Form ETA-232 Domestic Agricultural In-Season Wage Report

OMB Approval: 1205-0466
Expiration Date: XX/XX/XXXX

Domestic Agricultural In-Season Wage Report
Form ETA-232
U.S. Department of Labor
This form is for use of State Workforce Agencies to submit survey results for prevailing wage determinations. Please read and review the Form ETA-232 form instructions carefully
before completing this form electronically. A copy of the instructions can be found at http://www.foreignlaborcert.doleta.gov/. Those items marked with an asterisk (*) are required
and must be completed. Items marked with the section symbol (§) are conditional and are to be completed if the condition is met.

A. State Workforce Agency Prevailing Wage Survey Point of Contact
1. Name *

2. Title *

3. State *

4. Telephone number *

5. E-mail address *

B. Survey Information and Results

Yes

1. Is the ETA-232 a resubmission? *


No

2. A copy of the wage survey is attached. *


Yes

3. Identify the State agency, college, or university that conducted the survey. *



3a. Surveyor name, if different from Item A.1. §

3b. Surveyor title. §

3c. Surveyor telephone number. §

3d. Surveyor email address. §

4. Identify the geographic area of the wage report. *
5. Identify the crop activity or agricultural activity covered by the survey. *

6. The survey result meets each regulatory criteria to produce a prevailing wage rate (See Section C). *
6a. Prevailing wage rate. §
$ ________________________________


Yes


No

6b. Per (choose only one) §
 Hour

 Week Month

 Piece Rate (unit):
______________________________________________________

7. Comments (describe variables affecting rates, crop conditions, or other explanatory and pertinent information): §

Form ETA-232

FOR DEPARTMENT OF LABOR USE ONLY

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OMB Approval: 1205-0466
Expiration Date: XX/XX/XXXX

Domestic Agricultural In-Season Wage Report
Form ETA-232
U.S. Department of Labor
C. Survey Data and Methodology
1. The survey was independently conducted by the State (e.g., any State agency, State college, or State university). * 
Yes
2. The survey covers a distinct work task or tasks performed in a single crop activity or agricultural activity. *


Yes

2a. Identify the crop work task or tasks covered by the survey. *

3. The survey covers an appropriate geographic area based on available resources to conduct the survey, the size of 
Yes
the agricultural population covered by the survey, and any different wage structures in the crop or agricultural activity
within the State. *
3a. Explain how the surveyor determined the scope of the geographic area to survey. *

4. For the geographic area, the surveyor (mark only one): *
Attempted to contact all employers employing workers in the crop activity or agricultural activity
Conducted a randomized sample of such employers
4a. Name of the source(s) used to identify the employers that employ U.S workers
in the crop/agricultural activity and geographic area surveyed: *

4b. Estimated number of employers
identified through the source(s) in item
4a: *

5. The survey reports the average wage of U.S. workers in the crop activity or agricultural activity and geographic area
using the unit of pay used to compensate at least 50 percent of the U.S. workers whose wages were surveyed. *


Yes

6. The survey includes wages of at least 30 U.S. workers. *


Yes

7. The survey includes wages of U.S. workers employed by at least 5 employers. *


Yes

8. The wages paid by a single employer represent no more than 25 percent of sampled wages. *


Yes

OMB Public Burden Statement
Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number. Public reporting burden for
this collection of information is estimated to average 3.30 hours per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden
estimate to the Office of Foreign Labor Certification, U.S. Department of Labor, Box 12-200, 200 Constitution Ave., NW, Washington, DC 20210.
/

Form ETA-232

FOR DEPARTMENT OF LABOR USE ONLY

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