Form ETA-790A Adde Additional Crop or Agricultural Activities and Wage Offe

H-2A Temporary Agricultural Labor Certification Program

NPRM_09a_ETA-790A_Addendum_A_Crops-Wages_no changes

H-2A Temporary Agricultural Labor Certification Program Updated Forms

OMB: 1205-0466

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1205-0466 can be found here:

2024-04-29 - Revision of a currently approved collection

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O MB Approval: 1205-0466

Expiration Date: XX/XX/XXXX

H-2A Agricultural Clearance Order

Form ETA-790A Addendum A

U.S. Department of Labor

A.9. Additional Crop or Agricultural Activities and Wage Offer Information

Crop ID	Crop or Agricultural Activity	Wage Offer	Per	Piece Rate Units / Estimated Hourly Rate / Special Pay Information
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____
		$ ______ . _____

For Public Burden Statement, see the Instructions for Form ETA-790/790A.

Form ETA-790A Addendum A FOR DEPARTMENT OF LABOR USE ONLY Page A.1 of A.1

H-2A Case Number: ____________________ Case Status: __________________ Determination Date: _____________ Validity Period: _____________ to _____________

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Author	Melanie Shay
File Modified	0000-00-00
File Created	2023-09-18