Information Collection Request

Application for Prevailing Wage Determination

ICR 202208-1205-005 · OMB 1205-0508 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form ETA 9165 Employer-Provided Survey Attestations to Accompany H-2B Prevailing Wage Determination Request Based on a Non-OEWS Survey Form New Available
Form ETA 9165 Form ETA-9165 Requirements Form New Repair queued
Form ETA 9141 Application for Prevailing Wage Determination Form Modified Available
Form ETA 9141 Form ETA-9141 and Related Requirements Form Modified Repair queued
1205-0508 Supporting Statement 083122.docx Supporting Statement A Uploaded 2022-08-31 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
255327 Form ETA-9165 Requirements Form NewEmployer-Provided Survey Attestations to Accompany H-2B Prevailing Wage Determination Request Based on a Non-OEWS Survey
255327 Form ETA-9165 Requirements Form New
255327 Form ETA-9165 Requirements Instruction New
204363 Form ETA-9141 and Related Requirements Form ModifiedApplication for Prevailing Wage Determination
204363 Form ETA-9141 and Related Requirements Form Modified
204363 Form ETA-9141 and Related Requirements Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2026 36 Months From Approved 07/31/2023
331,339 0 320,850
148,629 0 143,194
213,953 0 0





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table that charts list of burden
IC Title Form No. Form Name
Form ETA-9141 and Related Requirements ETA 9141
Form ETA-9165 Requirements ETA 9165

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 331,339 320,850 0 278 10,211 0
Annual Time Burden (Hours) 148,629 143,194 0 117 5,318 0
Annual Cost Burden (Dollars) 213,953 0 0 213,953 0 0


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