Televisions in the A2 Cafeteria Survey

OMB Control No. 3095-0070
Expiration date 12/31/2020

Televisions in the A2 Cafeteria
Survey questions:
1. From the five television channels listed below, please rank your level of preference
for each of them to be displayed on the televisions in the A2 cafeteria. (Note, a rank
of “1” denotes the highest preferred, and a rank of “5” denotes the least preferred.)
a. CNN
b. ESPN
c. Fox News
d. HGTV
e. National Geographic
2. If you prefer a TV channel that is not listed in the list above, please share it in the
space provided. [Open textbox with 20-character limit.]

PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENT
You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form
displays a valid OMB control number. Public burden reporting for this collection of information is estimated to be less than 2
minutes per response. Send comments regarding the burden estimate or any other aspect of the collection of information, including
suggestions for reducing this burden, to National Archives and Records Administration (MP), 8601 Adelphi Rd, College Park, MD
20740-6001. DO NOT SEND COMPLETED FORMS TO THIS ADDRESS.