DOL OFLC, Form ETA-790A Addendum A

OMB Approval: 1205-0466 Expiration Date: 11/30/2025 H-2A Agricultural Clearance Order Form ETA-790A Addendum A U.S. Department of Labor A.9. Additional Crop or Agricultural Activities and Wage Offer Information Crop ID Crop or Agricultural Activity Wage Offer Per Piece Rate Units / Estimated Hourly Rate / Special Pay Information $ ______ . _____ $ ______ . _____ $ ______ . _____ $ ______ . _____ $ ______ . _____ $ ______ . _____ $ ______ . _____ $ ______ . _____ $ ______ . _____ $ ______ . _____ For Public Burden Statement, see the Instructions for Form ETA-790/790A. Form ETA-790A Addendum A FOR DEPARTMENT OF LABOR USE ONLY Page A.1 of A.1 H-2A Case Number: ____________________ Case Status: __________________ Determination Date: _____________ Validity Period: _____________ to _____________