[date] [Name] [Address] Reference: OMB Circular A-133 Federal Audit Requirements – FY2012/2013 In accordance with the Federal requirements of the Office of Management & Budget Circular A-133, The University Corporation’s efforts to monitor sub recipient of Federal funds include review of A-133 audit reports from sub recipient institutions. Our records indicate that funding was provided to your institution for the fiscal year 20[xx]/20[xx]. As a sub recipient of federal funds, we are requesting certification from your organization that you are in compliance with A-133 requirements. Accordingly, please check the appropriate box below and return with a copy of your audit, if required. _____ Our A-133 audit is not yet complete. We anticipate the audit will be completed by ___________________. Upon completion, we will provide you with a written certification and if material findings are reported and related to our sub award(s) from The University Corporation, we will send you a copy of the audit report and corrective action plan. _____ Our A-133 is complete. The audit presented no material weaknesses, no material instances of noncompliance and no findings related to any sub-award(s) from The University Corporation. Accordingly, no copy of the audit report is enclosed. _____ Our A-133 is complete. Material weaknesses, reportable conditions or findings related to The University Corporation’s sub-award(s) to us were noted. Enclosed is a copy of the audit report. Relevant findings and our response can be found on page(s)_____________________. _____ We are not subject to the provisions of A-133 because ( ) Our organization is for profit ( ) Our organization expended less than $500,000 in Federal funds in FY 20[xx]/20[xx] ( ) Other (explain)____________________________________________________________ _______________________________________________________________________ Authorized signature____________________________________________ Name and Title:________________________________________________ Phone Number__________________________ Address:______________________________________________________ ______________________________________________________ Please mail to: Mahyar Sadri, Sponsored Programs Analyst The University Corporation California State University, Northridge 18111 Nordhoff Street Northridge, CA 91330-8309 Date_______________________