Forms for Agricultural Recruitment System Affecting Migratory Farm Workers

Forms and Documents

Document Name	Status
Form ETA-790 Agriculture and Food Processing Order Form and Instruction	Modified
Form ETA-795 Agricultural and Food Processing Clearance Memorandum Form	New
SUPPORTING_STATEMENT1205-0134 final.docx Supporting Statement A	2012-09-05

IC Document Collections

IC ID	Document Title	Status
43786	Agriculture and Food Processing Order Form and Instruction	Modified
203949	Agricultural and Food Processing Clearance Memorandum Form	New

ICR Details

OMB Control No: 1205-0134	ICR Reference No: 201207-1205-008
Status: Historical Active	Previous ICR Reference No: 201005-1205-010
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: Forms for Agricultural Recruitment System Affecting Migratory Farm Workers
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/23/2012
	Date Received in OIRA: 09/12/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2015	36 Months From Approved	11/30/2012
Responses	9,356	0	9,356
Time Burden (Hours)	8,606	0	8,606
Cost Burden (Dollars)	29,471	0	29,471

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Abstract: Employers and farm labor contractors complete forms ETA-790 (the Agricultural and Food Processing Clearance Order) and ETA-795 (the Agricultural Food and Food Processing Clearance Memorandum) to recruit agricultural workers in compliance with the regulations at 20 CFR 653.500. These same forms are also used by State Workforce Agencies and American Job Centers to recruit workers from outside the local commuting area.

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Authorizing Statute(s): US Code: 44 USC 3501 Name of Law: The Wagner Peyser Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 28625	05/15/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 56232	09/12/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Agriculture and Food Processing Order	ETA-790	Agricultural and Food Processing Order
Agricultural and Food Processing Clearance Memorandum	ETA-795	Agricultural and Food Processing Clearance Memorandum

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	9,356	9,356	0	0	0	0
Annual Time Burden (Hours)	8,606	8,606	0	0	0	0
Annual Cost Burden (Dollars)	29,471	29,471	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $27,456

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/12/2012

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