Prevailing Wage Determination

Application for Prevailing Wage Determination

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0508 can be found here:

Documents and Forms

Document Name Document Type
Form ETA-9141 Prevailing Wage Determination Form
ETA Form 9141 Instructions Final.doc Instruction
ETA-9141 Application for Prevailing Wage Determination ETA Form 9141 Final.docx Form
ETA-9141 Application for Prevailing Wage Determination Screenshot mock-ups for Revised 9141.pdf Form

Information Collection (IC) Details

IC Title:	Prevailing Wage Determination	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 8 CFR 214.2(h)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA-9141	Application for Prevailing Wage Determination	ETA Form 9141 Final.docx	Yes	Yes	Fillable Fileable
Instruction			ETA Form 9141 Instructions Final.doc	Yes	No	Printable Only
Form	ETA-9141	Application for Prevailing Wage Determination	Screenshot mock-ups for Revised 9141.pdf	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 461,177	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: 99 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	890,501	890,501
Annual IC Time Burden (Hours)	398,833	398,833
Annual IC Cost Burden (Dollars)	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.