Document
Appendix B
ICR 202602-1205-004 · OMB 1205-0534 · Object 166303600.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Appendix B |
| Conversion State | complete |
Extracted Text
1. City *
2. Postal/ZIP Code *
3. Additional Place of Employment Information § (Address—e.g., street address, area, town, village, geographic identification)
4. Additional Work Itinerary Information §
Crew ID
Total Workers
Begin Date
End Date
Basic Wage Rate (in $)
Per
From:
To:
For the public burden statement, please see the Form ETA-9142C, General Instructions.