TABLE 5 - **RE7 (for reporting race/ethnicity according to New 10/2007
Guidance)**

(DRAFT 09-24-08)

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL

**2008-2009** School Year

Paperwork Burden Statement

According to the Paperwork Reduction Act of 1995, no persons are
required to respond to a collection of information unless it displays a
valid OMB control number. The valid OMB control number for this
information collection is 1820-0621. The time required to complete this
information collection is estimated to average 74 hours per SEA and 17.5
hours per LEA response, including the time to review instructions,
search existing data resources, gather the data needed, and complete and
review the information collection. If you have any comments concerning
the accuracy of the time estimate(s) or suggestions for improving this
form, please write to: U.S. Department of Education, Washington, D.C.
20202. If you have comments or concerns regarding the status of your
individual submission of this form, write directly to: Office of Special
Education Programs, U.S. Department of Education, 400 Maryland Avenue,
Washington, D.C. 20202.

Instructions

Authorization: P.L. 108-446, Section 618 (a)(1)(A)(v), Section
618(a)(1)(D), Section 618(a)(1)(E), Section 618(a)(3), and Section
618(d)(1)(C); 34 CFR §§300.640, 300.641(b) through 300.641(d), 300.644,
300.645

Due Date: November 1, **2009**

Sampling Allowed: No

Send Form to: **William Knudsen,** Acting Director

> Office of Special Education Programs
>
> Part B Data Reports
>
> Program Support Services Group
>
> Mail stop 2600
>
> 550 12th Street, S.W.
>
> Washington, D.C. 20202
>
> Attn: Cheryl Broady

[General Instructions]{.underline}

1\. Counts should cover the entire school year.

2\. In Sections A through D, children should be reported (1) by
disability, (2) by race/ethnicity, (3) by gender, and (4) by limited
English proficiency status, respectively.

3\. In Sections A through D, include children ages 3-21 served under
Part B, IDEA. Age should be determined as of the child count date of the
school year.

4\. No sampling is permitted for this data collection.

5.  STATES SHOULD NOT PROVIDE PERCENTAGES IN SECTIONS A THROUGH E, AS
    THEY WILL BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.

6.  In providing data for this collection, the State is to submit
    complete and unsuppressed data.

[Selected Definitions]{.underline} (See OSEP Data Dictionary for
Additional Definitions)

*Dangerous Weapon* -- A weapon, device, instrument, material, or
substance, animate or inanimate, that is used for, or is readily capable
of causing death or serious bodily injury, except that such a term does
[NOT]{.underline} include a pocket knife with a blade of less than 2½
inches in length (18 U.S.C. Section 930(g)(2)).

*Disciplinary Removal* -- Any instance in which a child is removed from
his/her educational placement for disciplinary purposes, including
in-school suspension, out-of-school suspension, expulsion, removal by
school personnel to an interim alternative educational setting for drug
or weapon offenses or serious bodily injury, and removal by hearing
officer for likely injury to self or others.

*Drug Offenses* -- The use, possession, sale, or solicitation of drugs
as identified in 21 U.S.C. Section 812(c). These offenses do
[NOT]{.underline} include use, possession, sale, or solicitation of
alcohol or tobacco.

*Expulsion* -- An action taken by the local educational agency removing
a child from his/her regular school for disciplinary purposes for the
remainder of the school year or longer in accordance with local
educational agency policy. Include removals resulting from violations of
the Gun Free Schools Act that are modified to less than 365 days.

*In-School Suspension* -- Instances in which a child is temporarily
removed from his/her regular classroom(s) for disciplinary purposes but
remains under the direct supervision of school personnel. Direct
supervision means school personnel are physically in the same location
as students under their supervision.

*Interim Alternative Educational Setting* -- An appropriate setting
determined by the child's IEP team in which the child is placed for no
more than 45 school days. This setting enables the child to continue to
receive educational services and participate in the general education
curriculum (although in another setting) and to progress toward meeting
the goals set out in the IEP. As appropriate, the setting includes a
functional behavioral assessment and behavioral intervention services
and modifications to address the behavior violation so that it does not
recur.

*Out-of-School Suspension* -- Instances in which a child is temporarily
removed from his/her regular school for disciplinary purposes to another
setting (e.g., home, behavior center). This includes both removals in
which no IEP services are provided because the removal is 10 days or
less as well as removals in which the child continues to receive
services according to his/her IEP.

*Removal by a Hearing Officer* -- Those instances in which an impartial
hearing officer orders the removal of children with disabilities from
their current educational placement to an appropriate alternative
educational setting for not more than 45 school days based on the
hearing officer's determination that maintaining the child's current
placement is substantially likely to result in injury to the child or
others. The IEP team is responsible for determining the interim
alternative educational setting.

*Serious Bodily Injury* -- A bodily injury that involves a substantial
risk of death; extreme physical pain; protracted and obvious
disfigurement; or protracted loss or impairment of the function of a
bodily member, organ or faculty (18 U.S.C. Section 1365(3)(h)).

*Unilateral Removal* -- Instances in which school personnel (not the IEP
team) order the removal of children with disabilities from their current
educational placement to an appropriate interim alternative educational
setting for not more than 45 school days. The IEP team is responsible
for determining the interim alternative educational setting. Unilateral
removals do [NOT]{.underline} include decisions by the IEP team to
change a student's placement.

[Specific Instructions]{.underline}

[Section A: Disciplinary Removal Type by Disability]{.underline}

In Section A, information is reported by disability category. In columns
1 through 5, States *must* report the number of children in each column
by disability category.

In column 1A, report the number of children ages 3-21 who were
unilaterally removed for drug or weapons offenses or serious bodily
injury (as defined above) by school personnel ([NOT]{.underline} the IEP
team) from their current educational placement to an interim alternative
educational setting (determined by the IEP team). Children with more
than one unilateral removal should be counted only once in column 1A.

Columns 1B, 1C, and 1D are counts of removals. Each child reported in
column 1A should be reported at least once in columns 1B, 1C, or 1D.

> In column 1B, report the total number of [times]{.underline} the
> children reported in column 1A were unilaterally removed for drug
> offenses, as defined above.
>
> In column 1C, report the total number of [times]{.underline} the
> children reported in column 1A were unilaterally removed for weapons
> offenses, as defined above.
>
> In column 1D, report the total number of [times]{.underline} the
> children reported in column 1A were unilaterally removed for
> inflicting serious bodily injury on another person while at school, on
> school premises, or at a school function under the jurisdiction of an
> SEA or LEA.

If a child reported in column 1A was unilaterally removed to an Interim
Alternative Educational Setting more than once then this child should be
counted more than once in columns 1B, 1C, or 1D. If, in the course of a
single incident, a child committed more than one type of offense, then
report the child in each of the appropriate columns. For example, if the
child committed both a drug offense and a weapon offense during the same
incident, report the drug offense in column 1B and report the weapon
offense in column 1C. Every child reported in columns 1B, 1C, and/or 1D
should be counted once, and only once, in column 1A.

Children who were removed from school by school personnel for drugs,
weapons, or serious bodily injury for 10 days or less
*[and]{.underline}* were NOT sent to an Interim Alternative Educational
Setting, should be reported as having been suspended. Do not include
these children in column 1A.

Children who were removed from school by school personnel for drugs,
weapons, or serious bodily injury and who were sent to an Interim
Alternative Educational Setting for 45 days or less should be reported
in column 1A. This includes children who were sent to an IAES for 10
days or less.

In column 2, report the number of children ages 3-21, who were removed
to an interim alternative educational setting based on a hearing officer
determination of likely injury to themselves or others. Children removed
by a hearing officer more than once should be counted only once in
column 2.

Column 3 is a report of children ages 3-21 with out-of-school
suspensions or expulsions.

> In column 3A, report the number of children ages 3-21 with
> out-of-school suspensions or expulsions summing to 10 days or less
> during the school year for any offense or combination of offenses. No
> child should be reported more than once in column 3A.
>
> In column 3B, report the number children ages 3-21 with out-of-school
> suspensions or expulsions summing to more than 10 days during the
> school year for any offense or combination of offenses. No child
> should be reported more than once in column 3B.

NOTE: No child should be reported in both column 3A and column 3B. The
sum of 3A and 3B is the total number of children with out-of-school
suspensions or expulsions during the school year.

Column 4 is a report of children ages 3-21 with in-school suspensions.

> In column 4A, report the number of children ages 3-21 with in-school
> suspensions summing to 10 days or less during the school year for any
> offense or combination of offenses. No child should be reported more
> than once in column 4A.
>
> In column 4B, report the number of children ages 3-21 with in-school
> suspensions summing to more than 10 days during the school year for
> any offense or combination of offenses. No child should be reported
> more than once in column 4B.

NOTE: No child should be reported in both column 4A and column 4B. The
sum of 4A and 4B is the total number of children with in-school
suspensions or expulsions during the school year.

NOTE: If a child has both in-school and out-of-school suspensions in the
same school year, that same child can be reported in both column 3A or
3B and column 4A or 4B.

A child should be counted in only one of the first three columns (1A, 2,
or 3) [for the same offense]{.underline}. If a child is unilaterally
removed for drugs and reported in column 1A, then do [NOT]{.underline}
report the child again in column 3 for the same incident. Similarly, if
a child is removed by a hearing officer for likely injury and is
reported in column 2, then do [NOT]{.underline} report the child again
in column 3 for the same incident.

A child who is subject to both an in-school and an out-of-school
suspension for the same offense should be reported in both columns 3 and
4.

A child with more than one offense could be counted in more than one
column (1A, 2, or 3). For example, a child who was unilaterally removed
to an interim alternative educational setting and, later in the school
year, was subject to an out-of-school suspension for more than 10 school
days for a separate offense, should be reported in both column 1A and
column 3.

Column 5 is a report of disciplinary removals. In column 5A, report the
number of [times]{.underline} any child with a disability was subject to
any kind of disciplinary removal during the school year. When counting
disciplinary removals, include in-school suspensions, out-of-school
suspensions, expulsions, removals by school personnel to an interim
alternative educational setting for drug or weapon offenses or serious
bodily injury, and removals by hearing officer for likely injury to self
or others. Note that column 5A is a report of disciplinary events,
[NOT]{.underline} children. If a child has more than one disciplinary
removal in the school year, then each removal should be reported in
column 5A.

Report each child with a disciplinary removal only once in either column
5B, 5C, or 5D according to the cumulative number of days of removal
during the school year.

> In column 5B, report any child whose cumulative length of removal
> during the school year totaled 1 day.
>
> In column 5C, report any child whose cumulative length of removal
> during the school year totaled between 2 and 10 days.
>
> In column 5D, report any child whose cumulative length of removal
> during the school year totaled more than 10 days.

All children reported in columns 5B through 5D should have one or more
disciplinary removals reported in column 5A. For example, a child who
was suspended three times for three days each during the school year (a
total of 9 days) should be reported 3 times in column 5A and once in
column 5C.

NOTE: The sum of 5B, 5C, and 5D is the total number of children with one
or more disciplinary removals during the school year. Each child
reported in columns 1A, 2, 3, or 4 should be reported only ONCE in
column 5B, 5C, or 5D, based on the cumulative number of days the child
was removed during the school year.

[Section B: Disciplinary Removal Type by Race/Ethnicity]{.underline}

The columns found in Section A are repeated in Section B. In Section B,
however, data are reported by race/ethnicity categories. States *must*
report the number of children in columns 1, 2, 3, and 5 by
race/ethnicity.

**In October 2007, the Department of Education published** **its Final
Guidance on Maintaining, Collecting and Reporting Racial and Ethnic Data
to the U.S. Department of Education in the Federal Register (Vol. 72,
No. 202, available at <http://www.gpoaccess.gov/nara/index.html> ),
referred to in these instructions as the *new guidance*. The procedures
for collecting, aggregating, and reporting race and ethnicity, as
described in the new guidance, must be implemented by no later than the
report of the SY 2010-11 Discipline data. Although not required to do so
prior to the SY 2010-11 report, [SEAs that are collecting and
aggregating their data as specified in the new guidance]{.underline}
may, as early as** **for reports referencing SY 2008-09, report
aggregate race/ethnicity data in the seven (7) categories listed in this
form. When implementing the new reporting guidance, SEAs must do so at
the [beginning]{.underline} of the relevant reporting period and must
apply the guidance consistently to ALL data reported within that
period.**

**DO NOT USE THIS form to report race/ethnicity within the five
categories as applied in previous years.**[^1] **[To report Discipline
under the five race/ethnicity categories, you must use Table 5 -- RE5 (5
race/ethnicity reporting categories as used *prior to 2007
guidance*).]{.underline}**

**SEAs who have fully implemented the Department of Education's new
guidance (10/07) should report all children with disabilities according
to the seven categories listed below. The following definitions of the
seven categories for aggregate report of race/ethnicity have been
adapted from definitions appearing in the new guidance.**

  --------------------- -------------------------------------------------
  Hispanic/**Latino**   A person of Cuban, Mexican, Puerto Rican, South
                        or Central American, or other Spanish culture or
                        origin, regardless of race. **Refers to Hispanic
                        and/or Latino.**

  American Indian or    A person having origins in any of the original
  Alaska Native         peoples of North and South America (including
                        Central America) and who maintains tribal
                        affiliation or community attachment. *([Does
                        not]{.underline} include persons of
                        Hispanic/Latino ethnicity.)*

  Asian                 A person having origins in any of the original
                        peoples of the Far East, Southeast Asia, or the
                        Indian subcontinent. This includes, for example,
                        Cambodia, China, India, Japan, Korea, Malaysia,
                        Pakistan, **the Philippine Islands**, Thailand,
                        and Vietnam. *([Does not]{.underline} include
                        persons of Hispanic/Latino ethnicity.)*

  Black **or African    A person having origins in any of the Black
  American**            racial groups of Africa. *([Does not]{.underline}
                        include persons of Hispanic/Latino ethnicity*.*)*

  **Native Hawaiian     A person having origins in any of the original
  or** Other Pacific    peoples of **Hawaii, Guam, Samoa, or the Pacific
  Islander              Islands.** *([Does not]{.underline} include
                        persons of Hispanic/Latino ethnicity.)*

  White                 A person having origins in any of the original
                        peoples of Europe, the Middle East, or North
                        Africa. *([Does not]{.underline} include persons
                        of Hispanic/Latino ethnicity.)*

  **Two or more races** **A person having origins in two or more of the
                        five [race]{.underline} categories listed
                        immediately above.** *([Does not]{.underline}
                        include persons of Hispanic/Latino ethnicity.)*

  Total                 The unduplicated total across the seven (7)
                        race/ethnicity designations.
  --------------------- -------------------------------------------------

Note that children can only be reported in *one* race/ethnicity
category.

[Section C: Disciplinary Removal Type by Gender]{.underline}

The columns found in Section A are repeated in Section C. In Section C,
States *must* report data in columns 1, 2, 3, and 5 by gender.

[Section D: Disciplinary Removal Type by Limited English Proficiency
Status]{.underline}

The columns found in Section A are repeated in Section D. In Section D,
States *must* report data in columns 1, 2, 3, and 5 by limited English
proficiency status.

Limited English Proficient. A child who meets the definition of a
limited English proficient child under the Elementary and Secondary
Education Act, 20 U.S.C Section 7801(A)(25).

LEP status should reflect the child's status at the time of the removal.

######## Section E. Children Subject to Expulsion With and Without Educational Services by Disability Status

In column 6A, States *must* report the number of children with
disabilities ages 3-21 and the number of children without disabilities
in grades K through 12 who were subject to expulsion (as defined above
in Selected Definitions) during the school year and who received
educational services during the expulsion.

In column 6B, States *must* report the number of children with
disabilities ages 3-21 and the number of children without disabilities
in grades K through 12 who did [NOT]{.underline} receive educational
services during the removal.

NOTE: Children with disabilities must receive educational services
during any removal of more than 10 school days. The only children with
disabilities who should be reported in column 6B are those who were
removed for less than 10 school days after an expulsion (e.g., children
with disabilities expelled under the Gun-Free Schools Act whose
expulsions were modified to less than 10 school days).

######## Specific Instructions, Sections A through D

If, following a discipline offense, [the IEP team meets and determines
that the child's current placement is not the least restrictive
environment for that child, and therefore makes a permanent change in
the child's IEP placement]{.underline}, DO NOT report the child on the
discipline report. If the child is suspended pending an IEP team meeting
in which a his/her IEP placement is changed, the suspension *must* be
reported.

In instances in which the IEP team meets to determine the appropriate
setting where child will receive educational services following a
unilateral removal by school personnel, a removal by a hearing officer
for likely injury, or a suspension or expulsion, the removal *must* be
reported on the discipline report.

For each row in Sections A through D, the number reported in column 1A
should be less than or equal to the sum of each row of columns 1B, 1C,
and 1D.

For each row in Sections A through D, the sum of columns 5B, 5C, and 5D
should be less than or equal to the sum of columns 1A, 2, 3A, 3B, 4A,
and 4B.

The number reported in each column in row 14 (the total row) of Section
A should equal the number reported in the corresponding total row for
Section B, section C, and section D.

When calculating cumulative days of in- and out-of-school suspension,
States must include all in- and out-of-school suspensions of a half
school day in length and longer. States that are unable to record data
on half-day basis should report all half-day suspensions as whole day
suspensions. Do not include suspensions that are less than half a school
day.

NOTE: OSEP does not intend for students to be reported on the discipline
form if they only have a single suspension of a half day; a student
should be reported only if his/her suspensions sum to at least 1 day
during the school year.

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION A

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION A. DISCIPLINARY REMOVAL TYPE BY DISABILITY

  ---------------- ------------- ---------- ---------- ---------- ---------------
  Children with    1\.                                            2\. Removals to
  Disabilities     Unilateral                                     an Interim
  Ages 3-21        Removals to                                    Alternative
                   an Interim                                     Educational
                   Alternative                                    Setting Based
                   Educational                                    on a Hearing
                   Setting\                                       Officer
                   by School                                      Determination
                   Personnel                                      Regarding
                                                                  Likely Injury

  Disability       A. Number of  B. Number  C. Number  D. Number  Number of
                   Children      of         of         of         Children
                                 Removals   Removals   Removals   
                                 for Drugs  for        for        
                                            Weapons    Serious    
                                                       Bodily     
                                                       Injury     

  1\. Mental                                                      
  Retardation                                                     

  2\. Hearing                                                     
  Impairments                                                     

  3\. Speech or                                                   
  Language                                                        
  Impairments                                                     

  4\. Visual                                                      
  Impairments                                                     

  5\. Emotional                                                   
  Disturbance                                                     

  6\. Orthopedic                                                  
  Impairments                                                     

  7\. Other Health                                                
  Impairments                                                     

  8\. Specific                                                    
  Learning                                                        
  Disabilities                                                    

  9\.                                                             
  Deaf-Blindness                                                  

  10\. Multiple                                                   
  Disabilities                                                    

  11\. Autism                                                     

  12\. Traumatic                                                  
  Brain Injury                                                    

  13\.                                                            
  Developmental                                                   
  Delay^1^                                                        

  14\. Total                                                      
  ---------------- ------------- ---------- ---------- ---------- ---------------

^1^ States [must]{.underline} have defined and established eligibility
criteria for developmental delay in order to use this category for
reporting.

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION A

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION A (CONTINUED)

+------------------+------------+------------+------------+------------+
| Children with    | 1.         |            |            |            |
| Disabilities     | Unilateral |            |            |            |
| Ages 3-21        |            |            |            |            |
|                  |   Removals |            |            |            |
|                  |     to an  |            |            |            |
|                  |            |            |            |            |
|                  |    Interim |            |            |            |
|                  |     A      |            |            |            |
|                  | lternative |            |            |            |
|                  |     E      |            |            |            |
|                  | ducational |            |            |            |
|                  |            |            |            |            |
|                  |   Setting\ |            |            |            |
|                  |     by     |            |            |            |
|                  |     School |            |            |            |
|                  |            |            |            |            |
|                  |  Personnel |            |            |            |
|                  |            |            |            |            |
|                  | > (P       |            |            |            |
|                  | ERCENT)^1^ |            |            |            |
+------------------+------------+------------+------------+------------+
| Disability       | A. Number  | B. Number  | C. Number  | D. Number  |
|                  | of         | of         | of         | of         |
|                  | Children   | Removals   | Removals   | Removals   |
|                  |            | for Drugs  | for        | for        |
|                  | (PERCENT)  |            | Weapons    | Serious    |
|                  |            | (PERCENT)  |            | Bodily     |
|                  |            |            | (PERCENT)  | Injury     |
|                  |            |            |            |            |
|                  |            |            |            | (PERCENT)  |
+------------------+------------+------------+------------+------------+
| 1\. Mental       |            |            |            |            |
| Retardation      |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 2\. Hearing      |            |            |            |            |
| Impairments      |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 3\. Speech or    |            |            |            |            |
| Language         |            |            |            |            |
| Impairments      |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 4\. Visual       |            |            |            |            |
| Impairments      |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 5\. Emotional    |            |            |            |            |
| Disturbance      |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 6\. Orthopedic   |            |            |            |            |
| Impairments      |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 7\. Other Health |            |            |            |            |
| Impairments      |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 8\. Specific     |            |            |            |            |
| Learning         |            |            |            |            |
| Disabilities     |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 9\.              |            |            |            |            |
| Deaf-Blindness   |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 10\. Multiple    |            |            |            |            |
| Disabilities     |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 11\. Autism      |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 12\. Traumatic   |            |            |            |            |
| Brain Injury     |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 13\.             |            |            |            |            |
| Developmental    |            |            |            |            |
| Delay^2^         |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 14\. Total       | 100%       | 100%       | 100%       | 100%       |
+------------------+------------+------------+------------+------------+

^1^ STATES SHOULD NOT PROVIDE PERCENTAGES IN THIS SECTION, AS THEY WILL
BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.

^2^ States [must]{.underline} have defined and established eligibility
criteria for developmental delay in order to use this category for
reporting.

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION A (continued)

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION A (CONTINUED)

+---------------+----------+----------+----------+----------+----------+
| Children with | 3\.      |          | 4\.      |          | 3\.      |
| Disabilities  | Out-o    |          | I        |          | Out-o    |
| Ages 3-21     | f-School |          | n-School |          | f-School |
|               | Sus      |          | Sus      |          | Sus      |
|               | pensions |          | pensions |          | pensions |
|               | or       |          |          |          | or       |
|               | Ex       |          |          |          | Ex       |
|               | pulsions |          |          |          | pulsions |
|               |          |          |          |          |          |
|               |          |          |          |          | (PER     |
|               |          |          |          |          | CENT)^2^ |
+---------------+----------+----------+----------+----------+----------+
| Disability    | A.       | B.       | A.       | B.       | B.       |
|               | Number   | Number   | Number   | Number   | Number   |
|               | of       | of       | of       | of       | of       |
|               | Children | Children | Children | Children | Children |
|               | with     | with     | with     | with     | with     |
|               | Out-o    | Out-o    | I        | I        | Out-o    |
|               | f-School | f-School | n-School | n-School | f-School |
|               | Suspe    | Suspe    | Sus      | Sus      | Suspe    |
|               | nsion/Ex | nsion/Ex | pensions | pensions | nsion/Ex |
|               | pulsions | pulsions | Totaling | Totaling | pulsions |
|               | Totaling | Totaling | 10 Days  | \>10     | Totaling |
|               | 10 Days  | \>10     | or Less  | Days     | \>10     |
|               | or Less  | Days     |          |          | Days     |
|               |          |          |          |          |          |
|               |          |          |          |          | (PER     |
|               |          |          |          |          | CENT)^1^ |
+---------------+----------+----------+----------+----------+----------+
| 1\. Mental    |          |          |          |          |          |
| Retardation   |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 2\. Hearing   |          |          |          |          |          |
| Impairments   |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 3\. Speech or |          |          |          |          |          |
| Language      |          |          |          |          |          |
| Impairments   |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 4\. Visual    |          |          |          |          |          |
| Impairments   |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 5\. Emotional |          |          |          |          |          |
| Disturbance   |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 6\.           |          |          |          |          |          |
| Orthopedic    |          |          |          |          |          |
| Impairments   |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 7\. Other     |          |          |          |          |          |
| Health        |          |          |          |          |          |
| Impairments   |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 8\. Specific  |          |          |          |          |          |
| Learning      |          |          |          |          |          |
| Disabilities  |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 9\.           |          |          |          |          |          |
| D             |          |          |          |          |          |
| eaf-Blindness |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 10\. Multiple |          |          |          |          |          |
| Disabilities  |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 11\. Autism   |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 12\.          |          |          |          |          |          |
| Traumatic     |          |          |          |          |          |
| Brain Injury  |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 13\.          |          |          |          |          |          |
| Developmental |          |          |          |          |          |
| Delay^2^      |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 14\. Total    |          |          |          |          | 100%     |
+---------------+----------+----------+----------+----------+----------+

^1^ STATES SHOULD NOT PROVIDE PERCENTAGES IN THIS SECTION, AS THEY WILL
BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.

^2^ States [must]{.underline} have defined and established eligibility
criteria for developmental delay in order to use this category for
reporting.

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION A (continued)

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION A (CONTINUED)

  ---------------- -------------- -------------- -------------- --------------
  Children with    5\.                                          
  Disabilities     Disciplinary                                 
  Ages 3-21        Removals                                     

  Disability       A. Total       B. Number of   C. Number of   D. Number of
                   Disciplinary   Children with  Children with  Children with
                   Removals       Disciplinary   Disciplinary   Disciplinary
                                  Removals       Removals       Removals
                                  Totaling 1 Day Totaling 2-10  Totaling \>10
                                                 days           Days

  1\. Mental                                                    
  Retardation                                                   

  2\. Hearing                                                   
  Impairments                                                   

  3\. Speech or                                                 
  Language                                                      
  Impairments                                                   

  4\. Visual                                                    
  Impairments                                                   

  5\. Emotional                                                 
  Disturbance                                                   

  6\. Orthopedic                                                
  Impairments                                                   

  7\. Other Health                                              
  Impairments                                                   

  8\. Specific                                                  
  Learning                                                      
  Disabilities                                                  

  9\.                                                           
  Deaf-Blindness                                                

  10\. Multiple                                                 
  Disabilities                                                  

  11\. Autism                                                   

  12\. Traumatic                                                
  Brain Injury                                                  

  13\.                                                          
  Developmental                                                 
  Delay^1^                                                      

  14\. Total                                                    
  ---------------- -------------- -------------- -------------- --------------

^1^ States [must]{.underline} have defined and established eligibility
criteria for developmental delay in order to use this category for
reporting.

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION B

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION B. DISCIPLINARY REMOVAL TYPE BY RACE/ETHNICITY

  ----------------- ------------- ---------- ---------- ---------- ---------------
  Children with     1\.                                            2\. Removals to
  Disabilities Ages Unilateral                                     an Interim
  3-21              Removals to                                    Alternative
                    an Interim                                     Educational
                    Alternative                                    Setting Based
                    Educational                                    on a Hearing
                    Setting\                                       Officer
                    by School                                      Determination
                    Personnel                                      Regarding
                                                                   Likely Injury

  Race/Ethnicity    A. Number of  B. Number  C. Number  D. Number  Number of
                    Children      of         of         of         Children
                                  Removals   Removals   Removals   
                                  for Drugs  for        for        
                                             Weapons    Serious    
                                                        Bodily     
                                                        Injury     

  1\.                                                              
  Hispanic/Latino                                                  

  2\. American                                                     
  Indian or Alaska                                                 
  Native                                                           

  3\. Asian                                                        

  4\. Black or                                                     
  African American                                                 

  5\. Native                                                       
  Hawaiian or Other                                                
  Pacific Islander                                                 

  6\. White                                                        

  7\. Two or More                                                  
  Races                                                            

  8\. Total                                                        
  ----------------- ------------- ---------- ---------- ---------- ---------------

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION B

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION B (CONTINUED)

+------------------+------------+------------+------------+------------+
| Children with    | 1.         |            |            |            |
| Disabilities     | Unilateral |            |            |            |
| Ages 3-21        |            |            |            |            |
|                  |   Removals |            |            |            |
|                  |     to an  |            |            |            |
|                  |            |            |            |            |
|                  |    Interim |            |            |            |
|                  |     A      |            |            |            |
|                  | lternative |            |            |            |
|                  |     E      |            |            |            |
|                  | ducational |            |            |            |
|                  |            |            |            |            |
|                  |   Setting\ |            |            |            |
|                  |     by     |            |            |            |
|                  |     School |            |            |            |
|                  |            |            |            |            |
|                  |  Personnel |            |            |            |
|                  |            |            |            |            |
|                  | > (P       |            |            |            |
|                  | ERCENT)^1^ |            |            |            |
+------------------+------------+------------+------------+------------+
| Race/Ethnicity   | A. Number  | B. Number  | C. Number  | D. Number  |
|                  | of         | of         | of         | of         |
|                  | Children   | Removals   | Removals   | Removals   |
|                  |            | for Drugs  | for        | for        |
|                  | (PERCENT)  |            | Weapons    | Serious    |
|                  |            | (PERCENT)  |            | Bodily     |
|                  |            |            | (PERCENT)  | Injury     |
|                  |            |            |            |            |
|                  |            |            |            | (PERCENT)  |
+------------------+------------+------------+------------+------------+
| 1\.              |            |            |            |            |
| Hispanic/Latino  |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 2\. American     |            |            |            |            |
| Indian or Alaska |            |            |            |            |
| Native           |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 3\. Asian        |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 4\. Black or     |            |            |            |            |
| African American |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 5\. Native       |            |            |            |            |
| Hawaiian or      |            |            |            |            |
| Other Pacific    |            |            |            |            |
| Islander         |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 6\. White        |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 7\. Two or More  |            |            |            |            |
| Races            |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 8\. Total        | 100%       | 100%       | 100%       | 100%       |
+------------------+------------+------------+------------+------------+

^1^ STATES SHOULD NOT PROVIDE PERCENTAGES IN THIS SECTION, AS THEY WILL
BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION B (continued)

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION B (CONTINUED)

+---------------+----------+----------+----------+----------+----------+
| Children with | 3\.      |          | 4\.      |          | 3\.      |
| Disabilities  | Out-o    |          | I        |          | Out-o    |
| Ages 3-21     | f-School |          | n-School |          | f-School |
|               | Sus      |          | Sus      |          | Sus      |
|               | pensions |          | pensions |          | pensions |
|               | or       |          |          |          | or       |
|               | Ex       |          |          |          | Ex       |
|               | pulsions |          |          |          | pulsions |
|               |          |          |          |          |          |
|               |          |          |          |          | (PER     |
|               |          |          |          |          | CENT)^1^ |
+---------------+----------+----------+----------+----------+----------+
| Disability    | A.       | B.       | A.       | B.       | B.       |
|               | Number   | Number   | Number   | Number   | Number   |
|               | of       | of       | of       | of       | of       |
|               | Children | Children | Children | Children | Children |
|               | with     | with     | with     | with     | with     |
|               | Out-o    | Out-o    | I        | I        | Out-o    |
|               | f-School | f-School | n-School | n-School | f-School |
|               | Suspe    | Suspe    | Sus      | Sus      | Suspe    |
|               | nsion/Ex | nsion/Ex | pensions | pensions | nsion/Ex |
|               | pulsions | pulsions | Totaling | Totaling | pulsions |
|               | Totaling | Totaling | 10 Days  | \>10     | Totaling |
|               | 10 Days  | \>10     | or Less  | Days     | \>10     |
|               | or Less  | Days     |          |          | Days     |
|               |          |          |          |          |          |
|               |          |          |          |          | (        |
|               |          |          |          |          | PERCENT) |
+---------------+----------+----------+----------+----------+----------+
| 1\.           |          |          |          |          |          |
| Hi            |          |          |          |          |          |
| spanic/Latino |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 2\. American  |          |          |          |          |          |
| Indian or     |          |          |          |          |          |
| Alaska Native |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 3\. Asian     |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 4\. Black or  |          |          |          |          |          |
| African       |          |          |          |          |          |
| American      |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 5\. Native    |          |          |          |          |          |
| Hawaiian or   |          |          |          |          |          |
| Other Pacific |          |          |          |          |          |
| Islander      |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 6\. White     |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 7\. Two or    |          |          |          |          |          |
| More Races    |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 8\. Total     |          |          |          |          | 100%     |
+---------------+----------+----------+----------+----------+----------+

^1^ STATES SHOULD NOT PROVIDE PERCENTAGES IN THIS SECTION, AS THEY WILL
BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION B (continued)

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION B (CONTINUED)

  ----------------- -------------- -------------- -------------- --------------
  Children with     5\.                                          
  Disabilities Ages Disciplinary                                 
  3-21              Removals                                     

  Disability        A. Total       B. Number of   C. Number of   D. Number of
                    Disciplinary   Children with  Children with  Children with
                    Removals       Disciplinary   Disciplinary   Disciplinary
                                   Removals       Removals       Removals
                                   Totaling 1 Day Totaling 2-10  Totaling \>10
                                                  days           Days

  1\.                                                            
  Hispanic/Latino                                                

  2\. American                                                   
  Indian or Alaska                                               
  Native                                                         

  3\. Asian                                                      

  4\. Black or                                                   
  African American                                               

  5\. Native                                                     
  Hawaiian or Other                                              
  Pacific Islander                                               

  6\. White                                                      

  7\. Two or More                                                
  Races                                                          

  8\. Total                                                      
  ----------------- -------------- -------------- -------------- --------------

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION C

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:

SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION C. DISCIPLINARY REMOVAL TYPE BY GENDER

  ---------------- ------------- ---------- ---------- ---------- ---------------
  Children with    1\.                                            2\. Removals to
  Disabilities     Unilateral                                     an Interim
  Ages 3-21        Removals to                                    Alternative
                   an Interim                                     Educational
                   Alternative                                    Setting Based
                   Educational                                    on a Hearing
                   Setting\                                       Officer
                   by School                                      Determination
                   Personnel                                      Regarding
                                                                  Likely Injury

  Gender           A. Number of  B. Number  C. Number  D. Number  Number of
                   Children      of         of         of         Children
                                 Removals   Removals   Removals   
                                 for Drugs  for        for        
                                            Weapons    Serious    
                                                       Bodily     
                                                       Injury     

  1\. Male                                                        

  2\. Female                                                      

  3\. Total                                                       
  ---------------- ------------- ---------- ---------- ---------- ---------------

SECTION C (CONTINUED)

+------------------+------------+------------+------------+------------+
| Children with    | > 1\.      |            |            |            |
| Disabilities     | >          |            |            |            |
| Ages 3-21        | Unilateral |            |            |            |
|                  | > Removals |            |            |            |
|                  | > to an    |            |            |            |
|                  | > Interim  |            |            |            |
|                  | > A        |            |            |            |
|                  | lternative |            |            |            |
|                  | > E        |            |            |            |
|                  | ducational |            |            |            |
|                  | > Setting\ |            |            |            |
|                  | > by       |            |            |            |
|                  | > School   |            |            |            |
|                  | >          |            |            |            |
|                  |  Personnel |            |            |            |
|                  | >          |            |            |            |
|                  | > (P       |            |            |            |
|                  | ERCENT)^1^ |            |            |            |
+------------------+------------+------------+------------+------------+
| Gender           | A. Number  | B. Number  | C. Number  | D. Number  |
|                  | of         | of         | of         | of         |
|                  | Children   | Removals   | Removals   | Removals   |
|                  |            | for Drugs  | for        | for        |
|                  | (PERCENT)  |            | Weapons    | Serious    |
|                  |            | (PERCENT)  |            | Bodily     |
|                  |            |            | (PERCENT)  | Injury     |
|                  |            |            |            |            |
|                  |            |            |            | (PERCENT)  |
+------------------+------------+------------+------------+------------+
| 1\. Male         |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 2\. Female       |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 3\. Total        | 100%       | 100%       | 100%       | 100%       |
+------------------+------------+------------+------------+------------+

^1^ STATES SHOULD NOT PROVIDE PERCENTAGES IN THIS SECTION, AS THEY WILL
BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION C (continued)

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION C (CONTINUED)

+---------------+----------+----------+----------+----------+----------+
| Children with | 3\.      |          | 4\.      |          | 3\.      |
| Disabilities  | Out-o    |          | I        |          | Out-o    |
| Ages 3-21     | f-School |          | n-School |          | f-School |
|               | Sus      |          | Sus      |          | Sus      |
|               | pensions |          | pensions |          | pensions |
|               | or       |          |          |          | or       |
|               | Ex       |          |          |          | Ex       |
|               | pulsions |          |          |          | pulsions |
|               |          |          |          |          |          |
|               |          |          |          |          | (PER     |
|               |          |          |          |          | CENT)^1^ |
+---------------+----------+----------+----------+----------+----------+
| Gender        | A.       | B.       | A.       | B.       | B.       |
|               | Number   | Number   | Number   | Number   | Number   |
|               | of       | of       | of       | of       | of       |
|               | Children | Children | Children | Children | Children |
|               | with     | with     | with     | with     | with     |
|               | Out-o    | Out-o    | I        | I        | Out-o    |
|               | f-School | f-School | n-School | n-School | f-School |
|               | Suspe    | Suspe    | Sus      | Sus      | Suspe    |
|               | nsion/Ex | nsion/Ex | pensions | pensions | nsion/Ex |
|               | pulsions | pulsions | Totaling | Totaling | pulsions |
|               | Totaling | Totaling | 10 Days  | \>10     | Totaling |
|               | 10 Days  | \>10     | or Less  | Days     | \>10     |
|               | or Less  | Days     |          |          | Days     |
|               |          |          |          |          |          |
|               |          |          |          |          | (        |
|               |          |          |          |          | PERCENT) |
+---------------+----------+----------+----------+----------+----------+
| 1\. Male      |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 2\. Female    |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 3\. Total     |          |          |          |          | 100%     |
+---------------+----------+----------+----------+----------+----------+

^1^ STATES SHOULD NOT PROVIDE PERCENTAGES IN THIS SECTION, AS THEY WILL
BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION C (continued)

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION C (CONTINUED)

  ---------------- -------------- -------------- -------------- --------------
  Children with    5\.                                          
  Disabilities     Disciplinary                                 
  Ages 3-21        Removals                                     

  Disability       A. Total       B. Number of   C. Number of   D. Number of
                   Disciplinary   Children with  Children with  Children with
                   Removals       Disciplinary   Disciplinary   Disciplinary
                                  Removals       Removals       Removals
                                  Totaling 1 Day Totaling 2-10  Totaling \>10
                                                 days           Days

  1\. Male                                                      

  2\. Female                                                    

  3\. Total                                                     
  ---------------- -------------- -------------- -------------- --------------

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION D

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION D. DISCIPLINARY REMOVAL TYPE BY LIMITED ENGLISH PROFICIENCY
STATUS

  ---------------- ------------- ---------- ---------- ---------- ---------------
  Children with    1\.                                            2\. Removals to
  Disabilities     Unilateral                                     an Interim
  Ages 3-21        Removals to                                    Alternative
                   an Interim                                     Educational
                   Alternative                                    Setting Based
                   Educational                                    on a Hearing
                   Setting\                                       Officer
                   by School                                      Determination
                   Personnel                                      Regarding
                                                                  Likely Injury

  Limited English  A. Number of  B. Number  C. Number  D. Number  Number of
  Proficiency      Children      of         of         of         Children
  Status                         Removals   Removals   Removals   
                                 for Drugs  for        for        
                                            Weapons    Serious    
                                                       Bodily     
                                                       Injury     

  1\. Yes                                                         

  2\. No                                                          

  3\. Total                                                       
  ---------------- ------------- ---------- ---------- ---------- ---------------

SECTION D (CONTINUED)

+------------------+------------+------------+------------+------------+
| Children with    | > 1\.      |            |            |            |
| Disabilities     | >          |            |            |            |
| Ages 3-21        | Unilateral |            |            |            |
|                  | > Removals |            |            |            |
|                  | > to an    |            |            |            |
|                  | > Interim  |            |            |            |
|                  | > A        |            |            |            |
|                  | lternative |            |            |            |
|                  | > E        |            |            |            |
|                  | ducational |            |            |            |
|                  | > Setting\ |            |            |            |
|                  | > by       |            |            |            |
|                  | > School   |            |            |            |
|                  | >          |            |            |            |
|                  |  Personnel |            |            |            |
|                  | >          |            |            |            |
|                  | > (P       |            |            |            |
|                  | ERCENT)^1^ |            |            |            |
+------------------+------------+------------+------------+------------+
| Limited English  | A. Number  | B. Number  | C. Number  | D. Number  |
| Proficiency      | of         | of         | of         | of         |
| Status           | Children   | Removals   | Removals   | Removals   |
|                  |            | for Drugs  | for        | for        |
|                  | (PERCENT)  |            | Weapons    | Serious    |
|                  |            | (PERCENT)  |            | Bodily     |
|                  |            |            | (PERCENT)  | Injury     |
|                  |            |            |            |            |
|                  |            |            |            | (PERCENT)  |
+------------------+------------+------------+------------+------------+
| 1\. Yes          |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 2\. No           |            |            |            |            |
+------------------+------------+------------+------------+------------+
| 3\. Total        | 100%       | 100%       | 100%       | 100%       |
+------------------+------------+------------+------------+------------+

^1^ STATES SHOULD NOT PROVIDE PERCENTAGES IN THIS SECTION, AS THEY WILL
BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION D (continued)

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION D (CONTINUED)

+---------------+----------+----------+----------+----------+----------+
| Children with | 3\.      |          | 4\.      |          | 3\.      |
| Disabilities  | Out-o    |          | I        |          | Out-o    |
| Ages 3-21     | f-School |          | n-School |          | f-School |
|               | Sus      |          | Sus      |          | Sus      |
|               | pensions |          | pensions |          | pensions |
|               | or       |          |          |          | or       |
|               | Ex       |          |          |          | Ex       |
|               | pulsions |          |          |          | pulsions |
|               |          |          |          |          |          |
|               |          |          |          |          | (PER     |
|               |          |          |          |          | CENT)^1^ |
+---------------+----------+----------+----------+----------+----------+
| Limited       | A.       | B.       | A.       | B.       | B.       |
| English       | Number   | Number   | Number   | Number   | Number   |
| Proficiency   | of       | of       | of       | of       | of       |
| Status        | Children | Children | Children | Children | Children |
|               | with     | with     | with     | with     | with     |
|               | Out-o    | Out-o    | I        | I        | Out-o    |
|               | f-School | f-School | n-School | n-School | f-School |
|               | Suspe    | Suspe    | Sus      | Sus      | Suspe    |
|               | nsion/Ex | nsion/Ex | pensions | pensions | nsion/Ex |
|               | pulsions | pulsions | Totaling | Totaling | pulsions |
|               | Totaling | Totaling | 10 Days  | \>10     | Totaling |
|               | 10 Days  | \>10     | or Less  | Days     | \>10     |
|               | or Less  | Days     |          |          | Days     |
|               |          |          |          |          |          |
|               |          |          |          |          | (        |
|               |          |          |          |          | PERCENT) |
+---------------+----------+----------+----------+----------+----------+
| 1\. Yes       |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 2\. No        |          |          |          |          |          |
+---------------+----------+----------+----------+----------+----------+
| 3\. Total     |          |          |          |          | 100%     |
+---------------+----------+----------+----------+----------+----------+

^1^ STATES SHOULD NOT PROVIDE PERCENTAGES IN THIS SECTION, AS THEY WILL
BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION D (continued)

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION D (CONTINUED)

  ---------------- -------------- -------------- -------------- --------------
  Children with    5\.                                          
  Disabilities     Disciplinary                                 
  Ages 3-21        Removals                                     

  Limited English  A. Total       B. Number of   C. Number of   D. Number of
  Proficiency      Disciplinary   Children with  Children with  Children with
  Status           Removals       Disciplinary   Disciplinary   Disciplinary
                                  Removals       Removals       Removals
                                  Totaling 1 Day Totaling 2-10  Totaling \>10
                                                 days           Days

  1\. Yes                                                       

  2\. No                                                        

  3\. Total                                                     
  ---------------- -------------- -------------- -------------- --------------

U.S. DEPARTMENT OF EDUCATION OMB NO.: 1820-0621

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES FORM EXPIRES: 08/31/2009

OFFICE OF SPECIAL EDUCATION TABLE 5, SECTION E

PROGRAMS

REPORT OF CHILDREN WITH DISABILITIES SUBJECT TO DISCIPLINARY REMOVAL:\
SCHOOL YEAR **2008-2009**

STATE: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

SECTION E. CHILDREN SUBJECT TO EXPULSION WITH AND WITHOUT EDUCATIONAL
SERVICES BY DISABILITY STATUS

  --------------------- ---------------- ---------------- ----------------
                        6\. Children                      
                        Subject to                        
                        Expulsion                         

                        A. Received      B. Did Not       PERCENT^1^
                        Educational      Receive          
                        Services During  Educational      
                        Expulsion        Services During  
                                         Expulsion        

  1\. Children with                                       
  Disabilities Ages                                       
  3-21                                                    

  2\. Children without                                    
  Disabilities, Grades                                    
  K-12                                                    

  3\. Total                                               100%
  --------------------- ---------------- ---------------- ----------------

^1^ STATES SHOULD NOT PROVIDE PERCENTAGES IN THIS SECTION, AS THEY WILL
BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.

[^1]: **If your State is collecting race/ethnicity information in a
    manner that is NOT in full accordance with the new guidance
    (including the two-part question format for ascertaining and
    reporting Hispanic ethnicity), you should report aggregate data
    through the 5-category format ( the '...-RE5' version of the form
    for this collection) until your State is prepared to fully implement
    the new guidance, and then to do so for all of the IDEA Part B
    collections associated with the given reporting reference year
    (e.g., 2009-10 year). Until you make that full transition, you
    should use the --RE5 version of the form, and apply either of two
    options to account for students who are identified as multiracial or
    two or more races, as described in the document entitled, "Handling
    Missing Data When Reporting Race/Ethnicity"
    (<https://www.ideadata.org/docs/PartBRaceEthnicity.doc>).**