Information Collection

H-2B Program

IC 204361 under ICR 202602-1205-003 · OMB 1205-0509.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ETA 9142B H-2B Application for Temporary Employment Certification H-2B Program	Form
Form ETA-9142B Final Determination:H-2B Temporary Labor Certification Approval H-2B Program	Form
Form ETA- 9142B Instructions.docx	Instruction
Form ETA-9142B Appendix A.docx	Other-Appendix A
Form ETA-9142B Appendix B.docx	Other-Appendix B
Form ETA-9142B Appendix C.docx	Other-Appendix C
Form ETA-9142B Appendix D.docx	Other-Appendix D
ETA 9142B H-2B Application for Temporary Employment Certification Form ETA-9142B.docx	Form
ETA-9142B Final Determination:H-2B Temporary Labor Certification A Form ETA-9142B Labor Certification Determination.docx	Form
Form ETA- 9142B Instructions redlined changes 04.28.22.pdf 9142B Instructions Tracked Changes	IC Document
Form ETA-9142B 1205-0509 redlined changes 04.28.22.pdf Form 9142B Tracked	IC Document
Form ETA-9142B Appendix A 1205-0509 redlined changes.pdf Appendix A Tracked	IC Document
Form ETA-9142B Appendix B 1205-0509 redlined changes 05.12.22.pdf Appendix B Tracked	IC Document
Form ETA-9142B Appendix C 1205-0509 redlined changes.pdf Appendix C Tracked	IC Document
Form ETA-9142B Appendix D 1205-0509 redlined changes.pdf Appendix D Tracked	IC Document
06a. Form ETA-9142B_Appendix B_redline.docx Appendix B_redline	IC Document

IC Title:

H-2B 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: 8 CFR 214.2(h)(6)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction		Yes	Yes	Fillable Fileable
Form	ETA 9142B	Yes	Yes	Fillable Fileable
Other-Appendix A		Yes	Yes	Fillable Fileable
Other-Appendix B		Yes	Yes	Fillable Fileable
Other-Appendix C		Yes	Yes	Fillable Fileable
Other-Appendix D		Yes	Yes	Fillable Fileable
Form	ETA-9142B	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title: Foreign Labor Certification System and Employer Application Case Files

FR Citation: 87 FR 8292

Number of Respondents: 102,379

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 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	437,566	158,284	279,282
Annual IC Time Burden (Hours)	127,868	51,457	76,411
Annual IC Cost Burden (Dollars)	1,771,920	777,507	994,413

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
9142B Instructions Tracked Changes		05/17/2022
Form 9142B Tracked		05/17/2022
Appendix A Tracked		05/17/2022
Appendix B Tracked		05/17/2022
Appendix C Tracked		05/17/2022
Appendix D Tracked		05/17/2022
Appendix B_redline		06/04/2026

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

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