs 121 $39,964 125 $42,588 4 $2,624
 2. Research Centers 0 $32 0 $27 0 -$5
 3. Other Research 47 25,931 41 24,991 -6 -940
 4. Research Training 8 357 7 330 -1 -27
 5. Research and development contracts 0 17 0 16 0 0
  Subtotal, Extramural   $66,301   $67,953   $1,652
  FTEs   FTEs   FTEs  
 6. Intramural Programs 638 $374,847 638 $385,397 0 $1,005
 7. Research Management and Support 103 20,990 103 21,514 0 -42
 8. Construction   0   0   0
 9. Buildings and Facilities   0   0   0
  Subtotal, Program 741 $462,138 741 $474,864 0 $2,614
  Total built-in and program changes           $12,726

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Fiscal Year 2022 Budget Graphs

History of Budget Authority and FTEs:

Bar Graph for Funding Levels by Fiscal Year for FY2018 through FY2022

Funding Levels by Fiscal Year for FY2018 through FY2022


Data for Funding Levels by Fiscal Year for FY2018 through FY2022

Fiscal Year Funding
(Dollars in Millions)
2018 427.5
2019 440.8
2020 456.9
2021 462.1
2022 474.9

 

Bar Graph of FTEs by Fiscal Year for FY2018 through FY2022

FTEs by Fiscal Year for 2018 through 2022


Data for FTEs by Fiscal Year for FY2018 through FY2022

Fiscal Year FTEs
2018 700
2019 659
2020 647
2021 741
2022 741

 

Distribution by Mechanism:

Pie Chart of FY2022 Budget Mechanisms

(Budget in Thousands)

Pie Chart of FY 2022 Budget Mechanisms


Data for FY2022 Budget Mechanisms

(Budget in Thousands)

Mechanism Dollars Percentage
Research Project Grants $42,588 9%
Research Centers $27 0%
Other Research $24,991 5%
Research Training $330 0%
R&D Contracts $16 0%
Intramural Programs $385,397 81%
RMS $21,514 5%

 

Bar Graph of FY2022 Estimated Percent Change from FY 2021 Mechanism

Bar Graph of FY2022 Estimated Percent Change from FY 2021 Mechanism


Data for Bar Graph of FY2022 Estimated Percent Change from FY 2021 Mechanism

Mechanism Percentage Change
Research Project Grants 6.57%
Research Centers -15.63%
Other Research -3.63%
Research Training -7.56%
R&D Contracts -5.88%
Intramural Programs 2.81%
Res. Mgmt. & Support 2.5%

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Organizational Chart

Organizational chart - data below
  • Office of the Director
    Patricia Flatley Brennan, R.N., Ph.D., Director
    Jerry Sheehan, Deputy Director
    Valerie Florence, Ph.D., Acting Scientific Directory
    Todd D. Danielson, Associate Director for Administrative Management
    • Division of Extramural Programs
      Richard Palmer, Ph.D., Acting Director
    • Division of Library Operations
      Dianne Babski, Associate Director
    • Lister Hill National Center for Biomedical Communications
      Olivier Bodenreider, M.D., PhD., Acting Director
    • National Center for Biotechnology Information
      Stephen Sherry, Ph.D., Director

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Budget Authority By Activity 1

(Dollars in Thousands)

  FY 2020 Final FY 2021 Enacted FY 2022 President's Budget FY 2022 +/-FY 2021 Enacted
Extramural Research FTE Amount FTE Amount FTE Amount FTE Amount
Detail                
Health Information for Health Professionals and the Public (NN/LM)   $11,132   $11,559   $11,559   $0
Informatics Resources for Biomedicine and Health   17,469   14,778   13,806   -972
Biomedical Informatics Research   40,276   39,964   42,588   2,624
    Subtotal, Extramural   $68,878   $66,301   $67,953   $1,652
Intramural Research 557 $367,417 638 $374,847 638 $385,397 0 $10,550
Research Management & Support 90 $20,616 103 $20,990 103 $21,514 0 $525
   TOTAL 647 $456,911 741 $462,138 741 $474,864 0 $12,726

 

1Includes FTEs whose payroll obligations are supported by the NIH Common Fund.

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Justification of Budget Request

Authorizing Legislation:  Section 301 and title IV of the Public Health Service Act, as amended.

Budget Authority (BA):

  FY 2020
Final
FY 2021
Enacted
FY 2022
President's Budget
FY 2022 +/-
FY 2021
BA $456,911,000 $462,138,000 $474,864,000 +$12,726,000
FTE 647 741 741 0

 

Program funds are allocated as follows:  Competitive Grants/Cooperative Agreements; Contracts; Direct Federal/Intramural and Other.

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Program Descriptions and Accomplishments

Intramural Programs

NLM’s intramural programs encompass two major activities: 1) Intramural Research and Training; and 2) Biomedical Information Services.

Intramural Research and Training

NLM’s intramural research program is distinctive because it focuses on solving biological and clinical problems through the development of computational approaches that can be generalized and applied across multiple types of data, disciplines, and health issues.  NLM conducts research and training in computational biology and computational health sciences, leverages its robust biomedical information resources to answer complex questions with novel analytical approaches, and validates those methods for general use.  This work generates new knowledge, methods, and tools to help scientists and clinicians better understand basic biology and the natural history of disease, discover new approaches to care, and improve clinical decisions and health outcomes.  For example, an NLM researcher developed a new computational method to classify viruses and then, in collaboration with the International Committee on the Taxonomy of Viruses, disseminated the resultant taxonomy through NLM production resources where it is accessible to researchers around the world.  

NLM’s computational biology research develops and applies advanced algorithms and models to explore molecular and image data to better understand biological systems, and to examine biological phenomena across many levels of organization:  chemical, molecular, cellular, organ, individual, or population.  Recent work has explored the physical characteristics of proteins, examining the ways these basic building blocks of life change their structures and functions in response to changes in their environment.  Other work examining basic biological structures has resulted in a new computational approach to map what was once thought of as a non-functional part of the human genome and has since been determined to regulate how other genes are turned on and off.  These types of biological discoveries create new opportunities to determine where gene modifications or therapies may be effective.  Other research employs a multiple-organism approach to devise an innovative strategy based on comparative genomics to examine clusters of single-cell microbes to identify how microbes in close proximity share features with each other.  Once these similarities are identified computationally, investigators can generate hypotheses that can be tested and confirmed in biological laboratories.  NLM researchers also use network analysis to detect tumor clusters by identifying associations between gene structure mutations in cells, which could help researchers and clinicians understand more about how tumors evolve and improve methods of treatment.  This innovative work was codified in software that assists in the design and development of novel drug design pipelines.

Advancing Research in Artificial Intelligence

NLM plays an enormous role in supporting AI research and its application to biomedical discovery and clinical care at NIH.  NLM researchers explore several domains of AI research, including:

  • Natural language processing to develop and evaluate algorithms for automated analysis of text such as biomedical literature or electronic health records (EHRs). Recent work contributed to development of the Best Match search algorithm used in NLM’s PubMed biomedical literature database, and enabled rapid curation of LitCovid, a literature hub with up-to-date scientific publications related to the novel coronavirus.
  • Image processing to support clinical decision-making. NLM researchers developed and applied novel AI approaches to the screening, diagnosis, and prognosis of many diseases and disorders including age-related macular degeneration, cervical cancer, and drug-resistant tuberculosis.
  • Machine learning to conduct DNA sequence analysis. NLM researchers used AI to identify 2,500 families of proteins that can potentially be used to regulate the activity of gene editing tools based on CRISPR-Cas, a technique that holds tremendous promise for gene therapy and scientific research.

In FY 2020, NLM’s extramural program supported 11 AI-related research projects to help curate large-scale datasets and predictive analytics from EHRs, clinical decision-making for organ donation, and autism therapy for children.  NLM also led a collaboration with the National Institute of Standards and Technology to launch team challenges, including the COVID Epidemic Question Answering.


NLM’s computational health research focuses on clinical information processing.  It includes research on computational methods for mining clinical data, analyzing human images, and automating the development of new health data standards.  Researchers have used analytical tools powered by those health data standards to explore health claims databases and reveal new patterns of drug responses, such as the unanticipated benefit of estrogen replacement therapy in women who have had hysterectomies.  Investigators have used natural language processing to better understand and respond to the needs of stakeholders who use NLM’s literature and consumer health information resources.  NLM researchers have developed AI and machine learning approaches to examine hundreds of clinical images to automate screening for diseases such as cervical cancer and advanced macular degeneration. 

In FY 2020, NLM’s intramural researchers quickly realigned their efforts to respond to the COVID-19 pandemic by adapting and enhancing image analysis, terminology research, natural language processing tools, and AI techniques to:

  • Identify lung abnormalities in chest X-rays to distinguish between pneumonia caused by a bacteria or virus, and identify unique visual features associated with COVID-19.
  • Understand the biology and development of the SARS-CoV-2 virus and related coronaviruses and identify fast-evolving regions of SARS-CoV-2 proteins that may affect how the immune system responds to this virus.
  • Facilitate searching for coronavirus-related images and articles in biomedical literature.
  • Mine claims and hospital data associated with COVID-19 to gain new insight on the disease.

NLM’s intramural research program offers a vibrant training environment that includes laboratory-based mentored training, short-term rotations for clinicians, and advanced weekly seminars and lectures.  NLM offers training for scholars in biomedical informatics, computational biology, and data science.  In FY 2020, NLM hired 2 new tenure-track investigators with expertise in computational approaches to characterize structures of proteins and viruses, and hosted 46 postdoctoral researchers, 5 postbaccalaureate trainees, and 2 visiting scientists.  NLM also launched the Ada Lovelace Computational Health Lecture Series to provide a forum to explore and increase attention to the contributions of computational innovation to biomedical research and health.

Biomedical Information Services

NLM’s biomedical information services support scientific discovery and innovation through the collection, dissemination, and exchange of data and information critical to medicine and health.  Each day, more than 7 million people and computer information systems use NLM’s web-based biomedical information services and download 270 terabytes of data.  NLM accepts and processes more than 13 terabytes of data submitted by thousands of researchers and businesses every day.  Continually rising demand necessitates that NLM regularly upgrade its biomedical information services to improve operational efficiencies and accommodate the growing volume and variety of data and information needed to support research and discovery.  In FY 2020, NLM enhancements included efforts to migrate services to modern computing platforms and improve data security.  NLM also made notable progress in advancing its work in health data standards, as well as outreach and engagement to promote use of its resources.

Improving Access to Biomedical Literature.

NLM is a primary resource for millions of researchers, clinicians, students, and members of the general public to find and access biomedical literature.  Users can access NLM’s flagship database of citations to the biomedical literature via mobile or desktop devices using NLM’s re-engineered PubMed®, which includes an improved search engine driven by AI, responsive design to optimize features for mobile devices, and an improved user interface that increases control over the ways the results are displayed.  An important innovation is the display of results ranked by relevance, rather than by publication date.  NLM also added 1.4 million citations to PubMed in FY 2020, increasing the total collection to more than 31 million bibliographic citations.

NLM continues to serve as a leader in ensuring free public access to the results of biomedical research through PubMed Central (PMC), its full-text archive of biomedical literature.  NLM added 700,000 full-text articles to PMC in FY 2020 and continues to enhance the value of these articles by linking them to associated datasets.  Of the 6.4 million articles in PMC at the end of FY 2020, more than 1.5 million included associated data, and more than 3.5 million were downloadable in machine-readable forms to support automated analysis.  Ten other Federal agencies continue to use PMC as the most efficient and effective means to provide free, public access to full-text journal articles reporting on research they fund.  To respond to the COVID-19 pandemic, NLM established new partnerships with publishers to expand access to journal articles reporting on coronavirus-related research.  NLM leveraged this archive to launch a pilot program to make prepublication (preprint) versions of articles available and searchable through PMC, focusing on preprints resulting from NIH-funded research on COVID-19.  

NLM also maintains its Digital Collections, a free, online repository of historical and modern biomedical resources including books, manuscripts, still images, videos, sound recordings, and maps that serve more than 180,000 librarians, researchers, and others each year.  In FY 2020, NLM deployed innovative techniques to prospectively curate and add COVID-19-related information from traditional news, social media, and other sources to the Digital Collections.

Information Access in a Pandemic

NLM responds to scientific challenges by providing access to biomedical literature and data.  Since the pandemic began, NLM developed a centralized SARS-CoV-2 webpage to facilitate access to submission interfaces and content from NLM resources such as GenBank and SRA (sequence data), PubMed and PMC (literature), PubChem® (chemical data), and ClinicalTrials.gov.  In March 2020, NLM launched its Public Health Emergency COVID-19 Initiative, bringing together publishers and scientific scholarly societies to make COVID-19 and coronavirus-related articles freely accessible through PMC in machine-readable formats that permit research re-use and analysis.  

By the end of FY 2020, NLM made available more than 80,000 articles which were accessed more than 40 million times by people and computer systems.  NLM contributed this collection to the larger COVID-19 Open Research Dataset (CORD-19), developed in collaboration with private-sector partners and used in AI-based challenges to address key scientific questions related to COVID-19.  NLM also facilitated early access to research results from NIH-funded research with the launch of the NIH Preprint Pilot in June 2020. This pilot tests the viability of making article preprints searchable in PMC and discoverable in PubMed, beginning with COVID-19 preprints.  By the end of FY 2020, nearly 1,000 preprints were added to these databases; 80 percent were still unavailable in published journals. 

To coordinate U.S. efforts to provide publicly accessible SARS-CoV-2 sequence data, NLM contributes to the SARS-CoV-2 Sequencing for Public Health Emergency Response, Epidemiology and Surveillance (SPHERES) consortium.  NLM improved access to gene sequence information related to SARS-CoV-2, making the first sequence available in GenBank in January 2020, and established the COVID-19 Genome Sequence Dataset, providing free cloud-based access to SARS-CoV-2 SRA data through the NIH cloud-based STRIDES Initiative.  NLM developed a specialized SARS-CoV-2 virus resource for searching and analyzing sequences; streamlined data submission processes; and integrated data


Molecular Biology Data and Tools

NLM maintains an array of more than 40 integrated molecular biology databases and bioinformatics tools that are freely accessible and enable biomedical research and discovery.  Notably, in FY 2020 NLM completed the transition of more than 40 petabytes of genetic sequence data in multiple formats from the SRA repository to secure commercial cloud providers participating in the NIH Science and Technology Research Infrastructure for Discovery, Experimentation, and Sustainability (STRIDES) Initiative.  Not only is cloud-based storage cost-effective, it provides access to and preservation of genomic sequence data in a secure, sustainable manner.  Storing genomic data safely in the cloud also has the potential to transform research by offering scientists the ability to compute across the complete corpus of high-throughput sequence data without having to download it — something not possible using traditional data management approaches.  One research team has already explored the corpus of genome sequence data for signatures of coronavirus.  This analysis, which previously would have taken more than a year to complete, was accomplished in three days and delivered tens of thousands of coronavirus gene alignments freely to the research community to catalyze a new era of virus discovery.  NLM also created the COVID-19 Genome Sequence Dataset within the SRA to provide scientists with cloud-based access to SARS-CoV-2 SRA data.

NLM resources must keep pace with advances in science and expanding knowledge of genomics.  NLM continually improves its molecular biology resources to ensure comprehensive data collection, including content related to coronaviruses.  For example, NLM added data for 470 million genetic sequences to GenBank, which describes all publicly available DNA sequences, including sequences for SARS-CoV-2.  NLM added 40 million records (a 19 percent increase) to the Reference Sequence (RefSeq) collection, which provides a comprehensive collection of reference sequences and genes against which individual variations can be compared.  NLM added 100,000 human genome sequence variants to ClinVar, which provides researchers with aggregated information about clinically significant genomic variations among humans.  NLM facilitated submission of 210 studies to the database of Genotypes and Phenotypes (dbGaP), which archives and provides controlled access to data from large-scale studies of the relationship between genetic characteristics and disease, and physical characteristics (phenotypes).  New analyses of study data made available by dbGaP resulted in more than 3,000 research publications by the end of FY 2020.  In collaboration with public health authorities and the Food and Drug Administration (FDA), NLM processed genome sequence data for 197,000 samples through its Pathogen Detection Pipeline to help identify sources of illness resulting from foodborne pathogens such as Salmonella, E. coli, and Listeria.  Using the pipeline, NLM has supported the FDA in more than 660 actions to protect consumers from foodborne illness. 

Clinical Trials Information

The COVID-19 pandemic underscores the importance of having a gold standard of research evidence for clinical care.  NLM’s ClinicalTrials.gov is the world’s largest publicly accessible database of privately and publicly funded clinical studies.  In FY 2020, NLM added information about more than 35,000 new clinical research studies and 6,500 new results summaries.  Making these visible to the scientific community and the public improves public accountability and increases public trust in science.  To support the global response to COVID-19 and ensure streamlined access to up-to-date information about related studies conducted around the world, NLM added more than 4,000 clinical studies, including 2,800 listed with the World Health Organization.  NLM implemented new procedures to ensure that submitted results information is posted no later than 30 days after submission.  NLM also launched a major ClinicalTrials.gov modernization effort and engaged more than 300 individuals and organizations to provide public input about expected and desired features for the modernized system.

Consumer Health Information

While NLM’s biomedical information services are accessible to the public, NLM’s MedlinePlus® is specifically designed to meet consumers’ health information needs.  Available in English and Spanish, MedlinePlus offers trusted, authoritative information for patients and families about a broad variety of health conditions, medical tests, drugs and supplements, recipes, and videos, along with links to other credible sources of information.  More than 371 million users accessed MedlinePlus in FY 2020.  To provide a more comprehensive, consolidated consumer-oriented resource, NLM integrated its popular Genetics Home Reference™ website into MedlinePlus to provide information about genetic conditions, genes, and genetic variations.  NLM’s MedlinePlus Connect service enables EHRs, patient portals, and other healthcare IT systems to deliver information from MedlinePlus to patients and providers at the point of care.  In FY 2020, MedlinePlus Connect seamlessly responded to more than 217 million electronic requests from health IT systems. 

Standards and Terminologies for Health Data Interoperability

NLM works across the NIH, the Federal government, and the health care delivery system to support the development, maintenance, and dissemination of health data standards that promote interoperability among EHRs, as well as other clinical and research information systems.  In FY 2020, NLM supported expansion of three clinical language systems used for clinical terminology, laboratory tests and observations, and drug names to include terms and codes associated with SARS-CoV-2 and COVID-19.  NLM released an updated U.S. edition of the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®) with 3,800 new concepts, 40 of which are COVID-19-related.  NLM added more than 1,200 new terms to the Logical Observation Identifiers, Names and Codes (LOINC®) for laboratory tests and observations, 160 of which are COVID-19-related. NLM updated drug names in RxNorm to include select investigational drugs related to COVID-19.  Additional enhancements in FY 2020 included automated procedures to make it easier for clinicians and researchers to measure quality of care related to COVID-19.  NLM continues to provide and enhance NIH’s CDE Repository, a freely available source of standard, structured, machine-readable definitions of data elements, standard variables, and measures used in NIH-funded clinical research.  In FY 2020, NLM updated and added new CDEs and forms to the repository from six NIH Institutes, Centers, and initiatives.  NLM introduced enhancements to the CDE Repository to improve the user experience and facilitate COVID-19 data services.

Health Data Standards for Research

NLM is a pioneer in clinical terminology and messaging standards to support nationwide interoperability of health information systems.  In FY 2020, NLM made notable headway in expanding the use of health data standards in clinical research.  NLM supports the development, use, and usability of a data exchange standard to improve the availability of clinical data for research via the Health Level Seven International (HL7) Fast Healthcare Interoperability Resources (FHIR) standard.  NLM manages the development and testing of FHIR tools that researchers can use to:  increase the availability of high-quality, standardized research datasets and phenotypic information for genomic research and genomic medicine; capture, integrate, and exchange clinical data for research purposes; and enhance capabilities to share research data.  NLM collaborates across NIH and the Federal government to understand what additional development is needed to effectively leverage the FHIR standard in research. 

NLM leads NIH efforts to encourage NIH-supported researchers to adopt and use content and vocabulary standards specified in the United States Core Data for Interoperability, promulgated by the HHS Office of the National Coordinator for Health Information Technology.  This set of standards can facilitate the use of clinical data in research studies and foster greater consistency across clinical research data


Outreach and Engagement

NLM’s outreach and engagement activities raise awareness and support effective use of its information, data resources, and physical collections.  Much of this work is conducted through the NNLM, which leverages more than 8,000 academic health science libraries, hospital and public libraries, and community organizations to reach people across the nation, including in medically underserved communities.  Collaborations between communities and researchers build capacity to address problems and meet research goals.  Community participation in the research process also builds trust between NNLM and the communities that we serve.  NNLM programs promote digital and health literacy, support the NIH All of Us Research Program and its efforts to engage diverse communities, enhance the skills of health sciences librarians in research data management and data science, and encourage community science.  In FY 2020, 4,000 NNLM citizen science and crowdsourcing activities engaged 1.5 million people in research to address societal needs and accelerate biomedical science, technology, and innovation.  NLM also supports engagement through exhibitions and seminars that highlight NLM collections and resources.  In FY 2020, NLM and the National Endowment for the Humanities cosponsored a virtual research symposium on aspects of the 1918 influenza pandemic that could inform responses to the COVID-19 pandemic.

Budget Policy: The FY 2022 President’s Budget estimate for NLM’s Intramural Programs is $385.4 million, an increase of $10.6 million from the FY 2021 Enacted Budget of $374.8 million.  NLM will continue to revitalize its intramural research program as it improves coordination of research activities under a single Scientific Director and seeks efficiencies in core research services.  Research priorities will be informed by the needs of NLM, NIH, and the broader biomedical research community, including for novel artificial intelligence and machine learning methods for analyzing large clinical and biological data sets; improved approaches for developing and applying health data standards; and automated techniques for processing, organizing, indexing, and managing biomedical literature and data.  NLM will prioritize and seek additional efficiencies in its information services, including through use of cloud-based services, to ensure needed levels of support for those that are most heavily used by scientific researchers, clinicians, and the public and that support NIH-wide data science goals and data sharing policies.   NLM will continue its modernization of ClinicalTrials.gov to facilitate submission of and access to clinical trial data submitted in accordance with the Food and Drug Administration Amendments Act of 2007 and NIH policy.  It will improve tools for updating and disseminating clinical terminology standards that support interoperability of electronic health data and advanced integration and analysis of genomic, clinical research, and observational health data.  NLM will prioritize its outreach programs that promote access and training in the effective use of NLM resources, including data repositories, and to increase engagement with broad sets of stakeholders in the public and private sectors to leverage their talents, capabilities, and information resources.

Extramural Programs

NLM’s extramural programs encompass three major activities: 1) Biomedical Informatics Research; 2) Informatics Resources for Biomedicine and Health; and 3) Health Information for Health Professionals and the Public.

Biomedical Informatics Research

NLM’s research grants address the growing demand for innovation in computational and data science approaches to make data findable, accessible, interoperable, and reusable.  In FY 2020, NLM funded 186 awards to investigators across the country, including 6 co-funded with other NIH Institutes and Centers.  NLM issued Notices of Special Interest seeking applications in two major areas: 1) mining clinical data to understand how a disease presents in an individual to identify or predict the presence of COVID-19; and 2) public health surveillance methods that mine a variety of data types to identify the spread and impact of SARS-CoV-2.  Additional funding in FY 2020, $10.0 million from the Coronavirus Aid, Relief, and Economic Security (CARES) Act, enabled NLM to provide supplemental funds to support new methods to rapidly improve the understanding of SARS-CoV-2 and COVID-19. 

NLM-funded researchers develop methods to capture, analyze, visualize, integrate, and curate biomedical data to support discovery and decision-making.  Active NLM-supported research projects include developing statistical methods for clinical data analysis and applying AI to pulmonary imaging, computer-aided diagnosis for brain cancer, and new machine learning methods.  In FY 2020, NLM-funded researchers:

  • Used data from EHRs and clinical databases to predict: the glycemic impact of meals to identify patients with glucose intolerance, disease trajectory of hospitalized COVID-19 patients compared to past hospitalized flu patients, and risk for pulmonary embolism by using computed tomography imaging and patient-specific risk factors.
  • Used natural language processing to characterize trajectories of symptoms, interventions, and treatment response from free text in the EHR, and create patient timelines for more precise estimates of potential medication interactions.
  • Generated and evaluated new computer-aided diagnosis techniques to assist in the clinical detection of cancer metastases in the brain using magnetic resonance imaging, which has the potential to increase the accuracy of early detection, allow prompt treatment, and improve patients’ well-being.
  • Developed AI methods to integrate data from intensive care units to guide real-time treatment decisions and support shared decision-making using a new statistical algorithm that integrates patients’ values, preferences, and post-treatment outcomes.

University-based training program for biomedical informatics and data science

NLM is a leading funder of Ph.D.-level training in biomedical informatics and data science.  NLM’s university-based research training program supports 16 universities across the country that enroll approximately 200 predoctoral and postdoctoral fellows and trainees.  The programs leverage NLM’s long-term investment strategy to help shape the field of biomedical informatics and data science.  Graduates serve as leaders in academia and industry.  NLM encourages its university-based programs to share curriculum materials and use-case examples with other graduate-level training programs to accelerate data science training in other universities.  NLM provides awards to sponsor summer research experiences for undergraduates and others interested in careers in biomedical informatics and data science.  In FY 2020, supplemental funding enabled training programs to work with a coalition of 12 faculty from minority-serving institutions who designed a 10-week data science research internship program incorporating data science skills focused on machine learning, statistics, and clinical informatics; ethical considerations in data science; and core skills for academic success and career development related to the analysis and presentation of scientific literature and findings.  In FY 2020, NLM supported three NIH National Research Service Award predoctoral fellowships.

Informatics Resources for Biomedicine and Health

NLM’s Information Resource Grants to Reduce Health Disparities program supports projects that bring useful and understandable health information to populations affected by health disparities, and their health care providers.  One team is developing an AI tool to provide visual health information to help communities prevent spread of antibiotic resistant infections.  NLM resource grants encourage collaboration between Historically Black Colleges and Universities, Tribal Colleges, other Minority-Serving Institutions, and biomedical informatics training sites.  NLM’s Grants for Scholarly Works in Biomedicine and Health support works for health professionals, public health officials, biomedical researchers, and health science historians.  In FY 2020, NLM awarded two grants for scholarly works about Sibling Obligations in Health Care, and Jim Crow in the Asylum: Psychiatry and Civil Rights in the American South.

Health Information for Health Professionals and the Public

The NLM Extramural Program oversees the cooperative agreements that fund NNLM to improve the health of the Nation by training U.S. health professionals to access biomedical information, enhancing individuals’ access to trusted health information to make decisions about their health, and building capacity for data management and science at health sciences libraries.

Budget Policy:  The FY 2022 President’s Budget request includes $68.0 million for NLM’s Extramural Programs, an increase of $1.7 million from the FY 2021 Enacted level of $66.3 million.  NLM will continue to accept investigator-initiated applications through NIH parent-grant announcements, as well as applications submitted to NLM’s own funding announcements.  In FY 2022, NLM will support noncompeting grants at the previously committed level.  NLM expects to award an estimated 32 competing research project grants and will aim to support early stage and new investigators at success rates comparable to those of established investigators submitting new applications.  It will continue to support university-based research training programs in biomedical informatics and data science at up to 16 universities across the country that enroll approximately 200 predoctoral and postdoctoral trainees.  NLM will continue to support its unique resource grant programs and career transition programs.  Through its cooperative agreement for the Network of the National Library of Medicine, NLM will continue to support efforts to advance community engagement in the All of Us Research Program, and to retain support for its engagement and training programs.

Research Management and Support

NLM’s research management and support (RMS) activities provide administrative, budgetary, communications, and logistical support for NLM programs to ensure strategic planning and evaluation; regulatory compliance; policy development; international coordination; and partnerships with other Federal agencies, Congress, the private sector, and the public.  In FY 2020, NLM streamlined its organizational and administrative structure to enhance collaborative leadership, innovation, and customer service.  NLM consolidated management of its engagement and training initiatives into a single office, and unified management of its intramural research program under a single scientific director.

Budget Policy:  The FY 2022 President’s Budget request includes $21.5 million for NLM’s RMS activities, an increase of $0.5 million from the FY 2021 Enacted level of $21.0 million.  RMS will support NLM-wide planning and evaluation, including implementation and updating of NLM’s strategic plan.  It will also support enhancement of NLM’s critical physical and information systems security infrastructure, policy development and administration functions, and improved coordination of trans-NLM and trans-NIH efforts in data science.

Conclusion:

Through its research, information systems, and engagement activities, NLM serves as a platform for biomedical data discovery and data-powered health, enabling researchers, clinicians, and the public to use the vast wealth of biomedical knowledge to improve the health of the Nation.

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Appropriations History

Fiscal Year Budget Estimate to Congress House Allowance Senate Allowance Appropriation
2013 $372,651,000   $381,981,000 $337,638,655
Rescission       $675,277
Sequestration       ($16,947,139)
2014 $382,252,000   $387,912,000 $327,723,000
Rescission       $0
2015 $372,851,000     $336,939,000
Rescission       $0
2016 $394,090,000 $341,119,000 $402,251,000 $394,664,000
Rescission       $0
2017¹ $395,684,000 $407,086,000 $412,097,000 $407,510,000
Rescission       $0
2018 $373,258,000 $413,848,000 $420,898,000 $428,553,000
Rescission       $0
2019 $395,493,000 $433,671,000 $442,230,000 $441,997,000
Rescission       $0
2020 $380,463,000 $463,599,000 $465,837,000 $456,911,000
Rescission       $0
Supplemental       $10,000,000
2021 $415,665,000 $460,841,000  $471,789,000  $463,787,000
Rescission       $0
2022 $474,864,000      

1 Budget Estimate to Congress includes mandatory financing.

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Authorizing Legislation

  PHS Act/
Other Citation
U.S. Code
Citation
2021 Amount
Authorized
FY 2021 Enacted 2022 Amount
Authorized
FY 2022 President's Budget
Research and Investigation Section 301 42§241 Indefinite  $462,138,000 Indefinite  $474,864,000
National Library of Medicine  Section 401(a)  42§281  Indefinite  Indefinite
Total, Budget Authority   $462,138,000  $474,864,000

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Amounts Available for Obligation 1

(Dollars in Thousands)

Source of Funding FY 2020 Final FY 2021 Enacted FY 2022 President's Budget
Appropriation $456,911 $463,787 $474,864
Mandatory Appropriation: (non-add)      
  Type 1 Diabetes (0) (0) (0)
  Other Mandatory financing (0) (0) (0)
Rescission 0 0 0
Sequestration 0 0 0
Secretary's Transfer 0 0 0
Subtotal, adjusted appropriation $456,911 $463,787 $474,864
OAR HIV/AIDS Transfers 0 -1,649 0
HEAL Transfer from NINDS 0 0 0
Subtotal, adjusted budget authority $456,911 $462,138 $474,864
Unobligated balance, start of year 2,500 2,620 0
Unobligated balance, end of year -2,620 0 0
Subtotal, adjusted budget authority $456,791 $464,758 $474,864
Unobligated balance lapsing -207 0 0
Total obligations $456,584 $464,758 $474,864

1 Excludes the following amounts (in thousands) for reimbursable activities carried out by this account:
FY 2020 - $7,954        FY 2021 - $7,954        FY 2022 -$8,080

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Budget Authority By Object Class 1

(Dollars in Thousands)

  FY 2021 Enacted FY 2022 President's Budget FY 2022+/-FY 2021 Enacted
Total compensable workyears:      
     Full-time equivalent 741 741 0
     Full-time equivalent of overtime and holiday hours 1 1 0
     Average ES salary $199 $204 $5
     Average GM/GS grade 11.8 11.8 0.0
     Average GM/GS salary $111 $114 $3
     Average salary, Commissioned Corps (42 U.S.C. 207) $120 $123 $3
    Average salary of ungraded positions $159 $162 $4

 

OBJECT CLASSES FY 2021 Enacted FY 2022 President's Budget FY 2022+/-FY 2021
   Personnel Compensation      
11.1 Full-Time Permanent 42,248 43,209 961
11.3 Other Than Full-Time Permanent 41,808 42,759 951
11.5 Other Personnel Compensation 1,458 1,491 33
11.7 Military Personnel 120 123 3
11.8 Special Personnel Services Payments 1,888 1,931 43
11.9 Subtotal Personnel Compensation $87,522 $89,514 $1,992
12.1 Civilian Personnel Benefits 30,052 31,647 1,596
12.2 Military Personnel Benefits 89 92 2
13.0 Benefits to Former Personnel 0 0 0
    Subtotal Pay Costs $117,663 $121,253 $3,590
21.0 Travel & Transportation of Persons 420 428 8
22.0 Transportation of Things 308 313 6
23.1 Rental Payments to GSA 165 168 3
23.2 Rental Payments to Others 140 143 3
23.3 Communications, Utilities & Misc. Charges 477 486 9
24.0 Printing & Reproduction 81 82 1
25.1 Consulting Services 87,601 89,351 1,750
25.2 Other Services 70,790 73,563 2,773
25.3 Purchase of goods and services from government accounts 72,411 74,526 2,115
25.4 Operation & Maintenance of Facilities 213 213 0
25.5 R&D Contracts 17 16 0
25.6 Medical Care 1 1 0
25.7 Operation & Maintenance of Equipment 14,689 14,954 264
25.8 Subsistence & Support of Persons 5 5 0
25.0 Subtotal Other Contractual Services $245,727 $252,630 $6,903
26.0 Supplies & Materials 1,189 1,210 21
31.0 Equipment 29,177 29,702 525
32.0 Land and Structures 335 342 6
33.0 Investments & Loans 0 0 0
41.0 Grants, Subsidies & Contributions 66,452 68,104 1,652
42.0 Insurance Claims & Indemnities 0 0 0
43.0 Interest & Dividends 3 3 0
44.0 Refunds 0 0 0
   Subtotal Non-Pay Costs $344,475 $353,611 $9,136
   Total Budget Authority by Object Class $462,138 $474,864 $12,726

1 Includes FTEs whose payroll obligations are supported by the NIH Common Fund.

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Salaries and Expenses

Dollars in Thousands

OBJECT CLASSES FY 2021 Enacted FY 2022 President's Budget FY 2022+/-FY 2021
Personnel Compensation      
  Full-Time Permanent (11.1) $42,248 $43,209 $961
  Other Than Full-Time Permanent (11.3) 41,808 42,759 951
  Other Personnel Compensation (11.5) 1,458 1,491 33
  Military Personnel (11.7) 120 123 3
  Special Personnel Services Payments (11.8) 1,888 1,931 43
Subtotal Personnel Compensation (11.9) $87,522 $89,514 $1,992
Civilian Personnel Benefits (12.1) $30,052 $31,647 $1,596
Military Personnel Benefits (12.2) 89 92 2
Benefits to Former Personnel (13.0) 0 0 0
Subtotal Pay Costs $117,663 $121,253 $3,590
Travel & Transportation of Persons (21.0) $420 $428 $8
Transportation of Things (22.0) 308 313 6
Rental Payments to Others (23.2) 140 143 3
Communications, Utilities & Misc. Charges (23.3) 477 486 9
Printing & Reproduction (24.0) 81 82 1
Other Contractual Services:      
  Consultant Services (25.1) 87,601 89,351 1,750
  Other Services (25.2) 70,790 73,563 2,773
  Purchases from government accounts (25.3) 60,799 63,408 2,609
  Operation & Maintenance of Facilities (25.4) 213 213 0
  Operation & Maintenance of Equipment (25.7) 14,689 14,954 264
  Subsistence & Support of Persons (25.8) 5 5 0
Subtotal Other Contractual Services $234,098 $241,494 $7,397
Supplies & Materials (26.0) $1,189 $1,210 $21
Subtotal Non-Pay Costs $236,713 $244,157 $7,444
Total Administrative Costs $354,376 $365,409 $11,034

 

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Detail of Full-Time Equivalent Employment (FTE)

OFFICE/DIVISION FY 2020 Final FY 2021 Enacted FY 2022 President's Budget
Civilian Military Total Civilian Military Total Civilian Military Total
Division of Extramural Programs                  
Direct: 18 - 18 21 - 21 21 - 21
Reimbursable: - - - - - - - - -
   Total: 18 - 18 21 - 21 21 - 21
Division of Library Operations                  
Direct: 253 - 253 284 - 284 284 - 284
Division of Library Operations                  
Reimbursable: - - - - - - - - -
Division of Library Operations                  
   Total: 253 - 253 284 - 284 284 - 284
Lister Hill National Center for Biomedical Communications                  
Direct: 34 - 34 38 - 38 38 - 38
Reimbursable: - - - - - - - - -
   Total: 34 - 34 38 - 38 38 - 38
National Center for Biotechnology Information                  
Direct: 268 1 269 316 1 317 316 1 317
Reimbursable: 1 - 1 1 - 1 1 - 1
   Total: 269 1 270 317 1 318 317 1 318
Office of the Director/Administration                  
Direct: 59 - 59 67 - 67 67 - 67
Reimbursable: 13 - 13 13 - 13 13 - 13
   Total: 72 - 72 80 - 80 80 - 80
   Total 646 1 647 740 1 741 740 1 741

Includes FTEs whose payroll obligations are supported by the NIH Common Fund.

 

OFFICE/DIVISION FY 2020 Final FY 2021 Enacted FY 2022 President's Budget
Civilian Military Total Civilian Military Total Civilian Military Total
FTEs supported by funds from Cooperative Research and Development Agreements. 0 0 0 0 0 0 0 0 0

 

FISCAL YEAR Average GS Grade
2018 11.9
2019 11.8
2020 11.8
2021 11.8
2022 11.8

 

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Detail of Positions 1

GRADE FY 2020 Final FY 2021 Enacted FY 2022 President's Budget
Total, ES Positions 4 4 4
Total, ES Salary 789,200 797,092 815,186
General Schedule      
GM/GS-15 17 21 21
GM/GS-14 51 54 54
GM/GS-13 119 135 135
GS-12 109 113 113
GS-11 24 27 27
GS-10 0 0 0
GS-9 30 33 33
GS-8 30 30 30
GS-7 4 4 4
GS-6 1 1 1
GS-5 1 1 1
GS-4 3 3 3
GS-3 0 0 0
GS-2 4 4 4
GS-1 1 1 1
Subtotal 394 427 427
Commissioned Corps (42 U.S.C. 207)      
Assistant Surgeon General 0 0 0
Director Grade 0 0 0
Senior Grade 1 1 1
Full Grade 0 0 0
Senior Assistant Grade 0 0 0
Assistant Grade 0 0 0
Subtotal 1 1 1
Ungraded 272 309 309
Total permanent positions 392 488 488
Total positions, end of year 671 741 741
Total full-time equivalent (FTE) employment, end of year 647 741 741
Average ES salary 197,300 199,273 203,796
Average GM/GS grade 11.8 11.8 11.8
Average GM/GS salary 110,371 111,475 114,005

1 Includes FTEs whose payroll obligations are supported by the NIH Common Fund.

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Last Reviewed: May 28, 2021