Information Collection

H-2B Seafood Worker Requirements-Attestation Presentation

IC 211114 under ICR 202204-1205-001 · OMB 1205-0509.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0509 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9142B H-2B Seafood Worker Requirements-Attestation Presentation	Form
ETA-9142B Seafood Attestation Form ETA-9142B Seafood Attestation 1205-0509 clean.pdf	Form
ETA-9142B Seafood Attestation Form ETA-9142B Seafood Attestation 1205-0509 clean.pdf	Form
Form ETA-9142B Seafood Attestation 1205-0509 redlined changes.pdf Seafood Attestation Tracked	IC Document
Form ETA-9142B Seafood Attestation 1205-0509 redlined changes.pdf Seafood Attestation Tracked	IC Document

IC Title:

H-2B Seafood Worker Requirements-Attestation Presentation

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9142B	Seafood Attestation	Form ETA-9142B Seafood Attestation 1205-0509 clean.pdf		Yes	Yes	Fillable Fileable

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: 3,192

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,890	3,040	2,850
Annual IC Time Burden (Hours)	684	589	95
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Seafood Attestation Tracked	Form ETA-9142B Seafood Attestation 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.