Information Collection

Agricultural Interview Form

IC 193069 under ICR 200912-1205-002 · OMB 1205-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-232A Domestic Agricultural In-Season Wage Report Agricultural Interview Form	Form and Instruction
ETA-232A Domestic Agricultural In-Season Wage Report Form 232A - 2010 version.doc	Form and Instruction

IC Title:

Agricultural Interview Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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-232A				Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 38,805

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Farms

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	38,805	38,805
Annual IC Time Burden (Hours)	9,701	9,701
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.

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