PRIVACY ACT ADVISORY STATE
MENT Required by the Privacy Act of 1974 (P.L. 93-579)
The authority for requesting this information is title 17 U.S.C. §409 and §410. Furnishing the requested
information is voluntary. But if the information is not furnished, it may be necessary to delay or refuse
registration, and you may not be entitled to certain relief, remedies, and benets provided in chapters 4
and 5 of title 17 U.S.C.
The principal uses of the requested information are the establishment and maintenance of a public
record and the examination of the application for compliance with the registration requirements of the
copyright code.
Other routine uses include public inspection and copying, preparation of public indexes, preparation of
public catalogs of copyright registrations, and preparation of search reports upon request.
NOTE: No other advisory statement will be given in connection with this application. Please keep this
statement and refer to it if we communicate wit
h you regarding this application.
Give the complete title of the serial, followed by the International
Standard Serial Number (ISSN), if available. List the issues in the
order of publication. For each issue, give the volume, number,
and issue date appearing on the copies, followed by the complete date of
publication, including month, day, and year. If you have not previously
registered this identical title under section 408 of the Copyright Act, please
indicate by checking the box.
Give the fullest form of the author and claimant’s name and mailing
address. If there are joint authors and claimants, give the names
and addresses of all the author/claimants. If the work is not of
U.S. origin, add the citizenship or domicile of the author/claimant, or the
nation of publication.
SPACE 1: Title and Date of Publication
SPACE 2:Author and Copyright Claimant
When to Use this Form: All the following conditions must be met in
order to use this form. If any one of the conditions does not apply, you must
register the issues separately using Form SE or Short Form SE.
1. You must have given a complimentary subscription for two copies of
the serial to the Library of Congress, confirmed by letter to: Library of
Congress, Group Periodicals Registration, Washington, DC 20540-4161
Subscription copies must be mailed separately to the same address.
2. The claim must be in the collective works.
3. The works must be essentially all new collective works or issues.
4. Each issue must be a work made for hire.
5. The author(s) and claimant(s) must be the same person(s) or
organization(s) for all the issues.
6. Each issue must have been created no more than one year prior to
publication.
7. All issues in the group must have been published within the same
calendar year.
For copyright purposes, serials are defined as works issued or intended
to be issued in successive parts bearing numerical or chronological designa-
tions and intended to be continued indefinitely. The classification “serial”
includes periodicals, newspapers, magazines, bulletins, newsletters, annuals,
journals, proceedings of societies, and other similar works.
Which Issues May Be Included in a Group Registration: Yo u
may register two or more issues of a serial published at intervals of one
week or longer under the same continuing title, provided that the issues
were published within a three-month period during the same calendar year.
Deposit to Accompany Application: Send one copy of each issue in-
cluded in the group registration with the application and fee.
Fee: The filing fee is nonrefundable and must be sent with the application
or charged to an active deposit account in the Copyright Office. Make checks
payable to Register of Copyrights. Copyright Office fees are subject to change.
For current fees, please check the Copyright Office website at www.copyright.
gov, write the Copyright Office, or call (202) 707-3000.
Mailing Instructions: Send the application, deposit copies, and fee to-
gether in the same package to: Library of Congress, Copyright Office-SE,
101 Independence Avenue SE, Washington, DC 20559-6226.
International Standard Serial Number (ISSN): ISSN is an internation-
ally accepted code to identify serial publications. If a published serial has
not been assigned an ISSN, application forms and additional information
may be obtained from: Library of Congress, National Serials Data Program,
Serial Record Division, Washington, DC 20540-4160. Call (202) 707-6452. Or
obtain information via the Internet at www.loc.gov/issn. Do not contact the
Copyright Office for ISSNs.
Collective Work: The term “collective work” refers to a work, such as a
serial issue, in which a number of contributions are assembled into a col-
lective whole. A claim in the “collective work” extends to all copyrightable
authorship created by employees of the author, as well as any independent
contributions in which the claimant has acquired ownership of the copy-
right.
Publication: The statute defines “publication” as “the distribution of cop-
ies or phonorecords of a work to the public by sale or other transfer of
ownership, or by rental, lease, or lending.” A work is also “published” if
there has been an “offering to distribute copies or phonorecords to a group
of persons for purposes of further distribution, public performance, or
public display.”
Creation: A work is “created” when it is fixed in a copy (or phonorecord)
for the first time. For a serial, the year in which the collective work was
completed is the creation date.
Work Made for Hire: A “work made for hire” is defined as: (1) a work
prepared by an employee within the scope of his or her employment; or (2)
a work specially ordered or commissioned for certain uses (including use as
a contribution to a collective work), if the parties expressly agree in a written
instrument signed by them that the work shall be considered a work made
for hire. The employer is the author of a work made for hire.
The Copyright Notice: Before March 1, 1989, the use of copyright notice
was mandatory on all published works, and any work first published before
that date should have carried a notice. For works first published on and after
March 1, 1989, use of the copyright notice is optional. For more information
about copyright notice, see Circular 3, Copyright Notice.
For Further Information: To speak to a Copyright Office staff member,
call (202) 707-3000. Recorded information is available 24 hours a day. Order
forms and other publications from: Library of Congress, Copyright Office-
COPUBS, 101 Independence Avenue SE, Washington, DC 20559-6304 or call
the Forms and Publications Hotline at (202) 707-9100. Access and download
circulars, forms, and other information from the Copyright Office website
at www.copyright.gov.
LINE-BY-LINE INSTRUCTIONS
1
2
Certification: The application cannot be accepted unless it bears the
handwritten signature of the copyright claimant or the duly authorized
agent of the copyright claimant.
Person to Contact for Correspondence about This Claim:
Give the name, address, telephone number, area code, fax number, and email
address (if available) of the person to whom any correspondence concerning
this claim should be addressed. Give the address only if it is different from
the address for mailing of the certificate.
Deposit Account: If the filing fee is to be charged against a deposit account
in the Copyright Office, give the name and number of the account in this
space. Otherwise, leave the space blank and forward the filing fee with your
application and deposit.
Mailing Address of Certificate: This address must be complete and
legible since the certificate will be mailed in a window envelope.
(Information continues on reverse)
BASIC INFORMATION
4
Form SE
⁄
Group
Detach and read these instructions before completing this form.
Make sure all applicable spaces have been filled in before you return this form.
