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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
H-2A Temporary Agricultural Labor Certification Program Updated Forms
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR 655
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Form ETA-790_790A_General Instructions_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 790
Agricultural Clearance Form
Form ETA-790_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 790A
H-2A Agricultural Clearance Order
Form ETA-790A_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 790A Addendum A
Additional Crop or Agricultural Activities and Wage Offer Information
Form ETA-790A_Addendum A_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 790A Addendum B
Additional Place of Employment Information
Form ETA-790A_Addendum B_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 790A Addendum C
Additional Material Terms and Conditions of the Job Offer
Form ETA-790A_Addendum C_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Instruction
Form ETA-9142A_General Instructions_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 9142A
H-2A Application for Temporary Employment Certification
Form ETA-9142A_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 9142A - Appendix A
H-2A Application for Temporary Employment Certification
Form ETA-9142A_Appendix A_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:
14,586
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
458,114
0
0
184,610
0
273,504
Annual IC Time Burden (Hours)
88,268
0
0
35,893
0
52,375
Annual IC Cost Burden (Dollars)
3,692,705
0
0
1,171,095
0
2,521,610
Documents for IC
Title
Document
Date Uploaded
790 Instructions Tracked
Form_ETA_790_790A General Instructions_TrackChanges.docx
07/27/2022
790 Tracked
Form_ETA_790_TrackChanges.docx
07/27/2022
790A A Tracked
Form_ETA_790A_Addendum_A_Add'l Crops or Agricultural Activities.docx
07/27/2022
790A B Tracked
Form_ETA_790A_Addendum_B_Add'l Worksite and_or Housing Information.docx
07/27/2022
790A C Tracked
Form_ETA_790A_Addendum_C_Add'l Material Terms and Conditions of the Job Offer.docx
07/27/2022
790A Tracked
Form_ETA_790A_TrackChanges.docx
07/27/2022
9142A A Tracked
Form_ETA_9142A_Appendix_A_TrackChanges.docx
07/27/2022
9142A Instructions Tracked
Form_ETA_9142A_General_Instructions_TrackChanges.docx
07/27/2022
9142A Tracked
Form_ETA_9142A_TrackChanges.docx
07/27/2022
790 790A Screenshots
FLAG Screenshots Form ETA-790 790A including addendums.docx
07/27/2022
9142A Screenshots
FLAG Screenshots Form ETA-9142A .docx
07/27/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.