Information Collection

H-2A Temporary Agricultural Labor Certification Program Updated Forms

IC 236087 under ICR 202303-1205-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Form ETA-9142A H-2A Temporary Agricultural Labor Certification Program Updated Forms	Form
FR_11_Form ETA-790A_General Instructions_508 Compliant.pdf	Instruction
FR_11_Form ETA-790A_General Instructions_508 Compliant.pdf	Instruction
FR_13_Form ETA-232_General Instructions_508 Compliant.pdf	Instruction
FR_13_Form ETA-232_General Instructions_508 Compliant.pdf	Instruction
Form ETA-9142A Nature of H-2A Application FR_01_ Form ETA-9142A_508 Compliant.pdf	Form
Form ETA-9142A Nature of H-2A Application FR_01_ Form ETA-9142A_508 Compliant.pdf	Form
Form ETA-9142A – A H-2A LABOR CONTRACTOR SURETY BOND FR_04_ETA-9142A_Appendix B 04.14.2022 508 Compliant.pdf	Form
Form ETA-9142A – A H-2A LABOR CONTRACTOR SURETY BOND FR_04_ETA-9142A_Appendix B 04.14.2022 508 Compliant.pdf	Form
Form ETA-790A - Ad Additional Material Terms and Conditions of the Job Offe FR_10_ETA-790A_Addendum C 04-14-2022 508 Compliant.pdf	Form
Form ETA-790A - Ad Additional Material Terms and Conditions of the Job Offe FR_10_ETA-790A_Addendum C 04-14-2022 508 Compliant.pdf	Form
Form ETA-790A Adde Additional Place of Employment Information FR_09_ETA-790A_Addendum_B_clean_04.14.2022.docx	Form
Form ETA-790A Adde Additional Place of Employment Information FR_09_ETA-790A_Addendum_B_clean_04.14.2022.docx	Form
Form ETA-790A Adde Additional Crop or Agricultural Activities and Wage Offe FR_08_ETA-790A_Addendum_A_wages_clean 04.14.2022 508 Compliant.pdf	Form
Form ETA-790A Adde Additional Crop or Agricultural Activities and Wage Offe FR_08_ETA-790A_Addendum_A_wages_clean 04.14.2022 508 Compliant.pdf	Form
Form ETA-790 Clearance Order Information FR_06_ETA-790_clean_04.14.2022 508 Compliant.pdf	Form and Instruction
Form ETA-790 Clearance Order Information FR_06_ETA-790_clean_04.14.2022 508 Compliant.pdf	Form and Instruction
Form ETA-9142A Temporary Agricultural Labor Certification FR_05_ETA-9142A FD_04.14.2022_508 Compliant.pdf	Form
Form ETA-9142A Temporary Agricultural Labor Certification FR_05_ETA-9142A FD_04.14.2022_508 Compliant.pdf	Form
Form ETA-9142A General Instructions FR_02_Form ETA-9142A Instructions_508 Compliant.pdf	Form and Instruction
Form ETA-9142A General Instructions FR_02_Form ETA-9142A Instructions_508 Compliant.pdf	Form and Instruction
Form ETA-9142A – A Attorney or Agent Declaration FR_03_ETA-9142A_Appendix A 04.14.2022 508 Compliant.pdf	Form
Form ETA-9142A – A Attorney or Agent Declaration FR_03_ETA-9142A_Appendix A 04.14.2022 508 Compliant.pdf	Form
Form ETA-790A Job Offer Information FR_07_Form_ETA-790A_508 Compliant.pdf	Form
Form ETA-790A Job Offer Information FR_07_Form_ETA-790A_508 Compliant.pdf	Form
Form ETA-232 Domestic Agricultural In-Season Wage Report FR_12_ETA-232 04_14_2022 508 Compliant.pdf	Form
Form ETA-232 Domestic Agricultural In-Season Wage Report FR_12_ETA-232 04_14_2022 508 Compliant.pdf	Form

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
Form	Form ETA-9142A	Nature of H-2A Application	FR_01_ Form ETA-9142A_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	Form ETA-9142A â Appendix B	H-2A LABOR CONTRACTOR SURETY BOND	FR_04_ETA-9142A_Appendix B 04.14.2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	Form ETA-790A - Addendum C	Additional Material Terms and Conditions of the Job Offer	FR_10_ETA-790A_Addendum C 04-14-2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	Form ETA-790A Addendum B	Additional Place of Employment Information	FR_09_ETA-790A_Addendum_B_clean_04.14.2022.docx	Yes	Yes	Fillable Fileable
Form	Form ETA-790A Addendum A	Additional Crop or Agricultural Activities and Wage Offer Information	FR_08_ETA-790A_Addendum_A_wages_clean 04.14.2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Form ETA-790	Clearance Order Information	FR_06_ETA-790_clean_04.14.2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	Form ETA-9142A	Temporary Agricultural Labor Certification	FR_05_ETA-9142A FD_04.14.2022_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Instruction			FR_11_Form ETA-790A_General Instructions_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	Form ETA-9142A	General Instructions	FR_02_Form ETA-9142A Instructions_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	Form ETA-9142A â APPENDIX A	Attorney or Agent Declaration	FR_03_ETA-9142A_Appendix A 04.14.2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	Form ETA-790A	Job Offer Information	FR_07_Form_ETA-790A_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	Form ETA-232	Domestic Agricultural In-Season Wage Report	FR_12_ETA-232 04_14_2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Instruction			FR_13_Form ETA-232_General Instructions_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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	467,843	0	9,729	458,114
Annual IC Time Burden (Hours)	102,865	-1,445,088	1,459,685	88,268
Annual IC Cost Burden (Dollars)	0	-3,692,705	0	3,692,705

Documents for IC

table that charts IC Documents
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.