HomeMy WebLinkAboutOTHER-2021-034-EEO Questionnaire oll 't 5a
Attachment 8
EEO QUESTIONNAIRE
Threshold Requirements : Any applicant, recipient, or sub -recipient is required to comply with
program requirements in Chapter III if it meets the following thresholds :
a. Employees 100 (+) or more transit-related employees , and
b . Requests or receives capital or operating assistance under Sections 3, 4 (i) , or 9 of the FTA;
assistance under 23 U. S . C . 142 ( a) (2) or 23 U. S . C . 103 ( e) (4) , or any combination thereof, in
excess of $ 1 million in the previous Federal fiscal year; or
c . Request and receives planning assistance under Sections 8 and/or 9 in excess of $250,000 in
the previous Federal fiscal year.
Transit systems with 50 — 99 employees must keep a plan on file for review at next site visit.
Name of Organization:
State DOT MPO Transit Agency City
TrAMS ID : (if applicable)
1 . How many employees do you have in your organization?
2 . How many of those employees are *transit related?
*A transit related employee is an employee of an FTA applicant, recipient, or subrecipient who is
involved in an aspect of an agency' s mass transit operation funded by FTA. For example, a city
planner involved in a planning bus routes would be counted as part of the recipient's work force,
but a city planner involved in land use would not be counted.
"If EEO requirement is not applicable check here X , sign at the bottom, and submit,
otherwise complete remaining questions .
3 . How much did your organization receive in capital or operating assistance the previous fiscal
year?
4. How much did your organization receive in planning assistance the previous fiscal year?
9 . Has your agency participated in an EEO compliance review?
If yes,
a . Were there any deficiencies ? Yes No
If yes, in what area(s)
b . Are any of the deficiencies still open Yes No
If yes, in what area (s) ?
I declare ( or certify, verify, or state) that the foregoing is true and correct.
Signature Date
Title Chair , Orange County Board of Commissioners
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