Information Collection

H-2A Information Collection from Employers

IC 237049 under ICR 201907-1205-012 · OMB 1205-0537.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0537 can be found here:

2022-10-12 - New collection (Request for a new OMB Control Number)

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9142A H-2A Information Collection from Employers	Form
02_ETA-9142A Instructions_NPRM_clean 7.12.19_508.pdf	Instruction
11_ETA-790 790A_Instructions_NPRM_clean 6.18.19_508.pdf	Instruction
ETA-9142A H-2A Application for Temporary Employment Certification 01_ETA-9142A_NPRM_clean 7.12.19_508.pdf	Form
ETA-9142A – APPEND H-2A Application for Temporary Employment Certification 03_ETA-9142A_Appendix A_NPRM_clean 6.18.19_508.pdf	Form
ETA-9142A – APPEND H-2A Application for Temporary Employment Certification 04_ETA-9142A_Appendix B_surety bond_clean 6.18.19_508.pdf	Form
Form ETA-9142A FD Form ETA-9142A – H-2A Approval Final Determination Tempo 05_ETA-9142A FD_NPRM_clean 6.18.19_508.pdf	Form
ETA-790 Agricultural Clearance Order 06_ETA-790_NPRM_clean 6.18.19_508.pdf	Form
ETA-790A H-2A Agricultural Clearance Order 07_ETA-790A_Ag Clearance Order_NPRM_clean 6.18.19_508.pdf	Form
ETA-790A Addendum Form ETA-790A Addendum A 08_ETA-790A_Addendum_A_wages_NPRM_clean 6.18.19_508.pdf	Form
ETA-790A Addendum Form ETA-790A Addendum B 09_ETA-790A_Addendum_B_worksites-housing_NPRM_clean 6.18.19_508.pdf	Form
ETA-790A Addendum Form ETA-790A Addendum C 10_ETA-790A_Addendum_C_additional info_NPRM_clean 6.18.19_508.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

H-2A Information Collection from Employers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 655 20 CFR 653

Information Collection Instruments:

table that charts list of 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	01_ETA-9142A_NPRM_clean 7.12.19_508.pdf	Yes	Yes	Fillable Fileable
Instruction			02_ETA-9142A Instructions_NPRM_clean 7.12.19_508.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9142A â APPENDIX A	H-2A Application for Temporary Employment Certification Form ETA-9142A â APPENDIX A	03_ETA-9142A_Appendix A_NPRM_clean 6.18.19_508.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9142A â APPENDIX B	H-2A Application for Temporary Employment Certification Form ETA-9142A â APPENDIX B	04_ETA-9142A_Appendix B_surety bond_clean 6.18.19_508.pdf	Yes	Yes	Fillable Fileable
Form	Form ETA-9142A FD	Form ETA-9142A â H-2A Approval Final Determination Temporary Agricultural Labor Certification	05_ETA-9142A FD_NPRM_clean 6.18.19_508.pdf	Yes	Yes	Fillable Fileable
Form	ETA-790	Agricultural Clearance Order	06_ETA-790_NPRM_clean 6.18.19_508.pdf	Yes	Yes	Fillable Fileable
Form	ETA-790A	H-2A Agricultural Clearance Order	07_ETA-790A_Ag Clearance Order_NPRM_clean 6.18.19_508.pdf	Yes	Yes	Fillable Fileable
Instruction			11_ETA-790 790A_Instructions_NPRM_clean 6.18.19_508.pdf	Yes	Yes	Fillable Fileable
Form	ETA-790A Addendum A	Form ETA-790A Addendum A	08_ETA-790A_Addendum_A_wages_NPRM_clean 6.18.19_508.pdf	Yes	Yes	Fillable Fileable
Form	ETA-790A Addendum B	Form ETA-790A Addendum B	09_ETA-790A_Addendum_B_worksites-housing_NPRM_clean 6.18.19_508.pdf	Yes	Yes	Fillable Fileable
Form	ETA-790A Addendum C	Form ETA-790A Addendum C	10_ETA-790A_Addendum_C_additional info_NPRM_clean 6.18.19_508.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: SORN DOL/ETA-7; Foreign Labor Certification System and Employer Application Case Files

FR Citation: 81 FR 25765

Number of Respondents: 8,947

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 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	290,464	290,464
Annual IC Time Burden (Hours)	55,673	55,673
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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