IRS

Information and Reporting Services

Instructions for 2022-23 Verification Reports, PD Forms and Self Review Checklists(1)

Click on the links below to be taken to that forms instructions for the 2022-23 school year.

Table of Contents
Verification Reports
(Data Reported Through SIRS)
PD Forms and
Self Review Checklists
VR1: Preschool Child Count Report by Race/Ethnicity VR11: Notification to School District of Compliance Rate on SPP #11(3)
VR2: School Age Child Count by Age and Disability VR12: Notification to School District of Compliance Rate on SPP #12(3)
VR3: School Age Students by Disability and Race/Ethnicity VR13: Preschool Children Provided Programs and Services during 2022-23 School Year
VR4: Preschool LRE Setting Report VR14: District Report of Parentally Placed Students in Nonpublic School Who Were Evaluated
VR5: School Age LRE Setting Report VR15: Preschool Outcomes Report(3)
VR6: District Report of Preschool Students by Primary Service Provider VR16: Students Receiving Coordinated Early Intervening Services
VR7: Provider Report of Preschool Students(2) PD6:  Personnel Form
VR8: District Report of School Age Students by Building Where Enrolled PD8:  Suspension Data
VR9: Provider Report of School Age Students(2) SEDCAR 1:  Request for §4410(b) Vendor Funding
VR10: Report of Students With Disabilities Exiting Special Education(2)  

(1) For further information on any of the forms or data in the above table, please visit IRS Special Education’s data collection requirements page located at:  https://www.p12.nysed.gov/sedcar/data.htm.
(2) The VR7 and VR9 are provider reports that do not require certification. The VR10 is informational and does not require certification. Districts should use the VR10 to understand how graduation and dropout rates are calculated for the Special Education Data posted at https://data.nysed.gov/lists.php?type=district
(3) See the schedule of submission to find the school year in which your district is required to submit data for these indicators:  https://www.p12.nysed.gov/sedcar/sppschedule2017-2025.html


Verification Report 1
Preschool Child Count Report by Race and Ethnicity October 2022 Snapshot
(Preschool Children Receiving Special Education Services as of October 5, 2022)

Description of Report

This is a report of preschool children with disabilities for whom the school district had Committee on Preschool Special Education (CPSE) responsibility as of the snapshot day, October 5, 2022, grouped by race and ethnicity and age.

Students who meet all the following criteria are included in the report:

  • Enrollment record with reason for beginning enrollment code 0011 or 5905
  • Enrollment record with enrollment beginning date on or before October 5, 2022 and no ending date, OR an ending date that is after October 5, 2022
  • Building of Enrollment code that is valid in SEDREF
  • Student’s age is 3 or 4 on October 5, 2022
  • A disability Programs Fact record with code 5786 (preschool student with a disability)
  • A Special Education Snapshot record with all the following data elements:
    • Primary Service Code (click here for more information)
    • Primary Service Provider
    • Snapshot Date of October 5, 2022
    • Least Restrictive Environment Code for preschool setting (click here for more information).

Students whose age is 3 or 4 and who have an active enrollment record on October 5, 2022 are excluded from the report if:

  • There is an active disability Programs Fact record with code 5786 (preschool student with a disability) but no Special Education Snapshot record.
    OR
  • There is a Special Education Snapshot record but no active disability Programs Fact record with code 5786 (preschool student with a disability).

To go to the VR1 template click one of the following links: html | pdf pdf | word word


Verification Report 2
School-Age Child Count by Age and Disability October 2022 Snapshot
(Students Receiving Special Education Services as of October 5, 2022)

Description of Report

This is a report of school-age students with disabilities for whom the school district had Committee on Special Education (CSE) responsibility as of the snapshot date, October 5, 2022, grouped by specific disability and age.

Students who meet all the following criteria are included in the report:

  • Enrollment record with reason for beginning enrollment code 0011, 0022, 5905, 5544, 5654, 7000, or 7011
  • Enrollment record with enrollment beginning date on or before October 5, 2022 and no ending date, or an ending date after October 5, 2022
  • Building of Enrollment code that is valid in SEDREF
  • Student’s date of birth is between 09/01/2001 and 12/31/2017
  • A disability Programs Fact record with a valid code for a school-age student with a disability (codes 0352, 0363, 0385, 0396, 0407, 0418, 0429, 0440, 0451, 0462, 0473, 0484, or 0495)
  • A Special Education Snapshot record with all the following data elements:
    • Snapshot Date of October 5, 2022
    • Primary Placement Type
    • Least Restrictive Environment Code for school-age setting (click here for more information).

Students whose age is between 4 and 21 and who have an active enrollment record on October 5, 2022 are excluded from the report if:

  • There is an active disability Programs Fact record with a disability code for school-age students but no Special Education Snapshot record
    OR
  • There is a Special Education Snapshot record but no active disability Programs Fact record with a disability code for school-age students.

To go to the VR2 template click one of the following links: html | pdf pdf | word word


Verification Report 3
School-Age Students by Disability, Race and Ethnicity October 2022 Snapshot
(Receiving Special Education Services as of October 5, 2022)

Description of Report

This is a report of school-age students with disabilities for whom the school district had Committee on Special Education (CSE) responsibility, grouped by disability and race and ethnicity. The first report is for students who are age 4 as of BEDS Day and eligible to attend kindergarten, and age 5 as of BEDS Day and eligible but NOT attending kindergarten; the second is for students who are age 5 in kindergarten through age 21.

Students who meet all the following criteria are included in the report:

  • Enrollment record with reason for beginning enrollment code 0011, 0022, 5905, 5544, 5644, 7000, or 7011
  • Enrollment record with enrollment beginning date on or before October 5, 2022 and no ending date, or an ending date after October 5, 2022
  • Building of Enrollment code that is valid in SEDREF
  • Student’s date of birth is between 09/01/2001 and 12/31/2017
  • A disability Programs Fact record with a valid code for a school-age student with a disability (codes 0352, 0363, 0385, 0396, 0407, 0418, 0429, 0440, 0451, 0462, 0473, 0484, or 0495)
  • A Special Education Snapshot record with all the following data elements:
    • Snapshot Date of October 5, 2022
    • Primary Placement Type
    • Least Restrictive Environment Code for school-age setting (click here for more information).

Students whose age is between 4 and 21 and who have an active enrollment record on October 5, 2022 are excluded from the report if:

  • There is an active disability Programs Fact record with a disability code for school-age students but no Special Education Snapshot record
    OR
  • There is a Special Education Snapshot record but no active disability Programs Fact record.

To go to the VR3 template click one of the following links: html | pdf pdf | word word


Verification Report 4
Preschool LRE Setting Report October 2022 Snapshot

Description of Report

This is a report of preschool children with disabilities for whom the school district has Committee on Preschool Special Education (CPSE) responsibility, grouped by least restrictive environment (LRE), age, gender, race and ethnicity. Also included is a subset of all preschool children who were receiving related services only as of October 5, 2022.

Students who meet all the following criteria are included in the report:

  • Enrollment record with reason for beginning enrollment code 0011 or 5905
  • Enrollment record with enrollment beginning date on or before October 5, 2022 and no ending date, or an ending date after October 5, 2022
  • Building of Enrollment code that is valid in SEDREF
  • Student’s age is 3 or 4 on October 5, 2022
  • A disability Programs Fact record with code 5786 (preschool student with a disability)
  • A Special Education Snapshot record with all the following data elements:
    • Primary Service Code (click here for more information)
    • Primary Service Provider
    • Snapshot Date of October 5, 2022
    • Least Restrictive Environment Code for preschool setting (click here for more information).

Students whose age is between 4 and 21 and who have an active enrollment record on October 5, 2022 are excluded from the report if:

  • There is an active disability Programs Fact record with code 5786 (preschool student with a disability) but no Special Education Snapshot record
    OR
  • There is a Special Education Snapshot record but no active Disability Programs Fact record with code 5786 (preschool student with a disability).

To go to the VR4 template click one of the following links: html | pdf pdf | word word


Verification Report 5
School-Age LRE Setting Report October 2022 Snapshot

Description of Report

This is a report of school-age students with disabilities for whom the school district has Committee on Special Education (CSE) responsibility, grouped by disability, least restrictive environment (LRE) setting, age range, race and ethnicity, gender, and English Language Learner (ELL) status.

Students who meet all the following criteria are included in the report:

  • Enrollment record with reason for beginning enrollment code: 0011, 0022, 5905, 5544, 5654, 7000 or 7011
  • Enrollment record with enrollment beginning date on or October 5, 2022 and no ending date, or an ending date after October 5, 2022
  • Building of Enrollment code that is valid in SEDREF
  • Student’s date of birth is between 09/01/2001 and 12/31/2017
  • A disability Programs Fact record with a valid code for a school-age student with a disability (codes 0352, 0363, 0385, 0396, 0407, 0418, 0429, 0440, 0451, 0462, 0473, 0484, or 0495)
  • A Special Education Snapshot record with all the following data elements:
    • Snapshot Date of October 5, 2022
    • Primary Placement Type
    • LRE Code for school-age setting (click here for more information).

Students whose age is between 4 and 21 and who have an active enrollment record on October 5, 2022 are excluded from the report if:

  • There is an active disability Programs Fact record with a disability code for school-age students but no Special Education Snapshot record
    OR
  • There is a Special Education Snapshot record but no active disability Programs Fact record with a disability code for school-age students.

To go to the VR5 template click one of the following links: html | pdf pdf | word word


Verification Report 6
District Report of Preschool Students by Primary Service Provider
October 2022 Snapshot

Description of Report

This is a report of preschool children with disabilities, by Primary Service Provider, for whom the school district had Committee on Preschool Special Education (CPSE) responsibility and who were receiving preschool special education services as of October 5, 2022.

Students who meet all the following criteria are included in the report:

  • Enrollment record with reason for beginning enrollment code 0011 or 5905
  • Enrollment record with enrollment beginning date on or before October 5, 2022 and no ending date, or an ending date after October 5, 2022
  • Building of Enrollment code that is valid in SEDREF
  • Student’s age is 3 or 4 on October 5, 2022
  • A disability Programs Fact record with code 5786 (preschool student with a disability)
  • A Special Education Snapshot record with all the following data elements:
    • Primary Service Code (click here for more information)
    • Primary Service Provider
    • Snapshot Date of October 5, 2022
    • Least Restrictive Environment Code for preschool setting (click here for more information).

Students whose age is 3 or 4 and who have an active enrollment record on October 5, 2022 are excluded from the report if:

  • There is an active disability Programs Fact record with code 5786 (preschool student with a disability but no Special Education Snapshot record
    OR
  • There is a Special Education Snapshot record but no active disability Programs Fact record with code 5786 (preschool student with a disability).

To go to the VR6 template click one of the following links: html | pdf pdf | word word


Verification Report 7
Provider Report of Preschool Students
Receiving Special Education Services as of October 5, 2022
As Reported by School Districts of Residence

This is a report of the number of preschool children with disabilities (aged 3-4) who were receiving special education services in your program according to the type of service provided as of October 5, 2022. Children who received special education services from two or more service providers will be included in the report of the coordinating service provider as designated by the school district’s CPSE. These data were reported by the school districts in which children resided as of October 5, 2022.

To go to the VR7 template click one of the following links: html | pdf pdf | word word


Verification Report 8
District Report of School-Age Students by Building of Enrollment
October 5, 2022 Snapshot

Description of Report

This is a report of school-age students with disabilities for whom the school district has Committee on Special Education (CSE) responsibility by the Building of Enrollment. The Building of Enrollment is provided by school districts in the Location record. The information provided by Building of Enrollment includes the least restrictive environment setting by age range of students with disabilities.

Students who meet all the following criteria are included in the report:

  • Enrollment record with reason for beginning enrollment code 0011, 0022, 5905, 5544, 5654, 7000 or 7011
  • Enrollment record with enrollment beginning date on or before October 5, 2022 and no ending date, or an ending date after October 5, 2022
  • Building of Enrollment code that is valid in SEDREF
  • Student’s date of birth is between 09/01/2001 and 12/31/2017
  • A disability Programs Fact record with a valid code for a school-age student with a disability (codes 0352, 0363, 0385, 0396, 0407, 0418, 0429, 0440, 0451, 0462, 0473, 0484, or 0495) (click here for more information)
  • A Special Education Snapshot record with all the following data elements:
    • Snapshot Date of October 5, 2022
    • Primary Placement Type
    • Least Restrictive Environment Code for school-age setting; there are codes for school-age students ages 4-5 and school-age students ages 6-21 (click here for more information).

Students whose age is between 4 and 21 and who have an active enrollment record on October 5, 2022 are excluded from the report if:

  • There is an active disability Programs Fact record with a disability code for school-age students but no Special Education Snapshot record
    OR
  • There is a Special Education Snapshot record but no active disability Programs Fact record with a disability code for school-age students.

To go to the VR8 template click one of the following links: html | pdf pdf | word word


Verification Report 9
Provider Report of School-Age Students
Receiving Special Education Services as of October 5, 2022
As Reported by School Districts with CSE Responsibility

This is a report of the number of school-age students with disabilities (aged 4-21) who were receiving special education services in your program according to the least restrictive environment setting in which they are provided special education services and their age range as of October 5, 2022. These data were reported by the school districts that have CSE responsibility for these students as of October 5, 2022.

To go to the VR9 template click one of the following links: html | pdf pdf | word word


Verification Report 10
Report of Students With Disabilities Exiting Special Education

Instructions coming soon


District Compliance Report
Indicator #11 - Percent of children with parental consent to evaluate, who were evaluated within State established timelines

(Based on Consent to Evaluate the Child Received Between July 1, 2022 and June 30, 2023, and Status of the Eligibility Determination Process as of August 31, 2023)

Instructions coming soon


District Compliance Report
Indicator #12 - Percent of Children Referred by Part C Prior to Age 3, who are Found Eligible for Part B, and who have an IEP Developed and Implemented by Their Third Birthday

(Based on 2022-23 School Year Data)

Instructions coming soon


Verification Report 13
Report of Preschool Special Education Programs and Services
Provided any Time During the 2022-23 School Year (July 1, 2022 - June 30, 2023)

Description of Report

Instructions coming soon


Verification Report 14
Parentally Placed Students with Disabilities in Nonpublic Schools Located in the School District
Who Were Evaluated During the 2022-23 School Year for Initial Determination of
Special Education Eligibility and Services for those Found to be Eligible

(Based on Referrals Received Between July 1, 2022 and June 30, 2023, and Status of the IEP Implementation as of August 31, 2023)

Instructions coming soon


Verification Report 15
Preschool Outcomes Report for the 2022-23 School Year

(Children who received preschool special education services for at least six months, and left preschool special education sometime during the 2022-23 school year)

Instructions coming soon


Verification Report 16
Students Receiving Coordinated Early Intervening Services (CEIS) or
Comprehensive Coordinated Early Intervening Services (CCEIS)

Instructions coming soon


PD6 Report of Personnel Employed or Contracted to Provide Special Education and Related Services to Students with Disabilities

Instructions coming soon


PD8 Report of Students with Disabilities Subject of Disciplinary Removal

July 1, 2022 to June 30, 2023

Instructions coming soon


SEDCAR 1
Approved Special Education Program Request For §4410(b) Vendor Funding
For the 2023-2024 School Year

The following types of schools may use this form to request §4410(b) vendor funding from school districts that have Committee on Preschool Special Education (CPSE) or Committee on Special Education (CSE) responsibility for students with disabilities. The use of this form is not mandatory, and schools may develop and use their own form for requesting §4410(b) vendor funding.

  • Approved private schools for students with disabilities (preschool and school-age)
  • BOCES that operate an approved preschool special education program
  • School districts that operate an approved preschool special education program and enroll students from other school districts
  • Approved out-of-state schools in which students with disabilities are placed by New York State school districts
  • Approved out-of-state schools that provide educational services to students with disabilities placed by New York State courts or social service agencies.

Instructions:

  1. Send a completed form, with original signature, to each local education agency (LEA) from which §4410(b) vendor funding for the 2023-2024 school year is requested. NYSED recommends that this form be sent to each LEA by November 25, 2022; however, a subsequent date may be established by each LEA.
  2. There is no need to submit a copy of this form to the State Education Department.
  3. Submit a list of the names of students comprising the counts reported in Section 3, Tables A and B, to the LEA with the form. This list must be marked “confidential.”
  4. Retain one copy and any supporting documentation in your school for reference and audit purposes.  The required retention period ends on June 30, 2032.
  5. If you have any questions about §4410(b) funding, please email your questions to datasupport@nysed.gov.

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

Last Updated: September 29, 2022