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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 653(b)(f) 20 CFR 655(b) (To search for a specific CFR, visit the
Code of Federal Regulations.
)
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
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
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:
16,567
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Farms, Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
Documents for IC
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.