Information Collection

H-2A Temporary Agricultural Labor Certification Program Updated Forms

IC 236087 under ICR 202206-1205-002 · OMB 1205-0466.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0466 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-790_790A_General Instructions_508 Compliant.pdf	Instruction
Form ETA-790_790A_General Instructions_508 Compliant.pdf	Instruction
Form ETA-9142A_General Instructions_508 Compliant.pdf	Instruction
Form ETA-9142A_General Instructions_508 Compliant.pdf	Instruction
ETA 790 Agricultural Clearance Form Form ETA-790_508 Compliant.pdf	Form
ETA 790 Agricultural Clearance Form Form ETA-790_508 Compliant.pdf	Form
ETA 790A H-2A Agricultural Clearance Order Form ETA-790A_508 Compliant.pdf	Form
ETA 790A H-2A Agricultural Clearance Order Form ETA-790A_508 Compliant.pdf	Form
ETA 790A Addendum Additional Crop or Agricultural Activities and Wage Offe Form ETA-790A_Addendum A_508 Compliant.pdf	Form
ETA 790A Addendum Additional Crop or Agricultural Activities and Wage Offe Form ETA-790A_Addendum A_508 Compliant.pdf	Form
ETA 790A Addendum Additional Place of Employment Information Form ETA-790A_Addendum B_508 Compliant.pdf	Form
ETA 790A Addendum Additional Place of Employment Information Form ETA-790A_Addendum B_508 Compliant.pdf	Form
ETA 790A Addendum Additional Material Terms and Conditions of the Job Offe Form ETA-790A_Addendum C_508 Compliant.pdf	Form
ETA 790A Addendum Additional Material Terms and Conditions of the Job Offe Form ETA-790A_Addendum C_508 Compliant.pdf	Form
ETA 9142A H-2A Application for Temporary Employment Certification Form ETA-9142A_508 Compliant.pdf	Form
ETA 9142A H-2A Application for Temporary Employment Certification Form ETA-9142A_508 Compliant.pdf	Form
ETA 9142A - Append H-2A Application for Temporary Employment Certification Form ETA-9142A_Appendix A_508 Compliant.pdf	Form
ETA 9142A - Append H-2A Application for Temporary Employment Certification Form ETA-9142A_Appendix A_508 Compliant.pdf	Form
Form_ETA_790_790A General Instructions_TrackChanges.docx 790 Instructions Tracked	IC Document
Form_ETA_790_790A General Instructions_TrackChanges.docx 790 Instructions Tracked	IC Document
Form_ETA_790_TrackChanges.docx 790 Tracked	IC Document
Form_ETA_790_TrackChanges.docx 790 Tracked	IC Document
Form_ETA_790A_Addendum_A_Add'l Crops or Agricultural Activities.docx 790A A Tracked	IC Document
Form_ETA_790A_Addendum_A_Add'l Crops or Agricultural Activities.docx 790A A Tracked	IC Document
Form_ETA_790A_Addendum_B_Add'l Worksite and_or Housing Information.docx 790A B Tracked	IC Document
Form_ETA_790A_Addendum_B_Add'l Worksite and_or Housing Information.docx 790A B Tracked	IC Document
Form_ETA_790A_Addendum_C_Add'l Material Terms and Conditions of the Job Offer.docx 790A C Tracked	IC Document
Form_ETA_790A_Addendum_C_Add'l Material Terms and Conditions of the Job Offer.docx 790A C Tracked	IC Document
Form_ETA_790A_TrackChanges.docx 790A Tracked	IC Document
Form_ETA_790A_TrackChanges.docx 790A Tracked	IC Document
Form_ETA_9142A_Appendix_A_TrackChanges.docx 9142A A Tracked	IC Document
Form_ETA_9142A_Appendix_A_TrackChanges.docx 9142A A Tracked	IC Document
Form_ETA_9142A_General_Instructions_TrackChanges.docx 9142A Instructions Tracked	IC Document
Form_ETA_9142A_General_Instructions_TrackChanges.docx 9142A Instructions Tracked	IC Document
Form_ETA_9142A_TrackChanges.docx 9142A Tracked	IC Document
Form_ETA_9142A_TrackChanges.docx 9142A Tracked	IC Document
FLAG Screenshots Form ETA-790 790A including addendums.docx 790 790A Screenshots	IC Document
FLAG Screenshots Form ETA-790 790A including addendums.docx 790 790A Screenshots	IC Document
FLAG Screenshots Form ETA-9142A .docx 9142A Screenshots	IC Document
FLAG Screenshots Form ETA-9142A .docx 9142A Screenshots	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

H-2A Temporary Agricultural Labor Certification Program Updated Forms

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Form ETA-790_790A_General Instructions_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 790	Agricultural Clearance Form	Form ETA-790_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 790A	H-2A Agricultural Clearance Order	Form ETA-790A_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 790A Addendum A	Additional Crop or Agricultural Activities and Wage Offer Information	Form ETA-790A_Addendum A_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 790A Addendum B	Additional Place of Employment Information	Form ETA-790A_Addendum B_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 790A Addendum C	Additional Material Terms and Conditions of the Job Offer	Form ETA-790A_Addendum C_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Instruction			Form ETA-9142A_General Instructions_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 9142A	H-2A Application for Temporary Employment Certification	Form ETA-9142A_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 9142A - Appendix A	H-2A Application for Temporary Employment Certification	Form ETA-9142A_Appendix A_508 Compliant.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:

FR Citation:

Number of Respondents: 14,586

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 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	458,114	184,610	273,504
Annual IC Time Burden (Hours)	88,268	35,893	52,375
Annual IC Cost Burden (Dollars)	3,692,705	1,171,095	2,521,610

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
790 Instructions Tracked	Form_ETA_790_790A General Instructions_TrackChanges.docx	07/27/2022
790 Tracked	Form_ETA_790_TrackChanges.docx	07/27/2022
790A A Tracked	Form_ETA_790A_Addendum_A_Add'l Crops or Agricultural Activities.docx	07/27/2022
790A B Tracked	Form_ETA_790A_Addendum_B_Add'l Worksite and_or Housing Information.docx	07/27/2022
790A C Tracked	Form_ETA_790A_Addendum_C_Add'l Material Terms and Conditions of the Job Offer.docx	07/27/2022
790A Tracked	Form_ETA_790A_TrackChanges.docx	07/27/2022
9142A A Tracked	Form_ETA_9142A_Appendix_A_TrackChanges.docx	07/27/2022
9142A Instructions Tracked	Form_ETA_9142A_General_Instructions_TrackChanges.docx	07/27/2022
9142A Tracked	Form_ETA_9142A_TrackChanges.docx	07/27/2022
790 790A Screenshots	FLAG Screenshots Form ETA-790 790A including addendums.docx	07/27/2022
9142A Screenshots	FLAG Screenshots Form ETA-9142A .docx	07/27/2022

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