Application for Temporary Employment Certification

CW-1 Application for Temporary Employment Certification

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0534 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9142C Application for Temporary Employment Certification Form
Form ETA-9142C General Instructions (Clean).docx Instruction
ETA 9142C CW-1 Application for Temporary Employment Certification Form ETA 9142C (Clean).doc Form
ETA 9142C Appendix Form ETA-9142C – Appendix A FORM ETA-9142C_Appendix A.doc Form
ETA 9142C Appendix Form ETA-9142C – Appendix B Form ETA-9142C - Appendix B (Clean).doc Form
ETA 9142C Appendix Form ETA-9142C – Appendix C Form ETA-9142C – Appendix C (Clean).doc Form
ETA 9142C Final Determination: CW-1 Temporary Labor Certification FORM ETA-9142C Final Determination Approval.doc Form

Information Collection (IC) Details

IC Title:	Application for Temporary Employment Certification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 655

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9142C	CW-1 Application for Temporary Employment Certification	Form ETA 9142C (Clean).doc	Yes	Yes	Fillable Fileable
Instruction			Form ETA-9142C General Instructions (Clean).docx	Yes	Yes	Fillable Fileable
Form	ETA 9142C Appendix A	Form ETA-9142C – Appendix A	FORM ETA-9142C_Appendix A.doc	Yes	Yes	Fillable Fileable
Form	ETA 9142C Appendix B	Form ETA-9142C – Appendix B	Form ETA-9142C - Appendix B (Clean).doc	Yes	Yes	Fillable Fileable
Form	ETA 9142C Appendix C	Form ETA-9142C – Appendix C	Form ETA-9142C – Appendix C (Clean).doc	Yes	Yes	Fillable Fileable
Form	ETA 9142C	Final Determination: CW-1 Temporary Labor Certification Approval	FORM ETA-9142C Final Determination Approval.doc	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,314	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 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	33,627	33,627
Annual IC Time Burden (Hours)	13,024	13,024
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.