H-2B Employer-Provided Survey Attestation

Employer-Provided Survey Attestations to Accompany H-2B Prevailing Wage Determination Request Based on a Non-OES Survey

OMB: 1205-0516

IC ID: 215966

Information Collection (IC) Details

View Information Collection (IC)

H-2B Employer-Provided Survey Attestation
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 655.10 8 CFR 214.2(h)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ETA-9165 Employer-Provided Survey Attestations to Accompany H-2B Prevailing Wage Determination Request Based on a Non-OES Survey Form ETA-9165 clean.docx Yes No Fillable Printable
Instruction Form ETA-9165 Instructions - clean.docx Yes No Printable Only

Workforce Management Labor Rights Management

 

278 0
   
Private Sector Businesses or other for-profits, Farms
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 278 0 0 -278 0 556
Annual IC Time Burden (Hours) 116 0 0 -232 0 348
Annual IC Cost Burden (Dollars) 217,523 0 0 5,639 0 211,884

Title Document Date Uploaded
Consolidated Appropriations Act, 2016 Excerpts for OFLC Appropriation Act Riders.pdf 12/30/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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