H-2A Rulemaking

Foreign Labor Certification Instruments

OMB: 1205-0466

IC ID: 186978

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form ETA Form 9142 H-2A Rulemaking Form
ETA Form 9142_General-Instructions_FINAL_092508.doc Instruction
Form 9142 Instructions ammended.doc Instruction
ETA-9142 Application for Temporary Employment Certification ETA Form 9142_FINAL_100908.doc Form
ETA 9142 - Appendi Appendix A.1 ETA_Form_9142_Appendix_A.1_FINAL092508.doc Form
ETA 9142 - Appendi Appendix A.2 ETA_Form_9142_Appendix_A.2_FINAL092508.doc Form
ETA Form 9142 Appe 2009 Appendix A.2 9142 Appendix A.2 ammended.doc Form
ETA Form 9142 2009 Application for Temporary Employment Certification Form 9142 - amended.doc Form
Note to Reviewer - H-2A Final Rule.doc Note to Reviewer IC Document
ETA Form 9142 - highlighted.doc Form ETA 9142 - Highlighted changes IC Document
ETA Form 9142 Instructions-highlighted.doc Form ETA 9142 Instructions - highlighted changes IC Document
ETA_Form_9142 AppendixA.1-highlighted.doc Appendix A.1 - highlighted changes IC Document
ETA_Form_9142 AppendixA.2-highlighted.doc Appendix A.2 - highlighted changes IC Document
SUPPORTING STATEMENT H-2A 10308.doc Supporting Statement - H-2A Rule IC Document
H-2A Draft Final Rule to OMB.doc H-2A Draft Final Rule as Sent to OMB IC Document
9142 Appendix A.2 ammended highlighted changes.doc 2009 ETA Form 9142 Appendix A.2 with highlighted changes IC Document
2009 Note to Reviewer.doc 2009 Note to Reviewer IC Document
SUPPORTING STATEMENT H-2A.doc 2009 Supporting Statement IC Document
Form 9142 - amended highlighted changes.doc 2009 ETA Form 9142 amended with highlighted changes IC Document
Form 9142 Instructions ammended highlighted changes.doc 2009 ETA Form 9142 Instructions highlighted changes IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	H-2A Rulemaking	Agency IC Tracking Number:	RIN: 1205-AB55

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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 Form 9142	2009 Application for Temporary Employment Certification	Form 9142 - amended.doc	Yes	No	Printable Only
Instruction			Form 9142 Instructions ammended.doc	Yes	No	Printable Only
Form	ETA-9142	Application for Temporary Employment Certification	ETA Form 9142_FINAL_100908.doc	Yes	No	Fillable Printable
Instruction			ETA Form 9142_General-Instructions_FINAL_092508.doc	Yes	No	Printable Only
Form	ETA 9142 - Appendix A.1	Appendix A.1	ETA_Form_9142_Appendix_A.1_FINAL092508.doc	Yes	No	Fillable Printable
Form	ETA 9142 - Appendix A.2	Appendix A.2	ETA_Form_9142_Appendix_A.2_FINAL092508.doc	Yes	No	Fillable Printable
Form	ETA Form 9142 Appendix A.2	2009 Appendix A.2	9142 Appendix A.2 ammended.doc	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,356	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	61,141	30,241	30,900
Annual IC Time Burden (Hours)	31,833	12,648	19,185
Annual IC Cost Burden (Dollars)	2,607,405	1,032,065	1,575,340

Documents for IC

Title	Document	Date Uploaded
Note to Reviewer	Note to Reviewer - H-2A Final Rule.doc	10/21/2008
Form ETA 9142 - Highlighted changes	ETA Form 9142 - highlighted.doc	10/24/2008
Form ETA 9142 Instructions - highlighted changes	ETA Form 9142 Instructions-highlighted.doc	10/24/2008
Appendix A.1 - highlighted changes	ETA_Form_9142 AppendixA.1-highlighted.doc	10/24/2008
Appendix A.2 - highlighted changes	ETA_Form_9142 AppendixA.2-highlighted.doc	10/24/2008
Supporting Statement - H-2A Rule	SUPPORTING STATEMENT H-2A 10308.doc	10/28/2008
H-2A Draft Final Rule as Sent to OMB	H-2A Draft Final Rule to OMB.doc	10/28/2008
2009 ETA Form 9142 Appendix A.2 with highlighted changes	9142 Appendix A.2 ammended highlighted changes.doc	08/14/2009
2009 Note to Reviewer	2009 Note to Reviewer.doc	08/14/2009
2009 Supporting Statement	SUPPORTING STATEMENT H-2A.doc	08/19/2009
2009 ETA Form 9142 amended with highlighted changes	Form 9142 - amended highlighted changes.doc	08/24/2009
2009 ETA Form 9142 Instructions highlighted changes	Form 9142 Instructions ammended highlighted changes.doc	08/24/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.