ETA-9127 with track changes

ETA-9127 with track changes.doc

Foreign Labor Certification Quarterly Activity Report

ETA-9127 with track changes

OMB: 1205-0457

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O MB Approval No.: 1205-0457

Expiration Date: 09/30/2015

Foreign Labor Certification Quarterly Activity Report
Form ETA Form -9127

U.S. Department of Labor


State Name: _________________________ Preparer Name: _______________________Fiscal Year: __________


Report for (check one): ______ (Q1 - Oct-Dec) ______ (Q2 - Jan-Mar) ______ (Q3 - Apr-Jun) ______ (Q4 - Jul-Sep)


H-2B Workload

H-2B REGULAR

H-2B SPECIAL PROCEDURES

1. Total number of active job orders from previous report



2. Total number of new job orders received



3. Total number of job orders processed



4. Total number of SWA staff assisted intrastate referrals



5. Total number of SWA staff assisted interstate referrals



6. Total number of interstate job orders transmitted to other SWAs



7. Total number of interstate job orders received from other SWAs



8. Total number of union contacts made



9. Total number of active job orders remaining at the end of the quarter



10. List the most common deficiencies noted on job orders.





11. Provide comments or other issues noted during quarter.





H-2A Workload

H-2A REGULAR

H-2A SPECIAL PROCEDURES

1. Total number of active job orders from previous report



2. Total number of new job orders received



3. Total number of job orders processed



4. Total number of SWA staff assisted intrastate referrals



5. Total number of SWA staff assisted interstate referrals



6. Total number of interstate job orders transmitted to other SWAs



7. Total number of interstate job orders received from other SWAs



8. Total number of active job orders remaining at the end of the quarter



9. Total number of prevailing wage surveys completed



10. Total number of employment practice surveys completed



11. Total number of housing inspections completed by SWA staff



12 Total number of housing inspections completed by alternative method



13. Total number of sleeping units inspected



14. Total capacity of sleeping units inspected



15. Total number of housing self-certifications received from employers



16. List the most common deficiencies noted on job orders.



17. Provide comments or other issues noted during quarter.



Public Burden Statement

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to average 2 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is mandatory (20 CFR 653.112) Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Office of Foreign Labor Certification, Room C-4312, 200 Constitution Avenue, NW, Washington, D.C. 20210, or by email to [email protected] and reference the OMB Control Number 1205-0457. Note: Please do not return the completed ETA-9127 form to this address.

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File Typeapplication/msword
File TitleOMB Approval No
AuthorOrdynsky.Eugenia
Last Modified ByEugenia Ordynsky
File Modified2015-05-19
File Created2015-05-19

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