Information Collection

H-2A Temporary Agricultural Labor Certification Program Updated Forms

IC 236087 under ICR 202404-1205-005 · OMB 1205-0466.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA-9142A H-2A Temporary Agricultural Labor Certification Program Updated Forms	Form
ETA 790_790A - Instructions.docx	Instruction
ETA 790_790A - Instructions.docx	Instruction
ETA-9142A Nature of H-2A Application ETA-9142A - Nature of H2A.docx	Form
ETA-9142A Nature of H-2A Application ETA-9142A - Nature of H2A.docx	Form
ETA-9142A – Append H-2A LABOR CONTRACTOR SURETY BOND ETA 9142A - Appendix B.docx	Form
ETA-9142A – Append H-2A LABOR CONTRACTOR SURETY BOND ETA 9142A - Appendix B.docx	Form
ETA-790A - Addendu Additional Material Terms and Conditions of the Job Offe ETA 790A - Addendum C.docx	Form
ETA-790A - Addendu Additional Material Terms and Conditions of the Job Offe ETA 790A - Addendum C.docx	Form
ETA-790A - Addendu Additional Place of Employment Information ETA 790A - Addendum B.docx	Form
ETA-790A - Addendu Additional Place of Employment Information ETA 790A - Addendum B.docx	Form
ETA-790A - Addendu Additional Crop or Agricultural Activities and Wage Offe ETA 790A - Addendum A.docx	Form
ETA-790A - Addendu Additional Crop or Agricultural Activities and Wage Offe ETA 790A - Addendum A.docx	Form
ETA-790 Clearance Order Information ETA 790.docx	Form and Instruction
ETA-790 Clearance Order Information ETA 790.docx	Form and Instruction
ETA-9142A Temporary Agricultural Labor Certification - Final Deter ETA 9142A - Final Determination.docx	Form
ETA-9142A Temporary Agricultural Labor Certification - Final Deter ETA 9142A - Final Determination.docx	Form
ETA-9142A General Instructions ETA 9142A - Instructions.docx	Form and Instruction
ETA-9142A General Instructions ETA 9142A - Instructions.docx	Form and Instruction
ETA-9142A – Append Attorney or Agent Declaration ETA 9142A - Appendix A.docx	Form
ETA-9142A – Append Attorney or Agent Declaration ETA 9142A - Appendix A.docx	Form
ETA-790A Job Offer Information ETA-790A - Ag Clearance Order.docx	Form
ETA-790A Job Offer Information ETA-790A - Ag Clearance Order.docx	Form
ETA-232 Domestic Agricultural In-Season Wage Report Form ETA 232 - 508 Compliant.pdf	Form
ETA-232 Domestic Agricultural In-Season Wage Report Form ETA 232 - 508 Compliant.pdf	Form
ETA 9142A - Append Owners-Managers Form ETA-9142A Appendix C - Owners Mgrs.docx	Form
ETA 9142A - Append Owners-Managers Form ETA-9142A Appendix C - Owners Mgrs.docx	Form
ETA 9142A - Append Foreign Labor ETA-9142A Appendix D.docx	Form
ETA 9142A - Append Foreign Labor ETA-9142A Appendix D.docx	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	ETA-9142A	Nature of H-2A Application	ETA-9142A - Nature of H2A.docx	Yes	Yes	Fillable Fileable
Form	ETA-9142A â Appendix B	H-2A LABOR CONTRACTOR SURETY BOND	ETA 9142A - Appendix B.docx	Yes	Yes	Fillable Fileable
Form	ETA-790A - Addendum C	Additional Material Terms and Conditions of the Job Offer	ETA 790A - Addendum C.docx	Yes	Yes	Fillable Fileable
Form	ETA-790A - Addendum B	Additional Place of Employment Information	ETA 790A - Addendum B.docx	Yes	Yes	Fillable Fileable
Form	ETA-790A - Addendum A	Additional Crop or Agricultural Activities and Wage Offer Information	ETA 790A - Addendum A.docx	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-790	Clearance Order Information	ETA 790.docx	Yes	Yes	Fillable Fileable
Form	ETA-9142A	Temporary Agricultural Labor Certification - Final Determination	ETA 9142A - Final Determination.docx	Yes	Yes	Fillable Fileable
Instruction			ETA 790_790A - Instructions.docx	Yes	Yes	Fillable Fileable
Form and Instruction	ETA-9142A	General Instructions	ETA 9142A - Instructions.docx	Yes	Yes	Fillable Fileable
Form	ETA-9142A â Appendix A	Attorney or Agent Declaration	ETA 9142A - Appendix A.docx	Yes	Yes	Fillable Fileable
Form	ETA-790A	Job Offer Information	ETA-790A - Ag Clearance Order.docx	Yes	Yes	Fillable Fileable
Form	ETA-232	Domestic Agricultural In-Season Wage Report	Form ETA 232 - 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 9142A - Appendix C	Owners-Managers Form	ETA-9142A Appendix C - Owners Mgrs.docx	Yes	Yes	Fillable Fileable
Form	ETA 9142A - Appendix D	Foreign Labor	ETA-9142A Appendix D.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: DOL/ETA-7

FR Citation: 81 FR 25765

Number of Respondents: 16,567

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	515,943	48,100	467,843
Annual IC Time Burden (Hours)	119,952	17,087	102,865
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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