Information Collection

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

IC 13141 under ICR 201107-1205-003 · OMB 1205-0352.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-933A Attestation by Employers Using Crewmembers for Longshore Activities at Locations in the State of Alaska	Form and Instruction
ETA-933A Attestations By Employers Using Alien Crewmembers for Lo Form ETA 9033A.doc	Form and Instruction

IC Title:

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-933A	Attestations By Employers Using Alien Crewmembers for Longshore Activities in Alaska	Form ETA 9033A.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: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	60	60
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.