Information Collection

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

IC 227500 under ICR 201802-1205-001 · OMB 1205-0530.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.