Agricultural Clearance Order Form 790 (SWA Employee)

O MB Approval: 1205-0466

Expiration Date: XX/XX/XXXX

Agricultural Clearance Order

Form ETA-790 and 790A – General Instructions

U.S. Department of Labor

IMPORTANT: Employers and authorized preparers must read these general instructions carefully before completing Forms ETA-790 and 790A, Agricultural Clearance Order, and all required addenda. These instructions contain explanations of the questions and assurances that make up Forms ETA-790 and 790A. If you are not submitting these forms electronically, please complete ALL required fields/items containing an asterisk ( * ) and any fields/items where a response is conditional as indicated by the section ( § ) symbol.

It is a federal offense to knowingly and willfully furnish materially false information in the preparation of Forms ETA-790 and 790A and/or any supplement thereto, or to aid, abet, or counsel another to do so (18 U.S.C. §§ 2, 1001). Other penalties may also apply to fraud or misuse of this immigration document and to perjury with respect to this form (18 U.S.C. §§ 1546, 1621).

REQUIREMENT TO FILE AN AGRICULTURAL CLEARANCE ORDER (FORMS ETA-790 and 790A)

In accordance with 20 CFR 653.500, all employers seeking U.S. workers to perform agricultural services or labor on a temporary, less than year-round basis through the Agricultural Recruitment System for U.S. Workers must submit a completed job clearance order to the State Workforce Agency (SWA) for placement on its intrastate and interstate job clearance systems.

Employers submitting agricultural clearance orders, which are not placed in connection with an H-2A Application for Temporary Employment Certification (Form ETA-9142A), must complete the Form ETA-790 and attach a completed Form ETA-790B, which is provided through OMB Approval Number 1205-0134, and must not complete Form ETA-790A.

Employers submitting agricultural clearance orders in connection with an H-2A Application for Temporary Employment Certification (Form ETA-9142A) must complete the Form ETA-790 and attach a completed Form ETA-790A, which is provided through this OMB Approval Number 1205-0466. In the case of a clearance order to be placed in connection with an H-2A Application for Temporary Employment Certification (Form ETA-9142A) for H-2A workers, the clearance order must be submitted to the National Processing Center (NPC), and the NPC will transmit the job order to the SWA. In accordance with 20 CFR 655.121, prior to filing an H-2A Application for Temporary Employment Certification (Form ETA-9142A), the employer must submit a job order to begin intrastate clearance with the SWA serving the area of intended employment, identifying it as a job order to be placed in connection with a future Form ETA-9142A for H-2A workers. The job order is defined as the document containing the material terms and conditions of employment that is posted by the SWA on its inter- and intra-state job clearance systems based on Forms ETA-790 and 790A. 20 CFR 655.103(b). An employer seeking a temporary agricultural labor certification under the H-2A visa classification must satisfy this regulatory requirement by completing the Forms ETA-790 and 790A.

Forms ETA790 and 790A are designed to (1) facilitate the initial receipt and processing of the job order by the SWA, (2) identify the primary employer(s) of the worker(s) sought for the job opportunity, (3) designate whether the job order will be used in connection with a future Form ETA-9142A for H-2A workers, and (4) disclose all the material terms and conditions of employment that the employer will offer to H-2A workers and U.S. workers, as applicable. For clearance orders placed in connection with H-2A applications, except in emergency situations (20 CFR 655.134) or for job opportunities involving herding or production of livestock on the range (20 CFR 655.205), the employer must submit this job order no more than 75 calendar days and no less than 60 calendar days before the first date of need. The job order submitted to the NPC must satisfy the requirements for agricultural clearance orders in 20 CFR part 653, subpart F and the requirements set forth in 20 CFR part 655, subpart B.

Any references to the term “clearance order” on Forms ETA-790 and 790A and in these instructions shall have the same meaning as the “job order.”

FORM ETA-790 CLEARANCE ORDER COVERSHEET

Section I

Clearance Order Information

This section is to be completed by the SWA ONLY upon initial receipt and processing of the agricultural clearance order.

1. Enter the unique number assigned to the agricultural clearance order that will used by the SWA to facilitate the intrastate and interstate clearance of the employer’s job opportunity and recruitment of U.S. workers.

2. Enter the date on which the agricultural clearance order was placed in intrastate clearance (20 CFR 655.121(e)). Use a month/day/year (mm/dd/yyyy) format.

3. Enter the first date on which the agricultural clearance order will no longer be on the SWA’s active file. In accordance with 20 CFR 655.121(d), the SWA must keep the job order on its active file until the end of the recruitment period, which is generally until 50 percent of the period of the work contract has elapsed. 20 CFR 655.135(d). The start and end of the work contract period shall be based on the First Date (Item 3) and Last Date (Item 4) entered in Section A of the Form ETA-790A, adjusted based on any modifications to the First Date (Item 3) approved by the Certifying Officer (CO). Use a month/day/year (mm/dd/yyyy) format.

4. Enter the six digit Standard Occupational Classification (SOC) code for the occupation that most clearly describes the agricultural labor or services to be performed, as identified on the Form ETA-790A. For example, the six digit SOC code for a fruit or vegetable harvester or orchard worker is 45-2092 (Farmworkers and Laborers, Crop, Nursery, and Greenhouse).

5. Enter the occupational title associated with the chosen six digit SOC code entered in Item 4. For example, the occupational title associated with SOC/O*NET code 45-2092.00 is “Farmworkers and Laborers, Crop, Nursery, and Greenhouse.”

For Questions 6 – 17, please enter the SWA point of contact information located in the Order Holding Office (OHO) that will process the agricultural clearance order.

6. Enter the last (family) name of the SWA point of contact.

7. Enter the first (given) name of the SWA point of contact.

8. Enter the middle name of the SWA point of contact, if applicable. If the SWA point of contact does not have a middle name, enter “N/A.”

9. Enter the job title of the SWA point of contact.

10. Enter the business street address of the SWA point of contact.

11. If additional space is needed for the business street address, use this field to complete the street address of the SWA point of contact. Otherwise, please enter “N/A.”

12. Enter the city of the SWA point of contact.

13. Enter the State, District, or Territory of the SWA point of contact.

14. Enter the postal (zip) code of the SWA point of contact.

15. Enter the area code and business telephone number of the SWA point of contact.

16. Enter the extension of the business telephone number of the SWA point of contact, if applicable. Enter “N/A” if not applicable.

17. Enter the business e-mail address of the SWA point of contact using a valid format [email protected]. The e-mail entered in this field must be the same as the one regularly used by the SWA point of contact in processing agricultural clearance orders and capable of sending and receiving electronic communications to and from the CO and the employer or, if applicable, the employer’s authorized attorney or agent. The e-mail address may either be the individual one assigned by the SWA to the named point of contact or a generic e-mail address assigned by the SWA for receiving and processing agricultural clearance orders by multiple staff.

Section II

Employer Contact Information

An employer point of contact is an employee of the employer whose position authorizes the employee to provide information and supporting documentation concerning this agricultural clearance order and to communicate with the SWA on behalf of the employer. The employer point of contact should be the individual most familiar with the content of this agricultural clearance order and must not contain the contact information of the authorized attorney or agent, unless the attorney is an employee of the employer.

1. Enter the full legal name of the business, person, association, firm, corporation, or organization, i.e., the employer filing this application. The employer’s full legal name is the exact name of the individual, corporation, LLC, partnership, or other organization that is reported to the Internal Revenue Service (IRS). The entry in this field must be the same as the entry in Section B, Item 1 of the Form ETA-9142A.

2. Enter the full trade name or “Doing Business As” (DBA) name, if applicable, of the business, person, association, firm, corporation, or organization. The entry in this field must be the same as the entry in Section B, Item 2 of the Form ETA-9142A. Do not include “DBA” in front of the full trade name entered in Item 2 or at the end of the full legal name entered in Item 1.

3. Enter the last (family) name of the employer’s point of contact. The entry in this field must be the same as the entry in Section C, Item 1 of the Form ETA-9142A.

4. Enter the first (given) name of the employer’s point of contact. The entry in this field must be the same as the entry in Section C, Item 2 of the Form ETA-9142A.

5. Enter the middle name of the employer’s point of contact, if applicable. Enter “N/A” if not applicable. The entry in this field must be the same as the entry in Section C, Item 3 of the Form ETA-9142A.

6. Enter the job title of the employer's point of contact. The entry in this field must be the same as the entry in Section C, Item 4 of the Form ETA-9142A.

7. Enter the business street address for the employer’s point of contact. The address must be a physical location and not a P.O. box. The entry in this field must be the same as the entry in Section C, Item 5 of the Form ETA-9142A.

8. If additional space is needed for the street address, use this field to complete the street address. If no additional space is needed, enter “N/A.” The entry in this field must be the same as the entry in Section C, Item 6 of the Form ETA-9142A.

9. Enter the city of the employer’s point of contact. The entry in this field must be the same as the entry in Section C, Item 7 of the Form ETA-9142A.

10. Enter the State, district or territory of the employer’s point of contact. The entry in this field must be the same as the entry in Section C, Item 8 of the Form ETA-9142A.

11. Enter the postal (zip) code of the employer’s point of contact. The entry in this field must be the same as the entry in Section C, Item 9 of the Form ETA-9142A.

12. Enter the area code and business telephone number of the employer’s point of contact. Include country code, if the point of contact is located outside of the United States. The entry in this field must be the same as the entry in Section C, Item 12 of the Form ETA-9142A.

13. Enter the extension of the telephone number of the employer’s point of contact, if applicable. The entry in this field must be the same as the entry in Section C, Item 13 of the Form ETA-9142A.

14. Enter the business e-mail address of the employer’s point of contact in the format [email protected]. The e-mail entered in this field must be the same as the one regularly used by the employer’s point of contact for its business operations and capable of sending and receiving electronic communications from the SWA with respect to the processing of this agricultural clearance order. If the employer’s point of contact does not possess a business e-mail address, please enter “N/A.” The entry in this field must be the same as the entry in Section C, Item 14 of the Form ETA-9142A.

15. Enter the nine-digit Federal Employer Identification Number (FEIN) assigned by the IRS. Do not enter a social security number. The entry in this field must be the same as the entry in Section B, Item 12 of the Form ETA-9142A.

Important Note: All employers, including private households, MUST obtain an FEIN from the IRS before completing this application. Information on obtaining an FEIN can be found at www.IRS.gov.

16. Enter the four-digit North American Industry Classification System (NAICS) code that most closely corresponds to the employer’s primary economic or business activity, not the specific job opportunity being requested for temporary labor certification. For example, an employer primarily engaged in a combination of apple, citrus, and berry farming, would select NAICS Code “1113.” The first two digits identifies the major economic sector (e.g., 11 – Agriculture, Forestry, Fishing and Hunting); the third digit identifies the subsector (e.g., 1 – Crop Production); and the fourth digit identifies the industry group (e.g., 3 – Fruit and Tree Nut Farming). Additional information concerning the NAICS can be found at http://www.census.gov/epcd/www/naics.html. The entry in this field must be the same as the entry in Section B, Item 13 of the Form ETA-9142A.

Section III

Type of Clearance Order

1. If the clearance order is placed in connection with an H-2A Application for Temporary Employment Certification (Form ETA-9142A), please select the option entitled “790A (placed in connection with an H-2A application).” Prior to submitting the job order to the SWA, the employer will need to complete the remainder of the Form ETA-790A containing all material terms and conditions of employment and assurances for H-2A agricultural clearance orders.

If the clearance order is not placed in connection with an H-2A application, select the option entitled “790B (not placed in connection with an H-2A application).” Prior to submitting the job order to the SWA, the employer will need to complete the Form ETA-790B containing all material terms and conditions of employment and assurances for agricultural clearance orders that are not placed in connection with H-2A applications.

Only select one option.

FORM ETA-790A – H-2A AGRICULTURAL CLEARANCE ORDER

Section A

Job Offer Information

1. Enter the job title that most clearly describes the agricultural labor or services to be performed.

2. Enter the number of workers that need to be employed full-time to perform the temporary agricultural services or labor.

   1. Enter the total number of workers needed.

This is the total number of workers the employer plans to hire to address its temporary or seasonal labor needs during the period identified in Items A.3 and A.4. When calculating the total number of workers needed, include both:

• The number of former non-H-2A employees the employer anticipates will return—both those workers who can and who cannot reasonably return to their residence within the same day; and

• The number of additional workers the employer seeks to recruit through this H-2A clearance order and other H-2A program recruitment (i.e., the number entered in Item A.2b).

2. Of the total number of workers needed, entered in Item A.2a, enter the number of H-2A workers requested for temporary agricultural labor certification.

This is the total number of additional temporary agricultural workers the employer needs, which the employer seeks to fill with H-2A workers, unless recruitment through this H-2A clearance order and other H-2A program recruitment efforts provide the employer with sufficient qualified, able, willing, and available U.S. worker referrals and/or applicants. Note that the number in Item A.2b will be reduced by one for each U.S. worker who is referred or applies for the job opportunity, who is not rejected for lawful job-related reasons.

Important Note: The employer must provide housing, and daily transportation between the housing and place(s) of employment, to all H-2A workers hired and to those workers in corresponding employment who are not reasonably able to return to their permanent residence within the same day. See Form ETA-790A, Section I, Items 3 and 7.C. This housing and daily transportation obligation also applies to all “migrant farmworkers,” as defined at 20 CFR 651.10. For non-H-2A workers, the employer’s obligation to provide housing and daily transportation extends to any farmworker who may reside within the broadly identified area of intended employment but cannot reasonably return to their permanent residence within the same day. Accordingly, the employer must ensure that its housing and daily transportation vehicles have capacity to satisfy the employer’s obligation with regard to the total number H-2A workers entered in Item A.2b as well as the number of migrant workers included in Item A.2a who cannot reasonably return to their residence within the same day. To clarify, the Department encourages employers to identify whether or not the employer is required to provide housing and daily transportation to each non-H-2A worker listed in its H-2A recruitment report.

3. Enter the first date for the period of intended employment. Use a month/day/year (mm/dd/yyyy) format.

4. Enter the last date for the period of intended employment. Use a month/day/year (mm/dd/yyyy) format.

5. Select “YES” or “NO” to indicate whether the job opportunity generally requires the worker to be on-call 24 hours a day, 7 days a week. For example, an employer submitting a job order for a job opportunity involving herding or production of livestock on the range, which requires the worker to be on-call up to 24/7, would mark “YES” and proceed to Item 8. All other employers must mark “NO” and complete Items A.6 and A.7.

6. Use Items 6a through 6h to identify the anticipated days and hours of work per day and per week. Use a numerical (99.99) format for each Item below. An entry is required for each box listed in this field. Reminder: Employers may use the Form ETA-790A, Addendum C, to disclose additional information about the job opportunity (e.g., variations in anticipated days or hours of work per day and per week for different crops or agricultural activities), depending on the unique specifications of the employer’s job opportunity.

   1. Enter the total hours of work that will normally be offered to workers per week. The entry in this field must be at least 35.00 hours per week and cannot be less than the sum of the entries in Items 5b through 5h.

   2. Enter the total hours of work that will normally be offered to workers on Sunday.

   3. Enter the total hours of work that will normally be offered to workers on Monday.

   4. Enter the total hours of work that will normally be offered to workers on Tuesday.

   5. Enter the total hours of work that will normally be offered to workers on Wednesday.

   6. Enter the total hours of work that will normally be offered to workers on Thursday.

   7. Enter the total hours of work that will normally be offered to workers on Friday.

   8. Enter the total hours of work that will normally be offered to workers on Saturday.

7. Use Items 7a and 7b to identify the normal daily work schedule for the job opportunity using the standard time in the area where the work is expected to be performed (e.g., 9 AM to 5 PM, 7 AM to 11 AM and 4 PM to 8 PM). Reminder: Employers may use the Form ETA-790A, Addendum C, to disclose additional information about the job opportunity (e.g., different shifts or variations in normal daily work schedule for different crops or agricultural activities), depending on the unique specifications of the employer’s job opportunity.

   1. Enter the start time of the day that work will normally begin and select a checkbox to indicate whether the expected start time of work is “AM” or “PM.”

   2. Enter the end time of the day that work will normally end and select a checkbox to indicate whether the expected end time of work is “AM” or “PM.”

8. Use Items 8a through 8g to identify the specific crop activity or agricultural activity and, if applicable, distinct work task(s) performed within that crop activity or agricultural activity. Describe the duties or services to be performed by the workers and the wage(s) that will be offered, advertised, and paid to the workers for performing the agricultural labor or services.

   1. Enter a description of the job duties or services to be performed in each crop activity or agricultural activity, including any minimum productivity standards that are a condition of job retention, regardless of whether workers will be paid on a piece rate or an hourly basis. Describe the work tasks that make up the job, summarizing each step as appropriate, and avoid using technical terms without properly defining or explaining them where usage is necessary. Describe any productivity standards that are a condition of job retention in terms that are static and objective and that specifically quantify the expected output per worker required for job retention in the specific crop or agricultural activity. Reminder: Employers may use the Form ETA-790A, Addendum C, to disclose additional information about the job opportunity (e.g., duties or services related to different crops or agricultural activities), depending on the unique specifications of the employer’s job opportunity. The response must begin in this section of the form and Addendum C may be used ONLY if more space is needed.

   2. Enter the wage that will be offered, advertised, and paid to workers performing the job duties or services in the crop activity or agricultural activity and, if applicable, distinct work task(s) performed within that crop activity or agricultural activity. If the employer offers a range of wage rates for each crop or agricultural activity (and, if applicable, distinct work task(s) performed within that crop activity or agricultural activity), enter the minimum wage offer in Item A.8b (Wage Offer). The employer should enter a rate that is no less than the highest applicable hourly wage rate from the sources listed in 20 CFR 655.120(a) in Item A.8b, including any hourly wage rate guarantee an employer offers in conjunction with piece rate(s). Note: The upper range of any hourly or monthly wage offers will be collected in Item A.8f and the “Piece Rate Units / Estimated Hourly Rate / Special Pay Information” field in Form ETA-790A, Addendum A. If there are additional hourly or monthly wage rates associated with additional crop activities, agricultural activities, distinct tasks, or work locations, these must be listed in Form ETA-790A, Addendum A. For example, an employer with additional AEWR rates due to work in multiple locations must disclose each rate in Addendum A.

   3. Select either “HOUR” or “MONTH” to identify the unit of pay for the wage offer entered in Item 8b. Mark only one box. See 20 CFR 655.120(a).

   4. If applicable, enter the piece rate that will be offered, advertised, and paid to workers performing the job duties or services in the crop activity or agricultural activity and, if applicable, distinct work task(s) performed within that crop activity or agricultural activity. Note: If there are additional piece rates associated with additional crop activities, agricultural activities, distinct tasks, or work locations, these must also be listed in Form ETA-790A, Addendum A.

   5. If applicable, enter the piece rate units (e.g., tree size/spacing, weight/size/number of boxes picked/packed, dimensions of bags or boxes filled). Examples of piece rate units include 5/8 bushel, 90 pound bag or box, 10 box bin.

   6. If applicable, enter any other special pay information (e.g., performance bonuses or incentives associated with performing the job duties or services) or the upper end of a wage range offered for a particular crop activity or agricultural activity and, if applicable, distinct work task(s) performed within that crop activity or agricultural activity. Examples of other special pay information related to a particular crop activity or agricultural activity or distinct work task(s) within that activity are additional pay per acre or based on crop yield. In addition, enter the estimated hourly wage rate equivalent for each piece rate or base rate and bonus that is offered for each activity and unit size, if applicable (i.e., what a worker might expect to earn per hour at this rate). See example below. Include or be prepared to make the method of calculating the estimated hourly wage rate equivalent(s) and supporting materials available to the SWA.
      
      Important Note: The estimated hourly equivalent is not an offered rate nor a guarantee. The offered rates, which may include one or more piece rates in addition to the hourly rate, must be entered in Item A.8b-d, and, if applicable, the corresponding fields on the Form ETA-790A, Addendum A. In addition, the wage rate guarantee requirement is explained in Section I, Item 11. Although not an offered rate nor a guarantee, the estimated hourly equivalent can be no less than the highest of the applicable Federal or State minimum or the prevailing hourly wage rate.

   7. Select “Yes” or “N/A” to indicate whether overtime pay will be available, whether voluntarily offered by the employer or required by an applicable Federal, State, or local law. If “Yes” is selected, describe: the wage rate(s) to be paid for any such overtime hours; the circumstances under which the wage rate(s) for overtime hours will be paid; whether overtime wage rates will vary between places of employment; and where the overtime pay is required by law, the applicable federal, State, or local law requiring the overtime pay.  

9. Select “YES” to indicate that a completed Form ETA-790A, Addendum A is attached to this agricultural clearance order providing additional information covering all identified crops or agricultural activities (and, if applicable, distinct work task(s) performed within that crop activity or agricultural activity) and all hourly or monthly rates, piece rates, or special pay rates. If there are no additional job duties or services and/or wage offer(s) to identify, select “N/A.”

Important Note: Use Form ETA-790A, Addendum A, to disclose all additional pay information that is related to a particular crop or agricultural activity and, if applicable, distinct work task(s) performed within that crop activity or agricultural activity. For additional pay information that is not related to a particular crop, including but not limited to overtime (including any overtime pay required by federal, state, or local law) and bonus or work incentive payments that the employer will pay in addition to the basic wage rate (e.g., bonuses based on time on the job or calendar based/holiday bonuses), mark H.1 “YES” and use the Form ETA-790A, Addendum C, to disclose the additional material terms and conditions of employment.

10. Select one of the available options to specify the frequency with which workers will be paid under this agricultural clearance order. In accordance with 20 CFR 655.122(m), the employer must state in the job offer the frequency with which the worker(s) will be paid, which must be at least twice monthly or according to the prevailing practice in the area of intended employment, whichever is more frequent.

Section B

Minimum Job Qualifications/Requirements

1. If a minimum U.S. diploma or degree is required to perform the agricultural labor or services, select the option that identifies the requirement. If no minimum U.S. diploma or degree is required, select “NONE.” Only mark one box.

2. If a minimum amount of experience is required to perform the agricultural labor or services, indicate the amount of experience required in months. If no minimum experience is required, enter “0” (zero). Information about the nature of the experience required may be disclosed in Item B.6.

3. If a minimum amount of training is required to perform the agricultural labor or services, indicate the amount of training required in months. If no minimum training is required, enter “0” (zero). If less than one month of training is required, enter “0” (zero) in Item B.3 and provide the specific number of days or weeks of training required in Item B.6. Information about the nature of the training required may be disclosed in Item B.6. Note: When answering this item, do not duplicate time requirements ― identify only the time required for the training identified in Item B.3. Do not include (add) time for the education or experience identified in Items B.1 and B.2.

4. Select the list of work tasks and requirements that are normally required to perform the agricultural labor or services. Check all that apply. Information about the nature of the work tasks and requirements checked may be disclosed in Item B.6. For example, if “Certification/license requirements” applies, use Item B.6 to specify the certification(s) and/or license(s) required (e.g., commercial driver’s license). Similarly, if “Driver requirements” applies, use Item B.6 to describe nature of the driving requirements, such as the farm equipment involved (e.g., self-propelled custom class combine) or whether a clean driving record is required to drive grain and transporter trucks. If “Extensive sitting or walking” is checked, use Item B.6 to explain the nature of the siting or walking required.

5. Use Items 5a and 5b to identify whether the worker(s) employed under the job opportunity will be required to perform supervision of other employees.

   1. Mark “Yes” or “No” as to whether the job opportunity supervises the work of other employees.

   2. If “Yes” is marked in question 5a, enter the total number of employees the job opportunity will supervise.

6. Describe any other qualifications or requirements to perform the agricultural labor or services. Examples are quantifiable lifting requirements, level of supervision and number of workers to supervise, and types of licenses or permits. This item may also be used to provide more detailed information about the qualifications and/or requirements identified in Items B.1 through B.5. If no additional qualifications or requirements are needed and no additional information about Items B.1 through B.5 is required, enter “NONE” in the space provided. If additional space is required to fully disclose the qualification and requirement details for Item B.6, the employer may use the Form ETA-790A, Addendum C. On Addendum C, enter “B.6” in Item 1, “Job Qualifications and Requirements” in Item 2, and the additional information in Item 3.

Section C

Place of Employment Information

It is important for the employer to define the place(s) of employment with as much geographic specificity as possible. This information is used to determine the area of intended employment, for purposes of reviewing and verifying regulatory compliance with advertising, positive recruitment requirements, and prevailing wage determinations.

For employers operating on work itineraries covering one or more areas of intended employment or those engaged in the herding or production of livestock on the range, the place of employment disclosed in Items C.1 through C.6 may be the location where the work itinerary is expected to begin, a designated pick-up point where workers will meet, or the employer’s business or office location nearest where work will be performed in the area. For agricultural associations filing as a joint employer with members, the place of employment disclosed in these fields may be the address of the agricultural association or the centralized location where workers will report for work assignments with members of the agricultural association. To disclose additional place(s) beyond the entry in Items C.1 through C.6 (e.g., subsequent locations on an itinerary), use Form ETA-790A, Addendum B.

1. Enter the street address of the location where work will be performed. The place of employment address must be a physical location and cannot be a P.O. box. For a rural or other location without a street address, enter “NONE” and provide as much information in Items C.2 through C.5 as possible, supplemented with additional information in Item B.6.

2. Enter the city in which the place of employment is located.

3. Enter the State/District/Territory in which the place of employment is located.

4. Enter the postal (zip) code in which the place of employment is located.

5. Enter the county in which the place of employment is located.

6. Enter any additional information about the place of employment location. Examples may include more specific information about the fields where work will be performed in close proximity to the address location, more specific directions on how workers can reach the place of employment, and/or Global Positioning System (GPS) coordinates, especially in very rural and isolated geographic areas. If no additional information concerning the place of employment is needed, enter “NONE” in the space provided.

7. In circumstances where work needs to be performed at additional places of employment other than the address listed in Items 1 through 5 above, select “Yes” and submit a completed Form ETA-790A, Addendum B, identifying all additional places of employment and, where required, the agricultural business that will employ workers, or to whom the employer will be providing workers. If work will not be performed at additional places of employment other than the address listed in items 1 through 5 above, select “N/A.”

Section D

Housing Information

1. Enter the street address of the location where the housing for workers is located. Use commonly understood street or highway numbers and names. For applications involving agricultural labor or services on work itineraries where the use of mobile housing is permitted, enter the nearest geographic location of the mobile housing unit where it resides at the time of filing the Form ETA-790A.

2. Enter the city in which the housing is located.

3. Enter the State/District/Territory in which the housing is located.

4. Enter the postal (zip) code in which the housing is located.

5. Enter the county in which the housing is located.

6. Identify the type of housing that will be provided to workers at this location by indicating either employer-provided, which includes mobile or range units, or rental or public accommodations. Mark only one box.

7. Enter the total number of housing units available to house workers at this location.

8. Enter the total occupancy capacity for all of the housing units identified in Item 7 above.

9. Select from the following options to identify each entity that has determined, or will determine before certification, that the housing identified in Items D.1-8 meets all applicable standards, as required. Check all boxes applicable. Reminder: The CO cannot issue certification unless and until the employer submits evidence in connection with the Form ETA-9142A that all housing provided or secured for workers meets applicable standards.

 

  Local Authority:  Select this option if “rental or public accommodations” is selected in Item D.6 and a local authority has determined or will determine compliance. Note: The employer must submit a copy of the inspection report, certification, or other official documentation from the local authority to the CO. This documentation may include, but is not limited to, a certificate from the local Department of Health or building department (e.g., the current certificate of occupancy). See 20 CFR 655.122(d)(1)(ii) and (d)(6)(iii).

  SWA:  Select this option if either “employer-provided” or “rental or public accommodations” is selected in Item D.6 and the SWA has determined or will determine compliance. Select this option where the SWA has inspected or will inspect the housing itself or through a local, State, or Federal authority that the SWA engages. Note: The employer must submit a copy of the SWA inspection report or certification to the CO. See 20 CFR 655.122(d)(1)(i) and (d)(6)(ii); see also 20 CFR 655.230 and .304. If the employer is an H-2A Labor Contractor and will use housing owned, operated, or secured by one or more fixed-site agricultural businesses, the employer must secure a written statement from each of the fixed-site agricultural businesses stating that “[a]ll housing used by workers and owned, operated, or secured by [it] complies with the applicable housing standards in 20 CFR 655.122(d) and, if applicable, 655.235 or 655.304” and attach to this statement a copy of the SWA certification.  See Form ETA-9142A, Appendix A, Section B.16(v).

  Other State Authority:  Select this option if “rental or public accommodations” is selected in Item D.6 and a State authority other than the SWA has determined or will determine compliance. Note: The employer must submit a copy of the inspection report, certification, or other official documentation from the state authority to the CO. This documentation may include, but is not limited to, a certificate from the State Department of Health (e.g., the current certificate of occupancy). See 20 CFR 655.122(d)(1)(ii) and (d)(6)(iii).

  Federal Authority:  Select this option if “rental or public accommodations” is selected in Item D.6 and a Federal authority has determined or will determine compliance. Note: The employer must submit to the CO a copy of the inspection report, certification, or other official documentation from the Federal authority. This documentation may include, but is not limited to, a certificate from the Occupational Safety and Health Administration (OSHA). See 20 CFR 655.122(d)(1)(ii) and (d)(6)(iii).

  Other:  Select this option and enter “Employer” if “rental or public accommodations” is selected in Item D.6 and no inspection is required, or if local and/or State inspection is required, but the local and State standards do not address all housing criteria (e.g., square footage per occupant). Note: The employer must submit a written statement to the CO. See 20 CFR 655.122(d)(6)(iii).

Select this option and enter “Employer” if “Employer-provided” is selected in Item D.6 and the employer will submit a still-valid SWA housing certification. Also select the SWA box. Note: The employer must submit a written self-certification statement to the CO. See 20 CFR 655.230(c) and 655.235.

Select this option and enter “Canadian” if “Employer-provided” is selected in Item D.6 and the employer’s unit is subject to inspection under 20 CFR 655.304(a)(2).

10. Enter any additional information about the housing. Examples may include more specific directions on how workers can reach the housing and/or GPS coordinates, especially in very rural and isolated geographic areas; availability of family units and/or single rooms; utilities (e.g., gas, electricity, and heat); and/or arrangements for utility hookups. For mobile units, explain where the mobile units will be used (e.g., “mobile unit will travel with the workers to various range locations through Jefferson, Fremont, and Bonneville Counties (Idaho) and Teton and Lincoln Counties (Wyoming)”). If no additional information concerning the housing is needed, enter “NONE” in the space provided.

11. In circumstances where workers will be provided housing at additional locations and/or additional space is needed to identify all available housing units for workers at the address listed in Items 1 through 5 above, select “Yes” and submit a completed Form ETA-790A, Addendum B, providing additional information on housing that will be provided to workers. If no additional information concerning the housing is needed, select “N/A.”

Section E

Additional Material Terms and Conditions of the Job Offer

1a. Provision of Meals: Check the box in Item E.1a to indicate that the description is available in Addendum C. On Addendum C, enter “E.1a” in Item 1, “Provision of Meals” in Item 2, and then complete the description of the employer’s provision of meals to workers in Item 3. Describe how the employer will provide each worker with three (3) meals a day or furnish free and convenient cooking and kitchen facilities so that workers can prepare their own meals. Where the employer provides facilities for workers to prepare their own meals, please explain how the workers will have access to stores where they can purchase groceries and describe the facilities and space for food preparation, as well as the necessary equipment, appliances (including refrigeration), cooking accessories, and dishwashing facilities (e.g., adequate sinks with hot and cold water under pressure) that are in working condition and will be used by workers to sufficiently prepare three (3) meals a day. If the employer has an agreement with a third-party that will prepare the meals for the employer's workers, identify the vendor and explain the employer's arrangement with the vendor with sufficient detail to apprise workers how, when, and where the workers will obtain the meals from the vendor and that the employer will pay the vendor directly for the meals provided.

Important Note: Providing access to third-party vendors and requiring workers to purchase meals from the third-party vendor does not constitute compliance with the requirement to provide meals or cooking and kitchen facilities, even if the employer provides a meal stipend. Employers who provide facilities for workers to prepare their own meals should consider disclosing to workers how meals will be provided, including any appropriate meal charges, in the event kitchen facilities become temporarily inoperable or otherwise unavailable.

1b. Select the option designating whether the employer will or will not charge workers for the provision of meals. If the employer will provide free and convenient cooking and kitchen facilities or will provide meals at no charge, mark the “will not charge” box. If the employer will provide meals, or will provide free and convenient cooking and kitchen facilities but wishes to disclose a meal charge, for example, in the event the kitchen facilities become unavailable, and intends to charge workers for the provision of meals, the daily charge per worker must be entered in currency format (e.g., $14.00).

2. Daily Transportation. Check the box in Item E.2 to indicate that the description is available in Addendum C. On Addendum C, enter “E.2” in Item 1, “Daily Transportation” in Item 2, and then complete the description of the employer’s provision of daily transportation to workers in Item 3. Describe how the employer will provide workers daily transportation to the place(s) of employment. At a minimum, describe the arrangements for transporting workers, at no cost to workers, from employer-provided or secured housing and, if applicable, centralized pick-up points to the places of employment at the beginning of each workday and back at the end of each workday. Describe the employer’s daily transportation plan with sufficient detail to apprise workers of the mode(s) of transportation (e.g., vans, buses) that will be used each day as well as the daily transportation schedule. Identify the number of vehicles to be used and type of vehicle and seating capacity for each vehicle. State whether the vehicles to be used will be provided by the fixed-site grower(s), are authorized for use under a valid Farm Labor Contractor Certificate of Registration, or belong to a common carrier, identifying the common carrier by name. In addition, identify whether the daily transportation at no cost to workers is available to workers who do not reside in employer-provided housing. Similarly, describe any other transportation the employer will provide (e.g., for personal errands).

3a. Inbound/Outbound Transportation. Check the box in Item E.3a to indicate that the description is available in Addendum C. On Addendum C, enter “E.3a” in Item 1, “Inbound/Outbound Transportation” in Item 2, and then complete the description of the employer’s provision of inbound and outbound transportation to workers in Item 3. Describe how the employer will provide workers with transportation (a) to the place of employment from the place from which the worker has come to work for the employer (i.e., inbound) and (b) from the place of employment to the place from which the worker departed (i.e., outbound). At a minimum, state whether such transportation, and related daily subsistence, will be provided by the employer or paid by the employer to the worker for reasonable costs incurred (e.g., advance payment or reimbursement) and identify the modes of transportation, if known. For example, the employer may state that it will provide or pay for charter bus services or other modes of transportation to groups of workers, or permit workers to select any means of transportation they choose and reimburse workers at no less than the most economical and reasonable common carrier transportation charges for the distances involved.

3b. Enter the amounts per day that the employer will pay for or reimburse daily subsistence for each worker during the travel described in 3a.

1. Enter the minimum daily subsistence amount per day in currency format (e.g., $14.00).

2. Enter the maximum daily subsistence amount per day with receipts in currency format (e.g., $99.99).

4. Deductions from Pay. If no deductions will be made from any worker’s paycheck, DO NOT mark the checkbox. If the employer will make any deductions from workers’ paychecks, check the box in Item E.4 to indicate that the description of deductions is available in Addendum C. On Addendum C, enter “E.4” in Item 1, “Deductions from Pay” in Item 2, and then complete the description of the deductions the employer will make from workers’ paychecks in Item 3. Describe all deductions from a worker’s paycheck that the employer is required by law to make and deductions not required by law to make. For each deduction, provide the amount(s) of deduction, if known.

5. Labor Neutrality. Mark the checkbox “yes” if the employer agrees to bargain in good faith over the terms of a proposed labor neutrality agreement. Mark the checkbox “no” if the employer does not agree to bargain in good faith over the terms of a proposed labor neutrality agreement. You must provide an explanation for why you have declined to bargain in good faith over the terms of a proposed labor neutrality agreement in section E.5a.

5a. If you marked the checkbox “no” in question G.5, you must provide a clear explanation as to why you choose not to bargain in good faith over the terms of a proposed labor neutrality agreement.

6. Other Material Terms and Conditions. If all material terms and conditions under this job offer have been disclosed in other items of the job order, DO NOT mark the checkbox. If there are other material terms and conditions not already disclosed in other items of the job order, check the box in Item E.5 to indicate that the additional description of material terms and conditions is available in Addendum C. On Addendum C, enter “E.5” in Item 1, “Other Material Terms and Conditions” in Item 2, and then complete the description of the other material terms and conditions in Item 3. Describe any other material terms, conditions, and benefits (monetary and non-monetary) that will be provided by the employer under this job opportunity (e.g., production standards or OT/holiday hours not mandatory) that should be disclosed to prospective applicants in recruitment. Additional material terms and conditions of employment must comply with the requirements of the Immigration and Nationality Act and the Department's applicable regulations.

Note that Addendum C may also be used to elaborate or further explain material terms or conditions of the job offer previously disclosed on this clearance order (e.g., wage offer(s) job qualifications or requirements, meals, transportation). To disclose a material term or condition of the job offer that is not covered by the Form ETA-790A using Addendum C, the employer may enter the letter “H,” followed by a sequential number, and then the name of the category for the material term or condition. Example:

Section F

Referral and Hiring Instructions

1. Explain how prospective applicants may be considered for employment under this job order, including verifiable contact information for the employer and the methods of contacting the employer directly (e.g., email, phone) that that may be used to refer prospective U.S. applicants for the job opportunity. Summarize how applicants are to be considered, referred, and hired. For example, indicate the days and hours that the employer or the employer’s authorized hiring representative will be available to interview workers by telephone and/or in-person and whether anybody different from the employer has hiring authority. If additional space is needed, use the Form ETA-790A, Addendum C.

In Items F.2 through F.4, at least two (2) verifiable methods by which prospective U.S. workers can contact the employer and apply for the job opportunity must be identified.

2. Enter the employer’s area code and business telephone number prospective U.S. applicants may use to call the employer to be considered for the job opportunity. If a phone number is not available, leave this field BLANK and the system will insert "N/A" at submission of the application.

3. Enter the extension of the employer’s telephone number for prospective U.S. applicants to use to call the employer to be considered for the job opportunity, if applicable. If there is no extension number, enter “N/A.”

4. Enter the employer’s business email address prospective U.S. applicants may use to email the employer to be considered for the job opportunity in the format [email protected]. If email is not a method of contact prospective U.S. applicants may use to be considered for the job opportunity, enter “N/A.”

5. Enter the employer’s business website address (URL) in the format www.employerwebsitename.top-leveldomain. If the employer does not have a business website address or its website is not a method of contact prospective U.S. applicants may use to be considered for the job opportunity, enter “N/A.” Examples of valid suffixes include:

.com - commercial business

.org - Organizations (nonprofit)

.edu - Educational institutions

.net - Network organizations

.gov - Government agencies

.mil – Military

Section G

Conditions of Employment and Assurances for H-2A Agricultural Clearance Orders

The employer must carefully read and agree to compliance with all the conditions of employment, including, but not limited to, those conditions listed in this section, for the positions covered by the agricultural clearance order, including any approved modifications or extensions thereof.

1. Enter the last (family) name(s) of the person with authority to sign on behalf of the employer.

2. Enter the first (given) name of the person with authority to sign on behalf of the employer.

3. Enter the middle name of the person with authority to sign on behalf of the employer, if applicable.

4. Enter the job title of the person with authority to sign on behalf of the employer.

5. The person with authority to sign on behalf of the employer must sign the agricultural clearance order. An electronic or digital signature is acceptable. Read the entire application and verify all contained information prior to signing.

6. The person with authority to sign on behalf of the employer must date the agricultural clearance order. An electronic or digital date is acceptable. Use a month/day/full year (mm/dd/yyyy) format.

Employment Service Statement

In view of the statutorily established basic function of the Employment Service (ES) as a no-fee labor exchange, that is, as a forum for bringing together employers and job seekers, neither the Department of Labor’s Employment and Training Administration (ETA) nor the SWAs are guarantors of the accuracy or truthfulness of information contained on job orders submitted by employers. Nor does any job order accepted or recruited upon by the ES constitute a contractual job offer to which the ETA or a SWA is in any way a party. 20 CFR 653.501(c)(1)(i).

Public Burden Statement (OMB Control Number 1205-0466)

Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number. Public reporting burden for this collection of information is estimated to average .67 hours per response for all information collection requirements, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing, reviewing, and submitting the collection of information. Specifically, the public reporting burden for this collection of information is estimated as follows: Form ETA-790 at .03 hours; and Form ETA-790A and addenda at .64 hours. The obligation to respond to this data collection is required to obtain/retain benefits (44 U.S.C. § 3501, Immigration and Nationality Act, 8 U.S.C. § 1101, et seq.). Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Employment and Training Administration, Office of Foreign Labor Certification, 200 Constitution Ave., NW, Room N-5311, Washington, DC, 20210. (Paperwork Reduction Project OMB 1205- 0466). DO NOT send the completed application to this address.

FORM ETA-790A ADDENDUM A

For Disclosure of Additional Temporary Agricultural Services and Wage Offer Information (Section A, Item 9)

This Addendum must be fully completed and submitted with the Form ETA-790A when the employer needs to disclose additional information about the payment of wages for specific crops and/or agricultural activities and, if applicable, distinct work task(s) performed within that crop activity or agricultural activity. The employer must disclose wage information covering all the crops or agricultural activities (and, if applicable, distinct work task(s) performed within that crop activity or agricultural activity) that workers will need to perform under the agricultural clearance order. For example, where an employer has multiple applicable hourly rates (e.g., due to work in different States subject to different AEWRs), the employer may disclose the distinct hourly rates by entering the crop and state on the Addendum A. The employer could enter the wage rate information for “Lettuce Harvesting – California” with the hourly AEWR covering work performed in California in one row, and then enter the wage rate information for “Lettuce Harvesting – Arizona” with the hourly AEWR covering work performed in Arizona on another row.

Addendum A will collect up to 10 rows of wage offer information for particular crops and/or agricultural activities. For electronic filings, if the employer needs to disclose more than 10 rows of wage offer information, the filing system will automatically provide the employer with the option of adding more rows to the Addendum A until the response is completed. For mailed or paper filings, the employer will make one or more copies of the Addendum A to complete and attach to the Form ETA-790A.

Column 1: Crop ID

Enter the “Crop ID” designated in Item A.8a, if applicable, for a particular crop or agricultural activity and, if applicable, distinct work task(s) performed within that crop activity or agricultural activity. An employer using large crews working on a wide array of diversified crops may designate one or more “Crop ID” in Item A.8a and then use the “Crop ID” to organize wage offer and pay information for multiple varieties of the same crops or commodities on the Addendum A.

Column 2: Crop or Agricultural Activity

Enter the name of the crop or agricultural activity and, if applicable, distinct work task(s) performed within that crop activity or agricultural activity.

Column 3: Wage Offer

Enter the wage offer for the crop or agricultural activity and, if applicable, distinct work task(s) performed within that crop activity or agricultural activity entered in Column 2 in currency format (e.g., $9.99).

Column 4: Per

Enter the unit of pay: “HR” (i.e., hour), “MO” (i.e., month), or “PR” (i.e., piece rate).

Column 5: Piece Rate Units / Estimated Hourly Rate / Special Pay Information

Enter additional information and/or any other special pay information (e.g., performance bonuses or incentives) associated with performing the job duties or services in the crop or agricultural activity and, if applicable, distinct work task(s) performed within that crop activity or agricultural activity.

Form ETA-790A ADDENDUM B

For Disclosure of Agricultural Businesses (Section C), Additional Places of Employment (Section D) and/or Housing Information (Section E)

This Addendum must be fully completed and submitted with Forms ETA-790 and 790A when one or both of the following circumstances arise:

1. The employer needs the workers to perform the services or labor required in the agricultural clearance order at additional places of employment other than the place disclosed in Section C, Items 1 through 5; or

2. The employer will be providing housing at additional places of employment, other than the place disclosed in Section D, Items 1 through 5, and/or additional space is needed to identify all available housing units for workers at the address disclosed in Section D, Items 1 through 5.

Section C

Additional Agricultural Business Information

Addendum B, Section C, will collect multiple rows of information related to the agricultural businesses employing workers or receiving labor or services. For electronic filings, if the employer needs to disclose additional rows of information related to the agricultural businesses, the filing system (FLAG) will automatically provide the employer with the option of adding more rows to Section C of the Addendum B until the response is completed. For mailed or paper filings, the employer will make one or more copies of Section C of the Addendum B to complete and attach to the Form ETA-790A.

1. Enter the agricultural business identification number of the employer.

2. Enter the nine-digit Federal Employer Identification Number (FEIN) as assigned by the IRS. Do not enter a social security number. Note: All employers, including private households, MUST obtain an FEIN from the IRS before completing this application. Information on obtaining an FEIN can be found at www.IRS.gov.

3. Enter the full legal name of the business identified in Item 2. The full legal name is the exact name of the individual, corporation, LLC, partnership, or other organization that is reported to the Internal Revenue Service (IRS).

4. Enter the full trade name or “Doing Business As” name (DBA) name, if applicable, of the agricultural business that will employ workers, or to which labor or services will be provided by workers at the place of employment identified in Items 7 through 12, if applicable.

5. Enter the employer’s previous full trade name or DBA name, if applicable, of the business, person, association, firm, corporation, or organization used three years prior to the filing of this application. Do not include “DBA” in front of the full trade name. If additional DBAs were used, insert additional names in Item 6.

6. Enter the employer’s previous full trade name(s) or DBA name(s), if applicable, of the business, person, association, firm, corporation, or organization used three years prior to the filing of this application. Do not include “DBA” in front of the full trade name.

7. Enter the street address of the place of business. The place of business must be a physical location and cannot be a P.O. box. To identify the place of business by address, enter the location information using this format: address/location, city, State, postal code, county. Although addresses are required, if available, if there is no address, the employer may enter "No Street Address Available" or “N/A”.

8. Enter the city of the place of business.

9. Enter the State of the place of business.

10. Enter the postal (zip) code of the place of business.

11. Enter the county of the place of business.

Section D

Additional Place of Employment Information

1. Where the employer’s work itinerary necessitates disclosure of an anticipated schedule of work at different places of employment (e.g., an H-2ALC), complete Columns 1 through 6. Addendum B, Section D, will collect multiple rows of information related to the places of employment where workers will perform agricultural labor or services. For electronic filings, if the employer needs to disclose additional rows of information related to places of employment, the filing system (FLAG) will automatically provide the employer with the option of adding more rows to Section D of the Addendum B until the response is completed. For mailed or paper filings, the employer will make one or more copies of Section D of the Addendum B to complete and attach to the Form ETA-790A. Enter the agricultural business identification number.

2. Enter the place of employment information. Enter the begin date for the period of intended employment at this place of employment, if applicable. Use a month/day/year (mm/dd/yyyy) format.

3. Enter the end date for the period of intended employment at this place of employment, if applicable. Use a month/day/year (mm/dd/yyyy) format.

4. Enter the anticipated total number of workers that will be employed at this place of employment.

Section E

Housing Information

Addendum B will collect up to five (5) rows of information about additional housing locations. For electronic filings, if the employer needs to disclose more than five (5) rows of additional housing locations, the filing system will automatically provide the employer with the option of adding more rows to Section D of the Addendum B until the response is completed. For mailed or paper filings, the employer will make one or more copies of Section D of the Addendum B to complete and attach to the Form ETA-790A.

1. Identify the type of housing that will be provided to workers at this location by indicating either employer-provided, which includes mobile or range units, or rental and/or public accommodations. Mark only one box.

2. Enter the street address where the housing for workers is located. Use this format: address/location, city, State, postal code, county. Use commonly understood street or highway numbers and names.

3. Enter any additional information about the housing. Examples may include more specific directions on how workers can reach the housing, especially in very rural and isolated geographic areas; availability of family units and/or single rooms available; utilities (e.g., gas, electricity, and heat); and/or arrangements for utility hookups. If no additional information concerning the housing is needed, enter “N/A” in the space provided. This field will permit an entry of up to 500 characters.

4. Enter the total number of housing units available to house workers at this location.

5. Enter the total occupancy capacity for all of the housing units identified in Item 4 above.

6. Identify the entity that has determined or will determine that the housing identified in this row meets, or will meet, all applicable standards, as required. Select the appropriate boxes for each row, following the instructions for Item D.9.

ADDENDUM C

For Disclosure of Additional Material Terms and Conditions of the Job Offer

Addendum C may be used to elaborate or further explain material terms or conditions of the job offer previously disclosed on this clearance order or to disclose a material term or condition of the job offer that is not covered by the Form ETA-790A.

NOTE: Addendum C will collect two sections of additional information per page. For electronic filings, if the employer needs to disclose more sections of information, the filing system will automatically provide the employer with the option of adding more sections of the Addendum C until the response is completed. For mailed or paper filings, the employer will make one or more copies of the Addendum C to complete and attach to the Form ETA-790A.

1. Enter the Form ETA-790A Section and Item number associated with the additional information to be disclosed. For example, if additional space is required to fully disclose the qualification and requirement information for Item B.6 of the Form ETA-790A, on Addendum C, enter “B.6” in Item 1. Otherwise, enter “H” as the section, followed by a sequential number (e.g., H.1 for the first additional Item disclosed, H.2 for the second additional Item disclosed).

2. Enter the Form ETA-790A Section name associated with the additional information to be disclosed. For example, if additional space is required to fully disclose the qualification and requirement information for Item B.6 of the Form ETA-790A, on Addendum C, enter “Job Qualifications and Requirements” in Item 2. Otherwise, enter a descriptive category for the additional information to be disclosed (e.g., “Additional Conditions about the Wage Offer”).

3. Enter the additional information to be disclosed related to Items 1 and 2 above.

Forms ETA-790 and 790A GENERAL INSTRUCTIONS Page 14 of 14