OMB No. 3206-0036
FEDERAL WAGE SYSTEM - WAGE DATA COLLECTION
OMB approval expires
Feb 29, 2012
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, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 1155 Defense Pentagon,
Washington, DC 20301-1155 (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.
3. DATE OF CONTACT
1. ESTABLISHMENT NAME
2. WAGE AREA
(YYYYMMDD)
4a. ESTABLISHMENT JOB TITLE
b. UNION AFFILIATION
c. ESTABLISHMENT GRADE
5. SURVEY JOB TITLE
8. JOB NUMBER 9. FORMAL
11. NUMBER OF
6. AREA CODE
7. ESTABLISHMENT
10. JOB RATE RANGE
RATE
ESTABLISHED
CODE
MINIMUM
MAXIMUM
RANGE
STEP RATES
YES
NO
12. ESTABLISHED
13. JOB MATCH
14. NUMBER OF
15. STRAIGHT TIME
16. GUARANTEED
17. INCENTIVE
STEP RATES
EMPLOYEES
HOURLY RATE
MINIMUM
RATE
18. COST OF LIVING
19. BONUS
20. LUMP SUM
21. JOB SUB-
Y = YES
ALLOWANCE
NUMBER
N = NO
(COLA)
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
PAGES
DD FORM 1919, JUL 2009
PREVIOUS EDITION IS OBSOLETE.
Office of Personnel Management
Manual, Federal Wage System
Operating
Reset
Adobe Professional 8.0
OMB No. 3206-0036
FEDERAL WAGE SYSTEM - WAGE DATA COLLECTION
OMB approval expires
Feb 29, 2012
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, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 1155 Defense Pentagon,
Washington, DC 20301-1155 (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.
3. DATE OF CONTACT
1. ESTABLISHMENT NAME
2. WAGE AREA
(YYYYMMDD)
4a. ESTABLISHMENT JOB TITLE
b. UNION AFFILIATION
c. ESTABLISHMENT GRADE
5. SURVEY JOB TITLE
8. JOB NUMBER 9. FORMAL
11. NUMBER OF
6. AREA CODE
7. ESTABLISHMENT
10. JOB RATE RANGE
RATE
ESTABLISHED
CODE
MINIMUM
MAXIMUM
RANGE
STEP RATES
YES
NO
12. ESTABLISHED
13. JOB MATCH
14. NUMBER OF
15. STRAIGHT TIME
16. GUARANTEED
17. INCENTIVE
STEP RATES
EMPLOYEES
HOURLY RATE
MINIMUM
RATE
18. COST OF LIVING
19. BONUS
20. LUMP SUM
21. JOB SUB-
Y = YES
ALLOWANCE
NUMBER
N = NO
(COLA)
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
PAGES
DD FORM 1919, JUL 2009
PREVIOUS EDITION IS OBSOLETE.
Office of Personnel Management
Manual, Federal Wage System
Operating
Reset
Adobe Professional 8.0