Information Collection

Attestation by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska

IC 13141 under ICR 200802-1205-004 · OMB 1205-0352.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0352 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9033A Attestation by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska Form and Instruction
ETA 9033A Attestations by Employers Using Crewmembers for Longshor Form ETA 9033A.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Attestation by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 9033A	Attestations by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska	Form ETA 9033A.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: 20	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	-80	100
Annual IC Time Burden (Hours)	60	-240	300
Annual IC Cost Burden (Dollars)	0	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.