Application for Permanent Employment Certification

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0451 can be found here:

Documents and Forms

Document Name Document Type
Form ETA-9089 Application for Permanent Employment Certification Form
Form ETA-9089 Instructions 042221.docx Instruction
ETA-9089 Application for Permanent Employment Certification ETA 9089 Application for Permanent Employment Certification 042221.docx Form
ETA-9089 Appendix A: Foreign Worker Information Form ETA-9089 - Appendix A 042221.docx Form
ETA-9089 Appendix B: Additional Worksite Information Form ETA-9089 - Appendix B 042221.docx Form
ETA-9089 Appendix C: Supplemental Information Form ETA-9089 - Appendix C 042221.docx Form
ETA-9089 Appendix D: Special Recruitment for College and Universi Form ETA-9089 - Appendix D 042221.docx Form
ETA-9089 Final Determination: Permanent Employment Certification Form ETA-9089 Final Detirmination 042221.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Permanent 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 656 8 CFR 204.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9089	Application for Permanent Employment Certification	ETA 9089 Application for Permanent Employment Certification 042221.docx	Yes	Yes	Fillable Fileable
Form	ETA-9089	Appendix A: Foreign Worker Information	Form ETA-9089 - Appendix A 042221.docx	Yes	Yes	Fillable Fileable
Form	ETA-9089	Appendix B: Additional Worksite Information	Form ETA-9089 - Appendix B 042221.docx	Yes	Yes	Fillable Fileable
Form	ETA-9089	Appendix C: Supplemental Information	Form ETA-9089 - Appendix C 042221.docx	Yes	Yes	Fillable Fileable
Form	ETA-9089	Appendix D: Special Recruitment for College and University Teachers	Form ETA-9089 - Appendix D 042221.docx	Yes	Yes	Fillable Fileable
Form	ETA-9089	Final Determination: Permanent Employment Certification Approval	Form ETA-9089 Final Detirmination 042221.docx	Yes	Yes	Fillable Fileable
Instruction			Form ETA-9089 Instructions 042221.docx	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title: DOL/ETA-7	FR Citation: 67 FR 16815

Number of Respondents: 80,496	Number of Respondents for Small Entity: 5,635

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 80 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	675,123	561,819	113,304
Annual IC Time Burden (Hours)	234,296	7,556	226,740
Annual IC Cost Burden (Dollars)	132,150	-334,850	467,000

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.