SF317
Telecommunications Service Priority (TSP) System Action Appeal for Service Users
Standard Form 317 (SF 317), TSP Action Appeal for Service Users, is a form of the Telecommunications Service Priority (TSP) System. It names the Department of Homeland Security (DHS) TSP Program Office as the office that receives it, and prints OMB Control Number 1670-0005 with an expiration date of 6/30/2019. GSA hosts a copy in its forms library.
The instructions say to complete the form only if you are a service user or sponsoring Federal organization appealing an action taken by the TSP Program Office. It asks for the appeal requestor's details, the reason for the appeal and, for a non-Federal user, the federal sponsor's information and signature. The TSP Program Office records the resolution in the bottom section.
The form estimates the public reporting burden at an average of 25 minutes per response. You can fill it out free in your browser on this page and download the result without an account.
Name and title, organization (department or agency), mailing address, city, state and ZIP code, telephone number with area code and extension, signature and date. The instructions ask for an individual knowledgeable about the appeal.
The reason for the appeal. The instructions say to use additional sheets if required and to attach copies of all relevant correspondence.
Federal sponsoring agency, sponsor name and title, telephone number, recommended disposition, sponsor signature and date.
A note asks for all information submitted to and received from the Manager, NCS about the appeal, and prints where to send the form and where to send an information copy.
Resolution of the appeal (granted or denied), comments, and the name, signature and date of the person who approved it.
Five numbered steps of the appeal process, from the TSP Program Office to the Manager, NCS and then the FCC, followed by the Privacy Act Notice.
The instructions say to complete it only if you are a service user or sponsoring Federal organization appealing an action taken by the TSP Program Office.
The form says an appeal goes to the TSP Program Office within 30 days of notification to the service user, with supporting factual details. An appeal with a claim of new information may be submitted at any time.
Enter the requestor details, explain the reason for the appeal, attach copies of relevant correspondence, then sign and date item 1.
Item 3 is completed by the federal sponsor, who adds a recommended disposition, signs and dates.
Send the completed form to the TSP Program Office and a copy, clearly marked as an information copy, to the Federal Communications Commission.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form says to send the completed form to DHS, NPPD/CS&C/OEC (Attn: TSP Program Office), 245 Murray Lane, Washington, DC 20598-0615.
A copy goes to the Federal Communications Commission, Attn: Chief, Domestic Services Branch, Common Carrier Bureau, Washington, DC 20554.
The form says the TSP Program Office will determine the disposition of the appeal and respond within 30 days of receipt.
The form says a service user not satisfied with the decision may escalate to the Manager, NCS within 30 days of the notice, with a letter and the earlier appeal package, and then appeal to the FCC within 30 days of that decision.
The burden estimate is an average of 25 minutes per response. The Privacy Act Notice cites 5 U.S.C. §301 and 44 U.S.C. §3101 and says furnishing the information is voluntary.
SF315
72 fields, 2 pages
SF314
93 fields, 2 pages
SF318
93 fields, 2 pages
SF319
73 fields, 2 pages
The instructions and the appeal process on the back of the form describe who appeals and who decides.
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SF 317 is a Telecommunications Service Priority (TSP) System form. It names the DHS TSP Program Office as the receiving office and prints OMB Control Number 1670-0005. GSA hosts a copy in its forms library.
The form says service users or sponsoring Federal organizations may appeal any priority level assignment, denial, revision, revocation, approval, or disapproval by the TSP Program Office.
The form says the appeal goes to the TSP Program Office within 30 days of notification to the service user. An appeal that includes a claim of new information may be submitted at any time.
The form says non-Federal service users must appeal through their sponsor. Item 3 is completed and signed by the sponsoring activity.
The form says a service user who is not satisfied may escalate to the Manager, NCS within 30 days, then appeal to the FCC within 30 days of the Manager, NCS decision. Involved parties may respond to the FCC within 20 days, and the original filer may reply within 10 days.
The Privacy Act Notice says furnishing the information is voluntary, but failure to furnish it may delay or prevent registration or verification for continued use of service.
The form estimates an average of 25 minutes per response, including time for reviewing instructions and gathering the data.
