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�CR A�PPTJ
<br />Mos,, Yrs, 10010 His, 1000 Hirs.
<br />PuLdi
<br />1000 Hies,
<br />P-OffliQA-4
<br />Lo-rLa _dS
<br />EftiU
<br />% 65 so
<br />65
<br />1000 HfS.
<br />1000 Hirs,
<br />1000 Hirs.
<br />70
<br />80
<br />go
<br />E x- 9
<br />111-r-m jagdoAl egrioci
<br />Hr-s', Mos, Yts, 6 MO& 6 Mos,
<br />PRLLOIL-1 Egdod 4
<br />6 Mos, 6 Mos,
<br />Le-r'20-4
<br />EY-IL-A-6 EIrIA-7
<br />fSe—H,4.0
<br />so 55
<br />610 615
<br />6 Mos,
<br />6 Mos. 6 Mos.
<br />6 Mos.
<br />70
<br />76 80
<br />90
<br />Item 13. Identities the individual or entity responsible for receiving complaints (Code of Federal Regulations, CFR, Title 29 part 29.7(k)),
<br />Part C.
<br />Item 4, Opfirifflon, The Registered Apprenticeship Partners information Data System (RAPOS) encrypts the apprentice's social security number and
<br />gfencrzte$ a unique identification nuilliber to identify the apprentice. It replaces the social security number to protect the apprentire's, privacy,
<br />'The subfnGssion of your accial$OcalitY nurnhOF IS requested, The appmnuce's social scosrily n1trabet vall only be used to venly then alarm fice% pefludsof eMPICYMOnt aild
<br />'rages ter Pt4fP0sas Of cafll4ing with lho Office of Management and Budget related to c0raftlutl measures of Ole Faderalt iub babdrig and arnfArlyravnt lar",ramz low fneasuring
<br />parfornafarvncylustreornaans and for puq)000s of Ine Governmujt
<br />PvdcnmaQe and Ras,ufts Act, 'The Office Of Apprenflcaship cult! use Wa;e records throw0l) theta Wage ReordhWthSystem d neads toapprentice's s,inj sec flurribe, to match this ounlber ogallsit the ornployer*, wage rocords. Also, the apprentice,$ social sacknily nfjrnho�
<br />Mill he used appropriate, for putponos of the Davi's Bacon Act at 193 1, as aplended,
<br />The US. 00�adn%nl of Labor. Wage as
<br />O.S. Code TI1O 40, $00IOns 2760 to 276,a-?, and Tille 29 CFR 5, to verify and Certify 10
<br />your oci�uprflianaj closslfloMoo, Failure 11 four D"I'dSIon, u"t you are a MUWOfad OPPren0co to anauro ftrat the employov is cornplying VAh flW geograpfifu Prevailing wage of
<br />0 disclose Your Svdal SecUritV nurnWr on this form VAl not arfact your right to te fo&terad aS an aplaanjics. Civil and tdafoot
<br />to 0viBiOns of ti'm PrIvacy'Act apply to any onlavAul d6dorure of year social S"uTily llumber, WhIch is fNola4iltod
<br />the 000011"n and Maintenance sit Ihar dala On ETA-671, APPre-nfice Re&llalicn - Sgchon 1111 Form l[ authorized under 1110, National ApisTengcol3hlp Ael, 29 U,S,C. 50, 4ad CFR
<br />291311029A The drta is uaed for opprentico,51110 1)"JUIEwil stalislIC01 purposes and is the PrIvrscyAdor 1974 (6 U.S.G, Ina 00110d, DOUEMA. Registered Apprenwestnp pannam information 10"Iragement Data Systern (RACIMS),Il ihjf� (J�& Dt'itarlmoni of Labor, offloa of ' s ,lent be discinsed 1,13A Slate Apprenticaship Agenicy to detanitine an D"essmant of skill Aplitenticeship,, Dato may
<br />law, needs and program ane' in COnnerj'an voltla fede'el fNgallOn Or When require4 by
<br />POMP$ �JrP not required to respond to this cdlecUmp of inibirriatian Mim's it displays a currently vOld OMB COntrOf 'Willbor. PulAir reponing burden for fllig cog"ton or
<br />intoirviation is eminnaktd, to numage five Minutes Pal' resrWilse, including ft, latio for rovilowing insiluclions, saarching, exis,fing, data ��ojjrces, 98glering au 0,11lial,lnij the data
<br />neoded, nrld rorliplenno aril re'vlawiflS lire c011aclkin or infafmalion, 7110 Obligation to ragpond Is requIfed to obtain 01 retain benefilf, undw 29 USC 5D. Send conlwents
<br />regardikg) 01k, bunion or anyoillar aspect GI this collection Of InfOnnalion inclisj sug9e$9oas for pod19 t
<br />Apprenticeship, 200 ConsfituUon Avenue, N,W., Rcovi N-5311, WaStlington, 0,C, 20210 WaParwork Reduclbfw�) Profort 12burdorn la 05-0023) office of
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<br />ETA 671 - Section 11 (November 2014)
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