Information Collection

H-2A Rulemaking

IC 186978 under ICR 201111-1205-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Form 9142; App H-2A Rulemaking	Form
ETA_Form_9142_General_Instructions_FINAL.pdf icert.doleta.gov/	Instruction
ETA Form 9142; App Appendix A.2_Existing Form_113011 ETA_Form_9142_Appendix_A2.pdf icert.doleta.gov/	Form
ETA Form 9142 Application for Temporary Employment Certification, Fina ETA Form 9142_FINAL[1].doc	Form

IC Title:

H-2A Rulemaking

Agency IC Tracking Number:

RIN: 1205-AB55

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	ETA Form 9142; Appendix A.2	Appendix A.2_Existing Form_113011	ETA_Form_9142_Appendix_A2.pdf	http://icert.doleta.gov/	Yes	No	Fillable Printable
Instruction			ETA_Form_9142_General_Instructions_FINAL.pdf	http://icert.doleta.gov/	Yes	No	Printable Only
Form	ETA Form 9142	Application for Temporary Employment Certification, Final	ETA Form 9142_FINAL[1].doc		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title: DOL/ETA-15

FR Citation: 75 FR 6884

Number of Respondents: 7,977

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	152,738	121,838	0	30,900
Annual IC Time Burden (Hours)	48,602	0	29,417	19,185
Annual IC Cost Burden (Dollars)	1,712,815	0	137,475	1,575,340

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.