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PD-5B FORM CONTENTS:
 

Transmittal Letter

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Instructions

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Section A

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Section B

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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 and Chief School Officers of
Approved Private School Programs, Special Act School Districts
State-Supported (Section 4201) Schools, and State-Operated Schools

Date:     October 2006

From: Inni Barone
 
 
Subject:

PD-5B - Approved In-State and Out-of-State Private Schools, Special Act School Districts, State-Operated and State-Supported Schools Report of Students with Disabilities: Section A - Exiting Special Education or Returning to School District Special Education Programs and Section B - Postsecondary Education and Employment Plans, 2006-2007.

Important: Due Date between July 1 and July 13, 2007

The New York State Education Department collects data regarding the manner in which students with disabilities exit special education, including students who are declassified and returned to general education programs, and postsecondary education and employment plans of students with disabilities. Such data are collected annually from public school districts, Boards of Cooperative Educational Services (BOCES), State agency programs and Charter Schools. The enclosed PD-5B report has been designed to collect such information from approved private schools and State-operated and State-supported schools. This form is identical to the form used by other educational institutions.

Attached is a PD-5B form for your use in reporting the following data for the 2006-07 school year:

Please note the following:

Compared to the PD-5B report for 2005-2006 school year, the PD-5B for 2006-2007 has been revised as follows:

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-5B – Approved In-State and Out-of-State Private Schools, Special Act School Districts, State-Operated and State-Supported Schools Report of Students with Disabilities:
Section A- Exiting Special Education or Returning to School District Special Education Programs and Section B- Postsecondary Education and Employment Plans
July 1, 2006 to June 30, 2007

Instructions:
  1. Return one copy of this report between July 1 and July 13, 2007 to the above address.
    Please do not return this form before June 30, 2007.
  2. Retain one copy (and supporting documentation) in your program files for reference and audit purposes.
    The required retention period ends June 30, 2014.
  3. Carefully read the Instructions and Definitions on the following pages.
  4. If you have questions about this report, please call (518) 486-4678, or e-mail your questions to dataquest@mail.nysed.gov
 
Check this box if no student exited special education or returned to school district programs (including
students declassified between the ages of 3 and 21) within the report period.
 

Note: If this box is checked, please complete this page only and return it to the address at the top of this page.

PROGRAM Information

(Enter 12-digit SED Code Below)
 

                       
PROGRAM NAME
ADDRESS

 
CITY STATE ZIP
Contact Person Information*
NAME
 
TITLE
 
TELEPHONE
 
FAX
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.


Definitions and Instructions for Completing the PD-5B Report

  1. This report should be completed in consultation with school district personnel to confirm the exit status of students with disabilities who were placed by the school districts in your program and provided special education services and who left your school during the reporting period.
  2. Report information for all students with disabilities (ages 3-21) who were provided special education programs/services by this program. In Section A, Table 1, report the number of students, ages 3-13, who were declassified; In Section A, Table 2, report the number of school-age students (ages 14-21) who exited special education through the basis listed, and school-age students, ages 4-21, who returned to school district special education programs. In Section B, report the postsecondary education and employment plans of the students with disabilities who have completed their program or dropped out.
  3. If this program does not operate an approved preschool program (pursuant to sections 4410 or 4201 of the Education Law), enter “NA” in columns A and B of Table 1 of Section A.
  4. For purposes of this report, students with disabilities provided evaluation services only are not to be included in this report. Also, students provided summer school special education programs only are not to be included.
  5. Data should be reported for all New York State students with disabilities regardless of whether such students attended on a day or residential basis. Do not report students placed in this program by student’s parents (at the parent's expense).
  6. The total number of school-age students with disabilities for each exit category in Section B must equal the total number of such students reported in Table 2 of Section A.
  7. The total number of students for whom race/ethnicity is provided in Section A, Table 2, Columns K-P must equal the total number of students reported in Column J of the same table.
  8. Wherever data are requested by student age, the age should be reported as of December 1, 2006 (e.g., a student who is 14 years and 10 months of age on December 1, 2006, should be reported as age 14).
  9. When reporting race/ethnicity of students, report the number that appear to belong, identify with, or are regarded in the community as belonging to each race/ethnic group. Please report the race/ethnicity of students with disabilities consistently on all Department data collection instruments and report consistent with how public school districts report each student’s race/ethnicity. Each student should be counted once, in one of the following categories:

  10. 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 schools report students in this category on the fall 2006 BEDS enrollment report and the child count report (PD-2A/4 or PD-2), they must report students in the same category in 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.
  11. In general, exiting students with disabilities should be reported once, with few exceptions. The following examples are provided for purposes of clarification.
  12. If you have any questions or are in need of assistance in completing this report, please contact SEDCAR by telephoning (518) 486-4676 or e-mail your questions to dataquest@mail.nysed.gov .

Section A Definitions

Item Definition
Declassified While Still of Preschool-age and Eligible for Preschool Special Education Services (Section A, Table 1, Column A) For programs operating an approved preschool special education program, report the total number of students, ages 3-4 who received special education services during July 1, 2006 - June 30, 2007 pursuant to section 4410 or 4201 of the Education Law, but were declassified while still eligible for preschool special education services, and no longer have an Individualized Education Program (IEP).
Enrolled in General Education Without a Disability Classification When Transitioning from Preschool to School-age Programs (Section A, Table I, Column B) For programs operating an approved preschool special education program, report the total number of all students who received preschool special education services pursuant to section 4410 or 4201 of the Education Law just prior to becoming school-age, and were enrolled in general education without a disability classification and IEP by the CSE, upon transitioning from the preschool to school-age program. Report students in this column if they were declassified in May or June 2007 even though they were of preschool-age during July and August preceding their entrance into school-age programs. Declassification data for preschool students receiving special education services during July and August 2007 should be reported in next year's PD-5B report.
Total (Section A, Table 2, Column J, Line 12, on page 5) This total should represent all students (ages 4-13) who returned to school district special education programs and all students (ages 14-21) who exited special education.
Regents Diploma with Advanced Designation and/or Honors (Section A, Table 2, Line 1, on page 5) Students who received a high school diploma with the Regents endorsement with Advanced Designation and/or Honors. See 8NYCRR 100.5 for diploma requirements.
Regents Diploma (Regular) (Section A, Table 2, Line 2, on page 5) Students who received a high school diploma with a "regular" Regents endorsement (8 NYCRR 100.5).
Local Diploma (Section A, Table 2, Line 3, on page 5) Students who received a local high school diploma without a Regents endorsement (8 NYCRR 100.5).
High School Equivalency Diploma (Section A, Table 2, Line 4, on page 5) Students who received a State High School Equivalency (HSE) diploma.
Individualized Education Program Diploma (Section A, Table 2, Line 5, on page 5) Students who received a high school Individualized Education Program (IEP) diploma (8 NYCRR 100.9).
Declassified and Returned to General Education (Section A, Table 1 Columns C and D; and Section A, Table 2, Line 6) Students who were classified by the CSE due to a disability and received special education from this program between July 1, 2006 - June 30, 2007, and were declassified and returned to general education. These students no longer have an IEP and receive all educational services from the general education program including testing accommodations if indicated on the last IEP as recommended upon declassification.
Reached Maximum Age (Section A, Table 2, Line 7, on page 5) Students, who were enrolled in this program at the age of 21, turned 21 after September 1, 2006, and who did not receive a diploma or certificate or exit special education by any other basis of exiting.
Returned to School District Special Education Programs (Section A, Table 2, Line 8, on page 5) Students who were not declassified but whose placement was changed so that a public school district provided all services. Also include in this category, students whose parents have placed them (at the parents' expense) in general education private/parochial schools.
Died (Section A, Table 2, Line 9, on page 5) Report the number of students who died during this report period.
Moved - Known to be Continuing (Section A, Table 2, Line 10, on page 5) Students whose parents/caregiver have relocated or been re-assigned resulting in the transfer of the students to another school for the provision of educational services, and the students are known to be continuing in the other educational program. There need not be evidence that such students are continuing in special education, only that they are continuing in an educational program. Include in this line, students who are placed in Child Care Institutions by the courts or social service agencies. It is the responsibility of school districts to maintain some documentation of students’ continuing participation in other educational programs. Approved private schools will need to consult with school districts to determine who to report in this category.
Dropped Out (Section A, Table 2, Line 11, on page 5) Students who were enrolled at some point in the reporting year, were not enrolled at the end of the reporting year, and did not exit through any of the other basis described (lines 1-10 on page 5). This line includes dropouts, students who moved and are not known to be continuing, runaways, expulsions, status unknown and other students who left school. Dropouts at ages 14 and 15 should only be reported after all attempts to enforce attendance requirements have failed.
Section A – Table 1
Report of Students with Disabilities Declassified
(Ages 3 – 13)
July 1, 2006 to June 30, 2007

Report the number of students who were declassified between the ages of 3 and 13. Report each student only once in the appropriate column.

  A B C D
  PRE-SCHOOL*

Declassified While Still of Preschool Age and Eligible for Special Education Services
(Ages 3 – 4)
 
PRE-SCHOOL TO SCHOOL- AGE TRANSITION*

Enrolled In General Education Without A Disability Classification when Transitioning From Preschool Special Education To School-Age Programs
 
SCHOOL- AGE


Declassified And Returned to General Education Between Ages 4 - 8
 
SCHOOL- AGE


Declassified And Returned to General Education Between Ages 9 - 13
 
Number of Students        

*Only programs that operate approved preschool education programs, pursuant to section 4410 or 4201 of the Education Law, should enter data in Columns A and B. All other programs should enter "NA" (Not Applicable).

Section A – Table 2
Report of School-Age Students with Disabilities Exiting Special Education or Returned to School District (Ages 4-21)
July 1, 2006 to June 30, 2007
 
A B C D E F G H I J K L M N O P Q*
Age as of December 1, 2006 Race/Ethnicity
Basis of Exit 4-13 14 15 16 17 18 19 20 21 Total
(A-I)
Amer. Ind.
Alas. Nat
Asian / Pac.
Islander
Black
(Not
of
Hispanic
origin)
Hispanic
or Latino
White
(not
of
Hispanic
origin)
Multi-
Racial
(not of
Hispanic
origin)
Total
(Columns
K-P)
1 Regents Diploma with Advanced Designation and/or Honors                                  
2 Regents Diploma (Regular)                                  
3 Local Diploma                                  
4 High School Equivalency Diploma                                  
5 Individualized Education Program Diploma                                  
6 Declassified Returned To General Education                                  
7 Reached Maximum Age                                  
8 Returned To School District Special Education Programs                                  
9 Died                                  
10 Moved - Known to be Continuing                                  
11 Dropped Out                                  
12 Total – Lines 1-11                                  

*Column Q total must equal Column J total on each Line.

Section B – Report of Students with Disabilities Postsecondary Education and Employment Plans

For all students with disabilities reported in Section A, Table 2 (ages 14-21), indicate their intended postsecondary plans. (Programs are not required to verify that such plans were actually achieved/implemented by students.) Students should be reported once by their primary plan. (Students intending to enter postsecondary education programs and employment should be reported in the appropriate postsecondary education category.) The total number of students entered in this section should be equal to the total number of students in Section A, Table 2 (ages 14-21) who exited with a Regents Diploma with Advanced Designation and/or Honors, Regents Diploma-Regular, Local Diploma, High School Equivalency (HSE) Diploma, Individualized Education Program (IEP) Diploma, Reached Maximum Age, or Dropped Out.

  No. to Post-Secondary Education

Number To Employment*

Number To Military Service

Number To Adult Services

Other Unknown Total Guidelines for Matching Numbers
Reported on Table 2 on Page 5
  4 - Year
 College
2 - Year
 College
Other
Post-
Secondary
Regents Diploma with Advanced Designation and/or Honors                   The total must equal the total reported on
Line 1 of Table 2 on Page 5
Regents Diploma - Regular                   The total must equal the total reported on
Line 2 of Table 2 on Page 5
Local Diploma                   The total must equal the total reported on
Line 3 of Table 2 on Page 5
HSE Diploma                   The total must equal the total reported on
Line 4 of Table 2 on Page 5
IPE Diploma                   The total must equal the total reported on
Line 5 of Table 2 on Page 5
Reached Maximum Age                   The total must equal the total reported on
Line 7 of Table 2 on Page 5
Dropped Out                   The total must equal the total reported on
Line 11 of Table 2 on Page 5
Total                    

*Employment can include regular competitive employment, supported employment, or sheltered employment, as long as the student will receive some compensation for work.

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