Burden Related to the H-2A Program

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⚠️ Notice: This information collection may be referencing outdated material.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 9142A Burden Related to the H-2A Program Form
EF_02_Form ETA-9142A Instructions_508 Compliant.pdf Instruction
EF_13_Form ETA-232_General Instructions_508 Compliant.pdf Instruction
ETA 9142A Nature of H-2A Application EF_01_ Form ETA-9142A_508 Compliant.pdf Form
ETA 9142A - Append Attorney or Agent Declaration EF_03_ETA-9142A_Appendix A 04.14.2022 508 Compliant.pdf Form
ETA 9142A - Append LABOR CONTRACTOR SURETY BOND EF_04_ETA-9142A_Appendix B 04.14.2022 508 Compliant.pdf Form
ETA 9142A TEMPORARY AGRICULTURAL LABOR CERTIFICATION EF_05_ETA-9142A FD_04.14.2022_508 Compliant.pdf Form
ETA 232 State Workforce Agency Prevailing Wage Survey Point of C EF_12_ETA-232 04_14_2022 508 Compliant.pdf Form

Information Collection (IC) Details

IC Title:	Burden Related to the H-2A Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9142A	Nature of H-2A Application	EF_01_ Form ETA-9142A_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Instruction			EF_02_Form ETA-9142A Instructions_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 9142A - Appendix A	Attorney or Agent Declaration	EF_03_ETA-9142A_Appendix A 04.14.2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 9142A - Appendix B	LABOR CONTRACTOR SURETY BOND	EF_04_ETA-9142A_Appendix B 04.14.2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 9142A	TEMPORARY AGRICULTURAL LABOR CERTIFICATION	EF_05_ETA-9142A FD_04.14.2022_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Instruction			EF_13_Form ETA-232_General Instructions_508 Compliant.pdf	Yes	Yes	Fillable Fileable
Form	ETA 232	State Workforce Agency Prevailing Wage Survey Point of Contact	EF_12_ETA-232 04_14_2022 508 Compliant.pdf	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,376	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	140,410	140,410
Annual IC Time Burden (Hours)	53,400	53,400
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.