Significant Disproportionality Reporting Form

Select State/Entity

SECTION V.B.
SIGNIFICANT DISPROPORTIONALITY REPORTING FORM
Introduction:

In accordance with 34 CFR § 300.647 (b)(7), States are required to report to the Secretary risk ratio thresholds,
minimum cell sizes, minimum n-sizes, standards for measuring reasonable progress, if appropriate, and rationales for
each. In general, these rationales must contain justifications for the choices made, including all relevant data and
research relied upon to make an informed choice and how the State included stakeholders in that process. Additionally,
pursuant to the authority established in Section 618(a)(3) of the IDEA, the Secretary is also requiring States to report
the number of years of data used by your State in making annual determinations of significant disproportionality.

Section A: Minimum N-Sizes

1. Has the State:
a. established a minimum n-size of 30 or less in each of the 14 categories of analysis
described in § 300.647(b)(3) and (4) and
b. verified that the State does not expect to have a comparison group in any of the
categories of analysis that meets the minimum n-size?

Yes

No

Yes

No

Yes

No

If you answered YES to question 1, stop. Go to Page 14, enter the name, title and click "Submit".
2. Does your State use a presumptively reasonable minimum n-size of 30 or less for each of
the 14 categories of analysis described in § 300.647(b)(3) and (4)?
If you answered YES to question 2 please answer question 2a:
2a. Does your State use the same minimum n-size for all categories of analysis?
If you answered YES to question 2a:
• Fill in Table 1 below by providing the minimum n-size and rationale.
If you answered NO to question 2a:
• Fill in Table 2 below by providing the minimum n-sizes and rationales for each category of
analysis.
If you answered NO to question 2 please read below and answer question 2b:
Minimum N-Size Detailed Rationale(s) Required
In addition to the justification described in the Introduction, the rationale(s) must include a detailed explanation
of why the numbers chosen are reasonable and how they ensure that the State is appropriately analyzing and
identifying LEAs with significant disparities based on race and ethnicity in the identification, placement, or
discipline of children with disabilities, as required by § 300.647(b)(7).
2b. Does your State use the same minimum n-size for all categories of analysis?

Yes

No

If you answered YES to question 2b:
• Fill in Table 1 below by providing the minimum n-size and detailed rationale.
If you answered NO to question 2b:
•

Fill in Table 2 below by providing the minimum n-sizes and detailed rationales for each category
of analysis over 30.

Part B Annual State Application: FFY 2023
OMB No. 1820-0030/Expiration Date –x-xx-xxxx

Section V -2

Table 1: Minimum N-Size — Same Minimum N-Size for all Categories of Analysis
Category of Analysis
All categories of
analysis

Minimum
N-Size

Table 2: Minimum N-Size — Multiple Minimum N-Sizes
Category of Analysis
All disabilities

Minimum
N-Size

Rationale
(detailed rationale required if minimum n-size is more than 30)

Rationale
(detailed rationale required if minimum n-size is more than 30)

Autism

Emotional
disturbance

Intellectual disability

Part B Annual State Application: FFY 2023
OMB No. 1820-0030/Expiration Date –x-xx-xxxx

Section V -3

Category of Analysis
Other health
impairments

Minimum
N-Size

Rationale
(detailed rationale required if minimum n-size is more than 30)

Specific learning
disability

Speech and language
impairments

Inside a regular
classroom less than
40% of day

Inside separate
schools and
residential facilities

Total disciplinary
removals

Out of school
suspensions
<10 days

Part B Annual State Application: FFY 2023
OMB No. 1820-0030/Expiration Date –x-xx-xxxx

Section V -4

Category of Analysis
Out of school
suspensions
>10 days

Minimum
N-Size

Rationale
(detailed rationale required if minimum n-size is more than 30)

In school suspensions
<10 days

In school suspensions
>10 days

Section B: Minimum Cell Sizes

3. Does your State use a presumptively reasonable minimum cell size of 10 or less for each
of the 14 categories of analysis described in § 300.647(b)(3) and (4)?

Yes

No

Yes

No

If you answered YES to question 3 please answer question 3a:
3a. Does your State only use one minimum cell size of 10 or less for
all categories of analysis?
If you answered YES to question 3a:
•

Fill in Table 3 below by providing the minimum cell size and rationale.

If you answered NO to question 3a:
•

Fill in Table 4 below by providing the minimum cell sizes and rationales for each category of analysis.

Part B Annual State Application: FFY 2023
OMB No. 1820-0030/Expiration Date – x-xx-xxxx

Section V -5

If you answered NO to question 3 please read below and answer question 3b:
Minimum Cell Size Detailed Rationale(s) Required
In addition to the justification described in the Introduction, the rationales must include a detailed explanation of why the numbers chosen are
reasonable and how they ensure that the State is appropriately analyzing and identifying LEAs with significant disparities, based on race and ethnicity,
in the identification, placement, or discipline of children with disabilities, as required by § 300.647(b)(7).
3b. Does your State use the same minimum cell size for all categories of analysis?

Yes

No

If you answered YES to question 3b:
•

Fill in Table 3 below by providing the minimum cell size and detailed rationale.

If you answered NO to question 3b:
•

Fill in Table 4 below by providing the minimum cell size and detailed rationales for each category of analysis over 10.

Table 3: Minimum Cell Size — Same Minimum Cell Size for all Categories of Analysis
Category of Analysis
All categories of
analysis

Minimum
Cell Size

Rationale
(detailed rationale required if minimum cell size is more than 10)

Table 4: Minimum Cell Size — Multiple Minimum Cell Sizes
Category of Analysis
All disabilities

Minimum Cell
Size

Rationale
(detailed rationale required if minimum cell size is more than 10)

Autism

Part B Annual State Application: FFY 2023
OMB No. 1820-0030/Expiration Date – x-xx-xxxx

Section V -6

Category of Analysis
Emotional disturbance

Minimum Cell
Size

Rationale
(detailed rationale required if minimum cell size is more than 10)

Intellectual disability

Other health impairments

Specific learning disability

Speech and language
impairments

Inside a regular classroom less
than 40% of day

Inside separate schools and
residential facilities

Part B Annual State Application: FFY 2023
OMB No. 1820-0030/Expiration Date – x-xx-xxxx

Section V -7

Category of Analysis
Total disciplinary removals

Minimum Cell
Size

Rationale
(detailed rationale required if minimum cell size is more than 10)

Out of school suspensions <10
days

Out of school suspensions >10
days

In school suspensions <10 days

In school suspensions >10 days

Section C: Risk Ratio Thresholds

4. Does your State use one risk ratio threshold for each of the 14 categories of
analysis described in § 300.647(b)(3) and (4)?

Yes

No

If you answered YES to question 4:
• Fill in Table 5 below by providing the risk ratio threshold and rationale.

If you answered NO to question 4:
• Fill in Table 6 below by providing the risk ratio thresholds and rationales for each category of analysis.
Part B Annual State Application: FFY 2023
OMB No. 1820-0030/Expiration Date – X-XX-XXXX

Section V -8

Table 5: Risk Ratios — Same Risk Ratio Threshold for all Categories of Analysis
Category of Analysis
All categories of
analysis

Risk Ratio
Threshold

Table 6: Risk Ratios — Multiple Risk Ratio Thresholds
Category of Analysis
All disabilities

Risk Ratio
Threshold

Rationale

Rationale

Autism

Emotional disturbance

Intellectual disability

Part B Annual State Application: FFY 2023
OMB No. 1820-0030/Expiration Date – x-xx-xxxx

Section V -9

Category of Analysis
Other health impairments

Risk Ratio
Threshold

Rationale

Specific learning disability

Speech and language
impairments

Inside a regular classroom
less than 40% of day

Inside separate schools and
residential facilities

Total disciplinary removals

Out of school suspensions
<10 days

Part B Annual State Application: FFY 2023
OMB No. 1820-0030/Expiration Date – x-xx-xxxx

Section V -10

Category of Analysis
Out of school suspensions
>10 days

Risk Ratio
Threshold

Rationale

In school suspensions <10
days

In school suspensions >10
days

Section D: Reasonable Progress

5. Does your state utilize the reasonable progress flexibility?

Yes

No

Yes

No

If you answered NO to question 5, proceed to question 6.
5a. Does your state utilize the same reasonable progress flexibility for each of
the 14 categories of analysis described in § 300.647(b)(3) and (4)?

If you answered YES to question 5a:
• Fill in Table 7 below by providing the State’s standard for measuring reasonable progress and rationale.
If you answered NO to question 5a:
• Fill in Table 8 below by providing the State’s standards for reasonable progress and the rationale for each category of analysis.

Part B Annual State Application: FFY 2023
OMB No. 1820-0030/Expiration Date – x-xx-xxxx

Section V -11

Table 7: Reasonable Progress — Same Standard for all Categories of Analysis
Standard

Rationale

Table 8: Reasonable Progress — Multiple Standards

Rationale

Category of Analysis
All categories of
analysis

Category of Analysis
All disabilities

Standard

Autism

Emotional
disturbance

Intellectual disability

Other health
impairments

Part B Annual State Application: FFY 2023
MB No. 1820-0030/Expiration Date – x-xx-xxxx

Section V -12

Category of Analysis
Specific learning
disability

Standard

Rationale

Speech and language
impairments

Inside a regular
classroom less than
40% of day

Inside separate
schools and
residential facilities

Total disciplinary
removals

Out of school
suspensions
<10 days

Out of school
suspensions
>10 days

Part B Annual State Application: FFY 2023
OMB No. 1820-0030/Expiration Date – x-xx-xxxx

Section V -13

Category of Analysis
In school
suspensions
<10 days

Standard

Rationale

In school
suspensions
>10 days

Section E: Number of Years of Data

6. Does your state use the same number of years of data in making annual
determinations of significant disproportionality for each of the 14 categories of
analysis described in § 300.647(b)(3) and (4)?

Yes

No

If you answered YES to question 6:
• Fill in Table 9 below by providing the number of years of data the State uses in making annual determinations of significant disproportionality.
If you answered NO to question 6:
• Fill in Table 10 below by providing the number of years of data the State uses in making annual determinations of significant disproportionality for
each category of analysis.

Table 9: Years of Data — Same Number of Years Used for all Categories of Analysis
Category of Analysis

Number of Years of Data Used

All categories of analysis

Part B Annual State Application: FFY 2023
OMB No. 1820-0030/Expiration Date – x-xx-xxxx

Section V -14

Table 10: Years of Data — Multiple Number of Years of Data Used
Category of Analysis

Number of Years of Data Used

All disabilities
Autism

Emotional disturbance
Intellectual disability
Other health impairments
Specific learning disability
Speech and language impairments
Inside a regular classroom less than 40% of day
Inside separate schools and residential facilities
Total disciplinary removals
Out of school suspensions <10 days
Out of school suspensions >10 days
In school suspensions <10 days
In school suspensions >10 days

Name of Individual Preparing the Form:
Title of Individual Preparing the Form:
Date:

SUBMIT
Part B Annual State Application: FFY 2023
OMB No. 1820-0030/Expiration Date – x--xx-xxxx

Section V -15