DD-1919C FEDERAL WAGE SYSTEM - WAGE DATA COLLECTION (Continuation

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

DD Form 1919C

OMB: 3206-0036

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Form Approved
OMB No. 3206-0036
Expires Apr 30, 2018

FEDERAL WAGE SYSTEM - WAGE DATA COLLECTION (Continuation)

The public reporting burden for this collection of information is estimated to average 1.5 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and
Reports (3206-0036), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 FORM TO THE ABOVE ADDRESS.
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, APR 2015

PREVIOUS EDITION IS OBSOLETE.

PAGES

Office of Personnel Management
FPM Supp 532-1


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