on-Criteria (not H-2A related) Clearance Orders

Criteria and Non-Criteria Agricultural Clearance Order Forms and H-2A Application for Temporary Employment Certification in States and by Employers Covered by Injunction of the Farmworker Protection.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0562 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 790 on-Criteria (not H-2A related) Clearance Orders Form
EF_11_Form ETA-790A_General Instructions_508 Compliant.pdf Instruction
ETA 790 Agricultural Clearance Order EF_06_ETA-790_clean_04.14.2022 508 Compliant.pdf Form
ETA-790A Agricultural Clearance Order EF_07_Form_ETA-790A_508 Compliant.pdf Form
ETA-790A - Addendu Additional Crop or Agricultural Activities and Wage Offe EF_08_ETA-790A_Addendum_A_wages_clean 04.14.2022 508 Compliant.pdf Form
ETA 790A - Addendu Additional Place of Employment Information EF_09_Form ETA-790A_Addendum_B_508 Compliant.pdf Form
ETA 790A - Addendu Additional Material Terms and Conditions of the Job Offe EF_10_ETA-790A_Addendum C 04-14-2022 508 Compliant.pdf Form

Information Collection (IC) Details

IC Title:	on-Criteria (not H-2A related) Clearance Orders	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 655.122 20 CFR 655.122(b) 20 CFR 655.121

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 790	Agricultural Clearance Order	EF_06_ETA-790_clean_04.14.2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA-790A	Agricultural Clearance Order	EF_07_Form_ETA-790A_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA-790A - Addendum A	Additional Crop or Agricultural Activities and Wage Offer Information	EF_08_ETA-790A_Addendum_A_wages_clean 04.14.2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 790A - Addendum B	Additional Place of Employment Information	EF_09_Form ETA-790A_Addendum_B_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 790A - Addendum B	Additional Material Terms and Conditions of the Job Offer	EF_10_ETA-790A_Addendum C 04-14-2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Instruction			EF_11_Form ETA-790A_General Instructions_508 Compliant.pdf	Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,062	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 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,062	1,062
Annual IC Time Burden (Hours)	620	620
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.