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H-2B Employer-Provided Survey Attestation

IC 232986 under ICR 202204-1205-001 · OMB 1205-0509.

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Document Type
Instruction
Instruction
Form
Form
IC Document
IC Document
IC Document
IC Document
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H-2B Employer-Provided Survey Attestation
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 655.10 8 CFR 214.2(h)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Form ETA-9165 Instructions clean 1205-0509.pdf Yes Yes Fillable Fileable
Form ETA-9165 Employer-Provided Survey Attestations to Accompany H-2B Prevailing Wage Determination Request Based on a Non-OES Survey Form ETA-9165 1205-0509 clean.pdf Yes Yes Fillable Fileable

Workforce Management Labor Rights Management

Foreign Labor Certification System and Employer Application Case Files  87 FR 8292

278 0
   
Private Sector Businesses or other for-profits, Farms
 
   100 %

  Approved 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 278 0 0 0 0 278
Annual IC Time Burden (Hours) 117 0 1 0 0 116
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Form 9165 Instructions Tracked Form ETA-9165 Instructions 1205-0509 redlined changes.pdf 05/17/2022
Form 9165 Tracked Form ETA-9165 1205-0509 redlined changes.pdf 05/17/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.