AMJP 1A.6.5 Supplemental EEG Rows

			OMB CONTROL NUMBER: 2106-0048
			EXPIRATION DATE: 11/30/2021
OPTIONAL SUPPLEMENT TO FORM AMJP-1A.6.5
AMJP RECIPIENT NOTIFICATION TO USDOT OF EEG COMPOSITION
PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENT
Please see Paperwork Reduction Act Public Burden Statement on Form AMJP-1A.6.5.
This template may be used by Aviation Manufacturing Jobs Protection (AMJP) Program Recipients as
an attachment to Form AMJP-1A.6.5 - AMJP Recipient Notification to USDOT of EEG Composition.
If you choose to use this template, then you must submit it along with your signed and dated
Form AMJP-1A.6.5. Refer to Form AMJP-1A.6.5 for additional instructions.
* "Other" under "Job Category" refers to other positions directly engaged in aviation manufacturing and/or repair. If more
than five (5) percent of the total EEG is classified as "Other," you must provide a detailed listing of the specific positions
included as part of the Attachments to Form AMJP-A1.6.5.
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