Referral Template

U.S. Department of Labor

Office of Labor-Management Standards
Washington, D.C. 20210

[date]
Re:

EMPLOYEE PROTECTIONS REFERRAL
OF PENDING FTA GRANT APPLICATION
[grant number]
[recipient/grantee]

Dear FTA Applicant and Union Representative(s):
Pursuant to 49 U.S.C. § 5333(b), the Department of Transportation has referred the above-referenced grant
application to this office and requested the Department of Labor’s (DOL) certification that the required employee
protective arrangements have been made. As required by DOL’s procedural Guidelines, 29 C.F.R § 215, as
amended, we are providing a copy of this grant application to the labor organization(s) representing transit
employees in the service area of the project and to the applicant and/or recipient(s) identified on the following
page(s) of this letter.
DOL will certify the grant on the proposed terms and conditions set forth in Attachment A unless it receives a
sufficient written objection within 15 calendar days of the date of this referral. See 29 C.F.R. § 215.3(d).
Objections and other correspondence must be sent to DOL by e-mail at [email protected], with copies to all
relevant parties, including, at a minimum, the parties identified in this letter.
Additional information is available at https://www.dol.gov/olms/regs/compliance/compltransit.htm. Please
contact me if you need assistance.
Sincerely,
[signature]
[staff name and title]
Office of Labor-Management Standards
Department of Labor
[Staff email]
(202) 693-[ext]
Enclosure

Number: 1245-0006 (Expires 06/30/2023). According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information
unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to average 8 hours per response for
composing answers to these briefing questions, including producing briefs to issues in dispute. The obligation to respond to this collection is required to obtain or
retain a benefit, see 29 CFR part 215.3. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Chief of the Division of Interpretations and Standards, Office of Labor-Management Standards, U.S. Department of Labor, 200
Constitution Avenue N.W., Room N-5609, Washington, DC 20210 or email [email protected], and reference the OMB Control Number 1245-0006.