DOL OFLC, Form ETA-9089, Appendix B

OMB Approval: 1205-0451 Expiration Date:02/28/2029 Application for Permanent Employment Certification Form ETA-9089 – Appendix B: Additional Worksite Information U.S. Department of Labor ADDITIONAL WORKSITE INFORMATION A. Additional Worksite 1 § 1. County 2. State/District/Territory 3. MSA/OES Area Code 3a.

MSA Name/OES Area Title B. Additional Worksite 2 § 1. County 2. State/District/Territory 3. MSA/OES Area Code 3a.

MSA Name/OES Area Title C. Additional Worksite 3 § 1. County 2. State/District/Territory 3. MSA/OES Area Code 3a.

MSA Name/OES Area Title D. Additional Worksite 4 § 1. County 2. State/District/Territory 3. MSA/OES Area Code 3a.

MSA Name/OES Area Title E. Additional Worksite 5 § 1. County 2. State/District/Territory 3. MSA/OES Area Code 3a.

MSA Name/OES Area Title For Public Burden Statement, see the Instructions for Form ETA-9089. Form ETA-9089 – Appendix B FOR DEPARTMENT OF LABOR USE ONLY Page B.1 of B.1 PERM Case Number: ___________________ Case Status: __________________ Determination Date: ______________ Expiration Date: ______________