Application for Permanent Employment Certification

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0451 can be found here:

Documents and Forms

Document Name Document Type
Form 9089 Appendix A.pdf Other-Appendix
9089 instruction.pdf Instruction
Screenshot of Public Burden Statement and Exp. date.docx Other-Public Burden Statement
ETA-9089 Application for Permanent Employment Certification Form ETA-9089 proposed version.docx Form
ETA-9089 Application for Permanent Employment Certification screen shots for online ETA 9089(2014 edits).doc www.plc.doleta.gov Form
Form ETA-9089 proposed version with highlighted changes.docx ETA-9089 Proposed Form with Highlighted Changes IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Permanent Employment Certification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 656 8 CFR 204.5(k)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix			Form 9089 Appendix A.pdf		Yes	No	Printable Only
Form	ETA-9089	Application for Permanent Employment Certification	Form ETA-9089 proposed version.docx		Yes	Yes	Fillable Fileable
Instruction			9089 instruction.pdf		Yes	No	Printable Only
Form	ETA-9089	Application for Permanent Employment Certification	screen shots for online ETA 9089(2014 edits).doc	http://www.plc.doleta.gov	Yes	Yes	Fillable Fileable
Other-Public Burden Statement			Screenshot of Public Burden Statement and Exp. date.docx		Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title: DOL/ETA-7	FR Citation: 67 FR 16815

Number of Respondents: 73,400	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: 80 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	295,472	200,872	94,600
Annual IC Time Burden (Hours)	227,687	4,356	223,331
Annual IC Cost Burden (Dollars)	467,000	-283,000	750,000

Documents for IC

Title	Document	Date Uploaded
ETA-9089 Proposed Form with Highlighted Changes	Form ETA-9089 proposed version with highlighted changes.docx	08/29/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.