Fillable Form ETA-232A: Wage Survey Interview Record U.S. Department (Department of Labor)

Fill Online, Printable, Fillable, Blank Form ETA-232A: Wage Survey Interview Record U.S. Department (Department of Labor) Form

Use Fill to complete blank online DEPARTMENT OF LABOR (DC) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form ETA-232A: Wage Survey Interview Record U.S. Department (Department of Labor)

On average this form takes 21 minutes to complete

The Form ETA-232A: Wage Survey Interview Record U.S. Department (Department of Labor) form is 3 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 85 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Department of Labor

BROWSE DEPARTMENT OF LABOR (DC) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
OMB Approval: 1205-0017
Expiration Date: 03/31/2023
Wage Survey Interview Record
Form ETA-232A
U.S. Department of Labor
Name of the Wage Reporting Area: State:
Crop/Agricultural Commodity:
Occupation/Activity:
Name of Employer:
Employer Address:
Active Acreage of Total Production:
Name of Person Interviewed: Position:
Method of Contact: Date of the Survey:
1. Number of U.S. Workers Employed in Crop Activity/Occupation by Wage Rate
Provide all wage rates, applicable unit of payment (e.g. per hour) and the number of U.S. workers receiving
each wage as reported by the surveyed employer.
Wage Rate(s)
($)
Unit
(e.g., per hour)
Number of U.S.
Workers
A B C
$
$
$
$
$
$
$
$
$
2. Productivity and Average Earnings of Piece Rate Workers
Complete the table below only if the employer reported productivity standards and payments to U.S. workers
based on piece rates.
Rate Amount
per Unit
Number of U.S.
Workers
Number of Hours
Worked
Total Units of
Production
Average Hourly
Earnings
Rate(s) Unit(s)
A B C D E F
$ $
$ $
$ $
$ $
$ $
Page 1 of 4
For more information, visit our Web site at http:// www.foreignlaborcert.doleta.gov
Revised (2020)
OMB Approval: 1205-0017
Expiration Date: 03/31/2023
Wage Survey Interview Record
Form ETA-232A
U.S. Department of Labor
3. Comments
Describe variables affecting rates, crop conditions or other explanatory and pertinent information:
4. State Workforce Agency Point of Contact
Provide a State Workforce Agency point of contact for the information provided on this form.
Name: Title:
Mailing Address:
City: State: Zip Code:
Telephone Number: E-mail:
OMB Public Burden Statement – Persons are not required to respond to this collection of information unless it
displays a currently valid OMB control number. Respondents’ obligations to reply to these reporting requirements are
voluntary (20 CFR 653.000 and 20 CFR 655). Public reporting burden for this collection of information is estimated to
average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S.
Department of Labor, Office of Foreign Labor Certification, Box 12-200, 200 Constitution Avenue, N.W., Washington,
D.C. 20210 (OMB Control Number 1205-0017).
Page 2 of 4
For more information, visit our Web site at http:// www.foreignlaborcert.doleta.gov
Revised (2020)
OMB Approval: 1205-0017
Expiration Date: 03/31/2023
Wage Survey Interview Record
Form ETA-232A
U.S. Department of Labor
WAGE SURVEY INTERVIEW RECORD
GENERAL INSTRUCTIONS
This form shall be completed during the actual prevailing wage survey contacts for transfer to the ETA 232 form. It
should be maintained in a confidential manner since it identifies specific employers and contain information which is
confidential in nature. All items on the form are to be completed with no change in the format. If the space
provided on the form for any item is not adequate, complete information should be provided on a separate attached
sheet, with the item(s) numbered to correspond to those on the form.
Name of the Wage Reporting Area - Enter the name of the wage reporting area and State.
State - Enter the name of the State.
Crop/Agricultural Commodity - Enter all crops or agricultural commodities involved in the survey, i.e., apples,
honey, sheep, etc.
Occupation/Activity - Enter surveyed occupation or activity associated with the crop or commodity identified
above, i.e., harvester, herder, shearer, etc.
Name of Employer - Enter full name of the surveyed employer.
Active Acreage or Total Production - Enter the approximate number of acres of estimated production, etc., (as
appropriate as an indication of the size, or relative significance of the employers operation to the crop activity.
Name of Person Interviewed – Enter full name of the person interviewed
Position – Enter position of the person interviewed
Method of Contact - Indicate the method of contact, i.e., personal visit, telephone contact, etc.
Date of Survey - Enter the date the survey was completed.
Part 1
Number of U.S. Workers in Crop Activity by Rate
Column A. Enter the wage rate.
Column B. Enter on the appropriate lines in Column B the method of payment made to the number of U.S. workers
reported by employers to whom each rate in Column A is applicable.
Column C. Enter on the appropriate lines in Column C the total number of U.S. workers reported by employers to which
each rate in Column B is applicable.
Part 2
Productivity and Average Hourly Earnings of Piece Rate Workers.
Note: Columns A, B, C, D and E may, in some instances, be obtained from payroll records or field tally sheets. Do
not include information pertaining to youth under 16 years of age.
Column A. Enter all wage rates being paid to piece rate workers during the survey period.
Column B. Enter the unit of payment made to the number of U.S. workers reported by employers to whom each rate
in Column A is applicable.
Column C. Enter the number of U.S. workers reported by employers to whom each rate in Column A is applicable.
Page 3 of 4
For more information, visit our Web site at http:// www.foreignlaborcert.doleta.gov
Revised (2020)
OMB Approval: 1205-0017
Expiration Date: 03/31/2023
Wage Survey Interview Record
Form ETA-232A
U.S. Department of Labor
Column D. Enter the total number of hours worked by the workers in Column C.
Column E. Enter the total number of units (specified in Column B) produced by the workers in Column C during the
total hours worked (Column D).
Column F. Enter average hourly earnings based on production.
Part 3
Comments
Enter variables affecting rates, crop conditions, or other explanatory and pertinent inform
ation. Describe variables
affecting rates. If a variation in wage rates is reported in Section 1, explain the factors responsible for the variation,
such as differences in yield and field conditions. Also discuss variations in the methods or units of payment.
If a standard schedule of rates applied, attach a copy of the schedule or cross reference to the schedule if previously
submitted.
Other. Use for any pertinent explanation of developments during the survey or reporting period which require
clarification, e.g.:
- Why no wage finding is made.
- Increase or decrease in prevailing rate from comparable period of previous year.
- Factors which will aid the National Office in its interpretation of data.
- Deviations from standard operating procedures or instructions.
- Use of weighting procedures to arrive at a prevailing wage finding.
- Description of perquisite arrangements included in work agreements. Perquisites are not counted as part of
wages and should not be included in Item 4 of Form ETA – 232.
Part 4
State Workforce Agency Point of Contact
Name - Enter the name of the State Workforce Agency point of contact/person who conducted the interview
Title - Enter the title of the State Workforce Agency point of contact.
Mailing Address - Enter the street address of the State Workforce Agency point of contact.
City - Enter the name of the city of the State Workforce Agency point of contact.
State - Enter the name of the State.
Telephone Number - Enter the area code and telephone number of the State Workforce Agency point of contact.
E-mail - Enter the e-mail address of the State Workforce Agency point of contact in the form
at
name@emailaddress.top-level domain.
OMB Public Burden Statement: Please Read
Page 4 of 4
For more information, visit our Web site at http:// www.foreignlaborcert.doleta.gov
Revised (2020)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form ETA-232A: Wage Survey Interview Record U.S. Department (Department of Labor)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 26 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document