Information Collection

H-2A Information Collection from Employers

IC 237049 under ICR 202203-1205-004 · OMB 1205-0537.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9142A H-2A Information Collection from Employers	Form
Form ETA-9142A Instructions_508 Compliant.pdf	Instruction
Form ETA-9142A Instructions_508 Compliant.pdf	Instruction
Form ETA-790A_General Instructions_508 Compliant.pdf	Instruction
Form ETA-790A_General Instructions_508 Compliant.pdf	Instruction
ETA 9142A H-2A Application for Temporary Employment Certification Form ETA-9142A_508 Compliant.pdf	Form
ETA 9142A H-2A Application for Temporary Employment Certification Form ETA-9142A_508 Compliant.pdf	Form
ETA 9142A - Append H-2A Application for Temporary Employment Certification Form ETA-9142A_Appendix A 04.14.2022 508 Compliant.pdf	Form
ETA 9142A - Append H-2A Application for Temporary Employment Certification Form ETA-9142A_Appendix A 04.14.2022 508 Compliant.pdf	Form
ETA 9142A - Append H-2A Application for Temporary Employment Certification Form ETA-9142A_Appendix B 04.14.2022 508 Compliant.pdf	Form
ETA 9142A - Append H-2A Application for Temporary Employment Certification Form ETA-9142A_Appendix B 04.14.2022 508 Compliant.pdf	Form
ETA 790 Agricultural Clearance Order Form ETA-790_clean_04.14.2022 508 Compliant.pdf	Form
ETA 790 Agricultural Clearance Order Form ETA-790_clean_04.14.2022 508 Compliant.pdf	Form
ETA 790A H-2A Agricultural Clearance Order Form_ETA-790A_508 Compliant.pdf	Form
ETA 790A H-2A Agricultural Clearance Order Form_ETA-790A_508 Compliant.pdf	Form
ETA 790A - Addendu H-2A Agricultural Clearance Order Form ETA-790A_Addendum_A_wages_clean 04.14.2022 508 Compliant.pdf	Form
ETA 790A - Addendu H-2A Agricultural Clearance Order Form ETA-790A_Addendum_A_wages_clean 04.14.2022 508 Compliant.pdf	Form
ETA 790A Addendum H-2A Agricultural Clearance Order Form ETA-790A_Addendum_B_508 Compliant.pdf	Form
ETA 790A Addendum H-2A Agricultural Clearance Order Form ETA-790A_Addendum_B_508 Compliant.pdf	Form
ETA 790A Addendum H-2A Agricultural Clearance Order Form ETA-790A_Addendum C 04-14-2022 508 Compliant.pdf	Form
ETA 790A Addendum H-2A Agricultural Clearance Order Form ETA-790A_Addendum C 04-14-2022 508 Compliant.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

H-2A Information Collection from Employers

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 20 CFR 653

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9142A	H-2A Application for Temporary Employment Certification	Form ETA-9142A_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 9142A - Appendix A	H-2A Application for Temporary Employment Certification	Form ETA-9142A_Appendix A 04.14.2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 9142A - Appendix B	H-2A Application for Temporary Employment Certification	Form ETA-9142A_Appendix B 04.14.2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Instruction			Form ETA-9142A Instructions_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 790	Agricultural Clearance Order	Form ETA-790_clean_04.14.2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 790A	H-2A Agricultural Clearance Order	Form_ETA-790A_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 790A - Addendum A	H-2A Agricultural Clearance Order	Form ETA-790A_Addendum_A_wages_clean 04.14.2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 790A Addendum B	H-2A Agricultural Clearance Order	Form ETA-790A_Addendum_B_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 790A Addendum C	H-2A Agricultural Clearance Order	Form ETA-790A_Addendum C 04-14-2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Instruction			Form ETA-790A_General Instructions_508 Compliant.pdf	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: SORN DOL/ETA-7; Foreign Labor Certification System and Employer Application Case Files

FR Citation: 81 FR 25765

Number of Respondents: 14,363

Number of Respondents for Small Entity: 14,076

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	463,606	463,606
Annual IC Time Burden (Hours)	88,883	88,883
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.