Information Collection

Prevailing Wage Determination

IC 204363 under ICR 201905-1205-005 · OMB 1205-0508.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0508 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9141 Application for Prevailing Wage Determination Prevailing Wage Determination	Form
Form Form ETA-9141 – Ap Application for Prevailing Wage Determination Form ETA-9141 – Appendix A, Request for Additional Worksite(s) Prevailing Wage Determination	Form
Form ETA-9141 Application for Prevailing Wage Determination Prevailing Wage Determination	Form
Form Form ETA-9141 - Ap Form ETA-9141 Appendix A, Request for Additional Worksite(s) Prevailing Wage Determination	Form
ETA Form 9141 Instructions.pdf	Instruction
New - Form ETA-9141 General Instructions.docx	Instruction
ETA-9141 Application for Prevailing Wage Determination ETA Form 9141.pdf	Form
Form ETA-9141 – Ap Application for Prevailing Wage Determination Form ETA-9 CLEAN - 6. Form ETA-9141 App. A.docx	Form
ETA-9141 Application for Prevailing Wage Determination NEW - Form ETA-9141.docx	Form
Form ETA-9141 - Ap Form ETA-9141 Appendix A, Request for Additional Worksit New - Form ETA-9141 Appendix A.docx	Form
RECONCILED - TRACKED - 5. Form ETA-9141 05.30.19.docx FORM ETA-9141 - Track Changes	IC Document
RECONCILED - TRACKED - 7. Form ETA-9141 General Instructions 05.30.19.docx Form ETA-9141- General Instructions - Track Changes	IC Document
Form ETA-9141 Appendix A tracked 05.30.19.docx Form ETA-9141 - Appendix A - Request for Additional Worksites	IC Document

IC Title:

Prevailing Wage Determination

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 655.10 8 CFR 214.2(h)(6) 20 CFR 655.731 20 CFR 650.40

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9141	Yes	Yes	Fillable Fileable
Instruction		Yes	No	Printable Only
Form	Form ETA-9141 â Appendix A	Yes	Yes	Fillable Fileable
Form	ETA-9141	Yes	Yes	Fillable Fileable
Instruction		Yes	No	Printable Only
Form	Form ETA-9141 - Appendix A	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 88,599

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions, Farms

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	320,850	-681,742	1,002,592
Annual IC Time Burden (Hours)	143,194	-305,187	448,381
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FORM ETA-9141 - Track Changes		05/30/2019
Form ETA-9141- General Instructions - Track Changes		05/30/2019
Form ETA-9141 - Appendix A - Request for Additional Worksites		05/30/2019

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

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