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Federal-Aid Highway Construction Equal Employment Opportunity
ICR 201605-2125-002 · OMB 2125-0019 · Object 64809401.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
|---|---|
| File Title | Federal-Aid Highway Construction Equal Employment Opportunity |
| Author | USDOT_User |
| Last Modified By | Calc |
| File Modified | 2016-05-13 |
| File Created | 2026-10-04 |
| Conversion State | complete |
Extracted Text
FEDERAL-AID HIGHWAY CON 1. MARK APPROPRIATE BLOCK □ Contractor 2. COMPANY NAME, CITY, STATE: □ Subcontractor This collection of information is required by law and regulation 23 U.S.C 6. WORKFORCE ON FEDERAL-AID AND CONSTRUCTION TABL JOB CATEGORIES TOTAL EMPLOYED M OFFICIALS SUPERVISORS FOREMEN/WOMEN CLERICAL EQUIPMENT OPERATORS MECHANICS TRUCK DRIVERS IRONWORKERS CARPENTERS CEMENT MASONS ELECTRICIANS PIPEFITTER/PLUMBERS PAINTERS LABORERS-SEMI SKILLED LABORERS-UNSKILLED TOTAL TOTAL RACIAL/ ETHNIC MINORITY F 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 M 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 F 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BLACK or AFRICAN AMERICAN M 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 F 0 0 TABL APPRENTICES 0 0 OJT TRAINEES 0 0 8. PREPARED BY: (Signature and Title of Contractors Representative) ______________________________________________________________________ Form FHWA- 1391 (Rev. 05-16) IGHWAY CONSTRUCTION CONTRACTORS ANNUAL EEO REPORT 3. PROJECT NUMBER: ME, CITY, STATE: 4. DOLLAR AMOUNT OF CONTRACT: nd regulation 23 U.S.C. 140a and 23 CFR Part 230. The OMB control number for this collection is 2125-0019 exp CONSTRUCTION SITE(S) DURING LAST FULL PAY PERIOD ENDING IN JULY 20 TABLE A AMERICAN INDIAN OR ALASKA NATIVE HISPANIC OR LATINO M F 0 M 0 F 0 ASIAN M 0 NATIVE HAWAIIAN OR TWO OR MORE OTHER PACIFIC RACES ISLANDER F 0 M 0 F 0 M 0 0 TABLE C (Table B data by racial status) 9. DATE 10. REVIEWED BY: (Signature and Title of State Highway Official) __________________________________________________________________________________ ___________ ____________ PREVIOUS EDITIONS ARE OBSOLETE EEO REPORT ONTRACT: 5. PROJECT LOCATION: (County and State) collection is 2125-0019 expiring in May 2019. NDING IN JULY 20___ (INSERT YEAR) TABLE B TWO OR MORE RACES F _____________ WHITE M 0 APPRENTICES F 0 M 0 F 0 ON THE JOB TRAINEES M 0 F 0 0 11. DATE ________________ FEDERAL-AID HIGHWAY CONSTRUCTION 1. STATE: 2. NUMBER OF PROJECTS: This collection of information is required by law and regulation 23 U.S.C. 140a and 23 CFR P 7. WORKFORCE ON FEDERAL-AID AND CONSTRUCTION SITE(S) DURI TABLE A JOB CATEG ORIES M OFFICIA SUPERV FOREME CLERICA EQUIPM MECHAN TRUCK D IRONWO CARPEN CEMENT ELECTRI PIPEFIT PAINTER LABORER LABORE TOTAL TOTAL RACIAL / ETHNIC MINORITY TOTAL EMPLOYED F 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 M 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BLACK or AFRICAN AMERICAN F 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 M 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HISPANIC OR LATINO F 0 M 0 F 0 AMERICAN INDIAN OR ALASKA NATIVE M 0 0 TABLE C (Table B da APPREN 0 0 OJT TRA 0 0 8. PREPARED BY: (Signature and Title of Contractors Representative) 9. DATE ______________________________________________________________________ _____________ Form FHWA- 1392 (Rev. 05-16) PREVIOUS EDITIONS A ONSTRUCTION CONTRACTORS ANNUAL EEO REPORT 3. TOTAL DOLLAR VALUE: 4. TOTAL WORKFORCE: 1392 U.S.C. 140a and 23 CFR Part 230. The OMB control number for this collection is 2125-0019 expiring in May, 2019. ION SITE(S) DURING LAST FULL PAY PERIOD ENDING IN JULY 20___ (INSERT Y TABLE A TABLE B AMERICAN INDIAN OR ALASKA NATIVE NATIVE HAWAIIAN OR TWO OR MORE OTHER PACIFIC RACES ISLANDER ASIAN F M 0 F 0 M 0 F 0 M 0 F 0 WHITE M 0 APPRENTICES F 0 M 0 0 ABLE C (Table B data by racial status) 10. REVIEWED BY: (SIGNATURE and TITLE OF STATE HIGHWAY OFFICIAL) ____________________________________________________________ PREVIOUS EDITIONS ARE OBSOLETE 11. DATE ___________________ _____ 1392 expiring in May, 2019. Y 20___ (INSERT YEAR) TABLE B APPRENTICES F ON THE JOB TRAINEES M 0 F 0 0 11. DATE ____________________________ _____