Form ETA-9127 Foreign Labor Certification Quarterly Activity Report

OMB Approval No.: 1205-0457
Expiration Date: XX/XX/XXXX

State Name:

Foreign Labor Certification Quarterly Activity Report
ETA Form 9127
U.S. Department of Labor
Preparer Name:

Report for (check one): ____ ( (Q1 - Oct-Dec)

Fiscal Year:

_____ (Q2 - Jan-Mar) _ ___ __ (Q3 - Apr-Jun) _ _____ (Q4 - Jul-Sep)

H-2B Workload

H-2B REGULAR

H-2B SPECIAL
PROCEDURES

H-2A REGULAR

H-2A SPECIAL
PROCEDURES

1. Total number of active job orders from previous report
2. Total number of new job orders received
3. Total number of job orders processed
4. Total number of SWA staff assisted intrastate referrals
5. Total number of SWA staff assisted interstate referrals
6. Total number of interstate job orders transmitted to other SWAs
7. Total number of interstate job orders received from other SWAs
8. Total number of active job orders remaining at the end of the quarter
9. Provide comments or other issues noted during quarter.

H-2A Workload
1. Total number of active job orders from previous report
2. Total number of new job orders received
3. Total number of job orders processed
4. Total number of SWA staff assisted intrastate referrals
5. Total number of SWA staff assisted interstate referrals
6. Total number of interstate job orders transmitted to other SWAs
7. Total number of interstate job orders received from other SWAs
8. Total number of active job orders remaining at the end of the quarter
9. Total number of prevailing wage surveys completed
10. Total number of employment practice surveys completed
11. Total number of housing inspections completed by SWA staff
12 Total number of housing inspections completed by alternative method
13. Total number of sleeping units inspected
14. Total capacity of sleeping units inspected
15. Total number of housing self-certifications received from employers
16. Provide comments or other issues noted during quarter.

Public Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid
OMB control number. Public reporting burden for this collection of information is estimated to average 1 hour and 45 minutes per response, including time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. The obligation to respond to this collection is required to obtain or retain the benefit (See 29 U.S.C. 49(i) and 20 CFR 653.112). Send
comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S.
Department of Labor, Office of Foreign Labor Certification, 200 Constitution Avenue, NW, Suite PPII 12-200, Washington, D.C. 20210, or by email to
[email protected] and reference the OMB Control Number 1205-0457. Note: Please do not return the completed Form ETA-9127 form to this
address.