H-2A Rulemaking

Foreign Labor Certification Instruments

⚠️ Notice: This information collection may be referencing outdated material.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_04_2012.pdf www.foreignlaborcert.doleta.gov/pdf/ETA_Form_9142_General_Instructions_04_2012.pdf Instruction
ETA Form 9142 Application for Temporary Employment Certification ETA_Form_9142_04_2012.pdf www.foreignlaborcert.doleta.gov/pdf/ETA_Form_9142_04_2012.pdf Form
ETA Form 9142 Appe Application for Temporary Employment Certification - App ETA_Form_9142_Appendix_A2.pdf www.foreignlaborcert.doleta.gov/pdf/ETA_Form_9142_Appendix_A2.pdf Form

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA Form 9142	Application for Temporary Employment Certification	ETA_Form_9142_04_2012.pdf	http://www.foreignlaborcert.doleta.gov/pdf/ETA_Form_9142_04_2012.pdf	Yes	No	Fillable Printable
Form	ETA Form 9142 Appendix A.2	Application for Temporary Employment Certification - Appendix A.2	ETA_Form_9142_Appendix_A2.pdf	http://www.foreignlaborcert.doleta.gov/pdf/ETA_Form_9142_Appendix_A2.pdf	Yes	No	Fillable Printable
Instruction			ETA_Form_9142_General_Instructions_04_2012.pdf	http://www.foreignlaborcert.doleta.gov/pdf/ETA_Form_9142_General_Instructions_04_2012.pdf	Yes	No	Printable Only

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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	152,860	122	152,738
Annual IC Time Burden (Hours)	48,502	-100	48,602
Annual IC Cost Burden (Dollars)	1,752,700	39,885	1,712,815

Documents for IC

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.