H-2B Employer-Provided Survey Attestation

H-2B Application for Temporary Employment Certification

OMB: 1205-0509

IC ID: 232986

Information Collection (IC) Details

View Information Collection (IC)

H-2B Employer-Provided Survey Attestation
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 655.10 8 CFR 214.2(h)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ETA-9165 Employer-Provided Survey Attestations to Accompany H-2B Prevailing Wage Determination Request Based on a Non-OES Survey FORM ETA 9165.pdf Yes Yes Fillable Fileable
Instruction Form ETA-9165 Instructions.pdf Yes Yes Fillable Printable

Workforce Management Labor Rights Management

 

278 0
   
Private Sector Businesses or other for-profits, Farms
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 278 0 0 0 0 278
Annual IC Time Burden (Hours) 116 0 0 0 0 116
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consolidated Appropriations Act, 2016 Excerpts for OFLC Appropriation Act Riders.pdf 09/19/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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