Form SF319 TSP Service Reconcilation for Service Vendors

TELECOMMUNICATIONS SERVICE PRIORITY (TSP) SYSTEM
TSP SERVICE RECONCILIATION FOR SERVICE VENDORS

Form Approved
OMB No. 1630-0002
Expires July 31, 2007

(See Instructions on back before completion.)

The public reporting burden for this collection of information is estimated to average 45 minutes 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
(1630-0002), 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 COMPLETED FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO ADDRESS BELOW.
1. VENDOR NAME
2. TSP SERVICE INFORMATION
a. ITEM
NO.

b. TSP AUTHORIZATION CODE

1.

TSP

2.

TSP

3.

TSP

4.

TSP

5.

TSP

6.

TSP

7.

TSP

8.

TSP

9.

TSP

10.

TSP

11.

TSP

12.

TSP

13.

TSP

14.

TSP

15.

TSP

16.

TSP

17.

TSP

18.

TSP

19.

TSP

20.

TSP

c. PRIME SERVICE VENDOR CIRCUIT ID

3. POINT OF CONTACT
a. NAME

b. TITLE

c.(1) STREET ADDRESS

(2) CITY

d. TELEPHONE NUMBER (Area Code/Number/Extension)

e. ELECTRONIC MAILING ADDRESS

4. DATE DATA COMPILED (MMDDYYYY)

5. NUMBER OF ITEMS REPORTED

6.a. SIGNATURE

SEND COMPLETED FORM TO:

(3) STATE

(4) ZIP CODE

b. DATE

Manager, National Communications System
ATTN: Office of Priority Telecommunications
701 South Court House Road
Arlington, VA 22204-2198
AUTHORIZED FOR LOCAL REPRODUCTION

STANDARD FORM 319 (Revised 3/06)
Prescribed by DHS/NCS
NCS Handbook 3-1-2

INSTRUCTIONS FOR TSP SERVICE RECONCILIATION

Complete this form only if the TSP Program Office has requested TSP reconciliation information from
your company.
If you are reconciling information information on more than 20 TSP services (or 20 Prime Service Vendor
Service ID's), attach additional TSP Service Reconciliation forms (SF 319) or sheets of paper the same
size and format as the printed forms. Complete Items 3 through 6 on the first form only. List every
Prime Service Vendor Service ID for which your company is providing priority restoration (i.e., TSP
restoration priority of 1, 2, 3, 4, or 5) as a prime contractor to a service user.

Item 1. Vendor Name. Enter full vendor name, exactly as previously submitted to the TSP Program
Office by your company.

Item 2. TSP Service Information. For each TSP service which you are reconciling, provide:
b. TSP Authorization Code. The TSP Control ID (positions 1-9 of the TSP Authorization Code) is the
only optional item on the form; the TSP Priority Levels (positions 11 and 12 of the TSP Authorization
Code) are required.
c. Prime Service Vendor Service ID. Enter the Circuit/Service ID. DO NOT enter segment numbers.

Item 3. Point of Contact. The point of contact is the representative of the prime service vendor who
will be called if there are any questions regarding information on this form. Enter name, title, full
business address and telephone number. Include electronic mailing address if available.

Item 4. Date Data Compiled. Enter the month, day, and year when data was compiled.

Item 5. Number of Items Reported. Enter the total number of items (Circuit/Service ID's) including those
reported on attached TSP Reconciliation Forms (SF 319) or sheets of paper.

Item 6. Signature and Date. The point of contact or a company official must sign and date the form.

STANDARD FORM 319 (BACK) (Revised 3/06)