RD 442-7 Operating Budget

RD 442-7.pdf

American Rescue Plan Act Emergency Rural Health Care (ERHC) Grant Program

RD 442-7 Operating Budget

OMB: 0575-0200

Document [pdf]
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USDA-RD
Form RD 442-7
(Rev. 3-02)

OPERATING BUDGET

Name
Applicant Fiscal Year
From

Form Approved
OMB No. 0575-0015
OMB No. 0572-0137
Exp. Date: MM/DD/YY
Schedule 1

Position 3

Address

OPERATING INCOME

State (Including ZIP Code)

County

To
20

20
(1)

20
(2)

First Full Year

20
(3)

(4)

(5)

1.
2.
3.
4.
5. Miscellaneous
6. Less: Allowances and Deductions (
7. Total Operating Income
(Add Lines 1 through 6)

) (

)(

)(

)(

)

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

OPERATING EXPENSES
8.
9.
10.
11.
12.
13.
14.
15. Interest (RD)
16. Depreciation
17. Total Operating Expense
(Add lines 8 through 16)
18. NET OPERATING INCOME
(LOSS) (Line 7 less 17)
NONOPERATING INCOME
19.
20.
21. Total Nonoperating Income
(Add Lines 19 and 20)
22. NET INCOME (LOSS)
(Add Lines 18 and 21) (Transfer
to Line A Schedule 2)

Budget and Projected Cash Flow Approved by Governing Body
Attest:

Secretary

Date

Appropriate Official

Date

A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the
requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 05750015 and 0572-0137. Public reporting for this collection of information is estimated to be approximately 5 hours per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are voluntary. However, in order to obtain or
retain a benefit, the information in this form is required by 7 CFR Part 1942, Subpart A Community Facility Loan and 7 CFR Part 1782, Servicing of Water Programs Loans and Grants. Rural
Development has no plans to publish information collected under the provisions of this program. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden to: Information Collection Clearance Officer, Rural Development Innovation Center, Regulations Management Division at [email protected]

PROJECTED CASH FLOW
20

A. Line 22 from Schedule 1 Income (Loss)
Add
B. Items in Operations not Requiring Cash:
1. Depreciation (Line 16, Schedule 1)
2. Others:

Schedule 2

20

20

20

First
Full Year

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

$0

C. Cash Provided from:
1. Proceeds from RD loan/grant
2. Proceeds from others
3. Increase (Decrease) in Accounts Payable,
Accruals and other Current Liabilities
4. Decrease (Increase) in Accounts Receivable,
inventories and Other Current Assets (Exclude Cash)
5. Other:
6.
D. Total all A, B and C Items
E. Less: Cash Expended for:
1. All Construction, Equipment and New Capital Items
(Loan and grant funds)
2. Replacement and Additions to Existing Property, Plant and
Equipment
3. Principal Payment RD Loan
4. Principal Payment Other Loans
5. Other:
6. Total E 1 through 5
Add
F. Beginning Cash Balances
G. Ending Cash Balances (Total of D minus E 6 plus F)
Item G Cash Balances Composed of:
Construction Account
Revenue Account
Debt Payment Account
O&M Account
Reserve Account
Funded Depreciation Account
Others:
Total - Agrees with Item G


File Typeapplication/pdf
File TitleOperating Budget
File Modified2021-06-06
File Created2021-06-06

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