View Information Collection (IC)
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
ETA-9142A
Nature of H-2A Application
ETA-9142A - Nature of H2A.docx
Yes
Yes
Fillable Fileable
Form
ETA-9142A – Appendix B
H-2A LABOR CONTRACTOR SURETY BOND
ETA 9142A - Appendix B.docx
Yes
Yes
Fillable Fileable
Form
ETA-790A - Addendum C
Additional Material Terms and Conditions of the Job Offer
ETA 790A - Addendum C.docx
Yes
Yes
Fillable Fileable
Form
ETA-790A - Addendum B
Additional Place of Employment Information
ETA 790A - Addendum B.docx
Yes
Yes
Fillable Fileable
Form
ETA-790A - Addendum A
Additional Crop or Agricultural Activities and Wage Offer Information
ETA 790A - Addendum A.docx
Yes
Yes
Fillable Fileable
Form and Instruction
ETA-790
Clearance Order Information
ETA 790.docx
Yes
Yes
Fillable Fileable
Form
ETA-9142A
Temporary Agricultural Labor Certification - Final Determination
ETA 9142A - Final Determination.docx
Yes
Yes
Fillable Fileable
Instruction
ETA 790_790A - Instructions.docx
Yes
Yes
Fillable Fileable
Form and Instruction
ETA-9142A
General Instructions
ETA 9142A - Instructions.docx
Yes
Yes
Fillable Fileable
Form
ETA-9142A – Appendix A
Attorney or Agent Declaration
ETA 9142A - Appendix A.docx
Yes
Yes
Fillable Fileable
Form
ETA-790A
Job Offer Information
ETA-790A - Ag Clearance Order.docx
Yes
Yes
Fillable Fileable
Form
ETA-232
Domestic Agricultural In-Season Wage Report
Form ETA 232 - 508 Compliant.pdf
Yes
Yes
Fillable Fileable
Form
ETA 9142A - Appendix C
Owners-Managers Form
ETA-9142A Appendix C - Owners Mgrs.docx
Yes
Yes
Fillable Fileable
Form
ETA 9142A - Appendix D
Foreign Labor
ETA-9142A Appendix D.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:
DOL/ETA-7
FR Citation:
81 FR 25765
Number of Respondents:
16,567
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Farms, Not-for-profit institutions, Businesses or other for-profits
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
515,943
0
48,100
0
0
467,843
Annual IC Time Burden (Hours)
119,952
0
17,087
0
0
102,865
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.