CW-1 Application for Temporary Employment Certification

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ETA 9142C Final Determination: CW-1 Temporary Labor Certification Approval	Form	Modified	Available
Form ETA 9142C Appendix Form ETA-9142C – Appendix C	Form	Modified	Available
Form ETA 9142C Appendix Form ETA-9142C – Appendix B	Form	Modified	Available
Form ETA 9142C Appendix Form ETA-9142C – Appendix A	Form	Modified	Available
Form ETA 9142C CW-1 Application for Temporary Employment Certification	Form	Modified	Source copy available
Form ETA 9141C Application for Prevailing Wage Determination	Form	Modified	Available
1205-0534 Supporting Statement_CLEAN 9-23-19.docx	Supporting Statement A	Uploaded 2019-10-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
235498	CNMI Record Keeping and Misc. Activities		Modified
235497	Application for Temporary Employment Certification	Form	Modified	Final Determination: CW-1 Temporary Labor Certification Approval
235497	Application for Temporary Employment Certification	Form	Modified	Form ETA-9142C – Appendix C
235497	Application for Temporary Employment Certification	Form	Modified	Form ETA-9142C – Appendix B
235497	Application for Temporary Employment Certification	Form	Modified	Form ETA-9142C – Appendix A
235497	Application for Temporary Employment Certification	Form	Modified	CW-1 Application for Temporary Employment Certification
235497	Application for Temporary Employment Certification	Instruction	Modified
235476	Application for Prevailing Wage Determination	Form	Modified	Application for Prevailing Wage Determination
235476	Application for Prevailing Wage Determination	Instruction	Modified

ICR Details

OMB Control No: 1205-0534	ICR Reference No: 201909-1205-005
Status: Historical Active	Previous ICR Reference No: 201903-1205-001
Agency/Subagency: DOL/ETA	Agency Tracking No:
Title: CW-1 Application for Temporary Employment Certification
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/02/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/03/2019
Terms of Clearance: The agency has been given 18 months due to violation of prior terms of clearance. Prior to re-submission, the agency will comply with the terms of clearance and present to OIRA an assessment of: 1) the burden imposed by the multiple-worksite reporting requirement under Appendix B of ETA-9142C; and 2) the accuracy of the hourly burden estimates for Administrative appeals and Prevailing Wage Determination appeals.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2021	36 Months From Approved
Responses	149,739	0	0
Time Burden (Hours)	73,987	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This Information Collection Request (ICR) seeks approval under the Paperwork Reduction Act (PRA) for a new collection made necessary by a statutory requirement for a CW-1 temporary labor certification. More specifically, the Department of Labor (DOL or Department) proposes to create a Form ETA-9142C, Application for Temporary Employment Certification and appendices, and new Form ETA-9141C, Application for Prevailing Wage Determination to carry out new responsibilities created for the Department under the Northern Mariana Islands U.S. Workforce Act of 2018 (Pub. L. 115-218). The ETA Office of Foreign Labor Certification (OFLC) will use this information collection to meet its statutory and regulatory responsibilities for administering the CW-1 temporary labor certification program. An employer seeking to employ CW-1 workers must file a completed CW-1 Application for Temporary Employment Certification (Form ETA-9142C), all appropriate appendices, and a valid Application for Prevailing Wage Determination, with the OFLC National Processing Center (NPC). These forms and all supporting documentation constitute the CW-1 application submitted by an employer to secure a temporary labor certification determination from the OFLC.

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Authorizing Statute(s): PL: Pub.L. 115 - 218 2, 3, 132 Name of Law: Northern Mariana Islands U.S. Workforce Act of 2018 (the Workforce Act)
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 12380	04/01/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 52899	10/03/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Application for Prevailing Wage Determination	ETA 9141C	Application for Prevailing Wage Determination
Application for Temporary Employment Certification	ETA 9142C, ETA 9142C Appendix A, ETA 9142C Appendix B, ETA 9142C Appendix C, ETA 9142C	CW-1 Application for Temporary Employment Certification ,   Form ETA-9142C – Appendix A ,   Form ETA-9142C – Appendix B ,   Form ETA-9142C – Appendix C ,   Final Determination: CW-1 Temporary Labor Certification Approval
CNMI Record Keeping and Misc. Activities

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	149,739	0	0	0	0	149,739
Annual Time Burden (Hours)	73,987	0	0	0	0	73,987
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $6,000,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/03/2019

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