The University of the State of New York
THE STATE EDUCATION DEPARTMENT
Office of P-12 Information and Reporting Services (IRS)
Special Education Data Collection, Analysis and Reporting (SEDCAR)
89 Washington Avenue, Room 881 EBA
Albany, NY 12234

SEDCAR - 2
APPROVED PRIVATE SCHOOL NOTICE OF DESIGNATED LOCAL EDUCATION AGENCY FOR IDEA FUNDS
(To be used by Approved Private Schools located in New York State)
For IDEA Funds to be Sub-allocated During 2011-2012

This form is to be completed by approved private schools located in New York State that provide special education services to students with disabilities pursuant to Article 81 of the Education Law (not including Special Act School Districts). Please designate a local education agency (LEA) from whom to receive IDEA funds for students with disabilities provided special education services pursuant to Article 81 of the Education Law and send the completed form to the address in the letterhead and to the designated LEA, by November 29, 2010.

In order to receive a sub-allocation of IDEA funds for 2011-2012 for students with disabilities who are placed in your school by public school districts, you must also complete a SEDCAR-1 form and send it to each school district that placed students in your program as of October 6, 2010. The SEDCAR-1 form is due to each school district by November 29, 2010.

Instructions:


  1. The completed SEDCAR-2 form, with original signature, must be received by the State Education Department at the above address by November 29, 2010.
  2. Submit a copy of this form to the LEA designated to receive the IDEA flow-through funds for students with disabilities provided special education services pursuant to Article 81. The amount of funds you will receive will be based upon formulas prescribed in IDEA, Sections 611 and 619.
  3. Retain one copy (and supporting documentation) in your school for reference and audit purposes. The required retention period ends June 30, 2018.
  4. If you have any questions about this report, please call (518) 486-4678, or (518) 486-4734.

Section 1:  Approved Private School Program Information (Non-Special Act School District)
(Enter 12-digit SED Code Below)
Blank Boxes for SED Code
SCHOOL NAME

 

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

 


 

CITY

 

STATE

 

ZIP

 


Section 2 - Approved Private School Contact Person for Information
NAME/TITLE

 

TELEPHONE (include Area Code)

 

FAX

 


Section 2: Local Education Agency (LEA) Requested to Issue Vendor Funding. (For students placed in out-of-State schools by the courts or State agencies, the LEA is the school district in which the student resided at the time of such placement.)
(Enter 12-digit SED Code Below)
Blank Boxes for SED Code
LOCAL EDUCATION AGENCY NAME

 

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

 


 

CITY

 

STATE

 

ZIP

 



IMPORTANT NOTE: This form must be received by the State Education Department and by the designated LEA, by November 29, 2010, in order to receive IDEA flow-through sub-allocations for the 2011-2012 school year.


Section 3: Designated Local Education Agency Information
(Enter 12-digit SED Code Below)
Blank Boxes for SED Code
LOCAL EDUCATION AGENCY NAME

 

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

 


 

CITY

 

STATE

 

ZIP

 



Section 4: Status of Designated Local Education Agency


Please place a check in Column A in the appropriate line to indicate the status of the LEA designated by the Approved Special Education Program listed in Section 3.

    A
1 Continuation - The LEA designated for 2011-2012 was also designated for 2010-2011  
2 Revision - The LEA designated for 2011-2012 is different than the LEA designated for 2010-2011  
3 Initial - This is the first year in which an LEA has been designated by this approved special education program (ASEP)  


Certification and Assurances

The local education agency (LEA) listed in Section 3 is designated by this ASEP to be allocated additional IDEA Section 611 and Section 619 flow-through funds by the State Education Department, based on the December 1, 1998 count of students provided educational services pursuant to Article 81 of the Education Law, as reported to SED in the PD-2 report, adjusted by a population and poverty factor, for appropriate sub-allocation to this ASEP. I understand that the LEA designated in Section 3 will receive such additional IDEA funds for the 2011-12 year, and will continue to receive IDEA allocations for subsequent years, to be sub-allocated to this school, unless a revised form is submitted to SED for the designation of another LEA for the 2012-13 school year.

Form must be signed and dated by Chief School Administrative Officer. Please print out a printer friendly version of this form in Word or PDF.