Information Collection

Job Offer and Required Wage Request Form

IC 183498 under ICR 200801-1205-005 · OMB 1205-0466.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0466 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9141 Job Offer and Required Wage Request Form Form and Instruction
ETA 9141 Job Offer and Required Wage Determination Request ETA 9141.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Job Offer and Required Wage Request Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 655

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9141	Job Offer and Required Wage Determination Request	ETA 9141.doc		Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,725	Number of Respondents for Small Entity: 7,725

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,725	7,725
Annual IC Time Burden (Hours)	5,794	5,794
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.