H-2B Program

H-2B Application for Temporary Employment Certification

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0509 can be found here:

Documents and Forms

Document Name Document Type
Form ETA 9142B H-2B Program Form
ETA Form 9142B_General Instructions.pdf Instruction
ETA 9142B H-2B Application for Temporary Employment Certification ETA Form 9142B.pdf Form
ETA-9142B Appendix H-2B Application for Temporary Employment Certification ETA Form 9142B Appendix B 2016 version clean.doc Form
ETA Form 9142B TRACKCHANGES.doc Form ETA-9142B Track Changes IC Document
ETA Form 9142B Appendix B TRACKCHANGES.doc Form ETA-9142B Appendix B Track Changes IC Document
ETA Form 9142B Instructions 10.15.15 TRACKCHANGES.doc Form ETA-9142B Instructions IC Document
H-2B_Quick Start Guide.pdf iCERT Visa Portal System Quick Start Guide for H-2B IC Document

Information Collection (IC) Details

IC Title:	H-2B Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 214.2(h)(6)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ETA 9142B	H-2B Application for Temporary Employment Certification	ETA Form 9142B.pdf	Yes	Yes	Fillable Fileable
Form	ETA-9142B Appendix B	H-2B Application for Temporary Employment Certification	ETA Form 9142B Appendix B 2016 version clean.doc	Yes	No	Fillable Fileable
Instruction			ETA Form 9142B_General Instructions.pdf	Yes	Yes	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,505	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	Previously Approved
Annual Number of Responses for this IC	170,669	170,669
Annual IC Time Burden (Hours)	42,039	42,039
Annual IC Cost Burden (Dollars)	351,800	351,800

Documents for IC

Title	Document	Date Uploaded
Form ETA-9142B Track Changes	ETA Form 9142B TRACKCHANGES.doc	10/19/2015
Form ETA-9142B Appendix B Track Changes	ETA Form 9142B Appendix B TRACKCHANGES.doc	10/19/2015
Form ETA-9142B Instructions	ETA Form 9142B Instructions 10.15.15 TRACKCHANGES.doc	10/19/2015
iCERT Visa Portal System Quick Start Guide for H-2B	H-2B_Quick Start Guide.pdf	10/30/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.