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H-2A Temporary Agricultural Labor Certification Program Updated Forms
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 653(b)(f) 20 CFR 655(b)  (To search for a specific CFR, visit the Code of Federal Regulations.)

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 NPRM_02_ETA-9142A_clean with changes.docx Yes Yes Fillable Fileable
Form Form ETA-9142A – Appendix B H-2A LABOR CONTRACTOR SURETY BOND NPRM_04_ETA-9142A_Appendix B_surety bond_no changes.docx Yes Yes Fillable Fileable
Form Form ETA-790A - Addendum C Additional Material Terms and Conditions of the Job Offer NPRM_09c_ETA-790A_Addendum_C_additional info_no changes.docx Yes Yes Fillable Fileable
Form Form ETA-790A Addendum B Additional Place of Employment Information NPRM_09b_ETA-790A_Addendum_B_clean.docx Yes Yes Fillable Fileable
Form Form ETA-790A Addendum A Additional Crop or Agricultural Activities and Wage Offer Information NPRM_09a_ETA-790A_Addendum_A_Crops-Wages_no changes.docx Yes Yes Fillable Fileable
Form Form ETA-790 Clearance Order Information NPRM_08_ETA-790_no changes.docx Yes Yes Fillable Fileable
Instruction NPRM_10_ETA-790 790A_Instructions_clean.docx Yes Yes Fillable Fileable
Instruction NPRM_01_ETA-9142A Instructions_clean with changes.docx Yes Yes Fillable Fileable
Form Form ETA-9142A – APPENDIX A Attorney or Agent Declaration NPRM_03_ETA-9142A_clean with changes.docx Yes Yes Fillable Fileable
Form Form ETA-790A Job Offer Information NPRM_09_ETA-790A_Ag Clearance Order_in clean version.docx Yes Yes Fillable Fileable
Form ETA-9142A – Appendix C Owners-Managers Form NPRM_05_Form ETA-9142A Appendix C - Owners Mgrs_new.docx Yes Yes Fillable Fileable
Form ETA 9142A - Appendix D Foreign Labor Recruiter NPRM_06_Form ETA-9142A Appendix D - FLR_new1.docx Yes Yes Fillable Fileable
Form ETA-9142A TEMPORARY AGRICULTURAL LABOR CERTIFICATION NPRM_07_ETA-9142A FD_no changes.docx Yes Yes Fillable Fileable
Instruction FR_13_ETA-232_Instructions_10.8.2020.docx Yes Yes Fillable Fileable
Form Form ETA-232 Domestic Agricultural In-Season Wage Report FR_ETA-232_PW Survey_new_10.14.20.docx Yes Yes Fillable Fileable

Workforce Management Labor Rights Management

 

16,567 0
   
Private Sector Farms, Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 527,392 0 0 59,549 0 467,843
Annual IC Time Burden (Hours) 120,281 0 1 17,415 0 102,865
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Job Offer Form - Track Changes NPRM_09_ETA-790A_Ag Clearance Order_in track changes.docx 09/12/2023
ETA-9142A – General Instructions - Track Changes NPRM_01_ETA-9142A Instructions in track changes.docx 09/12/2023
790A Instructions - Track Changes NPRM_10_ETA-790 790A_Instructions_in track changes.docx 09/12/2023
790A Addendum B - Track Changes NPRM_09b_ETA-790A_Addendum_B_in track changes.docx 09/12/2023
ETA 1942A - Nature of H-2A Application - Track Changes NPRM_02_ETA-9142A in track changes.docx 09/12/2023
ETA-9142A – APPENDIX A - Track Changes NPRM_03_ETA-9142A_Appendix A in track changes.docx 09/12/2023
9142A - Appendix D - Track Changes NPRM_06_Form ETA-9142A Appendix D - FLR_new.docx 09/12/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.