Form DD Form 1919C DD Form 1919C Wage Data Collection Continuation Form

Form Approved
OMB No. 3206-0036
Expires Nov 30, 2024

FEDERAL WAGE SYSTEM - WAGE DATA COLLECTION (Continuation)

The public reporting burden to complete this information collection is estimated at 1.5 hours per response, including time for reviewing instructions, searching data sources, gathering and maintaining the data needed, and the
completing and reviewing the collected information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number and
expiration date. Send comments regarding this burden estimate or any other aspect of this collection information, including suggestions for reducing this burden to the Department of Defense, ATTN: [email protected]. Current information regarding this collection of information – including all background materials -- can be found at https:/www.reginfo.gov/public/do/PRAMain by using the search function to enter
either the title of the collection (Wage Data Collection Continuation Form) or the OMB Control Number (3206-0036).
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS

6. AREA CODE

7. ESTABLISHMENT CODE

1
13. JOB
MATCH

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

8. JOB NUMBER

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, FEB 2022

PREVIOUS EDITION IS OBSOLETE.

PAGES

Office of Personnel Management
Operating Manual, Federal Wage System