OMB
Approval:
1205-0466 Expiration
Date:
08/31/2022
Agricultural
Clearance Order
Form ETA-790 U.S.
Department
of
Labor
IMPORTANT: In accordance with 20 CFR 653.500, all employers seeking U.S. workers to perform agricultural services or labor on a temporary, less than year-round basis through the Agricultural Recruitment System for U.S. Workers, must submit a completed job clearance order (Form ETA-790) to the State Workforce Agency (SWA) for placement on its intrastate and interstate job clearance systems. Employers submitting a job order in connection with an H-2A Application for Temporary Employment Certification (Form ETA-9142A) must complete the Form ETA-790 and attach a completed 790A. All other employers submitting agricultural clearance orders must complete the Form ETA-790 and attach a completed 790B. Employers and authorized preparers must read the general instructions carefully, complete ALL required fields/items containing an asterisk ( * ), and any fields/items where a response is conditional as indicated by the section ( § ) symbol.
Clearance Order Information
FOR STATE WORKFORCE AGENCY (SWA) USE ONLY Questions 1 through 17 |
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1. Clearance Order Number * |
2. Clearance Order Issue Date * |
3. Clearance Order Expiration Date * |
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4. SOC Occupation Code * |
5. SOC Occupation Title * |
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SWA Order Holding Office Contact Information |
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6. Contact’s last (family) name * |
7. First (given) name * |
8. Middle name(s) § |
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9. Contact’s job title * |
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10. Address 1 * |
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11. Address 2 (suite/floor and number) § |
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12. City * |
13. State * |
14. Postal code * |
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15. Telephone number * |
16. Extension § |
17. E-Mail address * |
Employer Contact Information
1. Legal Business Name * |
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2. Trade Name/Doing Business As (DBA), if applicable § |
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3. Contact’s last (family) name * |
4. First (given) name * |
5. Middle name(s) § |
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6. Contact’s job title * |
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7. Address 1 * |
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8. Address 2 (apartment/suite/floor and number) § |
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9. City * |
10. State * |
11. Postal code * |
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12. Telephone number * |
13. Extension § |
14. Business e-mail address * |
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15. Federal Employer Identification Number (FEIN from IRS) * |
16. NAICS Code * |
Type of Clearance Order
1. Indicate the type of agricultural clearance order being placed with the SWA for recruitment of U.S. workers. (choose only one) * |
|
ForInstructions. General ETA-790A, Form see please information, statement burden public
Public
Burden
Statement
(1205-0466)
Persons are not required to respond to
this collection of information unless it displays a currently valid
OMB control number. Public reporting
burden for this
collection of information is estimated to average .03 hours per
response for all information collection requirements, including the
time for
reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing, reviewing, and
submitting the
collection of information. The obligation to respond to this data
collection is required to obtain/retain benefits (44 U.S.C. 3501,
Immigration and
Nationality Act, 8 U.S.C. 1101, et seq.). Send comments regarding
this burden estimate or any other aspect of this collection of
information,
including suggestions for reducing this burden, to the U.S.
Department of Labor, Employment and Training Administration, Office
of
Foreign Labor
Certification, 200 Constitution Ave., NW, N-5311Suite PPII 12-200,
Washington, DC, 20210.
(Paperwork
Reduction Project OMB 1205-
0466).
DO
NOT
send the
completed
application to
this address.
Form
ETA-790
AGRICULTURAL
CLEARANCE
ORDER
Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | H-2A Agricultural Clearance Order Form ETA-790A |
Author | Melanie Shay |
File Modified | 0000-00-00 |
File Created | 2022-08-03 |