View Information Collection (IC)

View Information Collection (IC)

IC Title:	H-2B Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 214.2(h)(6)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9142B	H-2B Application for Temporary Employment Certification	ETA Form 9142B Screenshots.pdf		Yes	Yes	Fillable Fileable
Form	ETA-9142B Appendix B	H-2B Application for Temporary Employment Certification	ETA Form 9142B Appendix B 2016 version clean.doc		Yes	No	Fillable Fileable
Instruction			1205 0509 ETA Form 9142B Instructions CLEAN.doc		Yes	Yes	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: 4,505	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	170,669	0	0	0	0	170,669
Annual IC Time Burden (Hours)	42,039	0	0	0	0	42,039
Annual IC Cost Burden (Dollars)	351,800	0	0	0	0	351,800

Documents for IC

Title	Document	Date Uploaded
Form ETA-9142B Track Changes	ETA Form 9142B TRACKCHANGES.doc	10/19/2015
Form ETA-9142B Appendix B Track Changes	ETA Form 9142B Appendix B TRACKCHANGES.doc	10/19/2015
Form ETA-9142B Instructions	ETA Form 9142B Instructions 10.15.15 TRACKCHANGES.doc	10/19/2015

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