OMB NO. 1820-0030

**Expires: \_\_\_\_\_\_\_\_**

**ANNUAL STATE APPLICATION UNDER PART B OF THE**

**INDIVIDUALS WITH DISABILITIES EDUCATION ACT AS AMENDED IN 2004**

**FOR FEDERAL FISCAL YEAR \_\_\_\_\_\_\_**

##### CFDA No. 84.027A and 84.173A

**ED FORM No. 9055**

**UNITED STATES DEPARTMENT OF EDUCATION**

**OFFICE OF SPECIAL EDUCATION PROGRAMS**

**Washington, DC 20202-2600**

# Section I

## A. Submission Statement for Part B of IDEA

Please select 1 or 2 below. Check 3 if appropriate.

\_\_\_\_\_ 1. The State provides assurances that it has in effect
policies and procedures to meet all eligibility requirements of Part B
of the Act as found in PL 108-446, the Individuals with Disabilities
Education Act and applicable regulations (IDEA). The State is able to
meet all assurances found in Section II.A of this Application.

\_\_\_\_\_ 2. The State cannot provide assurances [for all]{.underline}
eligibility requirements of Part B of the Act as found in PL 108-446.
The State has determined that [it is unable]{.underline} to make the
assurances that [are checked as \'No\' in Section II.A]{.underline}.
However, the State assures that throughout the period of this grant
award the State will operate consistent with all requirements of IDEA in
PL 108-446 and applicable regulations. The State will make such changes
to existing policies and procedures as are necessary to bring those
policies and procedures into compliance with the requirements of the
IDEA, as amended, as soon as possible, and not later than June 30,
\_\_\_\_\_\_. [The State has included the date by which it expects to
complete necessary changes associated with assurances marked
\'No\']{.underline}. (Refer to Assurances found in Section II.A.)

Optional:

\_\_\_\_\_ 3. The State is submitting modifications to State policies
and procedures previously submitted to the Department. These
modifications are: (1) deemed necessary by the State, for example when
the State revises applicable State law or regulations; (2) required by
the Secretary because there is a new interpretation of the Act or
regulations by a Federal court or the State\'s highest court; and/or (3)
because of an official finding of noncompliance with Federal law or
regulations.

### B. Conditional Approval for Current Grant Year

If the State received conditional approval for the current grant year,
check the appropriate statement(s) below:

1\. Conditional Approval Related to Assurances in Section II.A:

> \_\_\_\_\_ a. Section II.A provides documentation of completion of all
> issues identified in the FFY \_\_\_\_\_ conditional approval letter.
>
> \_\_\_\_\_ b. As noted in Section II.A, the State has not completed
> all issues identified in the FFY \_\_\_\_\_ conditional approval
> letter.

2\. **Conditional Approval Related to Other Issues:**

> \_\_\_\_\_ a. The State previously submitted documentation of
> completion of all issues identified in the FFY \_\_\_\_\_\_
> conditional approval letter.
>
> \_\_\_\_\_ b. The State is attaching documentation of completion of
> all issues identified in the FFY \_\_\_\_\_\_ conditional approval
> letter. *(Attach documentation showing completion of all issues.)*
>
> \_\_\_\_\_ c. The State has not completed all issues identified in the
> FFY \_\_\_\_\_\_ conditional approval letter. *(Attach documentation
> showing completion of any issues and a list of items not yet
> completed.)*

# Section II

## A. Assurances Related to Policies and Procedures

The State makes the following assurances that it has policies and
procedures in place as required by Part B of the Individuals with
Disabilities Education Act. (20 U.S.C. 1411-1419; 34 CFR
§§300.100-300.174)

+--------+--------+----------------------------------------------------+
| *Check |        | #                                                  |
| and    |        | #### Assurances Related to Policies and Procedures |
| enter  |        |                                                    |
| d      |        |                                                    |
| ate(s) |        |                                                    |
| as     |        |                                                    |
| appli  |        |                                                    |
| cable* |        |                                                    |
+========+========+====================================================+
| ##     | #      |                                                    |
| ## Yes | ### No |                                                    |
|        |        |                                                    |
| (Ass   | (Ass   |                                                    |
| urance | urance |                                                    |
| is     | cannot |                                                    |
| g      | be     |                                                    |
| iven.) | given. |                                                    |
|        | P      |                                                    |
|        | rovide |                                                    |
|        | date   |                                                    |
|        | on     |                                                    |
|        | which  |                                                    |
|        | State  |                                                    |
|        | will   |                                                    |
|        | co     |                                                    |
|        | mplete |                                                    |
|        | c      |                                                    |
|        | hanges |                                                    |
|        | in     |                                                    |
|        | order  |                                                    |
|        | to     |                                                    |
|        | p      |                                                    |
|        | rovide |                                                    |
|        | assur  |                                                    |
|        | ance.) |                                                    |
+--------+--------+----------------------------------------------------+
|        |        | 1\. A free appropriate public education is         |
|        |        | available to all children with disabilities        |
|        |        | residing in the State between the ages of 3 and    |
|        |        | 21, inclusive, including children with             |
|        |        | disabilities who have been suspended or expelled,  |
|        |        | in accordance with 20 U.S.C. 1412(a)(1); 34 CFR    |
|        |        | §§300.101-300.108.                                 |
+--------+--------+----------------------------------------------------+
|        |        | 2 The State has established a goal of providing a  |
|        |        | full educational opportunity to all children with  |
|        |        | disabilities and a detailed timetable for          |
|        |        | accomplishing that goal. (20 U.S.C. 1412(a)(2); 34 |
|        |        | CFR §§300.109-300.110)                             |
+--------+--------+----------------------------------------------------+
|        |        | 3 All children with disabilities residing in the   |
|        |        | State, including children with disabilities who    |
|        |        | are homeless or are wards of the State and         |
|        |        | children with disabilities attending private       |
|        |        | schools, regardless of the severity of their       |
|        |        | disabilities, and who are in need of special       |
|        |        | education and related services, are identified,    |
|        |        | located, and evaluated and a practical method is   |
|        |        | developed and implemented to determine which       |
|        |        | children with disabilities are currently receiving |
|        |        | needed special education and related services in   |
|        |        | accordance with 20 U.S.C. 1412(a)(3); 34 CFR       |
|        |        | §300.111.                                          |
+--------+--------+----------------------------------------------------+
|        |        | 4\. An individualized education program, or an     |
|        |        | individualized family service plan that meets the  |
|        |        | requirements of section 636(d), is developed,      |
|        |        | reviewed, and revised for each child with a        |
|        |        | disability in accordance with 34 CFR §§300.320     |
|        |        | through 300.325. (20 U.S.C. 1412(a)(4); 34 CFR     |
|        |        | §300.112)                                          |
+--------+--------+----------------------------------------------------+
|        |        | 5\. To the maximum extent appropriate, children    |
|        |        | with disabilities, including children in public or |
|        |        | private institutions or other care facilities, are |
|        |        | educated with children who are not disabled, and   |
|        |        | special classes, separate schooling, or other      |
|        |        | removal of children with disabilities from the     |
|        |        | regular educational environment occurs only when   |
|        |        | the nature or severity of the disability of a      |
|        |        | child is such that education in regular classes    |
|        |        | with the use of supplementary aids and services    |
|        |        | cannot be achieved satisfactorily in accordance    |
|        |        | with 20 U.S.C. 1412(a)(5)(A)-(B); 34 CFR           |
|        |        | §§300.114-300.120.                                 |
+--------+--------+----------------------------------------------------+
|        |        | 6\. Children with disabilities and their parents   |
|        |        | are afforded the procedural safeguards required by |
|        |        | 34 CFR §§300.500 through 300.536 and in accordance |
|        |        | with 20 U.S.C. 1412(a)(6); 34 CFR §300.121.        |
+--------+--------+----------------------------------------------------+
|        |        | 7\. Children with disabilities are evaluated in    |
|        |        | accordance with 34 CFR §§300.300 through 300.311.  |
|        |        | (20 U.S.C. 1412(a)(7); 34 CFR §300.122)            |
+--------+--------+----------------------------------------------------+
|        |        | 8\. Agencies in the State comply with 34 CFR §§    |
|        |        | 300.610 through 300.626 (relating to the           |
|        |        | confidentiality of records and information). (20   |
|        |        | U.S.C. 1412(a)(8); 34 CFR §300.123)                |
+--------+--------+----------------------------------------------------+
|        |        | 9\. Children participating in early intervention   |
|        |        | programs assisted under Part C, and who will       |
|        |        | participate in preschool programs assisted under   |
|        |        | this part, experience a smooth and effective       |
|        |        | transition to those preschool programs in a manner |
|        |        | consistent with section 637(a)(9). By the third    |
|        |        | birthday of such a child, an individualized        |
|        |        | education program or, if consistent with 34 CFR    |
|        |        | §300.323(b) and section 636(d), an individualized  |
|        |        | family service plan, has been developed and is     |
|        |        | being implemented for the child. The local         |
|        |        | educational agency will participate in transition  |
|        |        | planning conferences arranged by the designated    |
|        |        | lead agency under []{.mark}section 635(a)(10). (20 |
|        |        | U.S.C. 1412(a)(9); 34 CFR §300.124)                |
+--------+--------+----------------------------------------------------+
|        |        | 10\. To the extent consistent with the number and  |
|        |        | location of children with disabilities in the      |
|        |        | State who are enrolled by their parents in private |
|        |        | elementary schools and secondary schools in the    |
|        |        | school district served by a local educational      |
|        |        | agency, provision is made for the participation of |
|        |        | those children in the program assisted or carried  |
|        |        | out under this part by providing for such children |
|        |        | special education and related services in          |
|        |        | accordance with the requirements found in 34 CFR   |
|        |        | §§300.130 through 300.148 unless the Secretary has |
|        |        | arranged for services to those children under      |
|        |        | subsection (f) \[By pass\]. (20 U.S.C.             |
|        |        | 1412(a)(10); 34 CFR §§300.129-300.148)             |
+--------+--------+----------------------------------------------------+
|        |        | 11\. The State educational agency is responsible   |
|        |        | for ensuring that the requirements of Part B are   |
|        |        | met according to 34 CFR §300.149 and that the      |
|        |        | State monitors and enforces the requirements of    |
|        |        | Part B in accordance with 34 CFR §§300.600-300.602 |
|        |        | and 300.606-300.608.\                              |
|        |        | (20 U.S.C. 1412(a)(11); 34 CFR §300.149)           |
+--------+--------+----------------------------------------------------+
|        |        | 12\. The Chief Executive Officer of a State or     |
|        |        | designee of the officer shall ensure that an       |
|        |        | interagency agreement or other mechanism for       |
|        |        | interagency coordination is in effect between each |
|        |        | public agency described in subparagraph (b) of 34  |
|        |        | CFR §300.154 and the State educational agency, in  |
|        |        | order to ensure that all services described in     |
|        |        | paragraph (b)(i) that are needed to ensure a free  |
|        |        | appropriate public education are provided,         |
|        |        | including the provision of such services during    |
|        |        | the pendency of any dispute under clause (iii).    |
|        |        | Such agreement or mechanism shall meet the         |
|        |        | requirements found in 20 U.S.C.                    |
|        |        | 1412(a)(12)(A)-(C); 34 CFR §300.154.               |
+--------+--------+----------------------------------------------------+
|        |        | 13\. The State educational agency will not make a  |
|        |        | final determination that a local educational       |
|        |        | agency is not eligible for assistance under this   |
|        |        | part without first affording that agency           |
|        |        | reasonable notice and an opportunity for a         |
|        |        | hearing. (20 U.S.C. 1412(a)(13); 34 CFR §300.155)  |
+--------+--------+----------------------------------------------------+
|        |        | 14\. The State educational agency has established  |
|        |        | and maintains qualifications to ensure that        |
|        |        | personnel necessary to carry out this part are     |
|        |        | appropriately and adequately prepared and trained, |
|        |        | including that those personnel have the content    |
|        |        | knowledge and skills to serve children with        |
|        |        | disabilities as noted in 20 U.S.C.                 |
|        |        | 1412(a)(14)(A)-(E); 34 CFR §300.156.               |
+--------+--------+----------------------------------------------------+
|        |        | 15\. The State has established goals for the       |
|        |        | performance of children with disabilities in the   |
|        |        | State that meet the requirements found in 20       |
|        |        | U.S.C. 1412(a)(15)(A)-(C); 34 CFR §300.157.        |
+--------+--------+----------------------------------------------------+
|        |        | 16\. All children with disabilities are included   |
|        |        | in all general State and districtwide assessment   |
|        |        | programs, including assessments described under    |
|        |        | section 1111 of the Elementary and Secondary       |
|        |        | Education Act of 1965, with appropriate            |
|        |        | accommodations and alternate assessments where     |
|        |        | necessary and as indicated in their respective     |
|        |        | individualized education programs as noted in 20   |
|        |        | U.S.C. 1412(a)(16)(A)-(E); 34 CFR §300.160.        |
+--------+--------+----------------------------------------------------+
|        |        | 17\. Funds paid to a State under this part will be |
|        |        | expended in accordance with all the provisions of  |
|        |        | Part B including 20 U.S.C. 1412(a)(17)(A)-(C);     |
|        |        | []{.mark}34 CFR §300.162.                          |
+--------+--------+----------------------------------------------------+
|        |        | 18\. The State will not reduce the amount of State |
|        |        | financial support for special education and        |
|        |        | related services for children with disabilities,   |
|        |        | or otherwise made available because of the excess  |
|        |        | costs of educating those children, below the       |
|        |        | amount of that support for the preceding fiscal    |
|        |        | year in accordance with 20 U.S.C.                  |
|        |        | 1412(a)(18)(A)-(D); 34 CFR §300.163.               |
+--------+--------+----------------------------------------------------+
|        |        | 19\. Prior to the adoption of any policies and     |
|        |        | procedures needed to comply with this section      |
|        |        | (including any amendments to such policies and     |
|        |        | procedures), the State ensures that there are      |
|        |        | public hearings, adequate notice of the hearings,  |
|        |        | and an opportunity for comment available to the    |
|        |        | general public, including individuals with         |
|        |        | disabilities and parents of children with          |
|        |        | disabilities. (20 U.S.C. 1412(a)(19); 34 CFR       |
|        |        | §300.165)                                          |
+--------+--------+----------------------------------------------------+
|        |        | 20\. In complying with 34 CFR §§300.162 and        |
|        |        | 300.163, a State may not use funds paid to it      |
|        |        | under this part to satisfy State-law mandated      |
|        |        | funding obligations to local educational agencies, |
|        |        | including funding based on student attendance or   |
|        |        | enrollment, or inflation. (20 U.S.C. 1412(a)(20);  |
|        |        | []{.mark}34 CFR §300.166)                          |
+--------+--------+----------------------------------------------------+
|        |        | 21\. The State has established and maintains an    |
|        |        | advisory panel for the purpose of providing policy |
|        |        | guidance with respect to special education and     |
|        |        | related services for children with disabilities in |
|        |        | the State as found in 20 U.S.C.                    |
|        |        | 1412(a)(21)(A)-(D); 34 CFR §§300.167-300.169.      |
+--------+--------+----------------------------------------------------+
|        |        | 22\. The State educational agency examines data,   |
|        |        | including data disaggregated by race and           |
|        |        | ethnicity, to determine if significant             |
|        |        | discrepancies are occurring in the rate of         |
|        |        | long-term suspensions and expulsions of children   |
|        |        | with disabilities in accordance with 20 U.S.C.     |
|        |        | 1412(a)(22)(A)-(B); 34 CFR §300.170.               |
+--------+--------+----------------------------------------------------+
|        |        | 23a. The State adopts the National Instructional   |
|        |        | Materials Accessibility Standard for the purposes  |
|        |        | of providing instructional materials to blind      |
|        |        | persons or other persons with print disabilities,  |
|        |        | in a timely manner after the publication of the    |
|        |        | National Instructional Materials Accessibility     |
|        |        | Standard in the Federal Register in accordance     |
|        |        | with 20 U.S.C. 1412(a)(23)(A) and (D); 34 CFR      |
|        |        | §300.172.                                          |
+--------+--------+----------------------------------------------------+
|        |        | 23b. *(Note: Check either \"24b.1\" or \"24b.2\"   |
|        |        | whichever applies.*                                |
+--------+--------+----------------------------------------------------+
|        |        | 23b.1 The State educational agency coordinates     |
|        |        | with the National Instructional Materials Access   |
|        |        | Center and not later than 12/03/06 the SEA as part |
|        |        | of any print instructional materials adoption      |
|        |        | process, procurement contract, or other practice   |
|        |        | or instrument used for purchase of print           |
|        |        | instructional materials enters into a written      |
|        |        | contract with the publisher of the print           |
|        |        | instructional materials to:                        |
|        |        |                                                    |
|        |        | -   require the publisher to prepare and, on or    |
|        |        |     before delivery of the print instructional     |
|        |        |     materials, provide to the National             |
|        |        |     Instructional Materials Access Center,         |
|        |        |     electronic files containing the contents of    |
|        |        |     the print instructional materials using the    |
|        |        |     National Instructional Materials Accessibility |
|        |        |     Standard; or                                   |
|        |        |                                                    |
|        |        | -   purchase instructional materials from the      |
|        |        |     publisher that are produced in, or may be      |
|        |        |     rendered in, specialized formats. (20 U.S.C.   |
|        |        |     1412(a)(23)(C); 34 CFR §300.172)               |
+--------+--------+----------------------------------------------------+
|        |        | 23b.2 The State Educational Agency has chosen not  |
|        |        | to coordinate with the National Instructional      |
|        |        | Materials Access Center but assures that it will   |
|        |        | provide instructional materials to blind persons   |
|        |        | or other persons with print disabilities in a      |
|        |        | timely manner. (20 U.S.C. 1412(a)(23)(B); 34 CFR   |
|        |        | §300.172)                                          |
+--------+--------+----------------------------------------------------+
|        |        | 24\. The State has in effect, consistent with the  |
|        |        | purposes of the IDEA and with section 618(d) of    |
|        |        | the Act, policies and procedures designed to       |
|        |        | prevent the inappropriate over identification or   |
|        |        | disproportionate representation by race and        |
|        |        | ethnicity of children as children with             |
|        |        | disabilities, including children with disabilities |
|        |        | with a particular impairment described in 34 CFR   |
|        |        | §300.8. (20 U.S.C 1412(a)(24); 34 CFR §300.173)    |
+--------+--------+----------------------------------------------------+
|        |        | 25\. The State educational agency shall prohibit   |
|        |        | State and local educational agency personnel from  |
|        |        | requiring a child to obtain a prescription for a   |
|        |        | substance covered by the Controlled Substances Act |
|        |        | (21 U.S.C. 812(c)) as a condition of attending     |
|        |        | school, receiving an evaluation under 34 CFR       |
|        |        | §§300.300 through 300.311, or receiving services   |
|        |        | under the IDEA as described in 20 U.S.C.           |
|        |        | 1412(a)(25)(A)-(B); 34 CFR §300.174.               |
+--------+--------+----------------------------------------------------+

## Other Assurances

The State also makes the following assurances:

+-------+--------------------------------------------------------------+
| ###   | ##### Other Assurances                                       |
| # Yes |                                                              |
+=======+==============================================================+
|       | 1\. The State shall distribute any funds the State does not  |
|       | reserve under 20 U.S.C. 1411(e) to local educational         |
|       | agencies (including public charter schools that operate as   |
|       | local educational agencies) in the State that have           |
|       | established their eligibility under section 613 for use in   |
|       | accordance with this part as provided for in 20 U.S.C.       |
|       | 1411(f)(1)-(3); 34 CFR §300.705.                             |
+-------+--------------------------------------------------------------+
|       | 2\. The State shall provide data to the Secretary on any     |
|       | information that may be required by the Secretary. (20       |
|       | U.S.C. 1418(a)(3); 34 CFR §§300.640-300.645.)                |
+-------+--------------------------------------------------------------+
|       | 3\. The State, local educational agencies, and educational   |
|       | service agencies shall use fiscal control and fund           |
|       | accounting procedures that insure proper disbursement of and |
|       | accounting for Federal funds. (34 CFR §76.702)               |
+-------+--------------------------------------------------------------+
|       | 4\. The State will continue to comply with the regulations   |
|       | that are still applicable and currently in place.            |
+-------+--------------------------------------------------------------+
|       | 5\. As applicable, the assurance in OMB Standard Form 424B   |
|       | (Assurances for Non-Construction Programs), relating to      |
|       | legal authority to apply for assistance; access to records;  |
|       | conflict of interest; merit systems; nondiscrimination;      |
|       | Hatch Act provisions; labor standards; flood insurance;      |
|       | environmental standards; wild and scenic river systems;      |
|       | historic preservation; protection of human subjects; animal  |
|       | welfare; lead-based paint; Single Audit Act; and general     |
|       | agreement to comply with all Federal laws, executive orders  |
|       | and regulations.                                             |
+-------+--------------------------------------------------------------+

### C. Certifications

The State Educational Agency is providing the following certifications:

+-------+--------------------------------------------------------------+
| Yes   |                                                              |
+-------+--------------------------------------------------------------+
|       | 1\. The State certifies that ED Form 80-0013, *Certification |
|       | Regarding Lobbying*, is on file with the Secretary of        |
|       | Education.                                                   |
|       |                                                              |
|       | > With respect to the *Certification Regarding Lobbying,*    |
|       | > the State recertifies that no Federal appropriated funds   |
|       | > have been paid or will be paid to any person for           |
|       | > influencing or attempting to influence an officer or       |
|       | > employee of any agency, a Member of Congress, an officer   |
|       | > or employee of Congress, or an employee of a Member of     |
|       | > Congress in connection with the making or renewal of       |
|       | > Federal grants under this program; that the State shall    |
|       | > complete and submit Standard Form-LLL, \"Disclosure Form   |
|       | > to Report Lobbying,\" when required (34 CFR Part 82,       |
|       | > Appendix B); and that the State Agency shall require the   |
|       | > full certification, as set forth in 34 CFR Part 82,        |
|       | > Appendix A, in the award documents for all sub awards at   |
|       | > all tiers.                                                 |
+-------+--------------------------------------------------------------+
|       | 2\. The State certifies that certifications in the Education |
|       | Department General Administrative Regulations (EDGAR) at 34  |
|       | CFR §80.11 relating to State eligibility, authority and      |
|       | approval to submit and carry out the provisions of its State |
|       | application, and consistency of that application with State  |
|       | law are in place within the State.                           |
+-------+--------------------------------------------------------------+
|       | 3\. The State certifies that the arrangements to establish   |
|       | responsibility for services pursuant to 20 U.S.C.            |
|       | 1412(a)(12)(A); 34 CFR §300.154 are current. This            |
|       | certification must be received prior to the expenditure of   |
|       | any funds reserved by the State under 20 U.S.C. 1411(e)(1);  |
|       | 34 CFR §300.171.                                             |
+-------+--------------------------------------------------------------+

## D. Statement

I certify that the State of
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ can
make the assurances checked as \'yes\' in Section II.A and II.B and the
certifications required in Section II.C of this application. These
provisions meet the requirements of the Part B of the Individuals with
Disabilities Education Act as found in PL 108-446. The State will
operate its Part B program in accordance with all of the required
assurances and certifications.

If any assurances have been checked \'no\', I certify that the State
will operate throughout the period of this grant award consistent with
the requirements of the IDEA as found in PL 108-446 and any applicable
regulations, and will make such changes to existing policies and
procedures as are necessary to bring those policies and procedures into
compliance with the requirements of the IDEA, as amended, as soon as
possible, and not later than June 30, \_\_\_\_\_\_. (34 CFR §76.104)

I, the undersigned authorized official of the

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_,

*(Name of State and official name of State agency)*

am designated by the Governor of this State to submit this application
for FFY \_\_\_\_\_\_\_ funds under Part B of the Individuals with
Disabilities Education Act (IDEA).

  ----------------------------------- -----------------------------------
  Printed/Typed Name and Title of     
  Authorized Representative of the    
  State:                              

  Signature:                          Date:
  ----------------------------------- -----------------------------------

# Section III

Description of Use of Funds Under Part B of the Individuals with
Disabilities Education Act - 20 U.S.C. 1411(e)(5); 34 CFR §300.171

Describe how the amount retained by the State educational agency under
20 U.S.C. 1411(e)(1) will be used to meet the following activities under
Part B. (20 U.S.C. 1411(e)(1)-(3), (6) and (7)) The Department annually
identifies for States the maximum amounts that a State may retain under
Section 1411(e)(1) and (2).[^1] The dollar amounts **listed in the Excel
Interactive Spreadsheet** by the State for administration and for other
State activities should add up to less or equal to the dollar amount
provided to the State by the Department for each of these activities.

***Enter whole dollar amounts (do not enter cents) in appropriate cells
on the State's Excel Interactive Worksheet. The Excel Interactive
Spreadsheet [must]{.underline}*** be submitted as part of the State's
application.

  ------------------------------------------------------------------------
  **FOR ADMINISTRATIVE ACTIVITIES UNDER PART         **ENTER DOLLAR
  B**                                                AMOUNTS**
  -------------------------------------------- ----- ---------------------
  For the purpose of administering this part,  a\.   \$0
  including 20 U.S.C. 1411(e)(3), 20 U.S.C.          
  1419, and the coordination of activities           
  under this part with, and providing                
  technical assistance to, other programs that       
  provide services to children with                  
  disabilities. (20 U.S.C. 1411(e)(1)(A); 34         
  CFR §300.704)                                      

  The administration of Part C of IDEA, if the b\.   \$0
  SEA is the Lead Agency for the State under         
  Part C. (20 U.S.C. 1411 (e)(1)(D); 34 CFR          
  §300.704))                                         

  A State may use funds the State reserves for       
  administration that are the result of              
  inflationary increases described in 20             
  U.S.C. 1411(e)(1)(B) for the following             
  activities: (20 U.S.C. 1411(e)(6);                 
  []{.mark}34 CFR §300.704)                          

  For support and direct services, including   c\.   \$0
  technical assistance, personnel preparation,       
  and professional development and training.         

  To assist local educational agencies in      d\.   \$0
  providing positive behavioral interventions        
  and supports and appropriate mental health         
  services for children with disabilities.           

  To assist local educational agencies in      e\.   \$0
  meeting personnel shortages.                       

  To support capacity building activities and  f\.   \$0
  improve the delivery of services by local          
  educational agencies to improve results for        
  children with disabilities.                        

  **Flexibility in Using Funds for Part C**          
  (20 U.S.C. 1411(e)(7); 34 CFR §300.704)            

  Any State eligible to receive a grant under  g\.   \$0
  20 U.S.C. 1419 may use funds made available        
  under 20 U.S.C. 1411(e)(1)(A); 34 CFR              
  §300.704, 20 U.S.C. 1411(f)(3), or 20 U.S.C.       
  1419(f)(5); 34 CFR §300.705 to develop and         
  implement a State policy jointly with the          
  lead agency under Part C and the State             
  educational agency to provide early                
  intervention services (which shall include         
  an educational component that promotes             
  school readiness and incorporates                  
  preliteracy, language, and numeracy skills)        
  in accordance with Part C to children with         
  disabilities who are eligible for services         
  under 20 U.S.C. 1419 and who previously            
  received services under Part C until such          
  children enter, or are eligible under State        
  law to enter, kindergarten, or elementary          
  school as appropriate.                             

  **Establishment of High Cost Fund** (20            
  U.S.C. 1411(e)(3)(B)(i); []{.mark}34 CFR           
  §300.704)                                          
  ------------------------------------------------------------------------

+--------------------------------------------+----+--------------------+
| **FOR OTHER STATE-LEVEL ACTIVITIES**       |    | **ENTER DOLLAR     |
|                                            |    | AMOUNTS**          |
+============================================+====+====================+
| # Required Activities                      |    |                    |
|                                            |    |                    |
| Funds reserved under 20 U.S.C.             |    |                    |
| 1411(e)(2)(A); 34 CFR §300.704 shall be    |    |                    |
| used to carry out the following            |    |                    |
| activities:                                |    |                    |
+--------------------------------------------+----+--------------------+
| For monitoring, enforcement, and complaint | h  | \$0                |
| investigation.                             | \. |                    |
+--------------------------------------------+----+--------------------+
| To establish and implement the mediation   | i  | \$0                |
| process required by 20 U.S.C. 1415(e); 34  | \. |                    |
| CFR §300.704, including providing for the  |    |                    |
| cost of mediators and support personnel.   |    |                    |
+--------------------------------------------+----+--------------------+
| # Authorized Activities                    |    |                    |
|                                            |    |                    |
| Funds reserved under 20 U.S.C.             |    |                    |
| 1411(e)(2)(A); 34 CFR §300.704 may be used |    |                    |
| to carry out the following activities:     |    |                    |
+--------------------------------------------+----+--------------------+
| For support and direct services, including | j  | \$0                |
| technical assistance, personnel            | \. |                    |
| preparation, and professional development  |    |                    |
| and training.                              |    |                    |
+--------------------------------------------+----+--------------------+
| To assist local educational agencies in    | k  | \$0                |
| providing positive behavioral              | \. |                    |
| interventions and supports and appropriate |    |                    |
| mental health services for children with   |    |                    |
| disabilities.                              |    |                    |
+--------------------------------------------+----+--------------------+
| To assist local educational agencies in    | l  | \$0                |
| meeting personnel shortages.               | \. |                    |
+--------------------------------------------+----+--------------------+
| To support capacity building activities    | m  | \$0                |
| and improve the delivery of services by    | \. |                    |
| local educational agencies to improve      |    |                    |
| results for children with disabilities.    |    |                    |
+--------------------------------------------+----+--------------------+
| To support paperwork reduction activities, | n  | \$0                |
| including expanding the use of technology  | \. |                    |
| in the IEP process.                        |    |                    |
+--------------------------------------------+----+--------------------+
| To improve the use of technology in the    | o  | \$0                |
| classroom by children with disabilities to | \. |                    |
| enhance learning.                          |    |                    |
+--------------------------------------------+----+--------------------+
| To support the use of technology,          | p  | \$0                |
| including technology with universal design | \. |                    |
| principles and assistive technology        |    |                    |
| devices, to maximize accessibility to the  |    |                    |
| general education curriculum for children  |    |                    |
| with disabilities.                         |    |                    |
+--------------------------------------------+----+--------------------+
| Development and implementation of          | q  | \$0                |
| transition programs, including             | \. |                    |
| coordination of services with agencies     |    |                    |
| involved in supporting the transition of   |    |                    |
| children with disabilities to              |    |                    |
| postsecondary activities.                  |    |                    |
+--------------------------------------------+----+--------------------+
| Alternative programming for children with  | r  | \$0                |
| disabilities who have been expelled from   | \. |                    |
| school, and services for children with     |    |                    |
| disabilities in correctional facilities,   |    |                    |
| children enrolled in State-operated or     |    |                    |
| State-supported schools, and children with |    |                    |
| disabilities in charter schools.           |    |                    |
+--------------------------------------------+----+--------------------+
| To support the development and provision   | s  | \$0                |
| of appropriate accommodations for children | \. |                    |
| with disabilities, or the development and  |    |                    |
| provision of alternate assessments that    |    |                    |
| are valid and reliable for assessing the   |    |                    |
| performance of children with disabilities, |    |                    |
| in accordance with Sections 1111(b) and    |    |                    |
| 6111 of the Elementary and Secondary       |    |                    |
| Education Act of 1965.                     |    |                    |
+--------------------------------------------+----+--------------------+
| To provide technical assistance to schools | t  | \$0                |
| and local educational agencies, and direct | \. |                    |
| services, including supplemental           |    |                    |
| educational services as defined in Section |    |                    |
| 1116(e) of the Elementary and Secondary    |    |                    |
| Education Act of 1965 to children with     |    |                    |
| disabilities, in schools or local          |    |                    |
| educational agencies identified for        |    |                    |
| improvement under Section 1116 of the      |    |                    |
| Elementary and Secondary Education Act of  |    |                    |
| 1965 on the sole basis of the assessment   |    |                    |
| results of the disaggregated subgroup of   |    |                    |
| children with disabilities, including      |    |                    |
| providing professional development to      |    |                    |
| special and regular education teachers,    |    |                    |
| who teach children with disabilities,      |    |                    |
| based on scientifically based research to  |    |                    |
| improve educational instruction, in order  |    |                    |
| to improve academic achievement to meet or |    |                    |
| exceed the objectives established by the   |    |                    |
| State under Section 1111(b)(2)(G) the      |    |                    |
| Elementary and Secondary Education Act of  |    |                    |
| 1965.                                      |    |                    |
+--------------------------------------------+----+--------------------+
| **Local Educational Agency Risk Pool** (20 |    |                    |
| U.S.C. 1411(e)(3)(A)): For the purpose of  |    |                    |
| assisting local educational agencies       |    |                    |
| (including a charter school that is a      |    |                    |
| local educational agency or a consortium   |    |                    |
| of local educational agencies) in          |    |                    |
| addressing the needs of high need children |    |                    |
| with disabilities, each State shall have   |    |                    |
| the option to reserve for each fiscal year |    |                    |
| 10 percent of the amount of funds the      |    |                    |
| State reserves for State-level activities  |    |                    |
| under 20 U.S.C. 1411(e)(2)(A); 34 CFR      |    |                    |
| §300.704.                                  |    |                    |
+--------------------------------------------+----+--------------------+
| To establish and make disbursements from   | u  | \$0                |
| the high cost fund to local educational    | \. |                    |
| agencies in accordance with 20 U.S.C.      |    |                    |
| 1411(e)(3) during the first and succeeding |    |                    |
| fiscal years of the high cost fund; and    |    |                    |
+--------------------------------------------+----+--------------------+
| To support innovative and effective ways   | v  | \$0                |
| of cost sharing by the State, by a local   | \. |                    |
| educational agency, or among a consortium  |    |                    |
| of local educational agencies, as          |    |                    |
| determined by the State in coordination    |    |                    |
| with representatives from local            |    |                    |
| educational agencies, subject to 20 U.S.C. |    |                    |
| 1411(e)(3)(B)(ii) \[Amount may not be more |    |                    |
| than 5% of the amount reserved for the LEA |    |                    |
| Risk Pool.\].                              |    |                    |
+--------------------------------------------+----+--------------------+
| **Establishment of High Cost Fund** (20    |    |                    |
| U.S.C. 1411(e)(3)(B)(i); []{.mark}34 CFR   |    |                    |
| §300.704)                                  |    |                    |
+--------------------------------------------+----+--------------------+
| A State shall not use any of the funds the |    |                    |
| State reserves pursuant to 20 U.S.C.       |    |                    |
| 1411(e)(3)(A)(i); 34 CFR §300.704, [but    |    |                    |
| may use the funds the State reserves under |    |                    |
| 20 U.S.C. 1411(e)(1); 34 CFR §300.704, to  |    |                    |
| establish and support the high cost        |    |                    |
| fund]{.underline}.                         |    |                    |
+--------------------------------------------+----+--------------------+

  -----------------------------------------------------------------------
  Describe the process used to get input from LEAs regarding the
  distribution of amounts among activities described in the above charts
  to meet State priorities. (20 U.S.C. 1411(e)(5)(B); 34 CFR §300.704)

  -----------------------------------------------------------------------

# Section IV

# State Administration

Section 608(a) of the IDEA requires each State that receives funds under
this title to:

> \(1\) ensure that any State rules, regulations, and policies relating
> to this title conform to the purposes of this title;
>
> \(2\) identify in writing to local educational agencies located in the
> State and the Secretary any such rule, regulation, or policy as a
> State-imposed requirement that is not required by this title and
> Federal regulations; and
>
> \(3\) minimize the number of rules, regulations, and policies to which
> the local educational agencies and schools located in the State are
> subject under this title.

States must attach to this application a list identifying any rule,
regulation, or policy that is State-imposed (not required by IDEA or
Federal regulations). If there are no such State-imposed rules,
regulations, or policies, please so indicate. In addition, the State is
required to inform local education agencies in writing of such
State-imposed rules, regulation or policy. (20 U.S.C. 1407(a); 34 CFR
§300.199)

[^1]: Each State may reserve for each fiscal year not more than the
    maximum amount the State was eligible to reserve for State
    administration under this section for fiscal year 2004 or \$800,000
    (adjusted in accordance with 20 U.S.C. 1411(e)(1)(B)), whichever is
    greater; and each outlying area may reserve for each fiscal year not
    more than 5 percent of the amount the outlying area receives under
    20 U.S.C. 1411(b)(1) for the fiscal year or \$35,000, whichever is
    greater.

    For each fiscal year beginning with fiscal year 2005, the Secretary
    shall cumulatively adjust: 1) the maximum amount the State was
    eligible to reserve for State administration under this part for
    fiscal year 2004; and 2) \$800,000, by the rate of inflation as
    measured by the percentage increase, if any, from the preceding
    fiscal year in the Consumer Price Index For All Urban Consumers,
    published by the Bureau of Labor Statistics of the Department of
    Labor.