Dd Form 1919c Federal Wage System - Wage Data Collection

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OMB No. 3206-0036
FEDERAL WAGE SYSTEM - WAGE DATA COLLECTION
(Continuation)
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.
6. AREA CODE
7. ESTABLISHMENT CODE
8. JOB NUMBER
1
2
3
13. JOB
14. NO. OF
15. STRAIGHT
13. JOB
14. NO. OF
15. STRAIGHT
13. JOB
14. NO. OF
15. STRAIGHT
MATCH
EMPLOYEES
TIME HOURLY
MATCH
EMPLOYEES
TIME HOURLY
MATCH
EMPLOYEES
TIME HOURLY
RATE
RATE
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
PAGES
DD FORM 1919C, JUL 2009
PREVIOUS EDITION IS OBSOLETE.
Office of Personnel Management
Operating
Manual, Federal Wage System
Adobe Professional 8.0
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