Attestation by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska

ICR 200506-1205-001

OMB: 1205-0352

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1205-0352 200506-1205-001
Historical Active 200201-1205-001
DOL/ETA
Attestation by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska
Extension without change of a currently approved collection   No
Regular
Approved without change 08/18/2005
Retrieve Notice of Action (NOA) 06/29/2005
  Inventory as of this Action Requested Previously Approved
08/31/2008 08/31/2008 08/31/2005
100 0 350
300 0 1,050
0 0 0

The information provided on this form by employers seeking to use alien crewmembers to perform longshore activities in the State of Alaska will permit the Department to meet federal responsibiities for program administration, management, and oversight.

None
None


No

1
IC Title Form No. Form Name
Attestation by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska ETA-9033-A

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 100 350 0 0 -250 0
Annual Time Burden (Hours) 300 1,050 0 0 -750 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/29/2005


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