Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers

Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers Under Section 105 of Division O of the Further Consolidated Appropriations Act, 2021, Public Law 116-260

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0547 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9142-B-CAA-4_General Instructions_052021.docx Instruction
ETA 9142-B-CAA-4 Attestation for Employers Seeking to Employ H-2B Nonimmi Form ETA 9142-B-CAA-4_052021.docx Form

Information Collection (IC) Details

IC Title:	Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers	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 8 CFR 103 and 214 29 CFR 503

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Form ETA 9142-B-CAA-4_General Instructions_052021.docx		Yes	Yes	Printable Only
Form	ETA 9142-B-CAA-4	Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers	Form ETA 9142-B-CAA-4_052021.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,558	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,558	3,558
Annual IC Time Burden (Hours)	32,023	32,023
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.