ETA 790B Agricultural Clearance Order -- Addendum A

O MB Approval: 1205-0NEW

Expiration Date: XX/XX/XXXX

Agricultural Clearance Order

Form ETA-790B Addendum A

U.S. Department of Labor

NOTE: If paying piece rate(s), the employer must specify the piece rate estimated in hourly wage rate equivalents for each activity and unit size. The employer must make the method of calculating the wage and supporting materials available to ES staff who must check if the employer's calculation of the estimated hourly wage rate is reasonably accurate and is not less than the prevailing wage rate or applicable Federal or State minimum wage, whichever is higher.

A.9. Additional Crop or Agricultural Activities and Wage Offer Information

Crop ID	Crop or Agricultural Activity	Wage Offer	Per	Piece Rate Units/Special Pay Information
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____

Form ETA-790B Addendum A FOR DEPARTMENT OF LABOR USE ONLY Page A.1 of A.1