Form DHS Form SF319 DHS Form SF319 TELECOMMUNICATIONS SERVICE PRIORITY (TSP) SYSTEM TSP SER

DEPARTMENT OF HOMELAND SECURITY

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

OMB No. 1670-0005
Expires: 07/31/2023

(See Instructions on back before completion.)
The public reporting burden for this collection of information is estimated to average 60 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 ECD/TSP Program Office, CISA – NGR STOP 0645,
1110 N. Glebe Rd., Arlington, VA 20598-0645. 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. 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

–

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

(3) State

6.a. SIGNATURE

SEND COMPLETED FORM TO:

DHS Form SF319 (7/23)

(4) Zip Code

b. Date

ECD/TSP Program Office
CISA – NGR STOP 0645
1110 N. Glebe Rd.
Arlington, VA 20598-0645

OR

SUBMIT VIA EMAIL:

AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE

[email protected]

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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 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.

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.

DHS Form SF319 (7/23)

AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE

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