Information Collection

H-2B Program

IC 204361 under ICR 201805-1205-002 · OMB 1205-0509.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0509 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9142B H-2B Program	Form
Form ETA-9142B General Instructions_FINAL 10.22.18.pdf	Instruction
H-2B Quick Start Guide_Enhancement.pdf	Other-Quick Start Guide
ETA-9142B H-2B Application for Temporary Employment Certification ETA Form 9142B Screenshots.pdf	Form
ETA-9142B H-2B Application for Temporary Employment Certification ETA Form 9142B_FINAL 10.24.18.pdf	Form
DRAFT ETA Form 9142B_proposed revisions_10.11.18 in track changes.pdf Track Changes ETA Form 9142B	IC Document
DRAFT ETA_Form_9142B_General_Instructions in track changes_10.22.18.pdf Track Changes ETA Form 9142B General Instructions	IC Document

IC Title:

H-2B Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 214.2(h)(6)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9142B	H-2B Application for Temporary Employment Certification	ETA Form 9142B_FINAL 10.24.18.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9142B	H-2B Application for Temporary Employment Certification	ETA Form 9142B Screenshots.pdf	Yes	Yes	Fillable Fileable
Other-Quick Start Guide			H-2B Quick Start Guide_Enhancement.pdf	Yes	Yes	Fillable Fileable
Instruction			Form ETA-9142B General Instructions_FINAL 10.22.18.pdf	Yes	Yes	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,505

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: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	170,669	170,669
Annual IC Time Burden (Hours)	42,039	42,039
Annual IC Cost Burden (Dollars)	351,800	351,800

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Track Changes ETA Form 9142B	DRAFT ETA Form 9142B_proposed revisions_10.11.18 in track changes.pdf	10/25/2018
Track Changes ETA Form 9142B General Instructions	DRAFT ETA_Form_9142B_General_Instructions in track changes_10.22.18.pdf	10/25/2018

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