Semi-Annual Labor Compliance Report

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Read-only Form: Davis Bacon Act - 1st and 2nd Semi-annual Report
FY > Period > Contractor > Plan

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Form Item

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OMB FORM 1910-5165. Expiration Date 9/30/2024 Paperwork Reduction Act Burden Disclosure Statement This data is being collected to comply
with 29 CFR § 5.7(b). The data you supply will be aggregated and transmitted to the Department of Labor for regulatory compliance. Public reporting
burden for this collection of information is estimated to average one 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. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the
Chief Information Officer, Enterprise Policy Development & Implementation Office, IM-22, Paperwork Reduction Project 1910-5165, U.S. Department
of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork
Reduction Project 1910-5165, Washington, DC 20503. Notwithstanding any other provision of the law, no person is required to respond to, nor shall
any 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. Submission of this data is mandatory.

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Calendar year semi-annual reports on compliance with and enforcement of the labor standards provisions of the Davis-Bacon Act and its related acts
covering the Periods of October 1st through March 31st, and April 1st through September 30th, respectively. Please submit your semi-annual report
to DOE three weeks after the end of semi-annual reporting period by April 21st and October 21st for the applicable performance period.

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Enter your Grant or Contract Number:

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Enter your Grant or Contract Name:

Reporting Period Covered
From Date

MM-DD-YYYY

To Date

MM-DD-YYYY

Please enter the number of contracts and grants awarded during this reporting period, which are subject to the Davis-Bacon Act.

Enter the total dollar amount of contracts and grants awarded during this reporting period, which are subject to the Davis-Bacon Act.

Enter the total number of contractors and subcontractors against whom complaints were received by your office. Count only complaints filed with
your office against contractors performing work on all covered contracts.
Enter the total number of investigations completed by your office during this reporting period. An "investigation" is "any corrective action taken to
enforce the provisions of Davis-Bacon Act/Contract Work Hours and Safety Standards Act for covered employees." A contractor should track receipt
of payrolls, review payrolls, interviews performed, and site visits - all of these activities are not part of an investigation until someone is not properly
paid or it appears someone has not been properly paid. Your actions taken to resolve that problem become an investigation - even if it is resolved by
determining that your initial thought of violation is not true (the worker was classified properly, etc.). Note: for every complaint received, there must
be an investigation to resolve it.

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Form Item

Enter the number of contractors and subcontractors found in violation as a result of the investigations reported above. Do not count a contractor of
subcontractor more than once in a single investigation even where more than one contract is included in the investigation.
Enter the total amount of wage restitution which you found due to employees of the contractors/subcontractors reported above, showing the
amount due because of violations of the Davis-Bacon and Related Acts.
Enter the total amount of wage restitution which you found due to employees of the contractors/subcontractors reported above, showing the
amount due because of violations of the Contract Work Hours and Safety Standards Act.
Enter the total amount of back wages paid during this reporting period as required by the Davis-Bacon and Related Acts.

Enter the total amount of back wages paid during this reporting period as required by the Contract Work Hours and Safety Standards Act.

Enter in the number of employees to whom the wage restitution reported above is due. This figure is the unduplicated count: that is, an employee
due wage restitution as a result of an investigation shall be counted only once.
Enter amount of liquidated damages assessed under Contract Work Hours and Safety Standards Act.

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