Public Health and Social Services Emergency Fund

A11: For amounts appropriated in P.L. 116-260 that appear in this Category B line, funds are available immediately for obligation consistent with the FY 2021 spend plan submitted to OMB, and any updates to that plan. HHS will notify OMB in writing five business days in advance of any deviations to the HHS and OMB reviewed spend plan activity amounts that are greater than ten percent.

A11: For amounts appropriated in P.L. 116-260 that appear in this Category B line, funds are available immediately for obligation consistent with the FY 2021 spend plan submitted to OMB, and any updates to that plan. HHS will notify OMB in writing five business days in advance of any deviations to the HHS and OMB reviewed spend plan activity amounts that are greater than ten percent.

A11: For amounts appropriated in P.L. 116-260 that appear in this Category B line, funds are available immediately for obligation consistent with the FY 2021 spend plan submitted to OMB, and any updates to that plan. HHS will notify OMB in writing five business days in advance of any deviations to the HHS and OMB reviewed spend plan activity amounts that are greater than ten percent.

A12: HHS will inform OMB in writing three business days in advance of any deviations from ASPR's activities or funding in HHS' most recent Congressional spend plan provided as required in Public Laws 116-127 and 116-139.

A6: Lines 6037 (P.L. 116-127) and 6042 (P.L. 116-139) are for the same legal purposes, but are segregated solely for reporting purposes, and not for purposes of enforcement of the Antideficiency Act.

A10: Funds are available for obligation from lines 6038, 6039, and 6046 consistent with the September 20, 2021 spend plan. $8,890,184,575 is available for obligation five business days after HHS submits to OMB a detailed allocation methodology for any new funding allocation. In addition, the amount available for immediate obligation shall be increased by the amount of recoveries of prior year HRSA Provider Relief Fund obligations consistent with the aggregate limitations by line items in the September 20, 2021 Provider Relief Spend Plan. HHS will regularly update OMB on these recoveries. Detailed obligation amounts will be submitted to OMB after FY 2021 actuals are available.

A5: Lines 6038 (P.L 116-136), 6039 (P.L. 116-139), and 6046 (P.L. 116-260) are for the same legal purposes, but are segregated solely for reporting purposes, and not for purposes of enforcement of the Antideficiency Act.

A10: Funds are available for obligation from lines 6038, 6039, and 6046 consistent with the September 20, 2021 spend plan. $8,890,184,575 is available for obligation five business days after HHS submits to OMB a detailed allocation methodology for any new funding allocation. In addition, the amount available for immediate obligation shall be increased by the amount of recoveries of prior year HRSA Provider Relief Fund obligations consistent with the aggregate limitations by line items in the September 20, 2021 Provider Relief Spend Plan. HHS will regularly update OMB on these recoveries. Detailed obligation amounts will be submitted to OMB after FY 2021 actuals are available.

A5: Lines 6038 (P.L 116-136), 6039 (P.L. 116-139), and 6046 (P.L. 116-260) are for the same legal purposes, but are segregated solely for reporting purposes, and not for purposes of enforcement of the Antideficiency Act.

A12: HHS will inform OMB in writing three business days in advance of any deviations from ASPR's activities or funding in HHS' most recent Congressional spend plan provided as required in Public Laws 116-127 and 116-139.

A12: HHS will inform OMB in writing three business days in advance of any deviations from ASPR's activities or funding in HHS' most recent Congressional spend plan provided as required in Public Laws 116-127 and 116-139.

A12: HHS will inform OMB in writing three business days in advance of any deviations from ASPR's activities or funding in HHS' most recent Congressional spend plan provided as required in Public Laws 116-127 and 116-139.

A6: Lines 6037 (P.L. 116-127) and 6042 (P.L. 116-139) are for the same legal purposes, but are segregated solely for reporting purposes, and not for purposes of enforcement of the Antideficiency Act.

A12: HHS will inform OMB in writing three business days in advance of any deviations from ASPR's activities or funding in HHS' most recent Congressional spend plan provided as required in Public Laws 116-127 and 116-139.

A12: HHS will inform OMB in writing three business days in advance of any deviations from ASPR's activities or funding in HHS' most recent Congressional spend plan provided as required in Public Laws 116-127 and 116-139.

A7: Funds are available immediately for obligation consistent with the July 21, 2021 PPPHCEA Testing Spend Plan, and any updates to that plan. Within the total for the Testing Spend Plan, HHS may update this plan by increasing or decreasing any line by the lesser of $500,000 or 5%. HHS must notify OMB within five business days of any such change by providing an updated Testing Spend Plan and supporting rationale.

A10: Funds are available for obligation from lines 6038, 6039, and 6046 consistent with the September 20, 2021 spend plan. $8,890,184,575 is available for obligation five business days after HHS submits to OMB a detailed allocation methodology for any new funding allocation. In addition, the amount available for immediate obligation shall be increased by the amount of recoveries of prior year HRSA Provider Relief Fund obligations consistent with the aggregate limitations by line items in the September 20, 2021 Provider Relief Spend Plan. HHS will regularly update OMB on these recoveries. Detailed obligation amounts will be submitted to OMB after FY 2021 actuals are available.

A5: Lines 6038 (P.L 116-136), 6039 (P.L. 116-139), and 6046 (P.L. 116-260) are for the same legal purposes, but are segregated solely for reporting purposes, and not for purposes of enforcement of the Antideficiency Act.

A8: Funds are available for obligation five business days after an HHS-approved spend plan has been submitted to OMB.

A13: Funds are available immediately for obligation consistent with the September 3, 2021, Section 2401 Testing Spend Plan. Funds are available for additional activities five business days after HHS provides OMB notification of spending plans.

A9: Of this total, $740,755,785 is available immediately for obligation consistent with the previously approved Public Health Workforce FY 2021 spend plan. Funds are available for additional projects five business days after an HHS approved spend plan has been submitted to OMB.

A8: Funds are available for obligation five business days after an HHS-approved spend plan has been submitted to OMB.

A14: Funds are available immediately for obligation consistent with the September 30, 2021 FY 22 Operation Spending Plan. HHS will promptly notify OMB of changes by the lesser of $10,000,000 or 10 percent in the cost of those contracts, IAAs, and IDDAs. Funds are available for additional projects five business days after HHS provides OMB notification of spending plans.

A8: Funds are available for obligation five business days after an HHS-approved spend plan has been submitted to OMB.

A1: Details on attachments are not subject to 31 USC 1517. The term "attachments" includes but is not limited to the worksheets in this excel file that accompany the SF 132 and this footnote worksheet.

A2: Amounts apportioned may not equal totals on the SF 133 due to rounding up to the next dollar. Amounts will not exceed available unobligated balances in the Unified Financial Management System for allotments.

A3: The multiple category B lines for Pandemic Influenza are used because some appropriations had more broad legal authorities than others. Obligations may be funded from multiple category B lines provided that the obligation is consistent with the purpose of the appropriation.

A4: The total amount apportioned may be increased for recoveries of prior year obligations by an amount not to exceed 10% of the sum of such amounts identified in the calculation of total budgetary resources available, plus the amount governed by footnote A10. The amount of such increase is to be applied to the appropriate line in the application of budgetary resources.