Peer Review Reporting Form (Pr-1) - State Of California Page 2
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4PEER REVIEW INFORMATION
(continued)
Yes
10b. Did your firm submit the peer review report
to the Board within the required 45-day
No
(Please attach a written explanation as to why the report
reporting period?
was not submitted timely.)
Yes
11a. Was the peer review administered by the California Society of
Certified Public Accountants using the American Institute of
No
(Go to question 11b.)
Certified Public Accountants Peer Review Program?
Yes
(Please provide the name of the American Institute of Certified
11b. Was the peer review administered
Public Accountants administering entity.)
by another organization using the
American Institute of Certified
Public Accountants Peer Review
No
(Please provide the name of the Board-recognized peer review
Program?
program that administered the peer review.)
Audit
12.
What was the highest level of
accounting and auditing service
Review
your firm provided during the
Compilations w/disclosures
three-year period encompassing
Compilations w/o disclosures prepared using GAAP
your peer review?
Compilations w/o disclosures prepared using OCBOA
$
13.
What was the cost to have the peer review performed?
0 days
14.
How much time did your firm spend preparing for the peer
review?
1-5 days
6-10 days
10+ days
15.
I hereby certify, under penalty of perjury under the laws of the State of California, that all
statements, answers, and representations on this form, including supplementary information
attached hereto, are true, complete and accurate.
Signature
Date
PERSONAL INFORMATION COLLECTION AND ACCESS
The information provided in this form will be used by the California Board of Accountancy (CBA), to determine qualifications for a Certified
Public Account License. Sections 5080 through 5095 of the Business and Professions Code authorize the collection of this information. Failure to
provide any of the required information is grounds for rejection of the application as being incomplete.
Information provided may be transferred to the Department of Justice, a District Attorney, a City Attorney, or to another government agency
as may be necessary to permit the CBA, or the transferee agency, to perform its statutory or constitutional duties, or otherwise transferred or disclosed
a provided in Civil Code Section 1798.24.
Each individual has the right to review his or her file, except as otherwise provided by the Information Practices Act. Certain information
provided may be disclosed to a member of the public, upon request, under the California Public Records Act.
The Executive Officer of the CBA is responsible for maintaining the information in this application, and may be contacted at 2000 Evergreen
Street, Suite 250, Sacramento, CA 95815, telephone number (916) 263-3680 regarding questions about this notice or access to records.
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