Form FHWA 1391 FHWA 1391 Federal-Aid Highway Construction Equal Employment Opport

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Overview

1391
1392

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Sheet 1: 1391

FEDERAL-AID HIGHWAY CONSTRUCTION CONTRACTORS ANNUAL EEO REPORT
1. MARK APPROPRIATE BLOCK				2. COMPANY NAME, CITY, STATE:					3. PROJECT NUMBER:			4. DOLLAR AMOUNT OF CONTRACT:					5. PROJECT LOCATION: (County and State)
□ Contractor
□ Subcontractor
This collection of information is required by law and regulation 23 U.S.C. 140a and 23 CFR Part 230. The OMB control number for this collection is 2125-0019 expiring in May 2019.
6. WORKFORCE ON FEDERAL-AID AND CONSTRUCTION SITE(S) DURING LAST FULL PAY PERIOD ENDING IN JULY 20___ (INSERT YEAR)
TABLE A																			TABLE B
JOB CATEGORIES	TOTAL EMPLOYED		TOTAL RACIAL/ ETHNIC MINORITY		BLACK or AFRICAN AMERICAN		HISPANIC OR LATINO		AMERICAN INDIAN OR ALASKA NATIVE		ASIAN		NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER		TWO OR MORE RACES		WHITE		APPRENTICES		ON THE JOB TRAINEES
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F
OFFICIALS	0	0	0	0
SUPERVISORS	0	0	0	0
FOREMEN/WOMEN	0	0	0	0
CLERICAL	0	0	0	0
EQUIPMENT OPERATORS	0	0	0	0
MECHANICS	0	0	0	0
TRUCK DRIVERS	0	0	0	0
IRONWORKERS	0	0	0	0
CARPENTERS	0	0	0	0
CEMENT MASONS	0	0	0	0
ELECTRICIANS	0	0	0	0
PIPEFITTER/PLUMBERS	0	0	0	0
PAINTERS	0	0	0	0
LABORERS-SEMI SKILLED	0	0	0	0
LABORERS-UNSKILLED	0	0	0	0
TOTAL	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
TABLE C (Table B data by racial status)
APPRENTICES	0	0
OJT TRAINEES	0	0
8. PREPARED BY:								9. DATE		10. REVIEWED BY:											11. DATE
(Signature and Title of Contractors Representative)										(Signature and Title of State Highway Official)
______________________________________________________________________
								____________		______________________________________________________________________________________________											________________
Form FHWA- 1391 (Rev. 05-16)									PREVIOUS EDITIONS ARE OBSOLETE

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Sheet 2: 1392

FEDERAL-AID HIGHWAY CONSTRUCTION CONTRACTORS ANNUAL EEO REPORT
1. STATE:		2. NUMBER OF PROJECTS:								3. TOTAL DOLLAR VALUE:				4. TOTAL WORKFORCE:					1392
This collection of information is required by law and regulation 23 U.S.C. 140a and 23 CFR Part 230. The OMB control number for this collection is 2125-0019 expiring in May, 2019.
7. WORKFORCE ON FEDERAL-AID AND CONSTRUCTION SITE(S) DURING LAST FULL PAY PERIOD ENDING IN JULY 20___ (INSERT YEAR)
TABLE A																			TABLE B
JOB CATEGORIES	TOTAL EMPLOYED		TOTAL RACIAL / ETHNIC MINORITY		BLACK or AFRICAN AMERICAN		HISPANIC OR LATINO		AMERICAN INDIAN OR ALASKA NATIVE		ASIAN		NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER		TWO OR MORE RACES		WHITE		APPRENTICES		ON THE JOB TRAINEES
	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F	M	F
OFFICIALS	0	0	0	0
SUPERVISORS	0	0	0	0
FOREMEN/WOMEN	0	0	0	0
CLERICAL	0	0	0	0
EQUIPMENT OPERATORS	0	0	0	0
MECHANICS	0	0	0	0
TRUCK DRIVERS	0	0	0	0
IRONWORKERS	0	0	0	0
CARPENTERS	0	0	0	0
CEMENT MASONS	0	0	0	0
ELECTRICIANS	0	0	0	0
PIPEFITTER/PLUMBERS	0	0	0	0
PAINTERS	0	0	0	0
LABORERS-SEMI SKILLED	0	0	0	0
LABORERS-UNSKILLED	0	0	0	0
TOTAL	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0
TABLE C (Table B data by racial status)
APPRENTICES	0	0
OJT TRAINEES	0	0
8. PREPARED BY: (Signature and Title of Contractors Representative)								9. DATE		10. REVIEWED BY:			(SIGNATURE and TITLE OF STATE HIGHWAY OFFICIAL)						11. DATE
______________________________________________________________________																			_________________________________
								_____________			____________________________________________________________
Form FHWA- 1392 (Rev. 05-16)									PREVIOUS EDITIONS ARE OBSOLETE