H-2A Temporary Agricultural Labor Certification Program Updated Forms

H-2A Temporary Agricultural Labor Certification Program

OMB: 1205-0466

IC ID: 236087

Documents and Forms
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Information Collection (IC) Details

View Information Collection (IC)

H-2A Temporary Agricultural Labor Certification Program Updated Forms
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 655

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Form ETA-9142A Nature of H-2A Application FR_01_ Form ETA-9142A_508 Compliant.pdf Yes Yes Fillable Fileable
Form Form ETA-9142A – Appendix B H-2A LABOR CONTRACTOR SURETY BOND FR_04_ETA-9142A_Appendix B 04.14.2022 508 Compliant.pdf Yes Yes Fillable Fileable
Form Form ETA-790A - Addendum C Additional Material Terms and Conditions of the Job Offer FR_10_ETA-790A_Addendum C 04-14-2022 508 Compliant.pdf Yes Yes Fillable Fileable
Form Form ETA-790A Addendum B Additional Place of Employment Information FR_09_ETA-790A_Addendum_B_clean_04.14.2022.docx Yes Yes Fillable Fileable
Form Form ETA-790A Addendum A Additional Crop or Agricultural Activities and Wage Offer Information FR_08_ETA-790A_Addendum_A_wages_clean 04.14.2022 508 Compliant.pdf Yes Yes Fillable Fileable
Form and Instruction Form ETA-790 Clearance Order Information FR_06_ETA-790_clean_04.14.2022 508 Compliant.pdf Yes Yes Fillable Fileable
Form Form ETA-9142A Temporary Agricultural Labor Certification FR_05_ETA-9142A FD_04.14.2022_508 Compliant.pdf Yes Yes Fillable Fileable
Instruction FR_11_Form ETA-790A_General Instructions_508 Compliant.pdf Yes Yes Fillable Fileable
Form and Instruction Form ETA-9142A General Instructions FR_02_Form ETA-9142A Instructions_508 Compliant.pdf Yes Yes Fillable Fileable
Form Form ETA-9142A – APPENDIX A Attorney or Agent Declaration FR_03_ETA-9142A_Appendix A 04.14.2022 508 Compliant.pdf Yes Yes Fillable Fileable
Form Form ETA-790A Job Offer Information FR_07_Form_ETA-790A_508 Compliant.pdf Yes Yes Fillable Fileable
Form Form ETA-232 Domestic Agricultural In-Season Wage Report FR_12_ETA-232 04_14_2022 508 Compliant.pdf Yes Yes Fillable Fileable
Instruction FR_13_Form ETA-232_General Instructions_508 Compliant.pdf Yes Yes Fillable Fileable

Workforce Management Labor Rights Management

 

14,586 0
   
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
 
   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 467,843 0 0 9,729 0 458,114
Annual IC Time Burden (Hours) 102,865 0 -1,445,088 1,459,685 0 88,268
Annual IC Cost Burden (Dollars) 0 0 -3,692,705 0 0 3,692,705

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