DOL OFLC, Proposed Form ETA-790A Addendum A - Crops Wages

OMB Approval: 1205-0466 Expiration Date: XX/XX/XXXX H-2A Agricultural Clearance Order Form ETA-790A Addendum A U.S. Department of Labor A.6. Temporary Agricultural Services and Wage Offer Information a. Crop or Agricultural Activity Information 1 1. Name of Crop or Agricultural Activity * 2. Description of the job duties or services to be performed * Crop Variety or Agricultural Activity Wage Offer Per Piece Rate Units/Special Pay Information 3a.

3b. 3c. 3d. 3e. $ ________ . _____ $ ________ . _____ $ ________ . _____ $ ________ . _____ $ ________ . _____ b. Crop or Agricultural Activity Information 2 1.

Name of Crop or Agricultural Activity * 2. Description of the job duties or services to be performed * Crop Variety or Agricultural Activity Wage Offer Per Piece Rate Units/Special Pay Information 3a. 3b. 3c.

3d. 3e. $ ________ . _____ $ ________ . _____ $ ________ . _____ $ ________ . _____ $ ________ . _____ 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 _____________