DOL OFLC, Form ETA-790A Addendum A

OMB Approval: 1205-0466 Expiration Date: 07/31/2027 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 Work State Crop or Agricultural Activity Wage Offer/Per Piece Rate Offer Piece Rate Units / Estimated Hourly Rate / Special Pay Information $ ______ . _____ $ ______ . _____ ☐ HOUR ☐ MONTH $ ______ . _____ $ ______ . _____ ☐ HOUR ☐ MONTH $ ______ . _____ $ ______ . _____ ☐ HOUR ☐ MONTH $ ______ . _____ $ ______ . _____ ☐ HOUR ☐ MONTH $ ______ . _____ $ ______ . _____ ☐ HOUR ☐ MONTH 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 _____________