DD Form 1918 Establishment Information Form

FEDERAL WAGE SYSTEM - ESTABLISHMENT INFORMATION

OMB No. 3206-0036
OMB approval expires Nov 30, 2024

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 (Establishment Information Form) or the OMB Control Number (3206-0036)

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

1. ESTABLISHMENT NAME AND ADDRESS
or Suite Number and 9-digit ZIP Code)

(Include Apartment

2. WAGE AREA

3. DATE OF CONTACT
(YYMMDD)

4. TELEPHONE NUMBER (Include Area Code
and Extension)
FAX

6. PRODUCT OR SERVICE OF ESTABLISHMENT

5. NAME AND TITLE OF PERSON(S) INTERVIEWED

a. MAJOR INDUSTRY
b. SPECIFIC PRODUCTS OR SERVICES

7. AREA CODE

8. ESTABLISHMENT CODE

9. NORTH AMERICAN INDUSTRY
10. ESTABLISHMENT WEIGHT
CLASSIFICATION SYSTEM (NAICS) CODE

11. TOTAL NUMBER
EMPLOYEES IN
ESTABLISHMENT

12. TOTAL NUMBER BLUECOLLAR EMPLOYEES
SAMPS:

13. OVERTIME PAY PROVISIONS

14. NUMBER OF HOURS IN
NORMAL WORKWEEK

15. MONTH GENERAL WAGE ADJUSTMENTS
ARE NORMALLY EFFECTIVE
99 = NO SET MONTH
1 = JANUARY
ETC.

18. GENERAL WAGE ADJUSTMENTS
a. DATE
(YYMMDD)

b. AMOUNT

DAILY
RATE

HOURS

WEEKLY
RATE

16. CONTRACT OBTAINED (X one)

SUNDAY

HOLIDAY

RATE

RATE

17. NON-PAR CODE

Y = Yes N = No R = Rate Sheet

19. ADDITIONAL PAY ELEMENTS
c. INCREASE/ d. INCLUDED
IN RATES
DECREASE
(Enter I or D) (Enter Y or N)

HOURS

a. BONUS

(Explain in Remarks)
b. LUMP SUM

c. INCENTIVE

20. COST OF LIVING ALLOWANCE (COLA)
a. COLA FORMULA
b. BASE PERIOD
(

)

1967 = 100

(

)

1982-84 = 100

= 1 CENT
d. PAY ON

e. USING CONSUMER
PRICE INDEX (CPI) FOR

c. INDEX

21. COLA TIED DIRECTLY TO CPI
Y or N

a. TOTAL AMOUNT
BEING PAID

(

)

CPI - U

(

)

CPI - W

b. DATE AND AMOUNT OF ADJUSTMENTS

c. FOLD-IN

DATE

d. CARRYOVER

AMOUNT
22. REMARKS

P.O. Box:

City:

State:

Zip Code:

Zip + 4:

Prior Est Code

Mailing Address:

23. PRINTED NAME AND SIGNATURE

24. PRINTED NAME AND SIGNATURE
PAGE 1 OF

DD FORM 1918, FEB 2022 (EG)

PREVIOUS EDITION IS OBSOLETE

PAGES

Office of Personnel Management
Operating Manual, Federal Wage System