Information Collection

Job Offer and Required Wage Request Form

IC 183498 under ICR 200806-1205-010 · OMB 1205-0466.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0466 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9141 Job Offer and Required Wage Request Form	Form and Instruction
ETA 9141 Job Offer and Required Wage Determination Request ETA 9141.doc	Form and Instruction

IC Title:

Job Offer and Required Wage Request Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 655

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 9141	Job Offer and Required Wage Determination Request	ETA 9141.doc		Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,000

Number of Respondents for Small Entity: 12,000

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	13,050	13,050
Annual IC Time Burden (Hours)	9,675	9,675
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.