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 can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-906 The Fiscal Soundness Reporting Requirements (CMS-906) Form and Instruction
CMS- 906 Supporting Statement A.docx Supporting Statement A
The Fiscal Soundness Reporting Requirements (CMS-906) Form and Instruction

All Historical Document Collections

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