DD-1919C Federal Wage System - Wage Data Collection (Continuation

Establishment Information Form, Wage Data Collection Form, and Wage Data Collection Continuation Form

dd1919c (3)

Establishment Information Form, Wage Data Collection Form, and Wage Data Collection Continuation Form

OMB: 3206-0036

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FEDERAL WAGE SYSTEM - WAGE DATA COLLECTION

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

(Continuation)

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.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.
7. ESTABLISHMENT CODE
8. JOB NUMBER

6. AREA CODE

1
13. JOB
MATCH

14. NO. OF 15. STRAIGHT
EMPLOYEES TIME HOURLY
RATE

2
13. JOB
MATCH

14. NO. OF 15. STRAIGHT
EMPLOYEES TIME HOURLY
RATE

3
13. JOB
MATCH

14. NO. OF 15. STRAIGHT
EMPLOYEES TIME HOURLY
RATE

21. JOB SUB-NUMBER

21. JOB SUB-NUMBER

21. JOB SUB-NUMBER

25. CONTINUATION NO.

25. CONTINUATION NO.

25. CONTINUATION NO.

26. REMARKS

27. SIGNATURE

28. SIGNATURE

PAGE
OF

DD FORM 1919C, NOV 2005
Adobe Professional 7.0

PREVIOUS EDITION IS OBSOLETE.

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Office of Personnel Management,
Operating Manual, Federal Wage System


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