H-2B Program

H-2B Application for Temporary Employment Certification

OMB: 1205-0509

IC ID: 204361

Documents and Forms

Document Name Document Type
Form ETA- 9142B Instructions 1205-0509 clean.pdf Instruction
Form ETA- 9142B Instructions 1205-0509 clean.pdf Instruction
Form ETA-9142B Appendix A 1205-0509 clean.pdf Other-Appendix A
Form ETA-9142B Appendix A 1205-0509 clean.pdf Other-Appendix A
Form ETA-9142B Appendix B 1205-0509 clean.pdf Other-Appendix B
Form ETA-9142B Appendix B 1205-0509 clean.pdf Other-Appendix B
Form ETA-9142B Appendix C 1205-0509 clean.pdf Other-Appendix C
Form ETA-9142B Appendix C 1205-0509 clean.pdf Other-Appendix C
Form ETA-9142B Appendix D 1205-0509 clean.pdf Other-Appendix D
Form ETA-9142B Appendix D 1205-0509 clean.pdf Other-Appendix D
ETA 9142B H-2B Application for Temporary Employment Certification Form ETA-9142B 1205-0509 clean.pdf Form
ETA 9142B H-2B Application for Temporary Employment Certification Form ETA-9142B 1205-0509 clean.pdf Form
Form ETA- 9142B Instructions redlined changes 04.28.22.pdf 9142B Instructions Tracked Changes IC Document
Form ETA- 9142B Instructions redlined changes 04.28.22.pdf 9142B Instructions Tracked Changes IC Document
Form ETA-9142B 1205-0509 redlined changes 04.28.22.pdf Form 9142B Tracked IC Document
Form ETA-9142B 1205-0509 redlined changes 04.28.22.pdf Form 9142B Tracked IC Document
Form ETA-9142B Appendix A 1205-0509 redlined changes.pdf Appendix A Tracked IC Document
Form ETA-9142B Appendix A 1205-0509 redlined changes.pdf Appendix A Tracked IC Document
Form ETA-9142B Appendix B 1205-0509 redlined changes 05.12.22.pdf Appendix B Tracked IC Document
Form ETA-9142B Appendix B 1205-0509 redlined changes 05.12.22.pdf Appendix B Tracked IC Document
Form ETA-9142B Appendix C 1205-0509 redlined changes.pdf Appendix C Tracked IC Document
Form ETA-9142B Appendix C 1205-0509 redlined changes.pdf Appendix C Tracked IC Document
Form ETA-9142B Appendix D 1205-0509 redlined changes.pdf Appendix D Tracked IC Document
Form ETA-9142B Appendix D 1205-0509 redlined changes.pdf Appendix D Tracked IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	H-2B Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 214.2(h)(6)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Form ETA- 9142B Instructions 1205-0509 clean.pdf	Yes	Yes	Fillable Fileable
Form	ETA 9142B	H-2B Application for Temporary Employment Certification	Form ETA-9142B 1205-0509 clean.pdf	Yes	Yes	Fillable Fileable
Other-Appendix A			Form ETA-9142B Appendix A 1205-0509 clean.pdf	Yes	Yes	Fillable Fileable
Other-Appendix B			Form ETA-9142B Appendix B 1205-0509 clean.pdf	Yes	Yes	Fillable Fileable
Other-Appendix C			Form ETA-9142B Appendix C 1205-0509 clean.pdf	Yes	Yes	Fillable Fileable
Other-Appendix D			Form ETA-9142B Appendix D 1205-0509 clean.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: Foreign Labor Certification System and Employer Application Case Files	FR Citation: 87 FR 8292

Number of Respondents: 70,622	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: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	279,282	54,324	224,958
Annual IC Time Burden (Hours)	76,411	21,000	55,411
Annual IC Cost Burden (Dollars)	994,413	-233,112	1,227,525

Documents for IC

Title	Document	Date Uploaded
9142B Instructions Tracked Changes	Form ETA- 9142B Instructions redlined changes 04.28.22.pdf	05/17/2022
Form 9142B Tracked	Form ETA-9142B 1205-0509 redlined changes 04.28.22.pdf	05/17/2022
Appendix A Tracked	Form ETA-9142B Appendix A 1205-0509 redlined changes.pdf	05/17/2022
Appendix B Tracked	Form ETA-9142B Appendix B 1205-0509 redlined changes 05.12.22.pdf	05/17/2022
Appendix C Tracked	Form ETA-9142B Appendix C 1205-0509 redlined changes.pdf	05/17/2022
Appendix D Tracked	Form ETA-9142B Appendix D 1205-0509 redlined changes.pdf	05/17/2022

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