OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 0938-0469 · HHS/CMS.

OMB 0938-0469

The collection instrument information is used by the financial review team to establish whether Medicare Health Plans (Medicare Advantage organizations, Medicare-Medicaid Plans (MMPs), and 1876 Cost Plans), Prescription Drug Plan sponsors (PDPs), and Programs of All-Inclusive Care for the Elderly organizations are demonstrating a fiscally sound operation.

The latest form for Fiscal Soundness Reporting Requirements (FSRR) (CMS-906) expires 2028-07-31 and is listed under ICR 202505-0938-006.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-906 CMS-906 Collection Instrument and InstructionsForm and Instruction
Form CMS-906 The Fiscal Soundness Reporting Requirements (CMS-906)Form and Instruction
CMS- 906 Supporting Statement A.docxSupporting Statement A
CMS- 906 Supporting Statement A.docxSupporting Statement A
The Fiscal Soundness Reporting Requirements (CMS-906) Form and Instruction
The Fiscal Soundness Reporting Requirements (CMS-906) Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202505-0938-006 Extension without change of a currently approved collection 2025-05-21
202202-0938-006 Extension without change of a currently approved collection 2022-03-07 Approved without change
201904-0938-013 Extension without change of a currently approved collection 2019-04-25 Approved with change
201602-0938-006 Extension without change of a currently approved collection 2016-02-25 Approved with change
201301-0938-001 Revision of a currently approved collection 2013-01-03 Approved without change
201004-0938-001 Revision of a currently approved collection 2010-04-05 Approved with change
200806-0938-006 Revision of a currently approved collection 2008-06-19 Approved without change
200507-0938-008 Revision of a currently approved collection 2005-07-22 Approved without change
200110-0938-005 Reinstatement with change of a previously approved collection 2001-10-04 Approved without change
199803-0938-008 Reinstatement without change of a previously approved collection 1998-03-12 Approved without change
199604-0938-004 Reinstatement without change of a previously approved collection 1996-04-26 Approved without change
199211-0938-005 Revision of a currently approved collection 1992-11-17 Approved without change
199105-0938-008 Reinstatement with change of a previously approved collection 1991-05-03 Approved without change
198608-0938-022 No material or nonsubstantive change to a currently approved collection 1986-08-01 Approved with change
198608-0938-007 Revision of a currently approved collection 1986-08-18 Approved without change
198604-0938-011 Revision of a currently approved collection 1986-04-22 Approved without change