Information Collection

Eta-9142-b-caa-10

IC 278852 under ICR 202601-1205-005 · OMB 1205-0564.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0564 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9142-A-CAA-10 Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers ETA-9142-B-CAA-10	Form
Form ETA 9142-B-CAA-10_General Instructions_Clean.docx	Instruction
ETA 9142-A-CAA-10 Attestation for Employers Seeking to Employ H-2B Nonimmi Form ETA 9142-B-CAA-10_Attestation_clean.docx	Form

IC Title:

ETA-9142-B-CAA-10

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.13 20 CFR 655

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction					Yes	Yes	Fillable Fileable
Form	ETA 9142-A-CAA-10				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16,832

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16,832	16,832
Annual IC Time Burden (Hours)	25,248	25,248
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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