ETA-790A Addendum Form ETA-790A Addendum A

OMB Approval: 1205-0466
Expiration Date: XX/XX/XXXX

H-2A Agricultural Clearance Order
Form ETA-790A Addendum A
U.S. Department of Labor
A.9. Additional Crop or Agricultural Activities and Wage Offer Information
Crop
ID

Crop or Agricultural Activity

Wage Offer

Per

Piece Rate Units/Special Pay Information

$ ______ . _____

$ ______ . _____

$ ______ . _____

$ ______ . _____

$ ______ . _____

$ ______ . _____

$ ______ . _____

$ ______ . _____

$ ______ . _____

$ ______ . _____

Form ETA-790A Addendum A
H-2A Case Number: ____________________

FOR DEPARTMENT OF LABOR USE ONLY
Case Status: __________________

Determination Date: _____________

Page A.1 of A.1
Validity Period: _____________ to _____________