OMB #1870-0500

Expiration Date: 12/31/2001


U.S. Department of Education, Office for Civil Rights

Washington, D.C. 20202-1172

Due Date: February 23, 2001


This Compliance Report is required by the U.S. Department of Education under Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, and Section 504 of the Rehabilitation Act of 1973. Implementing Regulations are issued to carry out the purposes of Title VI of the Civil Rights Act of 1964, at 34 CFR 100.6(b); Title IX Regulations are at 34 CFR 106.71; and Section 504 Regulations are at 34 CFR 104.61.

Public 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. The valid OMB control number for this information collection is 1870-0500. The time required to complete this information collection is estimated to average 7.5 hours per response, including the time to review instructions, research existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to U.S. Department of Education, Washington, D.C. 20202-1172. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: Compliance Reports Coordinator, U.S. Department of Education, 400 Maryland Avenue S.W., Room 5316, Switzer Building, Washington, D.C. 20202-1172.


  • Please print legibly using a black ball-point pen.

  • If you select to report via a mainframe computer cartridge or PC diskette, please see separate documentation.

  • Information should be reported as of October 1, 2000, or the nearest convenient date prior to December 15, 2000, unless otherwise noted. Whenever possible, information should be provided consistent with the date of the special education Child Count in your state.

  • In order to allow us to distinguish between no students for a given item and non-applicability of that item for your district, please enter a response. If the answer to a given item is NONE, enter zero (0) in the appropriate space. If a particular item is not applicable in your case, enter an X in the far right column.

  • The certification signature block must be completed for the district by the superintendent or authorized representative. The certification pertains to all items on the ED-101 and ED-102 forms.

  • Please mail original forms to the Office for Civil Rights. Retain photocopied ED-101 and ED-102 forms for your reference for two years from the date signed. The mailing address is: Compliance Report Project Office, Office for Civil Rights, 400 Maryland Avenue, S.W., Washington, D.C. 20202-1172.

  • Please add the telephone number and the FAX telephone number in the appropriate boxes on the form for the individual in your district who can respond to questions we might have.

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