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+---+------------------------+-------+---+-------------------------------+---+
| 1 |                        | 2\.   |   |                               |   |
| \ |                        | EDICS |   |                               |   |
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| u |                        | 1820  |   |                               |   |
| b |                        | -0627 |   |                               |   |
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| 4 |                        |       |   | 4a. Is this a request for a   |   |
| \ |                        |       |   | generic clearance?            |   |
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| T |                        |       |   | **Yes** **No** **NA**         |   |
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|   | 8\. Does the           |       |   |                               |   |
|   | Supporting Statement   |       |   |                               |   |
|   | serve as a Joint ICR   |       |   |                               |   |
|   | and Privacy Impact     |       |   |                               |   |
|   | Assessment per OMB     |       |   |                               |   |
|   | Memorandum             |       |   |                               |   |
|   | 03-http://ww           |       |   |                               |   |
|   | w.whitehouse.gov/omb/m |       |   |                               |   |
|   | emoranda/m03-22.html), |       |   |                               |   |
|   | Section II.D.? Yes No  |       |   |                               |   |
|   | NA                     |       |   |                               |   |
+---+------------------------+-------+---+-------------------------------+---+
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| f |                        |       |   |                               |   |
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| r |                        |       |   |                               |   |
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| u |                        |       |   |                               |   |
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| s |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| . |                        |       |   |                               |   |
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| h |                        |       |   |                               |   |
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| s |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| d |                        |       |   |                               |   |
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| t |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| l |                        |       |   |                               |   |
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| o |                        |       |   |                               |   |
| h |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| v |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| b |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| u |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| d |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
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| d |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| c |                        |       |   |                               |   |
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| t |                        |       |   |                               |   |
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| r |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| d |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| h |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| p |                        |       |   |                               |   |
| r |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| v |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| n |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| f |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| r |                        |       |   |                               |   |
| v |                        |       |   |                               |   |
| i |                        |       |   |                               |   |
| c |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| s |                        |       |   |                               |   |
| f |                        |       |   |                               |   |
| r |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| m |                        |       |   |                               |   |
| y |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| r |                        |       |   |                               |   |
| - |                        |       |   |                               |   |
| t |                        |       |   |                               |   |
| o |                        |       |   |                               |   |
| - |                        |       |   |                               |   |
| y |                        |       |   |                               |   |
| e |                        |       |   |                               |   |
| a |                        |       |   |                               |   |
| r |                        |       |   |                               |   |
| . |                        |       |   |                               |   |
+---+------------------------+-------+---+-------------------------------+---+

<table style="width:100%;">
<colgroup>
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 11%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 2%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="3">11.</td>
<td colspan="55">Authorizing Statute(s):</td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="3"></td>
<td colspan="5">a.</td>
<td colspan="8"><blockquote>
<p>US Code</p>
</blockquote></td>
<td colspan="9">     </td>
<td colspan="9">USC</td>
<td colspan="10">     </td>
<td colspan="6">Name of Law:</td>
<td colspan="8">     </td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="5"></td>
<td colspan="8"><blockquote>
<p>US Code</p>
</blockquote></td>
<td colspan="9">     </td>
<td colspan="9">USC</td>
<td colspan="10">     </td>
<td colspan="6">Name of Law:</td>
<td colspan="8">     </td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="58"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="58"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="3"></td>
<td colspan="5"><blockquote>
<p>b.</p>
</blockquote></td>
<td colspan="8"><blockquote>
<p>PL</p>
</blockquote></td>
<td colspan="5">Pub L</td>
<td colspan="10">102</td>
<td></td>
<td colspan="5">567</td>
<td>Sec</td>
<td colspan="5">509</td>
<td colspan="7">Name of Law:</td>
<td colspan="8">Protection and Advocacy of Individual Rights</td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="5"></td>
<td colspan="8"><blockquote>
<p>PL</p>
</blockquote></td>
<td colspan="5">Pub.L.</td>
<td colspan="10">     </td>
<td>-</td>
<td colspan="5">     </td>
<td>Sec</td>
<td colspan="5">     </td>
<td colspan="7">Name of Law:</td>
<td colspan="8">     </td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="58"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="58"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="3"></td>
<td colspan="5">c.</td>
<td colspan="8">Statute at Large</td>
<td colspan="4">     </td>
<td colspan="7">USC</td>
<td colspan="15">     </td>
<td colspan="8">Name of Statute:</td>
<td colspan="8">     </td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="5"></td>
<td colspan="8">Statute at Large</td>
<td colspan="4">     </td>
<td colspan="7">USC</td>
<td colspan="15">     </td>
<td colspan="8">Name of Statute:</td>
<td colspan="8">     </td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="58"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="58"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="3"></td>
<td colspan="5">d.</td>
<td colspan="8">EO</td>
<td colspan="3">EO</td>
<td colspan="16">     </td>
<td colspan="6">Name /Subject of EO:</td>
<td colspan="17">     </td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="3"></td>
<td colspan="5"></td>
<td colspan="8">EO</td>
<td colspan="3">EO</td>
<td colspan="16">     </td>
<td colspan="6">Name/Subject of EO:</td>
<td colspan="17">     </td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="4">12.</td>
<td colspan="58">Associated Rulemaking Information</td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="26">RIN:</td>
<td colspan="16">Stage of Rulemaking <em>(check one)</em>:</td>
<td colspan="8">Federal Register Citation:</td>
<td colspan="8">Citation Date:      </td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="5"> </td>
<td colspan="2"> </td>
<td colspan="3"> </td>
<td> </td>
<td colspan="2"></td>
<td> </td>
<td colspan="4"> </td>
<td colspan="2"> </td>
<td colspan="6"> </td>
<td colspan="16"> Proposed Rule</td>
<td colspan="3">    </td>
<td colspan="3">FR</td>
<td colspan="2">     </td>
<td></td>
<td></td>
<td colspan="6">(MM/DD/YYYY)</td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="24"></td>
<td colspan="17"> Interim Final or Final Rule</td>
<td colspan="16"><h3 id="for-rims-use-only">FOR RIMS USE ONLY</h3></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="24"></td>
<td colspan="17"> Not associated with rulemaking</td>
<td colspan="7"></td>
<td colspan="9"></td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="57"><em>For a Proposed Rule, OMB will not consider an ICR
complete until the Notice of Proposed Rulemaking has been
published.</em></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="57"></td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="57"></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="57"></td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="57"></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="57"></td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="57"></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="57"></td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="57"></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="57"></td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="57"></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="57"></td>
</tr>
<tr class="odd">
<td colspan="61"><h1 id="for-rims-use-only-1">FOR RIMS USE
ONLY</h1></td>
<td></td>
</tr>
<tr class="even">
<td colspan="7">13.</td>
<td colspan="54">Federal Register Notices &amp; Comments</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="7"></td>
<td colspan="10"></td>
<td colspan="22">Federal Register Citation:</td>
<td></td>
<td colspan="11">Citation Date:</td>
<td colspan="10">Did ED receive public comments on this ICR?</td>
<td></td>
</tr>
<tr class="even">
<td colspan="7"></td>
<td colspan="10">60-day Notice:</td>
<td colspan="6">     </td>
<td colspan="3">FR</td>
<td colspan="13">     </td>
<td></td>
<td colspan="6">     </td>
<td colspan="5">(MM/DD/YYYY)</td>
<td colspan="10"> Yes No NA</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="7"></td>
<td colspan="10"></td>
<td colspan="6"></td>
<td colspan="3"></td>
<td colspan="13"></td>
<td></td>
<td colspan="6"></td>
<td colspan="5"></td>
<td colspan="10"></td>
<td></td>
</tr>
<tr class="even">
<td colspan="7"></td>
<td colspan="10">30-day Notice:</td>
<td colspan="6">     </td>
<td colspan="3">FR</td>
<td colspan="13">     </td>
<td></td>
<td colspan="6">     </td>
<td colspan="5">(MM/DD/YYYY)</td>
<td colspan="10"></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="7"></td>
<td colspan="54"><em>Unless submitted as an Emergency or Associated with
Rulemaking, OMB will not consider an ICR complete until the 30-day
notice has been published.</em></td>
<td></td>
</tr>
<tr class="even">
<td colspan="7"></td>
<td colspan="54"></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="57"></td>
</tr>
<tr class="even">
<td colspan="5">14.</td>
<td colspan="57">Annual Cost to the Federal Government: $3,692</td>
</tr>
<tr class="odd">
<td colspan="5">15.</td>
<td colspan="57">Add/Edit Information Collections (See IC Data Part 2:
Information Collection Detail)</td>
</tr>
<tr class="even">
<td colspan="2">16.</td>
<td colspan="58">Annual reporting and recordkeeping hour burden:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="58">a. Number of respondents: 57</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="58">b. Total annual responses: 57</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="8"></td>
<td colspan="50">Percentage of these responses collected electronically:
100%</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="58">c. Total annual hours requested: 912</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="58">d. Current OMB inventory: 912</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="58">e. Difference (+/-): 0</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="58">f. Explanation of difference</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="10"></td>
<td colspan="48">1. Program Change      </td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="10"></td>
<td colspan="48">2. Adjustment: 0</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="58"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">17.</td>
<td colspan="58">Frequency of recordkeeping or reporting (check all that
apply):</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="58">a. Recordkeeping b. Third party disclosure c.
Reporting</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="4">1.</td>
<td colspan="3"></td>
<td colspan="15">On occasion</td>
<td colspan="5">2.</td>
<td colspan="3"></td>
<td colspan="9">Weekly</td>
<td colspan="2">3.</td>
<td></td>
<td colspan="12">Monthly</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="4">4.</td>
<td colspan="3"></td>
<td colspan="15">Quarterly</td>
<td colspan="5">5.</td>
<td colspan="3"></td>
<td colspan="9">Semi-annually</td>
<td colspan="2">6.</td>
<td></td>
<td colspan="12">Annually</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="4">7.</td>
<td colspan="3"></td>
<td colspan="15">Biennially</td>
<td colspan="5">8.</td>
<td colspan="3"></td>
<td colspan="9">Once</td>
<td colspan="2">9.</td>
<td></td>
<td colspan="12">Other (describe)      </td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="58"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">18.</td>
<td colspan="58"><p>Citations for New Statutory Requirements:
<em>(Required if any change in burden is a Program Change Due to New
Statute.)</em></p>
<table>
<colgroup>
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 8%" />
<col style="width: 11%" />
<col style="width: 1%" />
<col style="width: 10%" />
<col style="width: 24%" />
</colgroup>
<tbody>
<tr class="odd">
<td></td>
<td>a.</td>
<td colspan="3"><blockquote>
<p>US Code:</p>
</blockquote></td>
<td colspan="3">     </td>
<td colspan="4">USC</td>
<td colspan="5">     </td>
<td colspan="2">Name of Law:</td>
<td>     </td>
</tr>
<tr class="even">
<td colspan="20"></td>
</tr>
<tr class="odd">
<td colspan="20"></td>
</tr>
<tr class="even">
<td></td>
<td><blockquote>
<p>b.</p>
</blockquote></td>
<td colspan="2"><blockquote>
<p>PL:</p>
</blockquote></td>
<td colspan="2">Pub.L.</td>
<td colspan="3">     </td>
<td>-</td>
<td colspan="4">     </td>
<td>Sec</td>
<td colspan="2">     </td>
<td colspan="2">Name of Law:</td>
<td>     </td>
</tr>
<tr class="odd">
<td colspan="20"></td>
</tr>
<tr class="even">
<td colspan="20"></td>
</tr>
<tr class="odd">
<td></td>
<td>c.</td>
<td colspan="5">Statute at Large:</td>
<td>     </td>
<td colspan="3">USC</td>
<td colspan="5">     </td>
<td colspan="2">Name of Statute:</td>
<td colspan="2">     </td>
</tr>
<tr class="even">
<td colspan="20"></td>
</tr>
<tr class="odd">
<td colspan="20"></td>
</tr>
<tr class="even">
<td></td>
<td>d.</td>
<td>EO:</td>
<td colspan="2">EO</td>
<td colspan="8">     </td>
<td colspan="3">Name /Subject of EO:</td>
<td colspan="4">     </td>
</tr>
</tbody>
</table></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">19.</td>
<td colspan="58"> Burden increases because of Program Change due to
Agency Discretion</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="58">Burden decreases because of Program Change due to
Agency Discretion</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="58">Burden increases because of program change due to
statutory changes</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="58"> Burden decreases because of program change due to
statutory changes</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="58"> Burden increases because of program change due to
lapse of OMB approval</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="58">Burden decreases because of program change due to lapse
of OMB approval</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="58"><strong>Short Statement:</strong> <em>(Explain the
reasons for any program changes or adjustments reported; provide a short
statement on how the reduction in burden was achieved or why the
increase in burden occurred. (if you need more space, please provide a
short statement less than 4000 characters here and elaborate in the
supporting statement.))</em></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="58">     </td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td>20.</td>
<td colspan="58">Is this collection related to EDFacts? Yes No NA</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td>21.</td>
<td colspan="58">Are EDFacts standard definitions for School, LEA, SEA,
Children With Disabilities, LEP and Migrant Used? Yes No NA</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td rowspan="2">22.</td>
<td colspan="58">Please describe the types of reports and analysis to be
performed against the data (500 Characters Maximum):</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="56"><blockquote>
<p>Form RSA-509 will be used to analyze and evaluate the Protection and
Advocacy of Individual Rights (PAIR) Program administered by eligible
systems in states. RSA uses the form to meet specific data collection
requirements of Section 509 of the Rehabilitation Act of 1973, as
amended. Data from the form have been used to evaluate the effectiveness
of eligible systems within individual states in meeting annual
priorities and objectives. These data also have been used to indicate
trends in the provision of services from year-to-year.</p>
</blockquote></td>
<td colspan="2"></td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="58"></td>
<td colspan="3"></td>
</tr>
</tbody>
</table>

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