H-2B Program

H-2B Foreign Labor Certification Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0509 can be found here:

Documents and Forms

Document Name Document Type
Form ETA-9142B H-2B Program Form
ETA Form 9142B Instructions.doc Instruction
ETA-9142B H-2B Application for Temporary Employment Certification Screenshots for 9142.pdf Form
ETA-9142B Appendix Appendix B ETA Form 9142B Appendix B Final.doc Form
ETA-9142B H-2B Application for Temporary Employment Certification ETA Form 9142B.doc Form
ETA Form 9142B Appendix B with track changes Final.doc Appendix B - track changes IC Document
ETA Form 9142B track changes.doc Form ETA-9142B track changes IC Document
ETA Form 9142B Instructions with track changes.doc Form ETA-9142B Instructions - track changes IC Document

Information Collection (IC) Details

IC Title:	H-2B Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 214.2(h)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9142B	H-2B Application for Temporary Employment Certification	Screenshots for 9142.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9142B Appendix B	Appendix B	ETA Form 9142B Appendix B Final.doc	Yes	No	Printable Only
Form	ETA-9142B	H-2B Application for Temporary Employment Certification	ETA Form 9142B.doc	Yes	Yes	Fillable Fileable
Instruction			ETA Form 9142B Instructions.doc	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,505	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: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	174,926	142,240	32,686
Annual IC Time Burden (Hours)	41,231	25,898	15,333
Annual IC Cost Burden (Dollars)	351,800	351,800	0

Documents for IC

Title	Document	Date Uploaded
Appendix B - track changes	ETA Form 9142B Appendix B with track changes Final.doc	04/03/2015
Form ETA-9142B track changes	ETA Form 9142B track changes.doc	04/21/2015
Form ETA-9142B Instructions - track changes	ETA Form 9142B Instructions with track changes.doc	04/21/2015

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