Wage Survey Interview Record

Domestic Agricultural In-Season Wage Report

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0017 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 232A Wage Survey Interview Record Form and Instruction
ETA 232A Wage Survey Interview Record ETA Form 232A_FINAL 1.30.17.doc Form and Instruction
ETA Form 232A_(track changes) Edits_Highlights 1.30.17.doc ETA Form 232A track changes IC Document

Information Collection (IC) Details

IC Title:	Wage Survey Interview Record	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 653 29 CFR 653 20 CFR 655

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ETA 232A	Wage Survey Interview Record	ETA Form 232A_FINAL 1.30.17.doc		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,608	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Previously Approved
Annual Number of Responses for this IC	14,608	14,608
Annual IC Time Burden (Hours)	3,652	3,652
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ETA Form 232A track changes	ETA Form 232A_(track changes) Edits_Highlights 1.30.17.doc	01/31/2017

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