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H-2B Seafood Worker Requirements-Attestation Presentation
H-2B Application for Temporary Employment Certification
OMB: 1205-0509
IC ID: 211114
OMB.report
DOL/ETA
OMB 1205-0509
ICR 202204-1205-001
IC 211114
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
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:
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,890
0
3,040
0
0
2,850
Annual IC Time Burden (Hours)
684
0
589
0
0
95
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.