Blocks 1 to 6: the request and contacts
Descriptive title, requester reference number, requesting organization, correspondence symbol, ADP user code or GSA appropriation number, and the liaison contact with building, room and telephone.
GSA917
Request for Information Processing or Data Communications and Networking Support
- Agency
- GSA
- Revision
- Rev. 8/1989
- Fillable fields
- 36
- Pages
- 2
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 917: Request for Information Processing or Data Communications Support
GSA Form 917, Request for Information Processing or Data Communications and Networking Support, is a General Services Administration form, GSA FORM 917 (REV. 8-89). GSA hosts it in its forms library.
The form has two sections. Section I, Requester Information, is completed by the requesting GSA service or staff office: what support is needed, who to contact, the Privacy Act status of the work, and approvals. Section II, Support Office Information, records the support office's control number, target date and estimated cost, and the instructions on the back say the requester should not use it.
The back gives block-by-block instructions for Section I. They say requests must be approved by the Heads of Services and Staff Offices, Regional Administrators, and their designated representatives, and that a completed GSA Form 3537 must be attached or action cannot be taken. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 917
Blocks 7 to 10: signatures and type
The requester's signature and date, an effective date, the service or staff office approval, and the type of support: new recurring, one-time special, modification to existing system, or other.
Block 11: Privacy Act
Three choices: the services do not include processing of a system of records; include one whose notice was published in the Federal Register on a given date; or include a new one to be published not later than 30 days prior to implementation.
Block 12: description and purpose
The instructions give an outline: background, purpose, action required, schedule, security classification and cost statement. Extra sheets may be attached.
Blocks 13 to 15: plan, attachment and cost study
The plan activity number, whether GSA Form 3537 is attached, and whether a cost study is required before initiation.
Section II: support office information
Control number, target date, support office, estimated development and recurring cost in dollars, and the signature and date of the support office director.
How to complete GSA Form 917
- 1
Title and number the request
The instructions say the descriptive title must not exceed 125 characters. The reference number uses a two position correspondence symbol, a three digit 917 number and a two digit fiscal year, as in AA-001-85.
- 2
Give the appropriation if needed
For block 5, the instructions say that when the support requires automated information acquisition, the appropriation or fund must be provided.
- 3
Explain any effective date
When block 8 has a date, the instructions say block 12 explains what will happen if the date is not met.
- 4
Cite the plan activity
Block 13 cites the activity number from the GSA 5-Year Strategic Plan for Automated Information. The instructions say support not in the Plan requires the Plan to be modified first.
- 5
Attach GSA Form 3537 and choose a cost study
Check block 14 and attach a completed GSA Form 3537. In block 15, Yes requests a statement of costs, and the instructions say support is then not provided until the requesting office approves the estimate.
- 6
Sign and get approval
The requester signs block 7, the service or staff office approves in block 9, and Section II is left for the support office.
These steps follow the instructions printed on the back of the form.
Why fill Form GSA917 on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the GSA, not a copy someone retyped
- Works on a phone, tablet or computer
Where it goes and what the form says
Where it goes
The PDF gives no address. Section II is completed by the support office, and its director signs the review in Section II, block 5.
Privacy Act reference
The instructions cite the Privacy Act of 1974, 88 Stat. 1895, 5 U.S.C. 552a, and point to GSA Order ADM 7900.4 for definitions and procedures.
Security and cost reporting
The block 12 outline asks for any national security or other security requirements, and lets the requesting office ask for a periodic estimate of accumulated project costs.
Edition
The footer reads GSA FORM 917 (REV. 8-89). GSA's page lists a current revision date of 08/1989 and no authority or regulation.
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Who uses GSA Form 917?
The form is an internal GSA request. The instructions name these roles.
Official sources and the blank
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Questions about Form GSA917
Who fills out GSA Form 917?
The requesting GSA service or staff office completes Section I. The instructions say the requester should not use Section II, which is for the support office.
Who approves the request?
The instructions say requests must be approved by the Heads of Services and Staff Offices, Regional Administrators, and their designated representatives, in block 9.
What has to be attached?
The instructions say a completed GSA Form 3537 must be attached when requesting information processing or data communications and networking support or action cannot be taken.
How is the requester reference number written?
Two position correspondence symbol, three digit 917 number and two digit fiscal year. The form's example is AA-001-85.
What does the cost study box do?
Checking Yes in block 15 asks for a statement of the costs required to supply the support. The instructions say support is not provided until the requesting office approves the estimated cost.
What does block 11 ask about the Privacy Act?
Whether the services process no system of records, an existing one with its Federal Register publication date, or a new one whose notice will be published not later than 30 days prior to implementation.