Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers Under Section 543 of the Consolidated Appropriations Act, 2017

Documents and Forms

Document Name Document Type
Form 9142-B-CAA Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers Under Section 543 of the Consolidated Appropriations Act, 2017 Form
Form ETA 9142-B-CAA_Instructions.pdf Instruction
9142-B-CAA ETA 9142-B-CAA Form ETA 9142-B-CAA.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers Under Section 543 of the Consolidated Appropriations Act, 2017	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 655.65 8 CFR 214

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	9142-B-CAA	ETA 9142-B-CAA	Form ETA 9142-B-CAA.pdf		Yes	No	Fillable Printable
Instruction			Form ETA 9142-B-CAA_Instructions.pdf		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,298	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: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	2,298	0	2,298
Annual IC Time Burden (Hours)	2,298	-12,065	14,363
Annual IC Cost Burden (Dollars)	104,674	-574,500	679,174

Documents for IC

Title	Document	Date Uploaded
No associated records found

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