Fiscal Soundness Reporting Requirements (FSRR) (CMS-906)

OMB 0938-0469

OMB 0938-0469

The information in this collection will be used by the financial review team in order to establish that the MAOs, PDPs, PACE Organizations, 1876 Cost Plans and Demonstration Plans are maintaining fiscally sound organizations.

The latest form for Fiscal Soundness Reporting Requirements (FSRR) (CMS-906) expires 2022-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Supporting Statement A
All Historical Document Collections
Approved without change
 Extension without change of a currently approved collection 2022-03-07
Approved with change
 Extension without change of a currently approved collection 2019-04-25
Approved with change
 Extension without change of a currently approved collection 2016-02-25
Approved without change
 Revision of a currently approved collection 2013-01-03
Approved with change
 Revision of a currently approved collection 2010-04-05
Approved without change
 Revision of a currently approved collection 2008-06-19
Approved without change
 Revision of a currently approved collection 2005-07-22
Approved without change
 Reinstatement with change of a previously approved collection 2001-10-04
Approved without change
 Reinstatement without change of a previously approved collection 1998-03-12
Approved without change
 Reinstatement without change of a previously approved collection 1996-04-26
Approved without change
 Revision of a currently approved collection 1992-11-17
Approved without change
 Reinstatement with change of a previously approved collection 1991-05-03
Approved with change
 No material or nonsubstantive change to a currently approved collection 1986-08-01
Approved without change
 Revision of a currently approved collection 1986-08-18
Approved without change
 Revision of a currently approved collection 1986-04-22
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