Form SF 314 SF 314 TSP Revalidation for Service Users

TELECOMMUNICATIONS SERVICE PRIORITY (TSP) SYSTEM
REVALIDATION FOR SERVICE USERS

OMB No. 1670-0005
Expires: 08/31/2011

(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 DHS, NPPD/CS&C/NCS (Attn: TSP Program Office), 245
Murray Lane, M/S 0615, Washington, DC 20528-8500. 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.

1. SERVICE USER ORGANIZATION
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. SERVICE USER SERVICE ID

d. PRIME SERVICE VENDOR NAME

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. NUMBER OF ITEMS REPORTED

5. DATE DATA COMPILED (MMDDYYYY)

(3) STATE

(4) ZIP CODE

6. SIGNATURE AND DATE. I confirm these are National Security and Emergency Preparedness (NS/EP) services and should be revalidated
for TSP.
SEND COMPLETED FORM TO:

DHS, NPPD/CS&C/NCS
(Attn: TSP Program Office),
245 Murray Lane,
M/S 0615,
Washington, DC 20528-8500

AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 314 (Revised 09/2010)

INSTRUCTIONS FOR TELECOMMUNICATIONS SERVICE PRIORITY (TSP) PROGRAM OFFICE SYSTEM
REVALIDATION FOR SERVICE USERS
Complete this form only if the Telecommunications Service Priority (TSP) Program Office has requested
revalidation information from your organization.
If you are revalidating information on more than 20 TSP services, attach additional TSP Service
Revalidation Forms (SF 314) or sheets of paper the same size and format as the printed forms.
Complete Items 3 through 6 on the first form only.
Item 1. Service User Organization. Enter full organization name, exactly as previously submitted to the
TSP Program Office by your organization.
Item 2. TSP Service Information. For each TSP service which you are revalidating, provide:
b. TSP Authorization Code. The TSP Control ID (positions 1-9) and the TSP Priority Levels
(11 and 12), e.g. TSP00B34EG-33.
c. Service User Service ID. Enter the Service ID from the SF 315.
d. Prime Service Vendor Name. Identify the prime service vendor that provides the service.
Item 3. Point of Contact. The point of contact is the representative of the user organization 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. Number of Items Reported. Enter the total number of items including those on attached TSP
Service Revalidation Forms (SF 314) or sheets of paper.
Item 5. Date Data Compiled. Enter the month, day, and year when data was compiled.
Item 6. Signature and Date. The point of contact must sign and date the form.

Privacy Act Notice
Authority: This information collection is authorized by 5 U.S.C. §301 and 44 U.S.C. §3101.
Purpose: DHS will use this information to provide Telecommunications Service Priority (TSP) users and vendors
with information relating to TSP requests and to resolve specific cases of customer service.
Routine Uses: The information collected may be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the
Privacy Act of 1974, as amended. This includes using the information, as necessary and authorized by the routine
uses published in DHS/ALL 002 Department of Homeland Security Mailing and Other Lists System.
Disclosure: Furnishing this information is voluntary; however, failure to furnish the requested information may delay
or prevent your registration or verification for continued use of service.

STANDARD FORM 314 (Revised 09/2010)(BACK)