Information Collection

Eta-9142-b-caa-10

IC 278852 under ICR 202601-1205-005 · OMB 1205-0564.

Documents and Forms

Document Name Document Type
Form ETA 9142-A-CAA-10 Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers ETA-9142-B-CAA-10 Form
Form ETA 9142-B-CAA-10_General Instructions_Clean.docx Instruction
ETA 9142-A-CAA-10 Attestation for Employers Seeking to Employ H-2B Nonimmi Form ETA 9142-B-CAA-10_Attestation_clean.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ETA-9142-B-CAA-10	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.13 20 CFR 655

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Form ETA 9142-B-CAA-10_General Instructions_Clean.docx		Yes	Yes	Fillable Fileable
Form	ETA 9142-A-CAA-10	Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers	Form ETA 9142-B-CAA-10_Attestation_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16,832	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16,832	16,832
Annual IC Time Burden (Hours)	25,248	25,248
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.

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