First Name Last Name Job Title

Email Phone Number

1. 

(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

8. Brief description of contents and/or subject of the publication

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?

• JACKET NUMBER: What is the GPO jacket number 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

12. Please indicate the formats to be produced. GPO can help you further define specifications for this publication. 

 Contact National Account Managers at nam@gpo.gov or 202.512.1904 

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 

13. If your product is a paper publication, please tell us your printing requirements:

• COVER n Paper n Self n Casebound 

• 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 Officer Information (if different from “about you” above) 

 (Printing Officer First Name) (Printing Officer Last Name) (Printing Officer Email) (Printing Officer Telephone Number) 

 15. Specify intended target audiences

 

16. This publication may be sold to the public? n Yes n No 

17. Recommended for sale by GPO’s Publication and Information Sales program? n Yes n No 

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!)

19. Does this publication have any distribution restrictions? n Yes n No

20. What publication restrictions apply to this publication?

 n Embargoed until n For official use only n For internal use only 

 n Copyright protected n Possible licensing issues n Contains classified material; not for public dissemination

 n Personally Identifiable information (PII – includes social security numbers, account numbers, etc.)

Date submitted 

Jacket #

Program/Print Order # (if known) 

Printer n Main GPO n Direct Deal n SPA 

GPO Source: Regional Office

To ensure that your publication will receive proper consideration for public distribution programs, please 

supply as much of the following information as possible. GPO’s Federal Depository Library Program 

(FDLP) distributes publications to the nation’s libraries, making them more widely available to the public. 

Agencies printing external to GPO are required to provide between 1 - 1000 copies of publications, 

depending on content, for distribution. Distribution is provided at no cost to the Agency. 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 how many additional copies 

are needed. This form itself is not a printing requisition.

At Time of Printing: Send form to IntentToPublish@gpo.gov.

In Advance of Printing: Contact Depository Acquisitions at IntentToPublish@gpo.gov to determine depository quantities.

Contact GPO Sales at IntentToPublish@gpo.gov or fax to 202.512.2104.

ABOUT YOU 

ABOUT YOUR 

PUBLICATION

ABOUT 

PUBLICATION 

CONTENT 

ABOUT 

PUBLICATION 

FORMAT(S) 

SPECIFICATIONS 

FOR PAPER 

PRINTING 

ABOUT TARGET 

AUDIENCES

PLANNED 

PUBLICATION 

MARKETING

ABOUT EXPECTED 

DISTRIBUTION 

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

IMPORTANT NOTE: 

Non-restricted publications 

will automatically be 

considered for inclusion 

in the Federal Depository 

Library Program (FDLP).

GPO Form 3868

04/23

NOTIFICATION OF INTENT TO PUBLISH — Form 3868