Information Collection

Prevailing Wage Determination

IC 204363 under ICR 201210-1205-002 · OMB 1205-0508.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0508 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9141 Prevailing Wage Determination	Form
ETA Form 9141 Instructions Final.doc	Instruction
ETA-9141 Application for Prevailing Wage Determination ETA Form 9141 Final.docx	Form
ETA-9141 Application for Prevailing Wage Determination Screenshot mock-ups for Revised 9141.pdf	Form

IC Title:

Prevailing Wage Determination

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 8 CFR 214.2(h)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9141	Application for Prevailing Wage Determination	ETA Form 9141 Final.docx	Yes	Yes	Fillable Fileable
Instruction			ETA Form 9141 Instructions Final.doc	Yes	No	Printable Only
Form	ETA-9141	Application for Prevailing Wage Determination	Screenshot mock-ups for Revised 9141.pdf	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 461,177

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: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	890,501	890,501
Annual IC Time Burden (Hours)	398,833	398,833
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.