Items Amount of Funds

USDA-RD
Form RD 440-11
(Rev. 10-00)

ESTIMATE OF FUNDS NEEDED

FORM APPROVED

FOR
30-Day Period Commencing

OMB NO. 0575-0015

Name of Borrower

Items

Amount of Funds
$

Development
Contract or Job No.
Contract or Job No.
Contract or Job No.
Land and Rights-of-Way
Legal Services
Engineering Fees
Interest
Equipment
Contingencies
Refinancing
Initial O&M
Other

$

TOTAL

Prepared by
Name of Borrower

By
Date
Approved by
Date

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0575-0015. The time
required to complete this information collection is estimated to average 1 hour per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

Position 2

RD 440-11 (Rev. 10-00)