ETA-790A - Addendu Additional Crop or Agricultural Activities and Wage Offe

O MB Approval: 1205-0466

Expiration Date: XX/XX/XXXX

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 _____________