OMB Control No. 0596-0
Expiration Date: 3/31
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American Heritage Rivers Cover Sheet for Nomination Packet

To be considered, nomination packets must be received by 7:00 p.m. Eastern Standard Time on December 10. 1997.

Mail your completed nomination packet to:
American Heritage Rivers
Executive Office of the President
Old Executive Office Building, Room 360
Washington, DC 20502
Or fax to:
(202) 456-6546
Or e-mail to:
See instructions on American Heritage Rivers
web site at http://www.epa.gov/rivers

1.  Name of Proposed American Heritage River:      Upper Susquehanna-Lackawanna Watershed  

2.  Nominating Organization(s):  Office of Representative Paul E. Kanjorski, Economic Development                                                        Council of Northeastern Pennsylvania                                       

3.  Primary Point of Contact:       Representative Paul E. Kanjorski                                             
     Title:     U.S. Representative (PA-11)                                                                                         

     Organization:    U.S. House of Representatives                                                                          

     Street Address:     The Stegmaier Building / 7 North Wilkes-Barre Boulevard, Suite 400 M        

     City:         Wilkes-Barre                      State:    PA              ZIP:     19702-5283                       

     Phone:       717.825.2200                   Home:  717.735.7940                FAX:      717.825.8685 

4.  Certification and Signature of Primary Point of Contact:
  
  To the best of my knowledge, the information contained in this nomination packet is accurate.

     Name of Contact (print):       Representative Paul E. Kanjorski              

    Title (print):      U.S. Representative                                                               

     Signature:

12/9/97

Limit nominations to 15 pages of 10-point text or larger, using one-inch margins, excluding letters of endorsement of the nominated areas.  Letters of endorsement should include names, addresses, and phone numbers of the supporters.   Letters of support should also indicate the level of support to be given to the American Heritage River plan of action by the individual or organization writing the letter.  Letters of endorsement must be included in the nomination packet; letters of endorsement sent separately will not be considered.  Due to constraints on the review and selection process, additional materials, such as videos, photographs and plans, will not be accepted; however, photographs may be embedded in the text if the total length does not exceed 15 pages.

Facsimile (FAX) of nomination packets will be accepted.  Fax to (202) 456-6546.

Nomination may be submitted electronically.  See instruction on the American Heritage Rivers web site at http://www.epa.gov/rivers.

If faxing or sending electronically, please also complete and mail the cover sheet along with any letters of endorsement.

The nomination packet must be received by 7:00 p.m. Eastern Standard Time on December 10, 1997

Information supplied in the nomination packet will be used to determine eligibility for American Heritage Rivers designation and is required to receive program benefits.

Estimated burden for preparing this application is 32 hours per response.   If you have comments on this burden estimate, contact American Heritage Rivers c/o Council on Environmental Quality, Executive Office of the President, Old Executive Office Building, Room 360, Washington D.C.  20502.  Information supplied in the nomination packet is public and may not be held confidential.  An agency may not contact or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.

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