Information Collection

H-2B Program

IC 204361 under ICR 201504-1205-007 · OMB 1205-0509.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.