Monthly Employment Utilization Report
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1Monthly Employment Utilization Report
U.S. Department of Labor
Employment Standards Administration
Office of Federal Contract Compliance Programs
This report is required by Executive Order 11246, Sec. 203. Failure to report can result in contracts
1. Covered Area (SMSA or EA)
2. Employers I.D. No.
OMB No. 1215-01633
being cancelled, terminated or suspended in whole or in part and the contractor may be declared
Expires: 12/13/92
ineligible for further Government contracts of federally assisted construction contracts.
3. Current Goals
4. Reporting Period
Name and Location of Contractor
Federal
Minority
From
Funding
Agency
Female
To
6.9%
5.
6. TOTAL FEDERAL & NON-FEDERAL CONSTRUCTION WORK HOURS
9.
10.
6a.
6b.
6c.
6d.
6e.
7,
8.
CONSTRUCTION
Classifications
Total
Total Number of
Total All
Black
Asian or
American
TRADE
Number of
Minority Employees
Employees
(Not of Hispanic
Pacific
Indian or
Employees
By Trade
Origin)
Hispanic
Islander
Native American
Minority
Female
Percentage
Percentage
M
F
M
F
M
F
M
F
M
F
M
F
M
F
Journey Worker
Apprentice
Trainee
Sub-Total
Journey Worker
Apprentice
Trainee
Sub-Total
Journey Worker
Apprentice
Trainee
Sub-Total
Journey Worker
Apprentice
Trainee
Sub-Total
Journey Worker
Apprentice
Trainee
Sub-Total
Total Journey Worker
Total Apprentices
Total Trainees
Grand Total
11. Company Official’s Signature and Title
12. Telephone Number
13. Date Signed
Page
(Include area code)
of
(
Form CC-257
Rev. Jan. 1992
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