Information Collection

H-2A Temporary Agricultural Labor Certification Program Updated Forms

IC 236087 under ICR 202309-1205-001 · OMB 1205-0466.

⚠️ Notice: This information collection may be referencing outdated material.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

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

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
NPRM_10_ETA-790 790A_Instructions_clean.docx	Instruction
NPRM_10_ETA-790 790A_Instructions_clean.docx	Instruction
NPRM_01_ETA-9142A Instructions_clean with changes.docx	Instruction
NPRM_01_ETA-9142A Instructions_clean with changes.docx	Instruction
FR_13_ETA-232_Instructions_10.8.2020.docx	Instruction
FR_13_ETA-232_Instructions_10.8.2020.docx	Instruction
Form ETA-9142A Nature of H-2A Application NPRM_02_ETA-9142A_clean with changes.docx	Form
Form ETA-9142A Nature of H-2A Application NPRM_02_ETA-9142A_clean with changes.docx	Form
Form ETA-9142A – A H-2A LABOR CONTRACTOR SURETY BOND NPRM_04_ETA-9142A_Appendix B_surety bond_no changes.docx	Form
Form ETA-9142A – A H-2A LABOR CONTRACTOR SURETY BOND NPRM_04_ETA-9142A_Appendix B_surety bond_no changes.docx	Form
Form ETA-790A - Ad Additional Material Terms and Conditions of the Job Offe NPRM_09c_ETA-790A_Addendum_C_additional info_no changes.docx	Form
Form ETA-790A - Ad Additional Material Terms and Conditions of the Job Offe NPRM_09c_ETA-790A_Addendum_C_additional info_no changes.docx	Form
Form ETA-790A Adde Additional Place of Employment Information NPRM_09b_ETA-790A_Addendum_B_clean.docx	Form
Form ETA-790A Adde Additional Place of Employment Information NPRM_09b_ETA-790A_Addendum_B_clean.docx	Form
Form ETA-790A Adde Additional Crop or Agricultural Activities and Wage Offe NPRM_09a_ETA-790A_Addendum_A_Crops-Wages_no changes.docx	Form
Form ETA-790A Adde Additional Crop or Agricultural Activities and Wage Offe NPRM_09a_ETA-790A_Addendum_A_Crops-Wages_no changes.docx	Form
Form ETA-790 Clearance Order Information NPRM_08_ETA-790_no changes.docx	Form
Form ETA-790 Clearance Order Information NPRM_08_ETA-790_no changes.docx	Form
Form ETA-9142A – A Attorney or Agent Declaration NPRM_03_ETA-9142A_clean with changes.docx	Form
Form ETA-9142A – A Attorney or Agent Declaration NPRM_03_ETA-9142A_clean with changes.docx	Form
Form ETA-790A Job Offer Information NPRM_09_ETA-790A_Ag Clearance Order_in clean version.docx	Form
Form ETA-790A Job Offer Information NPRM_09_ETA-790A_Ag Clearance Order_in clean version.docx	Form
ETA-9142A – Append Owners-Managers Form NPRM_05_Form ETA-9142A Appendix C - Owners Mgrs_new.docx	Form
ETA-9142A – Append Owners-Managers Form NPRM_05_Form ETA-9142A Appendix C - Owners Mgrs_new.docx	Form
ETA 9142A - Append Foreign Labor Recruiter NPRM_06_Form ETA-9142A Appendix D - FLR_new1.docx	Form
ETA 9142A - Append Foreign Labor Recruiter NPRM_06_Form ETA-9142A Appendix D - FLR_new1.docx	Form
ETA-9142A TEMPORARY AGRICULTURAL LABOR CERTIFICATION NPRM_07_ETA-9142A FD_no changes.docx	Form
ETA-9142A TEMPORARY AGRICULTURAL LABOR CERTIFICATION NPRM_07_ETA-9142A FD_no changes.docx	Form
Form ETA-232 Domestic Agricultural In-Season Wage Report FR_ETA-232_PW Survey_new_10.14.20.docx	Form
Form ETA-232 Domestic Agricultural In-Season Wage Report FR_ETA-232_PW Survey_new_10.14.20.docx	Form
NPRM_09_ETA-790A_Ag Clearance Order_in track changes.docx Job Offer Form - Track Changes	IC Document
NPRM_09_ETA-790A_Ag Clearance Order_in track changes.docx Job Offer Form - Track Changes	IC Document
NPRM_01_ETA-9142A Instructions in track changes.docx ETA-9142A – General Instructions - Track Changes	IC Document
NPRM_01_ETA-9142A Instructions in track changes.docx ETA-9142A – General Instructions - Track Changes	IC Document
NPRM_10_ETA-790 790A_Instructions_in track changes.docx 790A Instructions - Track Changes	IC Document
NPRM_10_ETA-790 790A_Instructions_in track changes.docx 790A Instructions - Track Changes	IC Document
NPRM_09b_ETA-790A_Addendum_B_in track changes.docx 790A Addendum B - Track Changes	IC Document
NPRM_09b_ETA-790A_Addendum_B_in track changes.docx 790A Addendum B - Track Changes	IC Document
NPRM_02_ETA-9142A in track changes.docx ETA 1942A - Nature of H-2A Application - Track Changes	IC Document
NPRM_02_ETA-9142A in track changes.docx ETA 1942A - Nature of H-2A Application - Track Changes	IC Document
NPRM_03_ETA-9142A_Appendix A in track changes.docx ETA-9142A – APPENDIX A - Track Changes	IC Document
NPRM_03_ETA-9142A_Appendix A in track changes.docx ETA-9142A – APPENDIX A - Track Changes	IC Document
NPRM_06_Form ETA-9142A Appendix D - FLR_new.docx 9142A - Appendix D - Track Changes	IC Document
NPRM_06_Form ETA-9142A Appendix D - FLR_new.docx 9142A - Appendix D - Track Changes	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 653(b)(f) 20 CFR 655(b) (To search for a specific CFR, visit the Code of Federal Regulations.)

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	NPRM_02_ETA-9142A_clean with changes.docx	Yes	Yes	Fillable Fileable
Form	Form ETA-9142A â Appendix B	H-2A LABOR CONTRACTOR SURETY BOND	NPRM_04_ETA-9142A_Appendix B_surety bond_no changes.docx	Yes	Yes	Fillable Fileable
Form	Form ETA-790A - Addendum C	Additional Material Terms and Conditions of the Job Offer	NPRM_09c_ETA-790A_Addendum_C_additional info_no changes.docx	Yes	Yes	Fillable Fileable
Form	Form ETA-790A Addendum B	Additional Place of Employment Information	NPRM_09b_ETA-790A_Addendum_B_clean.docx	Yes	Yes	Fillable Fileable
Form	Form ETA-790A Addendum A	Additional Crop or Agricultural Activities and Wage Offer Information	NPRM_09a_ETA-790A_Addendum_A_Crops-Wages_no changes.docx	Yes	Yes	Fillable Fileable
Form	Form ETA-790	Clearance Order Information	NPRM_08_ETA-790_no changes.docx	Yes	Yes	Fillable Fileable
Instruction			NPRM_10_ETA-790 790A_Instructions_clean.docx	Yes	Yes	Fillable Fileable
Instruction			NPRM_01_ETA-9142A Instructions_clean with changes.docx	Yes	Yes	Fillable Fileable
Form	Form ETA-9142A â APPENDIX A	Attorney or Agent Declaration	NPRM_03_ETA-9142A_clean with changes.docx	Yes	Yes	Fillable Fileable
Form	Form ETA-790A	Job Offer Information	NPRM_09_ETA-790A_Ag Clearance Order_in clean version.docx	Yes	Yes	Fillable Fileable
Form	ETA-9142A â Appendix C	Owners-Managers Form	NPRM_05_Form ETA-9142A Appendix C - Owners Mgrs_new.docx	Yes	Yes	Fillable Fileable
Form	ETA 9142A - Appendix D	Foreign Labor Recruiter	NPRM_06_Form ETA-9142A Appendix D - FLR_new1.docx	Yes	Yes	Fillable Fileable
Form	ETA-9142A	TEMPORARY AGRICULTURAL LABOR CERTIFICATION	NPRM_07_ETA-9142A FD_no changes.docx	Yes	Yes	Fillable Fileable
Instruction			FR_13_ETA-232_Instructions_10.8.2020.docx	Yes	Yes	Fillable Fileable
Form	Form ETA-232	Domestic Agricultural In-Season Wage Report	FR_ETA-232_PW Survey_new_10.14.20.docx	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: 16,567

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Farms, Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	527,392	0	59,549	467,843
Annual IC Time Burden (Hours)	120,281	1	17,415	102,865
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Job Offer Form - Track Changes	NPRM_09_ETA-790A_Ag Clearance Order_in track changes.docx	09/12/2023
ETA-9142A â General Instructions - Track Changes	NPRM_01_ETA-9142A Instructions in track changes.docx	09/12/2023
790A Instructions - Track Changes	NPRM_10_ETA-790 790A_Instructions_in track changes.docx	09/12/2023
790A Addendum B - Track Changes	NPRM_09b_ETA-790A_Addendum_B_in track changes.docx	09/12/2023
ETA 1942A - Nature of H-2A Application - Track Changes	NPRM_02_ETA-9142A in track changes.docx	09/12/2023
ETA-9142A â APPENDIX A - Track Changes	NPRM_03_ETA-9142A_Appendix A in track changes.docx	09/12/2023
9142A - Appendix D - Track Changes	NPRM_06_Form ETA-9142A Appendix D - FLR_new.docx	09/12/2023

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