H-2A Information Collection from Employers

H-2A Application for Temporary Employment Certification

OMB: 1205-0537

IC ID: 237049

⚠️ Notice: This information collection may be referencing outdated material.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

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:

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 – APPENDIX A	H-2A Application for Temporary Employment Certification Form ETA-9142A – APPENDIX A	03_ETA-9142A_Appendix A_NPRM_clean 6.18.19_508.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9142A – APPENDIX B	H-2A Application for Temporary Employment Certification Form ETA-9142A – 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 – 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 %

	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

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.