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Burden Related to the H-2A Program
Criteria and Non-Criteria Agricultural Clearance Order Forms and H-2A Application for Temporary Employment Certification in States and by Employers Covered by Injunction of the Farmworker Protection.
OMB: 1205-0562
IC ID: 270744
OMB.report
DOL/ETA
OMB 1205-0562
ICR 202409-1205-002
IC 270744
( )
Documents and Forms
Document Name
Document Type
Form ETA 9142A
Burden Related to the H-2A Program
Form
EF_02_Form ETA-9142A Instructions_508 Compliant.pdf
Instruction
EF_02_Form ETA-9142A Instructions_508 Compliant.pdf
Instruction
EF_13_Form ETA-232_General Instructions_508 Compliant.pdf
Instruction
EF_13_Form ETA-232_General Instructions_508 Compliant.pdf
Instruction
EF_11_Form ETA-790A_General Instructions_508 Compliant.pdf
Instruction
ETA 9142A Nature of H-2A Application
EF_01_ Form ETA-9142A_508 Compliant.pdf
Form
ETA 9142A Nature of H-2A Application
EF_01_ Form ETA-9142A_508 Compliant.pdf
Form
ETA 9142A - Append Attorney or Agent Declaration
EF_03_ETA-9142A_Appendix A 04.14.2022 508 Compliant.pdf
Form
ETA 9142A - Append Attorney or Agent Declaration
EF_03_ETA-9142A_Appendix A 04.14.2022 508 Compliant.pdf
Form
ETA 9142A - Append LABOR CONTRACTOR SURETY BOND
EF_04_ETA-9142A_Appendix B 04.14.2022 508 Compliant.pdf
Form
ETA 9142A - Append LABOR CONTRACTOR SURETY BOND
EF_04_ETA-9142A_Appendix B 04.14.2022 508 Compliant.pdf
Form
ETA 9142A TEMPORARY AGRICULTURAL LABOR CERTIFICATION
EF_05_ETA-9142A FD_04.14.2022_508 Compliant.pdf
Form
ETA 9142A TEMPORARY AGRICULTURAL LABOR CERTIFICATION
EF_05_ETA-9142A FD_04.14.2022_508 Compliant.pdf
Form
ETA 232 State Workforce Agency Prevailing Wage Survey Point of C
EF_12_ETA-232 04_14_2022 508 Compliant.pdf
Form
ETA 232 State Workforce Agency Prevailing Wage Survey Point of C
EF_12_ETA-232 04_14_2022 508 Compliant.pdf
Form
ETA 790A - Addendu H-2A Agricultural Clearance Order
EF_10_ETA-790A_Addendum C 04-14-2022 508 Compliant.pdf
Form
ETA 790A - Addendu Additional Place of Employment Information
EF_09_Form ETA-790A_Addendum_B_508 Compliant.pdf
Form
ETA 790A 508 Compliant
EF_07_Form_ETA-790A_508 Compliant.pdf
Form
ETA 790A - Addendu Additional Crop or Agricultural Activities and Wage Offe
EF_08_ETA-790A_Addendum_A_wages_clean 04.14.2022 508 Compliant.pdf
Form
ETA 790 Agricultural Clearance Order
EF_06_ETA-790_clean_04.14.2022 508 Compliant.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Burden Related to the H-2A Program
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
ETA 9142A
Nature of H-2A Application
EF_01_ Form ETA-9142A_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Instruction
EF_02_Form ETA-9142A Instructions_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 9142A - Appendix A
Attorney or Agent Declaration
EF_03_ETA-9142A_Appendix A 04.14.2022 508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 9142A - Appendix B
LABOR CONTRACTOR SURETY BOND
EF_04_ETA-9142A_Appendix B 04.14.2022 508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 9142A
TEMPORARY AGRICULTURAL LABOR CERTIFICATION
EF_05_ETA-9142A FD_04.14.2022_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Instruction
EF_13_Form ETA-232_General Instructions_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 232
State Workforce Agency Prevailing Wage Survey Point of Contact
EF_12_ETA-232 04_14_2022 508 Compliant.pdf
Yes
Yes
Fillable Fileable
Instruction
EF_11_Form ETA-790A_General Instructions_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 790A - Addendum C
H-2A Agricultural Clearance Order
EF_10_ETA-790A_Addendum C 04-14-2022 508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 790A - Addendum B
Additional Place of Employment Information
EF_09_Form ETA-790A_Addendum_B_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 790A
508 Compliant
EF_07_Form_ETA-790A_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 790A - Addendum A
Additional Crop or Agricultural Activities and Wage Offer Information
EF_08_ETA-790A_Addendum_A_wages_clean 04.14.2022 508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 790
Agricultural Clearance Order
EF_06_ETA-790_clean_04.14.2022 508 Compliant.pdf
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:
4,376
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:
90 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
140,410
0
0
0
0
140,410
Annual IC Time Burden (Hours)
53,400
0
0
0
0
53,400
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.