Information Collection

Application for Temporary Employment Certification

IC 235497 under ICR 202108-1205-006 · OMB 1205-0534.

⚠️ Notice: This information collection may be referencing outdated material.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

2026-04-30 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9142C Application for Temporary Employment Certification	Form
Form ETA-9142C CW-1 Application for Temporary Employment Certification Application for Temporary Employment Certification	Form
Form ETA-9142C Appendix A Application for Temporary Employment Certification	Form
Form ETA-9142C Appendix B Application for Temporary Employment Certification	Form
Form ETA-9142C Appendix C Application for Temporary Employment Certification	Form
Form ETA-9142C Final Determination Application for Temporary Employment Certification	Form
Form ETA-9142C General Instructions - 1205-0534 (9-3-21).docx	Instruction
Form ETA-9142C General Instructions - 1205-0534 (9-3-21).docx	Instruction
ETA-9142C CW-1 Application for Temporary Employment Certification Form ETA 9142C - 1205-0534 (9-3-21).docx	Form
ETA-9142C CW-1 Application for Temporary Employment Certification Form ETA 9142C - 1205-0534 (9-3-21).docx	Form
ETA-9142C Appendix A Form ETA-9142C Appendix A - 1205-0534 (9-3-21).docx	Form
ETA-9142C Appendix A Form ETA-9142C Appendix A - 1205-0534 (9-3-21).docx	Form
ETA-9142C Appendix B Form ETA-9142C Appendix B - 1205-0534 (9-3-21).docx	Form
ETA-9142C Appendix B Form ETA-9142C Appendix B - 1205-0534 (9-3-21).docx	Form
ETA-9142C Appendix C Form ETA-9142C Appendix C - 1205-0534 (9-3-21).docx	Form
ETA-9142C Appendix C Form ETA-9142C Appendix C - 1205-0534 (9-3-21).docx	Form
ETA-9142C Final Determination ETA-9142C, Final Determination - 1205-0534 (9-3-21).docx	Form
ETA-9142C Final Determination ETA-9142C, Final Determination - 1205-0534 (9-3-21).docx	Form
Form_ETA_9142C_CW1_TLC_CasePrepiew Screenshots.docx Form 9142C Screenshots	IC Document
Form_ETA_9142C_CW1_TLC_CasePrepiew Screenshots.docx Form 9142C Screenshots	IC Document

Information Collection (IC) Details

View Information Collection (IC)

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9142C	Yes	Yes	Fillable Fileable
Form	ETA-9142C	Yes	Yes	Fillable Fileable
Form	ETA-9142C	Yes	Yes	Fillable Fileable
Form	ETA-9142C	Yes	Yes	Fillable Fileable
Form	ETA-9142C	Yes	Yes	Fillable Fileable
Instruction		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:

FR Citation:

Number of Respondents: 2,730

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	17,606	-16,021	33,627
Annual IC Time Burden (Hours)	9,352	-3,672	13,024
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Form 9142C Screenshots		09/08/2021

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

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