Semi-Annual Labor Compliance Report

SEMI-ANNUAL DAVIS-BACON
ENFORCEMENT REPORT 
The following questions regarding enforcement activity (Davis-Bacon & Related Acts) by this Agency are re‐
quired by 29 CFR, Part 5.7(b), and Department of Labor, All Agency Memorandum #189. If you have questions
or concerns regarding the submission of this report, please email: DBAEnforcementReports@hq.doe.gov.
Start now

This content is created by the owner of the form. The data you submit will be sent to the form owner. Microsoft is not
responsible for the privacy or security practices of its customers, including those of this form owner. Never give out your
password.
Microsoft Forms | AI-Powered surveys, quizzes and polls Create my own form
The owner of this form has not provided a privacy statement as to how they will use your response data. Do not provide
personal or sensitive information. | Terms of use

SEMI-ANNUAL DAVIS-BACON ENFORCEMENT REPORT 
* Required
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 (1) 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.
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 applicable performance period.

1. Enter your Contract or Financial Assistance Number: *
Enter your answer

2. Enter your Contract or Financial Assistance Name: *

Enter your answer

3. Reporting Period Covered: *
Enter beginning and ending dates of the reporting period covered by this semi-annual report (e.g.,
October 1, 20xx to March 31, 20xx; or April 1, 20xx to September 30, 20xx).

Enter your answer

4. Number of contracts awarded subject to Davis-Bacon and Related Acts:  *
Enter the number of contracts and grants awarded which are subject to the Davis-Bacon Act.

Enter your answer

5. Total dollar amounts of contracts awarded by the Department of Energy subject to
the Davis-Bacon and Related Acts: *
Enter the total dollar amount of contracts and grants awarded that are subject to the DavisBacon Act. This Report is not cumulative. Report only contract amounts awarded during this specific
six-month period.

Enter your answer

6. Number of contractors/subcontractors against whom complaints were received: *
Enter the total number of contractors and subcontractors against whom complaints were received
by your office. Recipients of grants should track complaints received (and track complaints analyzed
and answered). Count only complaints filed with your office against contractors performing work on
all covered contracts. Do not report complaints filed with the Department of Labor (DOL), unless
DOL requests your office investigate the complaint.

Enter your answer

7. Number of investigations completed: *
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.” 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.).

Enter your answer

8. Number of contractors/subcontractors found in violation: *
Note: For every complaint received, there must be an investigation to resolve it.

Enter your answer

9. Amount of wage restitution found due in Davis Bacon & Related Acts: *
Enter the number of contractors and subcontractors found in violation as a result of the
investigations reported above. Do not count a contractor or subcontractor more than once in a
single investigation even where more than one contract is included in the investigation. Do not
report amounts found by DOL, as the DOL office performing the investigation will make that report.

Enter your answer

10. Amount of wage restitution found due in Contract Work Hours and Safety
Standards Act (Overtime Violations): *
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 your answer

11. Amount of back wages paid under Davis-Bacon & Related Acts: *
Enter the total amount of back wages paid during this reporting period.

Enter your answer

12. Amount of back wages paid under the Contract Work Hours and Safety Standards
Act: *
Enter the total amount of back wages paid during this reporting period.  

Enter your answer

13. Total number of employees due wage restitution under the Davis-Bacon and
Related Acts and/or Contract Work Hours and Safety Standards Act: *
Enter the number of employees to whom the wage restitution as 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 your answer

14. Amount of liquidated damages assessed under Contract Work Hours and Safety
Standards Act: *
Enter amount of liquidated damages assessed under Contract Work Hours and Safety Standards Act.

Enter your answer

This content is created by the owner of the form. The data you submit will be sent to the form owner. Microsoft is not
responsible for the privacy or security practices of its customers, including those of this form owner. Never give out your
password.
Microsoft Forms | AI-Powered surveys, quizzes and polls Create my own form
The owner of this form has not provided a privacy statement as to how they will use your response data. Do not provide
personal or sensitive information. | Terms of use