Information Collection Request

Application for Prevailing Wage Determination

ICR 202408-1205-004 · OMB 1205-0508 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form ETA 9165 Employer-Provided Survey Attestations to Accompany H-2B Prevailing Wage Determination Request Based on a Non-OEWS Survey Form Removed Repair queued
Form ETA 9165 Form ETA-9165 Requirements Form Removed Available
Form ETA 9141 Application for Prevailing Wage Determination Form Modified Available
Form ETA 9141 Form ETA-9141 and Related Requirements Form Modified Repair queued
1205-0508 Supporting Statement_8.13.24.docx Supporting Statement A Uploaded 2024-08-13 Available
1205-0508 Supporting Statement_8.13.24.docx Supporting Statement A Uploaded 2024-08-13 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
255327 Form ETA-9165 Requirements Instruction Removed
255327 Form ETA-9165 Requirements Form RemovedEmployer-Provided Survey Attestations to Accompany H-2B Prevailing Wage Determination Request Based on a Non-OEWS Survey
255327 Form ETA-9165 Requirements Form Removed
204363 Form ETA-9141 and Related Requirements Instruction Modified
204363 Form ETA-9141 and Related Requirements Form ModifiedApplication for Prevailing Wage Determination
204363 Form ETA-9141 and Related Requirements Form Modified

ICR Details

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table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2026 36 Months From Approved 08/31/2026
331,339 0 331,339
148,629 0 148,629
213,953 0 213,953





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table that charts list of burden
IC Title Form No. Form Name
Form ETA-9141 and Related Requirements ETA 9141
Form ETA-9165 Requirements ETA 9165



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