| Item
1: Action Requested |
Enter "D" to delete/revoke a TSP service's priority. |
| Item 4: TSP
Authorization Code |
Enter the TSP Authorization Code that has been previously assigned
to the service. |
Item 9: Service User
An entry other than "A" requires Federal Government sponsorship
(see Item 12).
| Enter "A" if the service is for any Federal government organization.
Enter "B" for any State government organization.
Enter "C" for any county, city, town, or other local government
organization.
Enter "D" for any private sector organization or private U.S. citizen.
Enter "E" for any foreign government or foreign government organization.
Enter "F" for other.
Enter "G" for U.S. military. |
| Item 10: Service User Organization
(Department/Agency and/or FIPS
Code) |
Federal agencies should enter the appropriate four-digit code
for their organization, as indicated in Federal Information Processing
Standard (FIPS) Publication
95. All others should enter the organization name and the name of
the State (e.g., Nelson County Hospital, Minnesota). |
| Item 11: Service User Point of Contact
|
Enter information regarding the person or office who is responsible
for this service and can provide information about this service.
The form must be signed or it will be returned unprocessed. By signing
this form, the requestor confirms the service is an NS/EP service.
See Request for Initial
TSP Assignment for instructions on completing this item. |
| Item 12: Sponsorship
Information for Non-Federal Government Service
| If the form is being completed by a non-Federal TSP user, a Federal
Sponsor must complete this section. See Request
for Initial TSP Assignment for instructions on completing this
item. |
