Information Collection

Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers

IC 250967 under ICR 202112-1205-014 · OMB 1205-0549.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0549 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9142-B-CAA-5 Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers	Form
Form ETA 9142-B-CAA-5_General Instructions_011222.docx	Instruction
ETA-9142-B-CAA-5 Attestation for Employers Seeking to Employ H-2B Nonimmi Form ETA 9142-B-CAA-5_Attestation Form_011122.docx	Form

IC Title:

Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 214 20 CFR 655

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9142-B-CAA-5	Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers	Form ETA 9142-B-CAA-5_Attestation Form_011122.docx		Yes	Yes	Fillable Fileable
Instruction			Form ETA 9142-B-CAA-5_General Instructions_011222.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,226

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: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,226	1,226
Annual IC Time Burden (Hours)	11,034	11,034
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.