View Information Collection (IC)

View Information Collection (IC)

IC Title:	Application for Permanent Employment Certification	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 204.5(k) 20 CFR 656

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Appendix to Instructions			Appendix A.doc		Yes	No	Printable Only
Form	ETA Form 9089	Application for Permanent Employment Certification	9089 - 03-01-05 version.doc		Yes	Yes	Fillable Fileable
Instruction			9089 Instructions 03-01-05 version.doc		Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title: DOL/ETA-7	FR Citation: 67 FR 16815

Number of Respondents: 120,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

	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	440,415	0	0	340,415	0	100,000
Annual IC Time Burden (Hours)	340,585	0	0	76,342	0	264,243
Annual IC Cost Burden (Dollars)	2,500,000	0	0	0	0	2,500,000

Documents for IC

Title	Document	Date Uploaded
ETA Form 9089 - Modified - Application for Permanent Employment Certification	Form 9089 ROCIS.doc	03/25/2008
ETA Form 9089 - Instructions - Modified	Form Instructions-ROCIS.doc	03/25/2008

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