Information Collection Request

Application for Prevailing Wage Determination

ICR 202602-1205-002 · OMB 1205-0508 · Received in OIRA

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 Modified Available
Form ETA 9141 Application for Prevailing Wage Determination Form Modified Available
16. CTS 68559_Public Comment Stephen C. Bayliss 1205-0508.pdf Public Comments Uploaded 2026-05-25 Available
15. CTS 68559_Public Comment S Howaniec 1205-0508.pdf Public Comments Uploaded 2026-05-26 Available
14. CTS 68559_Public Comment Richard Jacobs 1205-0508.pdf Public Comments Uploaded 2026-05-26 Available
13. CTS 68559_Public Comment Molli Freeman-Lynde 1205-0508.pdf Public Comments Uploaded 2026-05-26 Available
12. CTS 68559_Public Comment Michael P. Nowlan 1205-0508.pdf Public Comments Uploaded 2026-05-26 Available
11. CTS 68559_Public Comment Marcel Miclea 1205-0508.pdf Public Comments Uploaded 2026-05-26 Available
10. CTS 68559_Public Comment Kelly A. Simons 1205-0508.pdf Public Comments Uploaded 2026-05-25 Available
9. CTS 68559_Public Comment Kathleen Campbell Walker 1205-0508.pdf Public Comments Uploaded 2026-05-25 Available
8. CTS 68559_Public Comment Clement Chang 1205-0508.pdf Public Comments Uploaded 2026-05-26 Available
1205-0508 - Supporting Statement.docx Supporting Statement A Uploaded 2026-07-13 Available

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 07/31/2026
498,432 331,339
226,293 148,629
188,938 213,953





Reginfo record details
2
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

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 498,432 331,339 0 167,093 0 0
Annual Time Burden (Hours) 226,293 148,629 0 77,664 0 0
Annual Cost Burden (Dollars) 188,938 213,953 0 -25,015 0 0


Reginfo record details
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