[an error occurred while processing this directive]

PD-1A/4A FORM CONTENTS:
 

Transmittal Letter

bullet

Instructions

bullet

Table 1

bullet

Table 2

bullet
Table 3 bullet
Table 4 bullet

 

Official Seal of the New York State Education Department

THE STATE EDUCATION DEPARTMENT THE UNIVERSITY OF THE STATE OF NEW YORK / ALBANY, NY 12234
_____________________________________________________________________________________________________________________________
MANAGER, STRATEGIC EVALUATION DATA COLLECTION, ANALYSIS AND REPORTING
1613 ONE COMMERCE PLAZA
ALBANY, NEW YORK 12234
Tel. (518) 486-4678
Fax: (518) 408-3363
Email: dataquest@mail.nysed.gov

To: Special Education Data Managers of BOCES
District Superintendents

Date:     October 2006

From: Inni Barone
 
 
Subject:

PD-1A/4A - BOCES Count of Preschool Students with Disabilities and Buildings/Facilities in which School-age Students with Disabilities Receive Special Education Programs and/or Services on December 1, 2006.

Important: Due Date between December 1 and December 15, 2006.

Attached is the PD-1A/4A form to be used to report the number of preschool students with disabilities who are provided preschool special education programs and services, pursuant to section 4410 of the Education Law, in BOCES-operated approved preschool special education programs and the buildings and facilities in which school-age students with disabilities are provided school-age special education programs and/or services, as of December 1, 2006.

The 2006-2007 PD-1A/4A form as compared to the 2005-2006 PD-1A/4A form is modified as follows:

The New York State Education Department (NYSED) will confirm the accuracy of information included in this report as part of the program review process, or as is otherwise indicated. To facilitate such a review for your BOCES, please maintain a listing (hard copy or other readily retrievable format) of all students included in this report until June 30, 2014. Upon completing local verification procedures, if it is determined that data are incorrect, a revised report (i.e., PD-1A/4A form) must be submitted to SED.

Please note that the data collected through the PD forms are used in the following reports and activities:

If you have any questions or are in need of assistance in completing this report, please contact the Strategic Evaluation Data Collection, Analysis and Reporting (SEDCAR) Unit by using the contact information provided in the letterhead. Thank you.

Attachment


The University of the State of New York
THE STATE EDUCATION DEPARTMENT
Office of Vocational and Educational Services for Individuals with Disabilities (VESID)
Strategic Evaluation Data Collection, Analysis and Reporting
One Commerce Plaza - Room 1613
Albany, NY 12234-0001

PD-1A/4A — BOCES Report:
Count of Preschool Students with Disabilities and Buildings/Facilities in Which School-age Students with Disabilities Receive Special Education Programs or Services

Instructions:
  1. Return one copy of this report by December 15, 2006 to the above address. (This report may not be signed or submitted prior to December 1, 2006.)

  2. Retain one copy (and supporting documentation) in your BOCES for reference and audit purposes. The required retention period ends June 30, 2014.

  3. If you have questions about this report, please call (518) 486-4678 or e-mail your questions to dataquest@mail.nysed.gov.

BOCES Information

(Enter 12-digit SED Code Below)
 

                       
BOCES NAME
ADDRESS (include building name, room number, or mail stop information)

 
CITY STATE ZIP

Contact Person Information*

NAME
 
TITLE
 
TELEPHONE (include area code)
 
FAX
E-MAIL ADDRESS
 
E-MAIL ADDRESS

*All correspondence from SEDCAR will be directed to the contact person identified in the PD web based data entry system at http://pd.nysed.gov. Please keep the contact person information current, including the e-mail address as most communication will occur via e-mail.

Certification and Assurances

I have reviewed the information reported on this form and certify that this is a complete and accurate count of students with disabilities served on December 1, 2006. I further certify that the students reported were served in accordance with current Individualized Education Programs and received services in accordance with State standards.

__________________________
Original Ink Signature

___________________
Date Signed

left arrow

Superintendent must sign and date on or after December 1, 2006


__________________________________
Name of Chief Administrative Officer
(Please Type or Print)

     


School Name:  ________________________________________________
 

SED Code: ___________________


Instructions for Completing PD-1A/4A to be Completed by All BOCES

General Directions

American Indian/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.
Asian or Pacific Islander: A person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent, or the Pacific Islands, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. The Pacific Islands include Hawaii, Guam, and Samoa.
Black or African American (not of Hispanic origin): A person having origins in any of the Black racial groups of Africa.
Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
White (not of Hispanic origin): A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Multi-Racial (not of Hispanic Origin): This is not a required reporting category, however, if students are reported in this category on the fall 2006 BEDS enrollment report, they must also be reported in this category on this report. The definition of this category is, a person having origins in two or more of the categories of people classified as American Indian or Alaska Native, Black or African American (not of Hispanic Origin), Asian or Pacific Islander, or White (not of Hispanic Origin). Note: Any person of Hispanic of Latino origin, in whole or in part, should be reported as Hispanic or Latino.

Directions for Table 1: If this BOCES does not operate an approved preschool special education program, place a check in question #1, and skip question #2. If this BOCES operates an approved preschool special education program, in question 2, provide the number of preschool students with disabilities provided special education programs and/or services on December 1, 2006. Such services may include special class, Special Education Itinerant Teacher (SEIT) services, and/or related services, which are provided pursuant to section 4410 of the Education Law. Do not count preschool students who receive evaluation services only. Also, please note that for students receiving SEIT services and/or related services from more than one approved preschool special education program, only the program that provides SEIT services or is designated by the CPSE to coordinate all related services must count the students in this report.

Directions for Table 2: (School-age Students Provided Special Class Programs by BOCES by Race/Ethnicity): In Columns A-E, provide a count of school-age students with disabilities, by race/ethnicity, provided any configuration of special class services (see NYCRR 200.6(g)(4)(i)(ii) and (iii)). Examples of special class configurations include: 15 students to 1 teacher (15:1), 12 students to 1 teacher plus one supplementary school personnel (12:1+1); 8 students to 1 teacher plus one supplementary school personnel (8:1+1), 6 students to 1 teacher plus one supplementary school personnel (6:1+1) and 12 students to 1 teacher plus a ratio of 1 supplementary school personnel for every three students (12:1+3:1). In Column F, provide the total number of such students. Students provided other special education programs or services in addition to special class programs should also be included in this table. Also, students should be included in this table regardless of the amount of time they receive special class programs.

Directions for Table 3 (School-age Students Provided Educational Services Other Than Special Class Programs by BOCES): In Columns A-F, provide a count of students with disabilities, by race/ethnicity, who are not provided special class services but are provided other special education services by BOCES (e.g., special education related services, resource room programs, and consultant teacher services). Include all school-age students with disabilities to whom the BOCES provides special education services other than special class programs, regardless of where such services are provided and regardless of the amount of such services. Students receiving both special class services as well as other special education services should be reported in Table 2 only. In Column G, provide the total number of such students.

Directions for Table 4: Report the race/ethnicity of school-age students with disabilities who are ages 14-21 as of December 1, 2006. In Line 1, report race/ethnicity of students receiving special class programs and in Line 2, report the race/ethnicity of students receiving special education services other than special class programs.

Additional Information for Line 2 of Tables 2 and 3:
Include in these lines students who receive their related academic instruction in a community setting such as a class operated by BOCES at a place of employment and are involved in supported employment/job coaching experiences in the community for the remainder of the day. In order to be included in Line 2, such students must be provided opportunities to interact with nondisabled individuals other than nondisabled individuals who provide services to them. (Students receiving special class programs as well as supported employment/job coaching should be reported in Table 2 only. Students receiving employment/job coaching only should be reported in Table 3 only.)


 

Name of BOCES: __________________________________________ SED Code: ___________________

Table 1
Count of Preschool Students with Disabilities Provided Special Education Programs and/or Services

 
Check here if this BOCES does not operate an approved preschool special education program on December 1, 2006. If this box is checked, skip Table 1 and proceed to Table 2.
 

If this BOCES operates an approved preschool special education program pursuant to section 4410 of the Education Law, in Line 1 report the number of preschool children provided full-time or part-time special class programs and/or special education itinerant teacher (SEIT) services on December 1, 2006. In Line 2, report the number of preschool children provided related services only on December 1, 2006. If children are provided related services as well as special class services and/or SEIT services, they should be included in Line 1 only. Report children by age as of December 1, 2006.

Do not include preschool children receiving evaluation services only in this table.

Please note that for students receiving SEIT services and/or related services from more than one approved preschool special education program, only the program that provides SEIT services or is designated by the CPSE to coordinate all related services must count the students in this report.

Count of Preschool Students with Disabilities Provided Special Education Programs and/or Services

Line No. Type of Special Education Service Ages 3-4* Age 2**
1 Count on December 1, 2006 of preschool children provided full-time or part-time special class services or special education itinerant teacher (SEIT) services pursuant to section 4410 of the Education Law. If children receive special class or SEIT services as well as related services, count them in this line, not in Line 2.    
2 Count on December 1, 2006 of preschool children provided only related services pursuant to section 4410 of the Education Law.    
3 Total    

* Children who are 5 years of age on December 1 are “school-age” children and must be reported in Table 2 or Table 3 of this report, not in Table 1.
** Students who are 2 years old on December 1, 2006 (who will turn 3 years old of age by December 31, 2006) and are receiving preschool special education programs and/or services, pursuant to section 4410 of the Education Law, should be included in the column for students age 2.


Name of BOCES: __________________________________________ SED Code: ___________________
 

Table 2
Buildings and Facilities in Which School-age Students with Disabilities
Receive Special Class Programs Provided by a BOCES
December 1, 2006

 

Line Category Students Provided Special Class Programs by BOCES by Race/Ethnicity
See directions on page 2 for definition and examples of special class programs.
 
Total Number of
Students Provided
Special Class
Programs by BOCES
A B C D E F G
American Indian /
Alaskan Native
Asian / Pacific
Islander
Black (Not of
Hispanic Origin)
Hispanic White (Not of
Hispanic Origin)
Multi-Racial
(Not of Hispanic
Origin)
 
1 Number of students with disabilities provided special class programs by BOCES in a public school district building/facility that is also attended by nondisabled students.              
2 Number of students with disabilities provided special class programs in other than a public school district building/facility that is also attended by nondisabled students. These buildings could be BOCES owned/leased, rented or used under other agreements.              
3 Number of students with disabilities provided special class programs in buildings/facilities attended by students with disabilities only. These buildings could be BOCES owned/leased, rented or used under other agreements.              
4 Number of students with disabilities provided special class programs by BOCES, in the student’s home or in a hospital.              
5 Total of Lines 1-4              

 


Name of BOCES: __________________________________________ SED Code: ___________________
 

Table 3
Buildings and Facilities in Which School-age Students with Disabilities
Receive Special Education Services Other than Special Class Programs Provided by a BOCES
December 1, 2006

 

Line Category Students Provided Special Educational Services Other Than Special Class Programs by BOCES by Race/Ethnicity
(e.g., special education related services, resource room programs, consultant teacher services)

 
Total Number of Students Provided Special Education Services Other Than Special Class Programs by BOCES
A B C D E F G
American Indian /
Alaskan Native
Asian / Pacific
Islander
Black (Not of
Hispanic Origin)
Hispanic White (Not of
Hispanic Origin)
Multi-Racial
(Not of Hispanic
Origin)
 
1 Number of students with disabilities provided special educational services other than special class programs by BOCES in a public school district building/facility that is also attended by nondisabled students.              
2 Number of students with disabilities provided special educational services other than special class programs in other than a public school district building/facility that is also attended by nondisabled students. These buildings could be BOCES owned/leased, rented or used under other agreements.              
3 Number of students with disabilities provided special class programs in buildings/facilities attended by students with disabilities only. These buildings could be BOCES owned/leased, rented or used under other agreements.              
4 Number of students with disabilities provided special educational services other than special class programs by BOCES, in the student’s home or in a hospital.              
5 Total of Lines 1-4              

 


Name of BOCES: __________________________________________ SED Code: ___________________
 

Table 4
Race/Ethnicity of School-age Students with Disabilities (Ages 14-21)
Provided Special Education Services by BOCES on December 1, 2006

Directions: In Line 1, under each race/ethnicity category, enter the number of students with disabilities from Table 2 (students provided special class programs) who are between 14-21 years of age on December 1, 2006.
In Line 2, under each race/ethnicity category, enter the number of students with disabilities from Table 3 (students provided special education services other than special class programs) who are between 14-21 years of age on December 1, 2006.
 
Line Category Race/Ethnicity
A B C D E F G
American Indian /
Alaskan Native
Asian / Pacific
Islander
Black (Not of
Hispanic Origin)
Hispanic White (Not of
Hispanic Origin)
Multi-Racial
(Not of Hispanic
Origin)
 
1 Students with disabilities, ages 14-21 provided special class programs              
2 Students with disabilities, ages 14-21 provided special education services, other than special class programs.              
3 Total of Lines 1-2.              

Top of Page