H-2A Temporary Agricultural Labor Certification Program Existing Forms

H-2A Temporary Agricultural Labor Certification Program

OMB: 1205-0466

IC ID: 186978

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0466 can be found here:

Documents and Forms

Document Name Document Type
Form ETA-9142A H-2A Temporary Agricultural Labor Certification Program Existing Forms Form
CURRENT_ETA-9142A_Instructions_OMB Approved_PDF Version.pdf Instruction
H-2A Quick Start Guide_Enhancement_Document.pdf Other-Quick Start Guide
Form ETA-790-790A, General Instructions.docx Instruction
ETA-9142A H-2A Application for Temporary Employment Certification CURRENT_ETA-9142A_OMB Approved_PDF Version.pdf Form
ETA-9142A - Append Appendix A CURRENT_ETA-9142A_APPENDIX A_OMB Approved_PDF Version.pdf Form
ETA-790 Agricultural Clearance Form ETA-790.docx Form
ETA-790A H-2A Agricultural Clearance Order Form ETA-790A.docx Form
ETA-790 A Addendum H-2A Agricultural Clearance Order Form ETA-790A Addendum Form ETA-790A_Addendum_A_wages.docx Form
ETA-790A Addendum H-2A Agricultural Clearance Order Form ETA-790A Addendum Form ETA-790A_Addendum_B_worksites-housing.docx Form
ETA-790A Addendum H-2A Agricultural Clearance Order Form ETA-790A Addendum Form ETA-790A_Addendum_C_additional info.docx Form
ETA-9142A FD TLC Form ETA-9142A – Final Determination: H-2A Temporary Lab Form ETA-9142A_FD_TLC-Approval.docx Form
ETA Form 790 CURRENT ETA 790 and Instructions OMB Approved 10. to 15. CURRENT_ETA-790_and instructions_OMB Approved_PDF Version.pdf Form and Instruction
DRAFT ETA Form 9142A_proposed revisions_10.11.18.pdf Track Changes Form ETA-9142A IC Document
DRAFT ETA_Form_9142A_General_ Instructions_in track changes_10.22.18.pdf Track Changes Form ETA-9142A General Instructions IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	H-2A Temporary Agricultural Labor Certification Program Existing Forms	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

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9142A	H-2A Application for Temporary Employment Certification	CURRENT_ETA-9142A_OMB Approved_PDF Version.pdf	Yes	Yes	Fillable Fileable
Instruction			CURRENT_ETA-9142A_Instructions_OMB Approved_PDF Version.pdf	Yes	No	Printable Only
Form	ETA-9142A - Appendix A	Appendix A	CURRENT_ETA-9142A_APPENDIX A_OMB Approved_PDF Version.pdf	Yes	Yes	Fillable Fileable
Other-Quick Start Guide			H-2A Quick Start Guide_Enhancement_Document.pdf	Yes	Yes	Fillable Fileable
Instruction			Form ETA-790-790A, General Instructions.docx	Yes	No	Printable Only
Form	ETA-790A	H-2A Agricultural Clearance Order	Form ETA-790A.docx	Yes	Yes	Fillable Fileable
Form	ETA-790 A Addendum A wages	H-2A Agricultural Clearance Order Form ETA-790A Addendum A	Form ETA-790A_Addendum_A_wages.docx	Yes	Yes	Fillable Fileable
Form	ETA-790A Addendum B worksites-housing	H-2A Agricultural Clearance Order Form ETA-790A Addendum B	Form ETA-790A_Addendum_B_worksites-housing.docx	Yes	Yes	Fillable Fileable
Form	ETA-790A Addendum C additional info	H-2A Agricultural Clearance Order Form ETA-790A Addendum C	Form ETA-790A_Addendum_C_additional info.docx	Yes	Yes	Fillable Fileable
Form	ETA-9142A FD TLC	Form ETA-9142A – Final Determination: H-2A Temporary Labor Certification Approval	Form ETA-9142A_FD_TLC-Approval.docx	Yes	Yes	Fillable Fileable
Form	ETA-790	Agricultural Clearance	Form ETA-790.docx	Yes	Yes	Fillable Fileable
Form and Instruction	ETA Form 790	CURRENT ETA 790 and Instructions OMB Approved	10. to 15. CURRENT_ETA-790_and instructions_OMB Approved_PDF Version.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	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 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	33	-160,740	160,773
Annual IC Time Burden (Hours)	10	-49,184	49,194
Annual IC Cost Burden (Dollars)	330	-1,608,370	1,608,700

Documents for IC

Title	Document	Date Uploaded
Track Changes Form ETA-9142A	DRAFT ETA Form 9142A_proposed revisions_10.11.18.pdf	10/25/2018
Track Changes Form ETA-9142A General Instructions	DRAFT ETA_Form_9142A_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.