Form DD-1919 Federal Wage System - Wage Data Collection

Form Approved
OMB No. 3206-0036
Expires Nov 30, 2008

FEDERAL WAGE SYSTEM - WAGE DATA COLLECTION

The public reporting burden for this collection of information is estimated to average 4 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (3206-0036). Respondents should be aware that notwithstanding any other provision of law, no
person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

1. ESTABLISHMENT NAME

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.
2. WAGE AREA

4a. ESTABLISHMENT JOB TITLE

b. UNION AFFILIATION

3. DATE OF CONTACT
(YYYYMMDD)

c. ESTABLISHMENT GRADE

5. SURVEY JOB TITLE

6. AREA CODE

8. JOB NUMBER 9. FORMAL 10. JOB RATE RANGE
RATE
MAXIMUM
RANGE MINIMUM

7. ESTABLISHMENT
CODE

YES

12. ESTABLISHED
STEP RATES

13. JOB MATCH

Y = YES
N = NO

NO

11. NUMBER OF
ESTABLISHED
STEP RATES

14. NUMBER OF
EMPLOYEES

15. STRAIGHT TIME
HOURLY RATE

16. GUARANTEED
MINIMUM

17. INCENTIVE
RATE

18. COST OF LIVING
ALLOWANCE
(COLA)

19. BONUS

20. LUMP SUM

21. JOB SUBNUMBER

TOTAL

0.00

22. DESCRIPTION OF ESTABLISHMENT JOB

24. REMARKS

23. DO ABOVE RATES INCLUDE
NO

YES

AMOUNT

COLA
BONUS
LUMP SUM
SHIFT PAY
OTHER ADD-ONS
(Explain)

25. SIGNATURE

26. SIGNATURE

PAGE
OF

DD FORM 1919, NOV 2005
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PAGES

Office of Personnel Management,
Operating Manual, Federal Wage System