Information Collection

Form ETA-9141 and Related Requirements

IC 204363 under ICR 202408-1205-004 · OMB 1205-0508.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0508 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9141 Form ETA-9141 and Related Requirements	Form
Form ETA-9141 Instructions.docx	Instruction
Form ETA-9141 Appendix A.docx	Other-Appendix A
ETA 9141 Application for Prevailing Wage Determination Form ETA-9141.docx	Form
Form ETA-9141 1205-0508 Tracked.docx Tracked 9141	IC Document
Form ETA-9141_Instructions 1205-0508 Tracked.docx 9141 Instruction Tracked	IC Document
Form ETA-9141 App A 1205-0508 Tracked.docx 9141 Appendix A Tracked	IC Document
Screenshots for Form ETA-9141 1205-0508.docx 9141 Screenshots	IC Document

IC Title:

Form ETA-9141 and Related Requirements

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 8 CFR 214.2(h)(6) 20 CFR 655.731 20 CFR 650.40 20 CFR 655.10

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 9141	Application for Prevailing Wage Determination	Form ETA-9141.docx	Yes	Yes	Fillable Fileable
Instruction			Form ETA-9141 Instructions.docx	Yes	Yes	Fillable Fileable
Other-Appendix A			Form ETA-9141 Appendix A.docx	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: DOL/ETA-7

FR Citation: 87 FR 8292

Number of Respondents: 120,042

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	462,470	131,409	331,061
Annual IC Time Burden (Hours)	211,425	62,913	148,512
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Tracked 9141	Form ETA-9141 1205-0508 Tracked.docx	08/16/2022
9141 Instruction Tracked	Form ETA-9141_Instructions 1205-0508 Tracked.docx	08/16/2022
9141 Appendix A Tracked	Form ETA-9141 App A 1205-0508 Tracked.docx	08/16/2022
9141 Screenshots	Screenshots for Form ETA-9141 1205-0508.docx	08/16/2022

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