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Federal forms, ICRs, and supporting documents

Information Collection

H-2A Information Collection from Employers

IC 237049 under ICR 201907-1205-012 · OMB 1205-0537.

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Information Collection (IC) Details

View Information Collection (IC)

H-2A Information Collection from Employers
 
No New
 
Required to Obtain or Retain Benefits
 
20 CFR 655 20 CFR 653

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ETA-9142A H-2A Application for Temporary Employment Certification 01_ETA-9142A_NPRM_clean 7.12.19_508.pdf Yes Yes Fillable Fileable
Instruction 02_ETA-9142A Instructions_NPRM_clean 7.12.19_508.pdf Yes Yes Fillable Fileable
Form ETA-9142A – APPENDIX A H-2A Application for Temporary Employment Certification Form ETA-9142A – APPENDIX A 03_ETA-9142A_Appendix A_NPRM_clean 6.18.19_508.pdf Yes Yes Fillable Fileable
Form ETA-9142A – APPENDIX B H-2A Application for Temporary Employment Certification Form ETA-9142A – APPENDIX B 04_ETA-9142A_Appendix B_surety bond_clean 6.18.19_508.pdf Yes Yes Fillable Fileable
Form Form ETA-9142A FD Form ETA-9142A – H-2A Approval Final Determination Temporary Agricultural Labor Certification 05_ETA-9142A FD_NPRM_clean 6.18.19_508.pdf Yes Yes Fillable Fileable
Form ETA-790 Agricultural Clearance Order 06_ETA-790_NPRM_clean 6.18.19_508.pdf Yes Yes Fillable Fileable
Form ETA-790A H-2A Agricultural Clearance Order 07_ETA-790A_Ag Clearance Order_NPRM_clean 6.18.19_508.pdf Yes Yes Fillable Fileable
Instruction 11_ETA-790 790A_Instructions_NPRM_clean 6.18.19_508.pdf Yes Yes Fillable Fileable
Form ETA-790A Addendum A Form ETA-790A Addendum A 08_ETA-790A_Addendum_A_wages_NPRM_clean 6.18.19_508.pdf Yes Yes Fillable Fileable
Form ETA-790A Addendum B Form ETA-790A Addendum B 09_ETA-790A_Addendum_B_worksites-housing_NPRM_clean 6.18.19_508.pdf Yes Yes Fillable Fileable
Form ETA-790A Addendum C Form ETA-790A Addendum C 10_ETA-790A_Addendum_C_additional info_NPRM_clean 6.18.19_508.pdf Yes Yes Fillable Fileable

Workforce Management Labor Rights Management

SORN DOL/ETA-7; Foreign Labor Certification System and Employer Application Case Files  81 FR 25765

8,947 0
   
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
 
   90 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 290,464 0 290,464 0 0 0
Annual IC Time Burden (Hours) 55,673 0 55,673 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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