Information Collection Request

H-2B Application for Temporary Employment Certification

ICR 201812-1205-002 · OMB 1205-0509 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form ETA-9165 Employer-Provided Survey Attestations to Accompany H-2B Prevailing Wage Determination Request Based on a Non-OES Survey Form Modified Available
Form ETA-9142B Seafood H-2B Seafood Attestation Form Modified Available
Form ETA-9155 H-2B Registration Form Modified Available
Form ETA-9142B H-2B Application for Temporary Employment Certification Form Modified Available
Form ETA-9142B H-2B Application for Temporary Employment Certification Form Modified Available
Appendix B to H-2B Supporting Statement 03.29.19 - Public Comments.docx Supplementary Document Uploaded 2019-04-08 Available
1205-0509 H-2B Summary of Public Comments and Responses to 60-day FRN pdf.pdf Supplementary Document Uploaded 2019-01-25 Available
Justification.doc Justification for No Material/Nonsubstantive Change Uploaded 2018-10-23 Available
Appropriation Act Riders.pdf Supplementary Document Uploaded 2015-12-24 Available
H-2B Supporting Statement 04.08.19.doc Supporting Statement A Uploaded 2019-04-08 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
232986 H-2B Employer-Provided Survey Attestation Form ModifiedEmployer-Provided Survey Attestations to Accompany H-2B Prevailing Wage Determination Request Based on a Non-OES Survey
232986 H-2B Employer-Provided Survey Attestation Instruction Modified
211114 H-2B Seafood Worker Requirements-Attestation Presentation Form ModifiedH-2B Seafood Attestation
211113 H-2B Employer Registration Form ModifiedH-2B Registration
211113 H-2B Employer Registration Instruction Modified
204361 H-2B Program Form ModifiedH-2B Application for Temporary Employment Certification
204361 H-2B Program Form ModifiedH-2B Application for Temporary Employment Certification
204361 H-2B Program Other-Quick Start Guide Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2022 36 Months From Approved 05/31/2019
237,167 0 180,463
64,703 0 48,916
1,227,525 0 351,800





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
H-2B Employer Registration ETA-9155
H-2B Employer-Provided Survey Attestation ETA-9165
H-2B Program ETA-9142B, ETA-9142B ,  
H-2B Seafood Worker Requirements-Attestation Presentation ETA-9142B Seafood Attestation

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 237,167 180,463 0 56,704 0 0
Annual Time Burden (Hours) 64,703 48,916 0 15,787 0 0
Annual Cost Burden (Dollars) 1,227,525 351,800 0 875,725 0 0


Reginfo record details
  No