ETA 9127 Foreign Labor Certification Quarterly Activity Report

OMB Approval No.: 1205-0457 Expiration Date: 09/30/2022 Foreign Labor Certification Quarterly Activity Report Form ETA-9127 U.S. Department of Labor
State Name: __________________		Preparer Name:___________________				Fiscal Year:__________
Report for (check one):	☐ (Q1 – Oct–Dec)		☐ (Q2 – Jan–Mar)	☐ (Q3 – Apr–Jun)			☐ (Q4 – Jul–Sep)
H-2B Workload					H-2B REGULAR			H-2B SPECIAL PROCEDURES
Total number of active job orders from previous report
Total number of new job orders received
Total number of job orders processed
Total number of SWA staff assisted intrastate referrals
Total number of SWA staff assisted interstate referrals
Total number of interstate job orders transmitted to other SWAs
Total number of interstate job orders received from other SWAs
Total number of active job orders remaining at the end of the quarter
Provide comments or other issues noted during quarter.
H-2A Workload					H-2A REGULAR			H-2A SPECIAL PROCEDURES
Total number of active job orders from previous report
Total number of new job orders received
Total number of job orders processed
Total number of SWA staff assisted intrastate referrals
Total number of SWA staff assisted interstate referrals
Total number of interstate job orders transmitted to other SWAs
Total number of interstate job orders received from other SWAs
Total number of active job orders remaining at the end of the quarter
Total number of prevailing wage surveys completed
Total number of employment practice surveys completed
Total number of housing inspections completed by SWA staff
Total number of housing inspections completed by alternative method
Total number of sleeping units inspected
Total capacity of sleeping units inspected
Total number of housing self-certifications received from employers
Provide comments or other issues noted during quarter.

For public burden statement information, please see, Foreign Labor Certification Quarterly Activity Report,

Instructions for Completing the Form ETA-9127.