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TABLE 2 

REPORT OF PROGRAM SETTINGS WHERE EARLY INTERVENTION

SERVICES ARE PROVIDED TO CHILDREN WITH

DISABILITIES AND THEIR FAMILIES IN ACCORDANCE WITH PART C

Child Count Date for 2014

Paperwork Burden Statement

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of 

information unless such collection displays a valid OMB control number. Public reporting burden for this 

collection of information is estimated to average 23.9 hours per State response, including time for 

reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and 

completing and reviewing the collection of information. The obligation to respond to this collection is 

required to obtain or retain a benefit (P.L. 108.446 Section 618). Send comments regarding the burden 

estimate or any other aspect of this collection of information, including suggestions for reducing this 

burden, to the U.S. Department of Education, 400 Maryland Ave., SW, Washington, DC 20202-4536 or 

email ICDocketMgr@ed.gov and reference the OMB Control Number 1820-0557. Note: Please do not 

return the completed Report of Program Settings Where Early Intervention Services are Provided to 

Children with Disabilities and their Families in Accordance with Part C form to this address.

All States must submit these data via the IDEA Part C Child Count and Setting survey in the 

EDFacts online survey tool, EMAPS. 

Instructions

Authorization: 20 U.S.C. 1418(a)(3)

Due Date: April 1, 2015

Sampling Allowed: No

General Instructions

1. Report the primary early intervention service setting for all children reported on Table 1, 

Report of Children Receiving Early Intervention Services in Accordance with Part C for 

2014. These are the children receiving early intervention services according to an active

individualized family service plan (IFSP) in place on the date of the Child Count. 

2. States must use the same date for reporting settings data that is used in reporting the Child 

Count for that year. Note further that the total count and crosstabulations under this table 

by age and race must match those provided in the Child Count (Table 1). 

3. Your count should include infants and toddlers with disabilities (as defined in 20 U.S.C. 

1432(5)(A) and (B)(i)) who are under age three, and also children with disabilities age 

three and older, if your state has elected under 20 U.S.C. 1432(5)(B)(ii) and 1435(c) to 
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provide parents the choice of, and the child’s parent has consented to their child, 

continuing to receive Part C services (in lieu of FAPE) under 20 U.S.C. 1435(c). 

4. Do NOT include children age three or older (for example, who are receiving FAPE using 

Part C funds under 20 U.S.C. 1438(3)) unless your state has elected under 20 U.S.C. 

1432(5)(B)(ii) and 1435(c) to provide parents the choice of, and the child’s parent has 

consented to their child, continuing to receive Part C services under 20 U.S.C. 1435(c). 

5. All totals must represent the sum of the successive rows or columns.

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

data.

Specific Row (Setting) Instructions

For each early intervention service setting, report the number of children whose IFSP indicates this is 

the primary early intervention setting. This is an unduplicated count; within each section, each child is 

counted once and only once.

Report children and families in one of the following setting categories: 

Home. Unduplicated count of children whose early intervention services are provided primarily in 

the residence of the child’s family or caregivers. 

Community-based Setting. Unduplicated count of children whose early intervention services are 

provided primarily in a setting where children without disabilities typically are found. These 

settings include but are not limited to child care centers (including family day care), preschools, 

regular nursery schools, early childhood center, libraries, grocery stores, parks, restaurants, and 

community centers (e.g., YMCA, Boys and Girls Clubs).

Other Setting. Unduplicated count of children whose early intervention services are provided 

primarily in a setting that is not home or community-based. These settings include, but are not 

limited to, services provided in a hospital, residential facility, clinic, and EI center/class for 

children with disabilities.

Primary setting is the service setting in which the child receives the largest number of hours of Part C 

early intervention services. Determination of primary setting should be based on the information 

included on the IFSP in place on the Child Count date. 

 If, according to the IFSP, the only early intervention services that are provided are service 

coordination services or services provided to a family member, such as counseling, family training, 

and home visits, report for this child the setting where most of these services are provided. If this 

information is not specified in the IFSP, report the child in the other setting category. 

 If, according to the IFSP, all of the early intervention services for a child were delivered in the 

same setting then that setting is the primary setting. For example, if the IFSP states that the child 

receives 1 hour of physical therapy services in his or her home each week, and that is the only

early intervention service the child receives (in addition to service coordination services) according 
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to the IFSP in place on the Child Count date, then the home is the primary setting for that child. 

 If, according to the IFSP, a child was to receive services in more than one setting, report the child 

in the setting in which he or she was to receive the largest number of hours of early intervention 

service. For example, a toddler who receives 1 hour of service a month in the home and 4 hours of 

service a month in a preschool that serves children without disabilities in addition to children with 

disabilities, should be reported in the category “community-based setting.”

 If, according to the IFSP, there is tie for primary setting (the child was to receive an equal number 

of hours of service in two or more settings and the child does not receive a higher number of hours 

of early intervention service in a different setting), report primary setting based on the following 

decision rules:

1. If the child receives an equal number of hours of service in the home and one or both of the 

other settings, report the child in the home setting.

2. If the child receives an equal number of hours of service in a community-based setting and 

other settings, report the child in the community-based setting.

Specific Column (Age) Instructions for Section A

1. Report the (unduplicated) number of children with an active IFSP in place on the Child Count 

date, according to the child’s age and primary setting. This count should include: 

a. In Section A.1, all infants and toddlers, ages birth through 2; and 

b. In Section A.2, any children, ages 3 or older, with disabilities continuing in early

intervention services under 20 U.S.C. 1432(5)(B)(ii) and 1435(c). If your state does not 

offer parents the choice of continuing Part C services under 20 U.S.C. 1432(5)(B)(ii) and 

1435(c), leave this section blank.

2. Report children according to their age on the date of the Child Count. 

3. For each column, the total number of infants and toddlers reported for that age in Section A.1 

should equal the number of infants and toddlers reported for that age in Section A.1 of Table 1, 

Report of Children Receiving Early Intervention Services in Accordance with Part C. 

4. For each column, the total number of children reported for that age column in Section A.2 should 

equal the number of children reported for that age in Section A.2 of Table 1, Report of Children 

Receiving Early Intervention Services in Accordance with Part C.

Specific Column (Race/Ethnicity) Instructions for Section B

1. Report the (unduplicated) number of children with an active IFSP in place on the Child Count 

date, according to the child’s race/ethnicity and primary setting. This count should include: 

a. In Section B.1, all infants and toddlers, ages birth through 2; and 

b. In Section B.2, any children, ages 3 or older, with disabilities continuing in early

intervention services under 20 U.S.C. 1432(5)(B)(ii) and 1435(c). If your state does 
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not offer parents the choice of continuing Part C services under 20 U.S.C. 

1432(5)(B)(ii) and 1435(c), leave this section blank.

2. For each row (setting), the total number of children reported for that setting in Section B.1 should 

equal the total number of children reported for that setting in Section A.1.

3. For each row (setting), the total number of children reported for that setting in Section B.2 should 

equal the total number of children reported for that setting in Section A.2.

4. For each column (race/ethnicity), the total number of infants and toddlers reported for that 

race/ethnicity category in Section B.1 should equal the number of infants and toddlers reported for 

that race/ethnicity category in Section A.1 of Table 1, Report of Children Receiving Early

Intervention Services in Accordance with Part C.

5. For each column (race/ethnicity), the total number of children reported for that race/ethnicity

category in Section B.2 should equal the number of children reported for that race/ethnicity

category in Section A.2 of Table 1, Report of Children Receiving Early Intervention Services in 

Accordance with Part C.

STATES MUST REPORT THE RACE/ETHNICITY OF THE CHILD, NOT THE FAMILY. FOR 

EACH OF THE RACE/ETHNICITY CATEGORIES, REPORT AN UNDUPLICATED COUNT OF 

ALL CHILDREN SERVED UNDER IDEA, PART C.

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 for the report of the 2014 Settings data. 

States 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.
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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 Alaska 

Native

A person having origins in any of the original peoples of North and 

South America (including Central America) and who maintains tribal 

affiliation or community attachment. (Does not 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 include persons 

of Hispanic/Latino ethnicity.)

Black or African American A person having origins in any of the Black racial groups of Africa. 

(Does not include persons of Hispanic/Latino ethnicity.)

Native Hawaiian or Other 

Pacific Islander

A person having origins in any of the original peoples of Hawaii, 

Guam, Samoa, or other Pacific Islands. (Does not 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 include persons of 

Hispanic/Latino ethnicity.)

Two or more races A person having origins in two or more of the five race categories listed 

immediately above. (Does not include persons of Hispanic/Latino 

ethnicity.)

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

Note that each child should be reported in only one of the race/ethnicity categories, above.
U.S. DEPARTMENT OF EDUCATION TABLE 2 PAGE 1 OF 2

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES REPORT OF PROGRAM SETTING WHERE EARLY INTERVENTION SERVICES OMB NO.: 1820-0557

OFFICE OF SPECIAL EDUCATION ARE PROVIDED TO CHILDREN WITH DISABILITIES

PROGRAMS AND THEIR FAMILIES IN ACCORDANCE WITH PART C FORM EXPIRES: xx/xx/xxxx

CHILD COUNT DATE FOR 2014 STATE:____________________________

SECTION A

A.1. AGE GROUP AND SETTING OF INFANTS AND TODDLERS, AGES BIRTH THROUGH 2

Total birth to 1 1 to 2 2 to 3

TOTAL (ROWS 1-3)

1. HOME

2. COMMUNITY-BASED SETTING

3. OTHER SETTING

A.2. AGE GROUP AND SETTING OF CHILDREN, AGES 3 OR OLDER

Total 3 to 4 4 to 5 5 to 6

TOTAL (ROWS 1-3)

1. HOME

2. COMMUNITY-BASED SETTING

3. OTHER SETTING
U.S. DEPARTMENT OF EDUCATION TABLE 2 (CONTINUED) PAGE 2 OF 2

OFFICE OF SPECIAL EDUCATION

AND REHABILITATIVE SERVICES REPORT OF PROGRAM SETTING WHERE EARLY INTERVENTION SERVICES OMB NO.: 1820-0557

OFFICE OF SPECIAL EDUCATION ARE PROVIDED TO CHILDREN WITH DISABILITIES

PROGRAMS AND THEIR FAMILIES IN ACCORDANCE WITH PART C FORM EXPIRES: xx/xx/xxxx

CHILD COUNT DATE FOR 2014 STATE:____________________________

SECTION B

B.1. RACE/ETHNICITY AND SETTING OF INFANTS AND TODDLERS, AGES BIRTH THROUGH 2

PROGRAM SETTING

TOTAL HISPANIC/ 

LATINO

AMERICAN 

INDIAN OR 

ALASKA 

NATIVE

ASIAN BLACK OR 

AFRICAN 

AMERICAN

NATIVE 

HAWAIIAN 

OR OTHER 

PACIFIC 

ISLANDER

WHITE

TWO OR MORE 

RACES

TOTAL (ROWS 1-3)

1. HOME

2. COMMUNITY-BASED SETTING

3. OTHER SETTING

B.2. RACE/ETHNICITY AND SETTING OF CHILDREN, AGES 3 AND OLDER

PROGRAM SETTING

TOTAL HISPANIC/ 

LATINO

AMERICAN 

INDIAN OR 

ALASKA 

NATIVE

ASIAN BLACK OR 

AFRICAN 

AMERICAN

NATIVE 

HAWAIIAN 

OR OTHER 

PACIFIC 

ISLANDER

WHITE

TWO OR MORE 

RACES

TOTAL (ROWS 1-3)

1. HOME

2. COMMUNITY-BASED SETTING

3. OTHER SETTING