I-129h2a 83c

I-129H2A-004 83C 20250801 signed.pdf

Petition for a Nonimmigrant Worker

I-129H2A 83C

OMB: 1615-0009

Document [pdf]
Download: pdf | pdf
PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

DHS-USCIS

0009
1615
___ ___
___ ___ - ___
___ ___ ___
Enter only items that change
Current record

New record

Agency form number (s)

I-129, I-129H2A

Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

%

%

Total annual hours
Difference
Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes**

This action is to add the electronic filing option of PDF Intake (PDFi) for the H-2A Classification using Form I-129H2A. The
PDFi process will allow the petitioner to upload a completed Form I-129H2A .pdf of their application, any supporting
documentation, pay the filing fee, and file the petition as a .pdf online.
Signature of Senior Official or designee:

JOHN R
RAMSAY JR

Digitally signed by JOHN R
RAMSAY JR
Date: 2025.08.01 14:37:03
-04'00'

** This form cannot be used to extend an expiration date.

OMB 83-C

Date:

08/01/2025

For OIRA Use
___________________________________
___________________________________

10/95



File Typeapplication/pdf
File TitlePaperwork Reduction Act Submission (OMB 83-I)
SubjectPaperwork Reduction Act Submission (OMB 83-I)
AuthorOMB
File Modified2025-08-01
File Created1999-03-02

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