Fillable GPO - Form 3868 Notification of Intent to Publish

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GPO - Form 3868 Notification of Intent to Publish

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NOTIFICATION OF INTENT TO PUBLISH — Form 3868
To insure that your publication will receive proper consideration for public distribution programs, please
supply as much of the following information as you know. GPO’s Federal Depository Library Programs
(FDLP) distribute publications to the nation’s libraries, making them more widely available to the public.
This distribution is provided at no cost to the Agency. It is a benet to producing publications through
GPO. Depending upon content, between 15 – 1200 additional printed copies may be needed for
depository distribution. Another publication distribution outlet you may want to consider utilizing is
GPO Sales.
Please submit this form up to 30 days before sending your Printing Requisition to
learn of the number of additional copies needed. This form itself is not a printing requisition.
At Time of Printing:
Send form to IntentToPublish@gpo.gov or fax to 202.512.1260.
Date submitted
Jacket #
Program/Print Order # (if known)
Printer
Main GPO Direct Deal SPA
GPO Source: Regional Ofce
In Advance of Printing: Contact Depository Acquisitions at 202.512.1585 or IntentToPublish@gpo.gov to determine depository quantities.
Contact GPO Sales at 202.512.2245, IntentToPublish@gpo.gov or fax to 202.312.0181
ABOUT YOU First Name Last Name Job Title
Email Phone Number
ABOUT YOUR
1.
PUBLICATION
(Publishing Agency, Bureau, Commission, etc) (Additional information on publishing agency)
2. Title of Publication
3. Series Title of Publication (if any) and Series Number (if applicable)
4(a). Target Date of publication Month Year 4(b). Estimated Delivery Date Month Year
5. Do you intend that this publication be available online?
n Yes n No Is this publication already available online? n Yes n No
6. If available online currently, please provide the web address:
7. If this publication will be online, but is not yet, when do you anticipate it will be online? Month Year
ABOUT
8. Brief description of contents and/or subject of the publication
PUBLICATION
CONTENT
9. Is the content of this publication new (never before published)?
n Yes n No
10. If not new content, please tell us more about the previous content:
• FORMAT: Is this a new format of a previously published title?
n Yes n No
If yes, what is the format of the other version(s) of this publication (paper, online, other)?
• TITLE: What is the title of the previous version?
• CONTENT: How does the content of this new publication compare with previously published editions?
• REPLACEMENT: Does this publication completely replace/supersede the previous publication?
n Yes n No
If yes, does this publication replace a defective product?
n Yes n No
11(a). Will this publication be recurring?
n Yes n No 11(b). If yes, expected frequency? n Annually n Quarterly n Monthly n Other
ABOUT
12. Please indicate the formats to be produced. GPO can help you further dene specications for this publication.
PUBLICATION
Contact National Account Managers at nam@gpo.gov or 202.512.1904
FORMAT(S)
n Online publication n E-Book n Video n Audio n CD-ROM or DVD n Graphic image publication
n Paper publication n Book n Form n Map n Picture n Other
SPECIFICATIONS
13. If your product is a paper publication, please tell us your printing requirements:
FOR PAPER
• COVER
n Paper n Self n Casebound
PRINTING
• BINDING n Saddle n Side stitch n Adhesive n Sewn n Looseleaf n Punched n Drilled
• INK Four Color Process
n Yes n No Color Ink: (cover) (text)
• SPECS Number of Illustrations Number fold-ins Trim Size Number of Pages Unit of Issue
• PACKING
n Banded n Shrink Wrapped n Individual Cartons n other
14. Printing Ofcer Information (if different from “about you” above)
(Printing Ofcer First Name) (Printing Ofcer Last Name) (Printing Ofcer Email) (Printing Ofcer Telephone Number)
ABOUT TARGET
15. Specify intended target audiences
AUDIENCES
PLANNED
16. This publication may be sold to the public?
n Yes n No
PUBLICATION
17. Recommended for sale by GPO’s Publication and Information Sales program? n Yes n No
MARKETING
18. Please check types of promotions planned by agency for sales copies:
n Flyer n Press Releases n Review Copies n Traditional Advertising n Content promotion at conferences
n Email announcements n Social media outreach by agency through Twitter, Facebook, etc. (ask GPO about help in this area!)
ABOUT EXPECTED
19. Does this publication have any distribution restrictions?
n Yes n No
IMPORTANT NOTE:
DISTRIBUTION
20. What publication restrictions apply to this publication?
Non-restricted publications
will automatically be
n Embargoed until n For ofcial use only n For internal use only
considered for inclusion
n Copyright protected n Possible licensing issues n Contains classied material; not for public dissemination
in the Federal Depository
n Personally Identiable information (PII – includes social security numbers, account numbers, etc.)
Library Program (FDLP).
QUANTITIES FOR DISTRIBUTION
Number of copies for Agency Distribution
Number of copies for Depository Library Distribution By-Law File Copies IES Copies FDLP Item #
Number of copies GPO Sales ride: Paper Copies Price Cloth Copies Price
GPO Sales Stock # Sales Requisition # ISBN or ISSN Subscription
n Yes n No
GPO Form 3868
04/15
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GPO - Form 3868 Notification of Intent to Publish

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Completed 26 May 2020

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