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

Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers Under Section 105 of Division O of the Consolidated Appropriations Act, 2021, Public Law 116-260, and Public Laws 117-43 and 117-7

Documents and Forms

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
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
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

Information Collection (IC) Details

IC Title:	Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers	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 29 CFR 503 8 CFR 103 and 214

Information Collection 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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,226	0	1,226
Annual IC Time Burden (Hours)	307	-10,727	11,034
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.