Wage Survey Interview Record

• Legal Form Number: 232A
• Issuer: Employment and Training Administration
• Section: U.S. Department of Labor

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)