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OMB Approved # 3206-0246
Expires: 01/31/2014
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	Agency Officials SFS Main FAQs Registration Login

Agency Officials: Registration

To register as an Agency Official, complete the form below and then select Submit. Required fields are indicated by an asterisk(*). "Agency" should reflect your agency headquarters. (For example, if you work for the Federal Bureau of Investigation, you would select "U.S. Department of Justice" under Agency and Federal Bureau of Investigation under Sub-Agency.) Once you have been approved you will receive an email confirmation. This may take up to two business days.

*Agency:
*Sub-Agency:

*First Name:
*Last Name:
*Address 1:
Address 2:
*City:
*State:
*ZIP+4 Code:	- (+4 is optional)
*Phone Number:	Ext: (Example: ### - ### - ####)
*Fax Number:	(Example: ### - ### - ####)
*Email Address:
Website:
Can we list your name and contact information on our website as a contact for this program to be made available only* to registered Agency Officials, registered students, and registered Principal Investigators? Yes No
Choose a Password - Please choose a password to secure your access for future visits to those pages restricted to Agency Officials. Your password must be at least 8 characters and must contain a combination of uppercase letters (A-Z), lowercase letters (a-z), numbers (0-9) or special characters. Your password is case-sensitive. Upon confirmation from the Program Office, you will be issued a User ID.
*Password:
*Confirm Password:

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