Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
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
Form
Form ETA-9142A
Nature of H-2A Application
FR_01_ Form ETA-9142A_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
Form ETA-9142A – Appendix B
H-2A LABOR CONTRACTOR SURETY BOND
FR_04_ETA-9142A_Appendix B 04.14.2022 508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
Form ETA-790A - Addendum C
Additional Material Terms and Conditions of the Job Offer
FR_10_ETA-790A_Addendum C 04-14-2022 508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
Form ETA-790A Addendum B
Additional Place of Employment Information
FR_09_ETA-790A_Addendum_B_clean_04.14.2022.docx
Yes
Yes
Fillable Fileable
Form
Form ETA-790A Addendum A
Additional Crop or Agricultural Activities and Wage Offer Information
FR_08_ETA-790A_Addendum_A_wages_clean 04.14.2022 508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
Form ETA-790
Clearance Order Information
FR_06_ETA-790_clean_04.14.2022 508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
Form ETA-9142A
Temporary Agricultural Labor Certification
FR_05_ETA-9142A FD_04.14.2022_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Instruction
FR_11_Form ETA-790A_General Instructions_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
Form ETA-9142A
General Instructions
FR_02_Form ETA-9142A Instructions_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
Form ETA-9142A – APPENDIX A
Attorney or Agent Declaration
FR_03_ETA-9142A_Appendix A 04.14.2022 508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
Form ETA-790A
Job Offer Information
FR_07_Form_ETA-790A_508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
Form ETA-232
Domestic Agricultural In-Season Wage Report
FR_12_ETA-232 04_14_2022 508 Compliant.pdf
Yes
Yes
Fillable Fileable
Instruction
FR_13_Form ETA-232_General Instructions_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
467,843
0
0
9,729
0
458,114
Annual IC Time Burden (Hours)
102,865
0
-1,445,088
1,459,685
0
88,268
Annual IC Cost Burden (Dollars)
0
0
-3,692,705
0
0
3,692,705
Documents for IC
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.