Form DHS Form 10043 DHS Form 10043 SME Registration

DHS S&T Biodefense Knowledge Center Subject Matter Expert Registration Form

Cover Sheet

1. Department Name: Department of Homeland Security

2. Component/Agency Name: Science and Technology Directorate, Chem/Bio Division

3. OMB Control Number: 1640-0013

4. Expiration Date: TBD (three years from approval date)

5. Agency Form Number: DHS FORM 10043 (2/08)

6. Name of Form: Subject Matter Expert Registration Form

7. Purpose of Form: Allow subject matter experts to register and update contact and specialty information.

8. How to submit: Submit online at https://bkms.llnl.gov/bkms/reg/registrationInfo.iface or mail to Department of Homeland Security, Science and Technology/ Chem/Bio Division, 245 Murray Drive, Washington, DC, 20528.