Information Collection

Application for Temporary Employment Certification

IC 235497 under ICR 202602-1205-004 · OMB 1205-0534.

Documents and Forms

Document Name Document Type
Form ETA-9142C CW-1 Application for Temporary Employment Certification Application for Temporary Employment Certification Form
Form ETA-9142C Appendix A Application for Temporary Employment Certification Form
Form ETA-9142C Appendix B Application for Temporary Employment Certification Form
Form ETA-9142C Appendix C Application for Temporary Employment Certification Form
Form ETA-9142C Final Determination Application for Temporary Employment Certification Form
OSEC Approved 10. Form ETA-9142C General Instructions (4.16.26).docx Instruction
ETA-9142C CW-1 Application for Temporary Employment Certification OSEC Approved 05. Form ETA 9142C Application CW-1 (4.16.26).docx Form
ETA-9142C Appendix A OSEC Approved 06. Form ETA-9142C Appendix A (4.16.26).docx Form
ETA-9142C Appendix B OSEC Approved 07. Form ETA-9142C Appendix B (4.16.26).docx Form
ETA-9142C Appendix C OSEC Approved 08. Form ETA-9142C Appendix C (4.16.26).docx Form
ETA-9142C Final Determination OSEC Approved 09. Form ETA-9142C Final Determination (4.16.26).docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Temporary Employment Certification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-9142C	CW-1 Application for Temporary Employment Certification	OSEC Approved 05. Form ETA 9142C Application CW-1 (4.16.26).docx	Yes	Yes	Fillable Fileable
Form	ETA-9142C	Appendix A	OSEC Approved 06. Form ETA-9142C Appendix A (4.16.26).docx	Yes	Yes	Fillable Fileable
Form	ETA-9142C	Appendix B	OSEC Approved 07. Form ETA-9142C Appendix B (4.16.26).docx	Yes	Yes	Fillable Fileable
Form	ETA-9142C	Appendix C	OSEC Approved 08. Form ETA-9142C Appendix C (4.16.26).docx	Yes	Yes	Fillable Fileable
Form	ETA-9142C	Final Determination	OSEC Approved 09. Form ETA-9142C Final Determination (4.16.26).docx	Yes	Yes	Fillable Fileable
Instruction			OSEC Approved 10. Form ETA-9142C General Instructions (4.16.26).docx	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 705	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 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,848	-9,758	17,606
Annual IC Time Burden (Hours)	4,137	-5,215	9,352
Annual IC Cost Burden (Dollars)	0	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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