Information Collection

H-2A Temporary Agricultural Labor Certification Program Updated Forms

IC 236087 under ICR 201903-1205-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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-9142A H-2A Temporary Agricultural Labor Certification Program Updated Forms Form
508 8. CLEAN_Form ETA-9142A General Instructions.pdf Instruction
508 15. CLEAN_Form ETA-790-790A General Instructions.pdf Instruction
ETA-9142A H-2A Application for Temporary Employment Certification 508 6. CLEAN_Form ETA-9142A.pdf Form
ETA-9142A - Append Appendix A 508 7. CLEAN_Form ETA-9142A Appendix A.pdf Form
ETA-790 Agricultural Clearance Order Form ETA-790 508 10. CLEAN_Form ETA-790.pdf Form
ETA-790A H-2A Agricultural Clearance Order Form ETA-790A 508 11. CLEAN_Form ETA-790A.pdf Form
ETA-790A Addendum H-2A Agricultural Clearance Order Form ETA-790A Addendum 508 12. CLEAN_Form ETA-790A_Addendum_A_wages.pdf Form
ETA-790A Addendum H-2A Agricultural Clearance Order Form ETA-790A Addendum 508 13. CLEAN_Form ETA-790A_Addendum_B_worksites-housing.pdf Form
ETA-790A Addendum H-2A Agricultural Clearance Order Form ETA-790A Addendum 508 14. CLEAN_Form ETA-790A_Addendum_C_additional info.pdf Form
ETA-9142A FD TLC H-2A Application for Temporary Employment Certification 508 9. CLEAN_Form ETA-9142A_FD_TLC-Approval.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	H-2A Temporary Agricultural Labor Certification Program Updated Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 655

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9142A	H-2A Application for Temporary Employment Certification	508 6. CLEAN_Form ETA-9142A.pdf	Yes	Yes	Fillable Fileable
Instruction			508 8. CLEAN_Form ETA-9142A General Instructions.pdf	Yes	No	Printable Only
Form	ETA-9142A - Appendix A	Appendix A	508 7. CLEAN_Form ETA-9142A Appendix A.pdf	Yes	Yes	Fillable Fileable
Form	ETA-790	Agricultural Clearance Order Form ETA-790	508 10. CLEAN_Form ETA-790.pdf	Yes	Yes	Fillable Fileable
Instruction			508 15. CLEAN_Form ETA-790-790A General Instructions.pdf	Yes	No	Printable Only
Form	ETA-790A	H-2A Agricultural Clearance Order Form ETA-790A	508 11. CLEAN_Form ETA-790A.pdf	Yes	Yes	Fillable Fileable
Form	ETA-790A Addendum A	H-2A Agricultural Clearance Order Form ETA-790A Addendum A	508 12. CLEAN_Form ETA-790A_Addendum_A_wages.pdf	Yes	Yes	Fillable Fileable
Form	ETA-790A Addendum B	H-2A Agricultural Clearance Order Form ETA-790A Addendum B	508 13. CLEAN_Form ETA-790A_Addendum_B_worksites-housing.pdf	Yes	Yes	Fillable Fileable
Form	ETA-790A Addendum C	H-2A Agricultural Clearance Order Form ETA-790A Addendum C	508 14. CLEAN_Form ETA-790A_Addendum_C_additional info.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9142A FD TLC	H-2A Application for Temporary Employment Certification Form ETA-9142A â Final Determination: H-2A Temporary Labor Certification Approval	508 9. CLEAN_Form ETA-9142A_FD_TLC-Approval.pdf	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,782	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	273,504	273,504
Annual IC Time Burden (Hours)	52,375	52,375
Annual IC Cost Burden (Dollars)	2,521,610	2,521,610

Documents for IC

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