REPORT OF CHILDREN WITH DISABILITIES (for reporting race

Report of Children with Disabilities Receiving Special Education Under Part B of the Individuals with Disabilities Education Act (SC)

Att_1820-0043 (Pt B T1) form_RE7 8 27 09

Report of Children with Disabilities receiving Special ED under Part B of IDEA

OMB: 1820-0043

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TABLE 1 – RE7 (for reporting race/ethnicity according to New 10/2007 Guidance)



REPORT OF CHILDREN WITH DISABILITIES

RECEIVING SPECIAL EDUCATION

UNDER PART B OF THE INDIVIDUALS WITH

DISABILITIES EDUCATION ACT, AS AMENDED


Specific State-Designated Date between October 1 and December 1 of 2009



Paperwork Burden Statement


According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1820-0043. The time required to complete this information collection is estimated to average 1.9 hours per LEA and 7.4 hours per SEA response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, D.C. 20202. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: Office of Special Education Programs, U.S. Department of Education, 400 Maryland Avenue, SW, Washington, D.C. 20202.

For States that have been approved for EDFacts-only submission, the State EDFacts Coordinators will submit these data as specified by OSEP via the EDFacts system. All other States must submit electronic versions of the completed data forms to OSEP’s data contractor at [email protected]. OSEP will provide electronic Data Transmission Spreadsheets (DTS) in Microsoft Excel format to facilitate this process. States that are approved to submit these data through EDFacts only are not required to use the DTS. Nevertheless, all States will receive the DTS as a courtesy as they may assist in preparing the data for submission. All States must submit the Certification Form directly to OSEP.


Authorization: P.L. 108-446, §§ 618(a)(1)(A)(i) and 618(a)(3); 34 CFR §§300.640, 300.641, 300.643, 300.644, 300.645


Due Date: February 1, 2010


Sampling Allowed: No


Send Certification Form to: Patricia J. Guard, Acting Director

Office of Special Education Programs

Part B Data Reports

Program Support Services Group

Mail stop 2600

550 12th Street, S.W.

Washington, D.C. 20202

Attn: Cheryl Broady



General Instructions


  1. Report the number of children with disabilities receiving special education and related services according to an individualized education program or service plan1 in place on the count date. This must be an unduplicated count; each child is counted once and only once.


  1. All totals must represent the sum of the preceding rows or columns. Report zeros (0) where there are no children to report in a data cell.


3. The count is to be taken on a state-designated date between October 1, 2009 and December 1, 2009 (inclusive), and that date should remain consistent each year.2 Children ages 3-5 and 6-21 must be reported according to their disability category and discrete age year based upon each child's age as of the data collection date. Children ages 3-5 and ages 6-21 should be reported by their race/ethnicity and disability category.


4. If a child has more than one primary disability, the child must be reported accorded to the following procedure:

    • If a child has only two primary disabilities and those disabilities are deafness and blindness, and the child is not reported as having a developmental delay, that child must be reported under the category “deaf-blindness.”

    • A child who has more than one primary disability and is not reported as having deaf-blindness or as having a developmental delay must be reported under the category “multiple disabilities.”


5. The reporting of data on developmental delay is optional. Only children ages 3 through 9 may be reported in the developmental delay disability category and then only in States with the diagnostic instruments and procedures to measure delays in physical, cognitive, communication, social or emotional, or adaptive development. States must have defined and established eligibility criteria for developmental delay in order to report children in this category. Although Federal law does not require that States and LEAs categorize children according to developmental delay, if this category is required by State law, States are expected to report these children in the developmental delay category.


6. While States may use sampling to obtain data for discrete ages, data for age groupings must be actual counts.


  1. States should not provide percentages in sections B through E, as they will be calculated after the counts are submitted.


  1. In providing data for this collection, the State is to submit complete and unsuppressed data.



Specific Instructions


Section B. Discrete Age by Disability of Children Ages 3-5 Receiving Special Education


In Section B, indicate for each discrete age and type of disability the number of children receiving special education and related services according to an individualized education program. States are required to complete the entire table, providing data for discrete ages, age groupings, and disability categories.


Sections C and E. Race/Ethnicity by Disability of Children Receiving Special Education


In October 2007, the Department of Education published its Final Guidance on Maintaining, Collecting and Reporting Racial and Ethnic Data to the U.S. Department of Education in the Federal Register (Vol. 72, No. 202, available at http://www.gpoaccess.gov/nara/index.html ), referred to in these instructions as the new guidance. The procedures for collecting, aggregating, and reporting race and ethnicity, as described in the new guidance, must be implemented by no later than the report of the 2010 Child Count data. When implementing the new reporting guidance, SEAs must do so at the beginning of the relevant reporting period and must apply the guidance consistently to ALL data reported within that period.


DO NOT USE THIS form for reporting race/ethnicity within the five categories as defined and applied in previous years.3 To report Child Count under the five race/ethnicity categories, you must use Table 1 – RE5 (5 race/ethnicity reporting categories as used prior to 2007 guidance).


SEAs who have fully implemented the Department of Education’s new guidance (10/07) should report all children with disabilities according to the seven categories listed below. The following definitions of the seven categories for aggregate report of race/ethnicity have been adapted from definitions appearing in the new guidance.


Hispanic/Latino

A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. Refers to Hispanic and/or Latino.

American Indian or Alaska Native

A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment. (Does not include persons of Hispanic/Latino ethnicity.)

Asian

A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent. This includes, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. (Does not include persons of Hispanic/Latino ethnicity.)

Black or African American

A person having origins in any of the Black racial groups of Africa. (Does not include persons of Hispanic/Latino ethnicity.)

Native Hawaiian or Other Pacific Islander

A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or the Pacific Islands. (Does not include persons of Hispanic/Latino ethnicity.)

White

A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. (Does not include persons of Hispanic/Latino ethnicity.)

Two or more races

A person having origins in two or more of the five race categories listed immediately above. (Does not include persons of Hispanic/Latino ethnicity.)

Total

The unduplicated total across the seven (7) race/ethnicity designations.


Note that each child should be reported in only one of the race/ethnicity categories, above.


Section C. Race/Ethnicity by Disability of Children Ages 3 – 5 Receiving Special Education


Report the total number of students with disabilities ages 3-5 by disability condition and race/ethnicity category. Enter an unduplicated number of all children with disabilities ages 3-5 by race/ethnicity category. Use the race/ethnicity categories and procedures described for Sections C and E, above. Note that students may only be reported in one race/ ethnicity category.


Section D. Discrete Age by Disability of Children Ages 6-21 Receiving Special Education


Indicate for each age category and type of disability the number of children receiving special education and related services according to an individualized educational program. States are required to complete the entire table, providing data for discrete ages, age groupings, and disability categories.


Section E. Race/Ethnicity by Disability of Children Ages 6-21 Receiving Special Education


Report the total number of students with disabilities ages 6-21 by disability condition and race/ethnicity categories. Use the race/ethnicity categories and procedures described for Sections C and E, above. Note that students may only be reported in one race/ ethnicity category.


Section F. Certification


Paper copy of the Child Count certification (page 8 of 8 of the attached Table) must be signed by the Chief State School Officer or the individual authorized by the State to certify these counts. This procedure applies both to States that are reporting data tables directly to OSEP and States that have been approved for EDFacts-only data submission procedures.


Please note: To reduce data burden, the total number of children in each gender and Limited English Proficiency status category are included on the Educational Environments report (Table 3). These data are not reported on Table 1.



U.S. DEPARTMENT OF EDUCATION

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES

OFFICE OF SPECIAL EDUCATION

PROGRAMS

TABLE 1


REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION

PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED

PAGE 1 OF 8


OMB NO.: 1820-0043


FORM EXPIRES: xx/xx/xxx


2009






STATE: ____________________





SECTION A. DATA COLLECTION DATE




COUNT DATE:



MONTH



DAY



YEAR



U.S. DEPARTMENT OF EDUCATION

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES

OFFICE OF SPECIAL EDUCATION

PROGRAMS

TABLE 1


REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION

PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED

PAGE 2 OF 8


OMB NO.: 1820-0043


FORM EXPIRES: xx/xx/xxx


2009




STATE: ____________________



SECTION B. DISCRETE AGE BY DISABILITY FOR CHILDREN AGES 3-5 RECEIVING SPECIAL EDUCATION




DISABILITY


AGE AS OF DATA COLLECTION DATE


3


4


5


3-5


3-5

(PERCENT)1


MENTAL RETARDATION











HEARING IMPAIRMENTS











SPEECH OR LANGUAGE IMPAIRMENTS











VISUAL IMPAIRMENTS











EMOTIONAL DISTURBANCE











ORTHOPEDIC IMPAIRMENTS











OTHER HEALTH IMPAIRMENTS











SPECIFIC LEARNING DISABILITIES











DEAF-BLINDNESS











MULTIPLE DISABILITIES











AUTISM











TRAUMATIC BRAIN INJURY











DEVELOPMENTAL DELAY2











TOTAL: (Sum of all the above)









100%


1 States should not provide percentages in this section, as they will be calculated after the counts are submitted.

2 States must have defined and established eligibility criteria for developmental delay in order to use this category for reporting.


ED FORM: 869-5


ED FORM: 869-5

U.S. DEPARTMENT OF EDUCATION

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES

OFFICE OF SPECIAL EDUCATION

PROGRAMS

TABLE 1


REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION

PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED

PAGE 3 OF 8


OMB NO.: 1820-0043


FORM EXPIRES: xx/xx/xxx


2009



STATE: ____________________


SECTION C RACE/ETHNICITY BY DISABILITY OF CHILDREN AGES 3-5 RECEIVING SPECIAL EDUCATION (2007 Reporting Guidelines)



DISABILITY


RACE/ETHNICITY


HISPANIC/LATINO


AMERICAN INDIAN OR ALASKA NATIVE


ASIAN



BLACK OR AFRICAN AMERICAN


NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER


WHITE

TWO OR MORE RACES

TOTAL

MENTAL RETARDATION














HEARING IMPAIRMENTS














SPEECH OR LANGUAGE IMPAIRMENTS














VISUAL IMPAIRMENTS














EMOTIONAL DISTURBANCE














ORTHOPEDIC IMPAIRMENTS














OTHER HEALTH IMPAIRMENTS














SPECIFIC LEARNING DISABILITIES














DEAF-BLINDNESS














MULTIPLE DISABILITIES














AUTISM














TRAUMATIC BRAIN INJURY














DEVELOPMENTAL DELAY1














TOTAL: (Sum of all the above)














TOTAL: (PERCENT)2








100%


1 States must have defined and established eligibility criteria for developmental delay in order to use this category for reporting.

2 States should not provide percentages in this section, as they will be calculated after the counts are submitted.


ED FORM: 869-5

U.S. DEPARTMENT OF EDUCATION

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES

OFFICE OF SPECIAL EDUCATION

PROGRAMS

TABLE 1


REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION

PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED

PAGE 4 OF 8


OMB NO.: 1820-0043


FORM EXPIRES: xx/xx/xxx


2009




STATE: ____________________



SECTION D. DISCRETE AGE BY DISABILITY OF CHILDREN AGES 6-21 RECEIVING SPECIAL EDUCATION



DISABILITY


AGE AS OF DATA COLLECTION DATE


6


7


8


9




10


11


MENTAL RETARDATION













HEARING IMPAIRMENTS













SPEECH OR LANGUAGE IMPAIRMENTS













VISUAL IMPAIRMENTS













EMOTIONAL DISTURBANCE













ORTHOPEDIC IMPAIRMENTS













OTHER HEALTH IMPAIRMENTS













SPECIFIC LEARNING DISABILITIES













DEAF-BLINDNESS













MULTIPLE DISABILITIES













AUTISM













TRAUMATIC BRAIN INJURY













DEVELOPMENTAL DELAY1













TOTAL: (Sum of all the above)













1 States must have defined and established eligibility criteria for developmental delay in order to use this category for reporting.


ED FORM: 869-5

U.S. DEPARTMENT OF EDUCATION

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES

OFFICE OF SPECIAL EDUCATION

PROGRAMS

TABLE 1


REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION

PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED

PAGE 5 OF 8


OMB NO.: 1820-0043


FORM EXPIRES: xx/xx/xxx


2009




STATE: ____________________



SECTION D (CONTINUED)




DISABILITY


AGE AS OF DATA COLLECTION DATE


12


13


14


15


16


17


MENTAL RETARDATION














HEARING IMPAIRMENTS














SPEECH OR LANGUAGE IMPAIRMENTS














VISUAL IMPAIRMENTS














EMOTIONAL DISTURBANCE














ORTHOPEDIC IMPAIRMENTS














OTHER HEALTH IMPAIRMENTS














SPECIFIC LEARNING DISABILITIES














DEAF-BLINDNESS














MULTIPLE DISABILITIES














AUTISM














TRAUMATIC BRAIN INJURY














DEVELOPMENTAL DELAY














TOTAL: (Sum of all the above)














ED FORM: 869-5

U.S. DEPARTMENT OF EDUCATION

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES

OFFICE OF SPECIAL EDUCATION

PROGRAMS

TABLE 1


REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION

PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED

PAGE 6 OF 8


OMB NO.: 1820-0043


FORM EXPIRES: xx/xx/xxx


2009




STATE: ____________________



SECTION D (CONTINUED)




DISABILITY


AGE AS OF DATA COLLECTION DATE


18


19


20


21


6-21

(NUMBER)


6-21

(PERCENT)1


MENTAL RETARDATION
















HEARING IMPAIRMENTS
















SPEECH OR LANGUAGE IMPAIRMENTS
















VISUAL IMPAIRMENTS
















EMOTIONAL DISTURBANCE















ORTHOPEDIC IMPAIRMENTS
















OTHER HEALTH IMPAIRMENTS
















SPECIFIC LEARNING DISABILITIES
















DEAF-BLINDNESS
















MULTIPLE DISABILITIES
















AUTISM
















TRAUMATIC BRAIN INJURY
















DEVELOPMENTAL DELAY2
















TOTAL: (Sum of all the above)











100%



100%


1 States should not provide percentages in this section, as they will be calculated after the counts are submitted.

2 States must have defined and established eligibility criteria for developmental delay in order to use this category for reporting.


ED FORM: 869-5




U.S. DEPARTMENT OF EDUCATION

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES

OFFICE OF SPECIAL EDUCATION

PROGRAMS

TABLE 1


REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION

PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED

PAGE 7 OF 8


OMB NO.: 1820-0043


FORM EXPIRES: xx/xx/xxx


2009




STATE: ____________________



SECTION E. RACE/ETHNICITY BY DISABILITY OF CHILDREN AGES 6-21 RECEIVING SPECIAL EDUCATION (2007 Reporting Guidelines)



DISABILITY


RACE/ETHNICITY


HISPANIC/LATINO


AMERICAN INDIAN OR ALASKA NATIVE


ASIAN



BLACK OR AFRICAN AMERICAN


NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER


WHITE

TWO OR MORE RACES

TOTAL

MENTAL RETARDATION














HEARING IMPAIRMENTS














SPEECH OR LANGUAGE IMPAIRMENTS














VISUAL IMPAIRMENTS














EMOTIONAL DISTURBANCE














ORTHOPEDIC IMPAIRMENTS














OTHER HEALTH IMPAIRMENTS














SPECIFIC LEARNING DISABILITIES














DEAF-BLINDNESS














MULTIPLE DISABILITIES














AUTISM














TRAUMATIC BRAIN INJURY














DEVELOPMENTAL DELAY1














TOTAL: (Sum of all the above)














TOTAL: (PERCENT)2








100%


1 States must have defined and established eligibility criteria for developmental delay in order to use this category for reporting.

2 States should not provide percentages in this section, as they will be calculated after the counts are submitted.


ED FORM: 869-5

U.S. DEPARTMENT OF EDUCATION

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES

OFFICE OF SPECIAL EDUCATION

PROGRAMS

TABLE 1


REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION

PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED

PAGE 8 OF 8


OMB NO.: 1820-0043


FORM EXPIRES: xx/xx/xxx


2009






REPORT DUE NO LATER THAN FEBRUARY 1



STATE: ____________________



SECTION F. CERTIFICATION




I CERTIFY that these data represent an accurate and unduplicated count of children with disabilities receiving special education and related services according to an Individualized Education Program on my State’s designated child count date, which falls between October 1 and December 1 of 2009.



AUTHORIZING OFFICIAL








NAME AND TITLE (TYPE OR PRINT)







SIGNATURE







DATE OF SIGNATURE



ED FORM: 869-5


1 Children enrolled in private school by a parent, but who are still receiving special education services through the LEA, may have a service plan rather than an IEP. These children should be included in the child count.

2 OSEP recognizes that, rather than referencing a numerical date (such as November 1) for taking its Child Count each year, some States may have identified a specific day of the week in a given month each year (such as the last Friday of each October). In addition, some States may be unable to reference the same Child Count date if, in a given year, that date falls on a weekend. Therefore, it is acceptable for the actual date of the Child Count in any given year to slide within six (6) days of the State-established reference date without generating any error flags upon submission to the Federal data system.

3 If your State is collecting race/ethnicity information in a manner that is NOT in full accordance with the new guidance (including the two-part question format for ascertaining and reporting Hispanic ethnicity), you should report aggregate data through the 5-category format ( the ‘…-RE5’ version of the form for this collection) until your State is prepared to fully implement the new guidance, and then to do so for all of the IDEA Part B collections associated with the given reporting reference year (e.g., 2010-11 year). Until you make that full transition, you should use the –RE5 version of this form and apply either of two options to account for students who are identified as multiracial or two or more races, as described in the document entitled, “Handling Missing Data When Reporting Race/Ethnicity” (https://www.ideadata.org/docs/PartBRaceEthnicity.doc).

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