Download:
pdf |
pdfOMB Approval: 1205-0466
Expiration Date: XX/XX/XXXX
Agricultural Clearance Order
Form ETA-790
U.S. Department of Labor
IMPORTANT: In accordance with 20 CFR 653.500, all employers seeking U.S. workers to perform agricultural services or labor on a temporary, less than year-round
basis through the Agricultural Recruitment System for U.S. Workers, must submit a completed job clearance order (Form ETA-790) to the State Workforce Agency
(SWA) for placement on its intrastate and interstate job clearance systems. Employers submitting a job order in connection with an H-2A Application for Temporary
Employment Certification (Form ETA-9142A) must complete the Form ETA-790 and attach a completed ETA-790A. All other employers submitting agricultural
clearance orders must complete the Form ETA-790 and attach a completed ETA-790B. Employers and authorized preparers must read the general instructions
carefully, complete ALL required fields/items containing an asterisk ( * ), and any fields/items where a response is conditional as indicated by the section ( § ) symbol.
I. Clearance Order Information
FOR STATE WORKFORCE AGENCY (SWA) USE ONLY
Questions 1 through 17
1. Clearance Order Number *
2. Clearance Order Issue Date *
3. Clearance Order Expiration Date *
4. SOC Occupation Code *
5. SOC Occupation Title *
6. Contact’s last (family) name *
SWA Order Holding Office Contact Information
7. First (given) name *
8. Middle name(s) §
9. Contact’s job title *
10. Address 1 *
11. Address 2 (suite/floor and number) §
12. City *
15. Telephone number *
13. State *
16. Extension §
14. Postal code *
17. Email address *
II. Employer Contact Information
1. Legal Business Name *
2. Trade Name/Doing Business As (DBA), if applicable §
3. Contact’s last (family) name *
4. First (given) name *
5. Middle name(s) §
6. Contact’s job title *
7. Address 1 *
8. Address 2 (suite/floor and number) §
9. City *
12. Telephone number *
10. State *
13. Extension §
15. Federal Employer Identification Number
(FEIN from IRS) *
11. Postal code *
14. Business email address *
16. NAICS Code *
III. Type of Clearance Order
1. Indicate the type of agricultural clearance order being placed with the SWA for
recruitment of U.S. workers. (choose only one) *
Form ETA-790
AGRICULTURAL CLEARANCE ORDER
790A (H-2A clearance order)
790B (regular clearance order)
Page 1 of 2
OMB Approval: 1205-0466
Expiration Date: XX/XX/XXXX
Agricultural Clearance Order
Form ETA-790
U.S. Department of Labor
Public Burden Statement (1205-0466)
Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number. Public reporting
burden for this collection of information is estimated to average .03 hours per response for all information collection requirements, including the
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing, reviewing, and
submitting the collection of information. The obligation to respond to this data collection is required to obtain/retain benefits (44 U.S.C. 3501,
Immigration and Nationality Act, 8 U.S.C. 1101, et seq.). Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the U.S. Department of Labor, Employment and Training Administration, Office of
Foreign Labor Certification, 200 Constitution Ave., NW, Suite PPII 12-200, Washington, DC, 20210. (Paperwork Reduction Project OMB 12050466). DO NOT send the completed application to this address.
Form ETA-790
AGRICULTURAL CLEARANCE ORDER
Page 2 of 2
File Type | application/pdf |
File Title | Form ETA-790 |
File Modified | 2019-07-24 |
File Created | 2019-07-24 |