Data Transmission System (DTS)

DATE: STATUS:

Part B, Child count data are due February 1, 2009.

5 Race/Ethnicity Categories

Please read the following basic guidelines before completing the Data Transmission System (DTS) forms:

1. To change the size and appearance of the text on the spreadsheet, select VIEW from the toolbar, select ZOOM,
and then select the percentage increase or decrease.

2. Enter the appropriate data into the YELLOW shaded areas on each page of the form. Please be sure to read
section heading descriptions so data are entered in the correct section. Also, be sure to enter any State and date
information. The two-digit State postal code should appear on every page of the form. A list is available on PAGE1.
Use the scroll bar or the up or down arrow keys to scroll through the list. Click on the appropriate State postal code to
select it.

3. If you choose to cut and paste data from another area, use the PASTE SPECIAL option and select VALUES. This
will protect the current formats.

4. Any comments regarding the submitted data should be entered on the last page of the workbook, titled
COMMENTS.

5. Save the completed forms. Please be sure that your State postal code appears in the file name. (Example:
Maryland - IDEA08MD.XLS)

6. Each cell in the attached spreadsheet contains a “-9” value by default. If you do not enter a count in each cell it will
be determined that the State did not collect the requested data element. In such cases, the State must provide an
explanation in the comments section for the missing data. Note that if the submission is missing a required data
element, it will not be entered into DANS and the State will be required to resubmit.

7. RED cells indicate computational errors or an error in reporting race/ethnicity. Sum totals for race/ethnicity should
equal reported totals for disability. Please make sure there are NO RED CELLS before saving and submitting
data.

8. Print the entire workbook by selecting, FILE, PRINT and then select ENTIRE WORKBOOK located in the 'PRINT
WHAT' section. Send printed copies of the completed DTS forms to the Office of Special Education Programs
(OSEP) at the following address:

William Knudsen, Acting Director

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

9. If you received your file by e-mail, please return electronic copies of completed DTS forms to Westat.

IDEAData_PartB@WESTAT.COM
Westat
1650 Research Blvd.
RA 1203
Rockville, MD 20850-3159

10. If you have any questions or comments, please contact MaryJob at (301) 315-5939.
U.S. DEPARTMENT OF EDUCATION TABLE 1 PAGE 1 OF 8
OFFICE OF SPECIAL EDUCATION
AND REHABILITATIVE SERVICES REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION OMB NO: 1820-0043
OFFICE OF SPECIAL EDUCATION PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED
PROGRAMS FORM EXPIRES: 8/31/2009
2008
STATE: HI - HAWAII

SECTION A. DATA COLLECTION DATE

COUNT DATE: 12 1 2008

MONTH DAY YEAR

CURRENT DATE:
Version Date: 11/19/2008
U.S. DEPARTMENT OF EDUCATION TABLE 1 PAGE 2 OF 8
OFFICE OF SPECIAL EDUCATION
AND REHABILITATIVE SERVICES REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION OMB NO: 1820-0043
OFFICE OF SPECIAL EDUCATION PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED
PROGRAMS FORM EXPIRES: 8/31/2009
2008
STATE: HI - HAWAII

SECTION B. DISCRETE AGE BY DISABILITY FOR CHILDREN AGES 3-5 RECEIVING SPECIAL EDUCATION

AGE AS OF DATA COLLECTION DATE

DISABILITY
3-5
3 4 5 3-5 (PERCENT)1

MENTAL RETARDATION 1 6 7 14 1%
HEARING IMPAIRMENTS 18 19 19 56 2%
SPEECH OR LANGUAGE IMPAIRMENTS 37 46 117 200 8%
VISUAL IMPAIRMENTS 4 7 6 17 1%
EMOTIONAL DISTURBANCE 3 6 8 17 1%
ORTHOPEDIC IMPAIRMENTS 9 11 6 26 1%
OTHER HEALTH IMPAIRMENTS 16 35 34 85 3%
SPECIFIC LEARNING DISABILITIES 0 0 6 6 0%
DEAF-BLINDNESS 2 0 0 2 0%
MULTIPLE DISABILITIES 18 21 25 64 3%
AUTISM 55 69 83 207 8%
TRAUMATIC BRAIN INJURY 2 5 1 8 0%
DEVELOPMENTAL DELAY2 504 658 637 1799 72%
TOTAL: (Sum of all of the above) 669 883 949 2501 100%

1
STATES SHOULD NOT PROVIDE PERCENTAGES IN THIS SECTION, AS THEY WILL BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.
2
States must have defined and established eligibility criteria for developmental delay in order to use this category for reporting.

ED FORM:869-5

CURRENT DATE:
Version Date: 11/19/2008
U.S. DEPARTMENT OF EDUCATION TABLE 1 PAGE 3 OF 8
OFFICE OF SPECIAL EDUCATION
AND REHABILITATIVE SERVICES REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION OMB NO: 1820-0043
OFFICE OF SPECIAL EDUCATION PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED
PROGRAMS FORM EXPIRES: 8/31/2009

2008
STATE: HI - HAWAII

SECTION C. RACE/ETHNICITY BY DISABILITY OF CHILDREN AGES 3-5 RECEIVING SPECIAL EDUCATION

RACE/ETHNICITY
DISABILITY
AMERICAN INDIAN OR ASIAN OR OTHER PACIFIC BLACK WHITE (NOT
ALASKA NATIVE ISLANDER (NOT HISPANIC) HISPANIC HISPANIC) TOTAL

MENTAL RETARDATION 0 12 0 0 2 14
HEARING IMPAIRMENTS 0 43 2 4 7 56
SPEECH OR LANGUAGE IMPAIRMENTS 3 123 8 9 57 200
VISUAL IMPAIRMENTS 0 12 0 2 3 17
EMOTIONAL DISTURBANCE 0 10 2 2 3 17
ORTHOPEDIC IMPAIRMENTS 0 19 0 1 6 26
OTHER HEALTH IMPAIRMENTS 0 69 2 0 14 85
SPECIFIC LEARNING DISABILITIES 0 5 0 0 1 6
DEAF-BLINDNESS 0 2 0 0 0 2
MULTIPLE DISABILITIES 0 52 1 0 11 64
AUTISM 2 124 3 11 67 207
TRAUMATIC BRAIN INJURY 0 6 0 0 2 8
DEVELOPMENTAL DELAY 1 12 1362 58 74 293 1799
TOTAL: (Sum of all of the above) 17 1839 76 103 466 2501
TOTAL (PERCENT) 2 1% 74% 3% 4% 19% 100%

1
States must have defined and established eligibility criteria for developmental delay in order to use this category for reporting.
2
STATES SHOULD NOT PROVIDE PERCENTAGES IN THIS SECTION, AS THEY WILL BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.

ED FORM: 869-5

CURRENT DATE:
Version Date: 11/19/2008
U.S. DEPARTMENT OF EDUCATION PAGE 4 OF 8
OFFICE OF SPECIAL EDUCATION TABLE 1
AND REHABILITATIVE SERVICES OMB NO.: 1820-0043
OFFICE OF SPECIAL EDUCATION REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION
PROGRAMS PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED FORM EXPIRES: 8/31/2009

2008

STATE: HI - HAWAII

SECTION D. DISCRETE AGE BY DISABILITY OF CHILDREN AGE 6-21 RECEIVING SPECIAL EDUCATION
AGE AS OF DATA COLLECTION DATE
DISABILITY
6 7 8 9 10 11

MENTAL RETARDATION 19 38 49 83 103 78

HEARING IMPAIRMENTS 25 25 27 30 23 16
SPEECH OR LANGUAGE IMPAIRMENTS 142 146 133 76 71 24
VISUAL IMPAIRMENTS 3 4 9 4 5 5
EMOTIONAL DISTURBANCE 29 33 47 73 70 104
ORTHOPEDIC IMPAIRMENTS 7 6 8 5 2 3
OTHER HEALTH IMPAIRMENTS 91 128 182 208 219 252
SPECIFIC LEARNING DISABILITIES 73 212 466 792 835 862
DEAF-BLINDNESS 0 0 1 0 1 0
MULTIPLE DISABILITIES 32 26 30 28 33 44
AUTISM 83 79 85 71 99 87
TRAUMATIC BRAIN INJURY 1 2 3 4 4 2
DEVELOPMENTAL DELAY 1 461 393 280 0
TOTAL: (Sum of all the above) 966 1092 1320 1374 1465 1477
1
States must have defined and established eligibility criteria for developmental delay in order to use this category for reporting.

ED FORM:869-5

CURRENT DATE:
Version Date: 11/19/2008
U.S. DEPARTMENT OF EDUCATION PAGE 5 OF 8
OFFICE OF SPECIAL EDUCATION TABLE 1
AND REHABILITATIVE SERVICES OMB NO.: 1820-0043
OFFICE OF SPECIAL EDUCATION REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION
PROGRAMS PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED FORM EXPIRES: 8/31/2009

2008

STATE: HI - HAWAII

SECTION D (CONTINUED)
AGE AS OF DATA COLLECTION DATE
DISABILITY
12 13 14 15 16 17
MENTAL RETARDATION 119 135 129 146 136 149
HEARING IMPAIRMENTS 27 32 29 24 21 21
SPEECH OR LANGUAGE IMPAIRMENTS 20 16 11 10 10 6
VISUAL IMPAIRMENTS 4 7 3 3 5 4
EMOTIONAL DISTURBANCE 134 146 168 220 230 213
ORTHOPEDIC IMPAIRMENTS 8 5 2 6 6 4
OTHER HEALTH IMPAIRMENTS 261 241 302 242 264 205
SPECIFIC LEARNING DISABILITIES 761 808 829 888 850 806
DEAF-BLINDNESS 0 0 2 0 0 0
MULTIPLE DISABILITIES 31 39 17 33 29 26
AUTISM 82 71 75 55 81 57
TRAUMATIC BRAIN INJURY 6 7 4 8 6 10
DEVELOPMENTAL DELAY
TOTAL: (Sum of all the above) 1453 1507 1571 1635 1638 1501

ED FORM: 869-5

CURRENT DATE:
Version Date: 11/19/2008
U.S. DEPARTMENT OF EDUCATION PAGE 6 OF 8
OFFICE OF SPECIAL EDUCATION TABLE 1
AND REHABILITATIVE SERVICES OMB NO.: 1820-0043
OFFICE OF SPECIAL EDUCATION REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION
PROGRAMS PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED FORM EXPIRES: 8/31/2009

2008

STATE: HI - HAWAII

SECTION D (COUNTINUED)
AGE AS OF COLLECTION DATE
DISABILITY 6-21 22+ 6-22+ 6-21
18 19 20 21 (Actual Data) (Optional) (Optional) (PERCENT)1

MENTAL RETARDATION 68 46 9 0 1307 0 1307 7%

HEARING IMPAIRMENTS 13 3 0 0 316 0 316 2%
SPEECH OR LANGUAGE IMPAIRMENT 2 0 0 0 667 0 667 4%
VISUAL IMPAIRMENT 1 0 0 0 57 0 57 0%
EMOTIONAL DISTURBANCE 67 17 3 0 1554 0 1554 9%
ORTHOPEDIC IMPAIRMENTS 1 1 1 0 65 0 65 0%
OTHER HEALTH IMPAIRMENTS 54 7 2 0 2658 0 2658 15%
SPECIFIC LEARNING DISABILITIES 187 34 1 0 8404 0 8404 48%
DEAF-BLINDNESS 0 0 0 0 4 0 4 0%
MULTIPLE DISABILITIES 27 19 9 0 423 0 423 2%
AUTISM 22 22 9 0 978 0 978 6%
TRAUMATIC BRAIN INJURY 5 0 0 0 62 0 62 0%
DEVELOPMENTAL DELAY2 1134 1134 6%
TOTAL (Sum of all the above) 447 149 34 0 17629 0 17629 100%

1
STATES SHOULD NOT PROVIDE PERCENTAGES IN THIS SECTION, AS THEY WILL BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.
2
States must have defined and established eligibility criteria for developmental delay in order to use this category for reporting.

ED FORM: 869-5

CURRENT DATE:
Version Date: 11/19/2008
U.S. DEPARTMENT OF EDUCATION TABLE 1 PAGE 7 OF 8
OFFICE OF SPECIAL EDUCATION
AND REHABILITATIVE SERVICES REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION OMB NO: 1820-0043
OFFICE OF SPECIAL EDUCATION PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED
PROGRAMS FORM EXPIRES: 8/31/2009
2008
STATE: HI - HAWAII

SECTION E. RACE/ETHNICITY BY DISABILITY OF CHILDREN AGES 6-21 RECEIVING SPECIAL EDUCATION

RACE/ETHNICITY
DISABILITY AMERICAN INDIAN ASIAN OR OTHER BLACK WHITE
OR ALASKA NATIVE PACIFIC ISLANDER (NOT HISPANIC) HISPANIC (NOT HISPANIC) TOTAL

MENTAL RETARDATION 7 1088 29 52 131 1307

HEARING IMPAIRMENTS 3 273 8 3 29 316
SPEECH OR LANGUAGE IMPAIRMENTS 12 443 23 34 155 667
VISUAL IMPAIRMENTS 0 44 2 2 9 57
EMOTIONAL DISTURBANCE 17 1188 37 59 253 1554
ORTHOPEDIC IMPAIRMENTS 0 51 2 0 12 65
OTHER HEALTH IMPAIRMENTS 26 1896 102 106 528 2658
SPECIFIC LEARNING DISABILITIES 61 6737 213 359 1034 8404
DEAF-BLINDNESS 0 4 0 0 0 4
MULTIPLE DISABILITIES 0 354 11 12 46 423
AUTISM 11 644 27 35 261 978
TRAUMATIC BRAIN INJURY 1 52 1 2 6 62
DEVELOPMENTAL DELAY1 13 900 49 49 123 1134
TOTAL (Sum of all the above) 151 13674 504 713 2587 17629
TOTAL (PERCENT) 2 1% 78% 3% 4% 15% 100%

1
States must have defined and established eligibility criteria for developmental delay in order to use this category for reporting.
2
STATES SHOULD NOT PROVIDE PERCENTAGES IN THIS SECTION, AS THEY WILL BE CALCULATED AFTER THE COUNTS ARE SUBMITTED.

ED FORM: 869-5

CURRENT DATE:
Version Date: 11/19/2008
U.S. DEPARTMENT OF EDUCATION TABLE 1 PAGE 8 OF 8
OFFICE OF SPECIAL EDUCATION
AND REHABILITATIVE SERVICES REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION OMB NO: 1820-0043
OFFICE OF SPECIAL EDUCATION PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED
PROGRAMS FORM EXPIRES: 8/31/2009
2008

REPORT DUE NO LATER THAN FEBRUARY 1, 2009

STATE: HI - HAWAII

SECTION F. - CERTIFICATION

I CERTIFY that these data represent an accurate and unduplicated count of children with disabilities receiving special education and related services according to an Individualized Education Program on
my State's designated child count date, which falls between October 1 and December 1 of 2008.

AUTHORIZING OFFICIAL

Patricia Hamamoto, State Superintendent of Education

NAME AND TITLE (TYPE OR PRINT) SIGNATURE DATE OF SIGNATURE

ED FORM: 869-5

CURRENT DATE:
Version Date: 11/19/2008
U.S. DEPARTMENT OF EDUCATION TABLE 1 COMMENTS
OFFICE OF SPECIAL EDUCATION
AND REHABILITATIVE SERVICES REPORT OF CHILDREN WITH DISABILITIES RECEIVING SPECIAL EDUCATION
OFFICE OF SPECIAL EDUCATION PART B, INDIVIDUALS WITH DISABILITIES EDUCATION ACT, AS AMENDED
PROGRAMS
2008
STATE: HI - HAWAII

COMMENTS

CURRENT DATE:
Version Date: 11/19/2008