View Information Collection (IC)

View Information Collection (IC)

IC Title:	H-2B Seafood Worker Requirements-Attestation Presentation	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-9142B Seafood Attestation	H-2B Seafood Attestation	Seafood attestation final.doc		Yes	No	Printable Only

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: 2,850	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	2,850	0	0	0	0	2,850
Annual IC Time Burden (Hours)	95	0	0	0	0	95
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
H-2B Seafood Attestation - track changes	Seafood attestation with track changes.doc	04/03/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.