National Assessment of Educational Progress (NAEP) 2013 Wave II (Main NAEP Core, Reading, Mathematics, TEL, SD, ELL, and Special Studies)

NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS
Wave 2 Submittal for 2013
VOLUME II
BACKGROUND QUESTIONS
Part 4a
Reading and Mathematics—SD Worksheet & Instructions

Part 4a contains:
Reading and Mathematics—SD Worksheet & Instructions (Public and Private School versions)
The amount of time estimated to complete the corresponding SD form is 10 minutes per student.

A

Student Name

Sheet ____ of ____

B
C

Session # /
Line #

D

NAEP Student Booklet ID #
(Column O on Admin. Schedule)

E
F

What accommodations does this
student receive on your state
(standardized) test for the NAEP
subject listed in column B?

Refer to the enclosed SD Inclusion
Guidelines for information on the allowed
accommodations. Record the NAEP code
of each required accommodation from the
guidelines in the space below for each
student.

G
H
I

Look AT COLUMN B
How should this student be tested on NAEP?
Review columns G and H and the SD Decision
Tree on page 2 of the Worksheet Instructions for
how to answer this question.
1 = Without accommodations
2 = With accommodations allowed by NAEP
3 = Do not test

NAEP Use Only

SCHOOL COPY

Are all of the student's accommodations listed
in column G allowed in the NAEP subject?
Refer to the enclosed SD Inclusion Guidelines for
information on the accommodations allowed by
NAEP.
1 = Yes, all accommodations are allowed
2 = No, some/all accommodations are not
allowed

perf

NAEP 2013
Students with Disabilities (SD)
Worksheet

Record the student's current SD classification
using one of the codes below:
1 = Has an IEP for a disability
2 = Has a Section 504 Plan and needs
accommodation to be tested
3 = Does not have an IEP or Section 504 Plan
(Do not complete the rest of the worksheet
for this student)
According to the student's IEP or Section
504 Plan, how is this student assessed on the
state (standardized) assessment in the NAEP
subject listed in column B?
1 = Without accommodations
(Go to column I)
2 = With accommodations (Go to column G)
3 = With alternate assessment/modified
achievement standards (Go to column G)
4 = With alternate assessment/alternate
achievement standards (Go to column G)

NAEP Subject
M = Mathematics, R = Reading

Inv. #NA000?????

This form must be completed in No. 2 pencil.

Please complete both sides of this
worksheet for each student.

NAEP 2013
Students with Disabilities (SD) Worksheet
SCHOOL #:

School Name:

Sheet ____ of ____

Please complete the back of this worksheet for each student.

REFER TO COLUMN B TO COMPLETE THESE QUESTIONS
J

For
NAEP
Use Only

Student Name
Session # /
Line #

NAEP Student Booklet ID #
(Column O on Admin. Schedule)

Traumatic brain injury

Orthopedic impairment

Emotional disturbance

Intellectual disability

Speech or language impairment

Sheet ____ of ____

O

Other health impairment (specify)

NAEP 2013 SD Worksheet School
183158-001:321

What is the degree of this student's disability(ies)?
1 = Profound/Severe
2 = Moderate
3 = Mild
At what grade level does this student perform in the
NAEP subject listed in column L?
1 = At or above grade level
2 = One year below grade level
3 = Two or more years below grade level
4 = Not receiving instruction in this subject
5 = Don't know

N

Other health impairment
(Record the other health impairment in the space to
the right)

Developmental delay (age 9 or younger)

M

Visual impairment/blindness

Students with Disabilities (SD) Worksheet

Autism

NAEP 2013
Students with Disabilities (SD)
Worksheet
School Copy
L

Hearing impairment/deafness

of

Specific learning disability

K

NAEP Subject
M = Mathematics, R = Reading

Sheet

SCHOOL #:
Refer to the NAEP
subject listed in
column L to answer
this question.

P

Printed in the USA by Pearson

Q

Which of the following IDEA categories best describes this student's identified disability(ies)?
(Fill in all ovals that apply)

ISD8962

National Assessment of Educational Progress (NAEP)
Instructions for Completing Worksheets for Students with Disabilities (SD)
(Please review these instructions before completing the SD Worksheet)

NAEP’s goal is to be as inclusive as possible. The expectation is that all students, except
the most cognitively disabled, will participate on NAEP, as they do on their state
assessments.
NAEP results are not reported for individual students or schools and do not affect a
student’s grade or a school’s AYP results.

Frequently Asked Questions
Can students without an IEP or Section 504 Plan receive accommodations on NAEP?
No, students without an IEP or Section 504 Plan participate in NAEP without accommodations. Only
students with an IEP or Section 504 Plan can receive accommodations on NAEP.
What should we record in column G (accommodations the student receives when assessed on the
state assessment in the NAEP subject) if the student is not assessed in that subject?
Record any accommodations listed in the student’s IEP or Section 504 Plan that the student usually
receives during classroom instruction.
What if an SD is withdrawn or graduated, never attends campus (e.g., home schooled), or is
otherwise ineligible for NAEP (e.g., not enrolled in the sampled grade)?
Draw a line through that student’s name, record a note in column G, and leave the rest of the worksheet
blank for that student.
What is the process for determining how a student should be included in NAEP?
• Before the preassessment visit, school staff complete the worksheets using these instructions and
the SD Inclusion Guidelines.
• At the preassessment visit, the NAEP representative will collect the completed worksheets,
review them for consistency, and then discuss with the school coordinator how each student
should be assessed on NAEP.
• All final inclusion and accommodation decisions are made by school staff and/or
parents/guardians.
What should I do with the completed worksheet(s)?
• Return all completed worksheets to the NAEP school coordinator by the date requested.
• If you are the school coordinator, put the completed worksheets in the red NAEP Storage
Envelope. Your NAEP representative will collect them at the preassessment visit.

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 1850-0790. The time required to complete
this information collection is estimated to average 10 minutes per student including the time to
review instructions, search 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. 20202-4537. If you have comments or concerns regarding the
status of your individual submission of this form, write directly to: NAEP/NCES, U.S.
Department of Education, 400 Maryland Avenue, S.W., Washington, D.C. 20202.

A project of the National Center for Education Statistics (NCES), Institute of
Education Sciences, U.S. Department of Education. The information you provide
will be used for statistical purposes only. In accordance with the Confidential
Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and
other applicable Federal laws, your responses will be kept confidential and will not
be disclosed in identifiable form to anyone other than employees or agents. By law,
every NCES employee as well as every agent, such as contractors and NAEP
coordinators, has taken an oath and is subject to a jail term of up to 5 years, a fine of
up to $250,000, or both, if he or she willfully discloses ANY identifiable
information about you. OMB No. 1850-0790 • Approval Expires 04/30/2013

How to Complete the Front of the SD Worksheet
Columns A through D are preprinted.
• Names beginning with “&” in column A are also listed on the ELL Worksheet (student is both SD and ELL).
•

List any students sampled for NAEP who currently have an IEP but whose names are not preprinted.

•

List any students sampled for NAEP who currently have a Section 504 Plan and require accommodations to
be tested, but whose names are not preprinted.

Columns E through I are to be completed by school staff.
• Column E: Record the student’s current SD classification using one of the codes listed. If a student has
both an IEP and Section 504 Plan, record IEP as the student’s SD classification.
•

Column F:

Record how this student is tested or instructed in the NAEP subject listed in column B,
according to the student’s IEP or Section 504 Plan, using one of the codes listed.

•

Column G:

Record the accommodations this student receives when tested in the NAEP subject listed in
column B. Refer to the enclosed SD Inclusion Guidelines for information on the allowed
accommodations.

•

Column H:

Record if all the student’s required accommodations are allowed in the NAEP subject. Refer
to the enclosed SD Inclusion Guidelines for information on the accommodations allowed by
NAEP.

•

Column I:

To answer column I, review columns G and H, and the decision tree below.

Column J is for NAEP Use Only.

Decision Tree for Students with Disabilities
According to the student’s IEP or
Section 504 Plan, how is this student
assessed on the state assessment in
the NAEP subject?

Without
accommodations

With
accommodations
allowed by NAEP

With one or more
accommodations
not allowed by
NAEP

With an alternate
assessment with
modified
achievement
standards*

With an alternate
assessment with
alternate
achievement
standards *

Student takes NAEP
without
accommodations

Student takes NAEP
with
accommodations
allowed by NAEP

Student takes NAEP
with
accommodations
allowed by NAEP

Student may be
excluded

(Column I = Code 1)

(Column I = Code 2)

Schools are
encouraged to
include student on
NAEP with
accommodations
allowed by NAEP

(Column I = Code 2)

(Column I = Code 3)

(Column I = Code 2)
* Check the enclosed SD Inclusion Guidelines for more information about alternate assessments with modified or alternate
achievement standards in your state.

Page 2 of 4

How to Complete the Back of the SD Worksheet
On the back of the worksheet are some research questions about the same students listed on the front. Please
consult the person most knowledgeable about each student’s disability(ies) and grade-level performance to answer
these questions.
Columns K through N are preprinted.
Columns O through Q are to be completed by school staff.

Column O: Which of the following IDEA categories describes this student’s identified disability(ies)?
Fill in one or more ovals indicating all of each student’s identified disabilities. The categories listed are used
by the Individuals with Disabilities Education Act (IDEA).
“Other (specify)” should only be marked for disability(ies) other than those pre-listed.
Column P: What is the degree of this student’s disability(ies)?
Record the degree of each student’s disability(ies) recorded in column O, using one of the following codes:
1 = Profound/Severe
2 = Moderate
3 = Mild
The response should be based on the knowledge of the person most familiar with this student’s disability(ies)
and based on this person’s professional judgment how it/they might compare to other students with similar
disability(ies) in the same grade.
Column Q: At what grade level does this student perform in the NAEP subject listed in column L?
Record the grade level at which the student performs in the NAEP subject listed in column L, using one of
the following codes:
1 = At or above grade level
2 = One year below grade level
3 = Two or more years below grade level
4 = Not receiving instruction in this subject
5 = Don’t know
For example, a grade 4 student selected to take the NAEP math assessment who performs at a second-grade
level should be marked as code 3 (two or more years below grade level).

Page 3 of 4

Page 4 of 4

National Assessment of Educational Progress (NAEP)
Instructions for Completing Worksheets for Students with Disabilities (SD)
Private Schools
(Please review these instructions before completing the SD Worksheet)

NAEP’s goal is to be as inclusive as possible. The expectation is that all students, except
the most cognitively disabled, will participate on NAEP, as they do on standardized
assessments.
NAEP results are not reported for individual students or schools.

Frequently Asked Questions
Our school does not use Individualized Education Programs (IEP) or Section 504 Plans. Can our
students still receive accommodations for NAEP?
Yes, students can receive any NAEP-allowed accommodation specified in individualized instructional
plans, or that they routinely receive either during standardized testing or classroom instruction. See the
enclosed SD Inclusion Guidelines for more information on accommodations allowed by NAEP.
What should we record in column G (accommodations the student receives when assessed on the
state (standardized) assessment in the NAEP subject) if the student is not assessed in that subject?
Record any accommodations that the student usually receives during classroom instruction.
What if an SD is withdrawn or graduated, never attends campus (e.g., home schooled), or is
otherwise ineligible for NAEP (e.g., not enrolled in the sampled grade)?
Draw a line through that student’s name, record a note in column G, and leave the rest of the worksheet
blank for that student.
What is the process for determining how a student should be included in NAEP?
• Before the preassessment visit, school staff complete the worksheets using these instructions and
the SD Inclusion Guidelines.
• At the preassessment visit, the NAEP representative will collect the completed worksheets,
review them for consistency, and then discuss with the school coordinator how each student
should be assessed on NAEP.
• All final inclusion and accommodation decisions are made by school staff and/or
parents/guardians.
What should I do with the completed worksheet(s)?
• Return all completed worksheets to the NAEP school coordinator by the date requested.
• If you are the school coordinator, put the completed worksheets in the red NAEP Storage
Envelope. Your NAEP representative will collect them at the preassessment visit.

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 1850-0790. The time required to complete
this information collection is estimated to average 10 minutes per student including the time to
review instructions, search 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. 20202-4537. If you have comments or concerns regarding the
status of your individual submission of this form, write directly to: NAEP/NCES, U.S.
Department of Education, 400 Maryland Avenue, S.W., Washington, D.C. 20202.

A project of the National Center for Education Statistics (NCES), Institute of
Education Sciences, U.S. Department of Education. The information you provide
will be used for statistical purposes only. In accordance with the Confidential
Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and
other applicable Federal laws, your responses will be kept confidential and will not
be disclosed in identifiable form to anyone other than employees or agents. By law,
every NCES employee as well as every agent, such as contractors and NAEP
coordinators, has taken an oath and is subject to a jail term of up to 5 years, a fine of
up to $250,000, or both, if he or she willfully discloses ANY identifiable
information about you. OMB No. 1850-0790 • Approval Expires 04/30/2013

How to Complete the Front of the SD Worksheet
Columns A through D are preprinted.
• Names beginning with “&” in column A are also listed on the ELL Worksheet (student is both SD and ELL).
• List any students sampled for NAEP who currently have an IEP but whose names are not preprinted.
• List any students sampled for NAEP who currently have a Section 504 Plan and require accommodations to
be tested, but whose names are not preprinted.
• List any students who routinely receive accommodations for standardized testing or during classroom
instruction.
Columns E through I are to be completed by school staff.
• Column E: Record the student’s current SD classification using one of the codes listed. If a student has
both an IEP and Section 504 Plan, record IEP as the student’s SD classification. If none of
these codes apply, leave the column blank for that student.
• Column F: Record how this student is tested or instructed in the NAEP subject listed in column B,
according to the student’s individualized instructional plan, using one of the codes listed.
• Column G: Record the accommodations this student receives when tested or instructed in the NAEP
subject listed in column B. Refer to the enclosed SD Inclusion Guidelines for information on
the allowed accommodations.
• Column H: Record if all the student’s required accommodations are allowed in the NAEP subject. Refer
to the enclosed SD Inclusion Guidelines for information on the accommodations allowed by
NAEP.
• Column I:
To answer column I, review columns G and H, and the decision tree below.
Column J is for NAEP Use Only.

Decision Tree for Students with Disabilities
According to the student’s IEP,
Section 504 Plan, or individualized
instructional plan, how is this
student assessed on standardized
assessments in the NAEP subject?
Without
accommodations

With
accommodations
allowed by NAEP

With one or more
accommodations
not allowed by
NAEP

With an alternate
assessment with
modified
achievement
standards*

With an alternate
assessment with
alternate
achievement
standards **

Student takes NAEP
without
accommodations

Student takes NAEP
with
accommodations
allowed by NAEP

Student takes NAEP
with
accommodations
allowed by NAEP

Student may be
excluded

(Column I = Code 1)

(Column I = Code 2)

Schools are
encouraged to
include student on
NAEP with
accommodations
allowed by NAEP

(Column I = Code 2)

(Column I = Code 3)

(Column I = Code 2)

* Modified assessments are based on grade-level content that is less rigorous than regular assessments.
** Alternate assessments are based on the grade-level content but at reduced depth, breadth, and complexity than regular assessments.

Page 2 of 4

How to Complete the Back of the SD Worksheet
On the back of the worksheet are some research questions about the same students listed on the front. Please
consult the person most knowledgeable about each student’s disability(ies) and grade-level performance to answer
these questions.
Columns K through N are preprinted.
Columns O through Q are to be completed by school staff.

Column O: Which of the following IDEA categories describes this student’s identified disability(ies)?
Fill in one or more ovals indicating all of each student’s identified disabilities. The categories listed are used
by the Individuals with Disabilities Education Act (IDEA).
“Other (specify)” should only be marked for disability(ies) other than those pre-listed.
Column P: What is the degree of this student’s disability(ies)?
Record the degree of each student’s disability(ies) recorded in column O, using one of the following codes:
1 = Profound/Severe
2 = Moderate
3 = Mild
The response should be based on the knowledge of the person most familiar with this student’s disability(ies)
and based on this person’s professional judgment how it/they might compare to other students with similar
disability(ies) in the same grade.
Column Q: At what grade level does this student perform in the NAEP subject listed in column L?
Record the grade level at which the student performs in the NAEP subject listed in column L, using one of
the following codes:
1 = At or above grade level
2 = One year below grade level
3 = Two or more years below grade level
4 = Not receiving instruction in this subject
5 = Don’t know
For example, a grade 4 student selected to take the NAEP math assessment who performs at a second-grade
level should be marked as code 3 (two or more years below grade level).

Page 3 of 4

Page 4 of 4

NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS
Wave 2 Submittal for 2013
VOLUME II
BACKGROUND QUESTIONS
Part 4b
TEL—SD Worksheet & Instructions

Part 4b contains:
TEL—SD Worksheet & Instructions (Public and Private School versions)
The amount of time estimated to complete the corresponding SD form is 10 minutes per student.

Student Name
B
C

Session # /
Line #

D

NAEP Student Booklet ID #
(Column O on Admin. Schedule)

E

Refer to the enclosed SD Inclusion Guidelines
for information on the allowed
accommodations/universal design elements.
Record the NAEP code of each required
accommodation/universal design element from
the guidelines in the space below for each
student.

G
H
I

What accommodations or universal design
elements does this student receive for
computer-based testing (any subject)? If
the student is not tested using a computer,
what accommodations/universal design
elements does the student receive when
tested on the state (standardized)
assessment for science?
How should this student be tested on NAEP?
Review columns G and H and the SD Decision
Tree on page 2 of the Worksheet Instructions for
how to answer this question.
1 = Without accommodations
2 = With accommodations allowed by NAEP
3 = Do not test

F
Are all of the student's accommodations listed
in column G allowed for NAEP?
Refer to the enclosed SD Inclusion Guidelines for
information on the accommodations allowed by
NAEP.
1 = Yes, all accommodations are allowed
2 = No, some/all accommodations are not
allowed

NAEP Use Only

According to the student's IEP or Section
504 Plan, how is this student assessed on the
state (standardized) assessment for science?
1 = Without accommodations
(Go to column I)
2 = With accommodations (Go to column G)
3 = With alternate assessment/modified
achievement standards (Go to column G)
4 = With alternate assessment/alternate
achievement standards (Go to column G)

perf

NAEP 2013
Students with Disabilities (SD)
Worksheet
TEL

Record the student's current SD classification
using one of the codes below:
1 = Has an IEP for a disability
2 = Has a Section 504 Plan and needs
accommodation to be tested
3 = Does not have an IEP or Section 504 Plan
(Do not complete the rest of the worksheet
for this student)

A

NAEP Subject
T = Technology and Engineering Literacy

Inv. #NA000?????

This form must be completed in No. 2 pencil.

Please complete both sides of this
worksheet for each student.

NAEP 2013
Students with Disabilities (SD) Worksheet
TEL
SCHOOL COPY
Sheet ____ of ____
SCHOOL #:

School Name:
Please complete the back of this worksheet for each student.

Sheet ____ of ____

J

For
NAEP
Use Only

Student Name
Session # /
Line #

NAEP Student Booklet ID #
(Column O on Admin. Schedule)

Traumatic brain injury

Orthopedic impairment

Emotional disturbance

Intellectual disability

Speech or language impairment

Visual impairment/blindness

N

Other health impairment
(Record the other health impairment in the space to
the right)

Developmental delay (age 9 or younger)

M

Autism

NAEP 2013
Students with Disabilities (SD)
Worksheet
TEL
School Copy
L

Hearing impairment/deafness

O

Which of the following IDEA categories best describes this student's identified disability(ies)?
(Fill in all ovals that apply)

Other health impairment (specify)

NAEP 2013 SD Worksheet TEL School
183158-001:321

P
Q

At what grade level does this student perform in science?
1 = At or above grade level
2 = One year below grade level
3 = Two or more years below grade level
4 = Not receiving instruction in this subject
5 = Don't know

Sheet ____ of ____

What is the degree of this student's disability(ies)?
1 = Profound/Severe
2 = Moderate
3 = Mild

of

Specific learning disability

K

NAEP Subject
T = Technology and Engineering Literacy

Sheet

Students with Disabilities (SD) Worksheet
TEL
SCHOOL #:

Printed in the USA by Pearson
ISD8962

National Assessment of Educational Progress (NAEP)
Instructions for Completing Worksheets for Students with Disabilities (SD)
Technology and Engineering Literacy (TEL) Assessment
(Please review these instructions before completing the SD Worksheets)

Frequently Asked Questions
NAEP’s goal is to be as inclusive as possible. The expectation is that all students, except the most
cognitively disabled, will participate on NAEP, as they do on their state assessments.
NAEP results are not reported for individual students or schools and do not affect a student’s
grade or a school’s AYP results.

Frequently Asked Questions
What is the Technology and Engineering Literacy Assessment?
According to the NAEP framework, technology and engineering literacy is defined as “the capacity to use,
understand, and evaluate technology as well as to understand technological principles and strategies needed
to develop solutions and achieve goals.” The TEL assessment will be administered using NAEP-provided,
stand-alone laptops with specialized software. There will be a short tutorial on how to use the specialized
software prior to the assessments. All student work will be stored in a secure manner without student identifiable
information. The NAEP specialized software for students does not use the Internet. All students taking a NAEP
computer-based assessment must use the NAEP-supplied equipment.

We don’t offer technology and engineering literacy classes. How do we evaluate if a student’s IEP
or Section 504 Plan should be applied to the TEL assessment?
The TEL computer-based assessment is most closely associated with the STEM subjects – science,
technology, engineering and mathematics. When evaluating if a student’s IEP or Section 504 Plan
should be applied to the TEL assessment, review the student’s needs for computer-based testing or for
science, if computer-based testing is not applicable.
What if an SD is withdrawn or graduated, never attends campus (e.g., home schooled), or is
otherwise ineligible for NAEP (e.g., not enrolled in the sampled grade)?
Draw a line through that student’s name, record a note in column G, and leave the rest of the worksheet
blank for that student.
What is the process for determining how a student should be included in NAEP?
• Before the preassessment visit, school staff complete the worksheets using these instructions and
the SD Inclusion Guidelines.
• At the preassessment visit, the NAEP representative will collect the completed worksheets,
review them for consistency, and then discuss with the school coordinator how each student
should be assessed on NAEP.
• All final inclusion and accommodation decisions are made by school staff and/or
parents/guardians.

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 1850-0790. The time required to complete
this information collection is estimated to average 10 minutes per student including the time to
review instructions, search 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. 20202-4537. If you have comments or concerns regarding the
status of your individual submission of this form, write directly to: NAEP/NCES, U.S.
Department of Education, 400 Maryland Avenue, S.W., Washington, D.C. 20202.

A project of the National Center for Education Statistics (NCES), Institute of
Education Sciences, U.S. Department of Education. The information you provide
will be used for statistical purposes only. In accordance with the Confidential
Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and
other applicable Federal laws, your responses will be kept confidential and will not
be disclosed in identifiable form to anyone other than employees or agents. By law,
every NCES employee as well as every agent, such as contractors and NAEP
coordinators, has taken an oath and is subject to a jail term of up to 5 years, a fine of
up to $250,000, or both, if he or she willfully discloses ANY identifiable
information about you. OMB No. 1850-0790 • Approval Expires 04/30/2013

How to Complete the Front of the SD Worksheet
Columns A through D are preprinted.
• Names beginning with “&” in column A are also listed on the ELL Worksheet (student is both SD and ELL).
•

List any students sampled for NAEP who currently have an IEP but whose names are not preprinted.

•

List any students sampled for NAEP who currently have a Section 504 Plan and require accommodations to
be tested, but whose names are not preprinted.

Columns E through I are to be completed by school staff.
• Column E: Record the student’s current SD classification using one of the codes listed. If a student has
both an IEP and Section 504 Plan, record IEP as the student’s SD classification.
•

Column F:

Record how this student is tested or instructed in the NAEP subject listed in column B,
according to the student’s IEP or Section 504 Plan, using one of the codes listed.

•

Column G:

Record the accommodations this student receives when tested in the NAEP subject listed in
column B. Refer to the enclosed SD Inclusion Guidelines for information on the allowed
accommodations.

•

Column H:

Record if all the student’s required accommodations are allowed in the NAEP subject. Refer
to the enclosed SD Inclusion Guidelines for information on the accommodations allowed by
NAEP.

•

Column I:

To answer column I, review columns G and H, and the decision tree below.

Column J is for NAEP Use Only.

Decision Tree for Students with Disabilities
According to the student’s IEP or
Section 504 Plan, how is this student
assessed on the state (standardized)
assessment for science?

Without
accommodations

With
accommodations
allowed by NAEP

With one or more
accommodations
not allowed by
NAEP

With an alternate
assessment with
modified
achievement
standards*

With an alternate
assessment with
alternate
achievement
standards *

Student takes NAEP
without
accommodations

Student takes NAEP
with
accommodations
allowed by NAEP

Student takes NAEP
with
accommodations
allowed by NAEP

Student may be
excluded

(Column I = Code 1)

(Column I = Code 2)

Schools are
encouraged to
include student on
NAEP with
accommodations
allowed by NAEP

(Column I = Code 2)

(Column I = Code 3)

(Column I = Code 2)
* Check the enclosed SD Inclusion Guidelines for more information about alternate assessments with modified or alternate
achievement standards in your state.

Page 2 of 4

How to Complete the Back of the SD Worksheet
On the back of the worksheet are some research questions about the same students listed on the front. Please
consult the person most knowledgeable about each student’s disability(ies) and grade-level performance to answer
these questions.
Columns K through N are preprinted.
Columns O through Q are to be completed by school staff.

Column O: Which of the following IDEA categories describes this student’s identified disability(ies)?
Fill in one or more ovals indicating all of each student’s identified disabilities. The categories listed are used
by the Individuals with Disabilities Education Act (IDEA).
“Other (specify)” should only be marked for disability(ies) other than those pre-listed.
Column P: What is the degree of this student’s disability(ies)?
Record the degree of each student’s disability(ies) recorded in column O, using one of the following codes:
1 = Profound/Severe
2 = Moderate
3 = Mild
The response should be based on the knowledge of the person most familiar with this student’s disability(ies)
and based on this person’s professional judgment how it/they might compare to other students with similar
disability(ies) in the same grade.
Column Q: At what grade level does this student perform in science?
Record the grade level at which the student performs in the NAEP subject listed in column L, using one of
the following codes:
1 = At or above grade level
2 = One year below grade level
3 = Two or more years below grade level
4 = Not receiving instruction in this subject
5 = Don’t know
For example, a grade 4 student selected to take the NAEP math assessment who performs at a second-grade
level should be marked as code 3 (two or more years below grade level).

Page 3 of 4

Page 4 of 4

National Assessment of Educational Progress (NAEP)
Instructions for Completing Worksheets for Students with Disabilities (SD)
Technology and Engineering Literacy (TEL) Assessment
Private Schools
(Please review these instructions before completing the SD Worksheets)

NAEP’s goal is to be as inclusive as possible. The expectation is that all students, except the most
cognitively disabled, will participate on NAEP, as they do on standardized assessments.
NAEP results are not reported for individual students or schools.

Frequently Asked Questions
What is the Technology and Engineering Literacy Assessment?
According to the NAEP framework, technology and engineering literacy is defined as “the capacity to use,
understand, and evaluate technology as well as to understand technological principles and strategies needed
to develop solutions and achieve goals.” The TEL assessment will be administered using NAEP-provided,

stand-alone laptops with specialized software. There will be a short tutorial on how to use the specialized
software prior to the assessments. All student work will be stored in a secure manner without student identifiable
information. The NAEP specialized software for students does not use the Internet. All students taking a NAEP
computer-based assessment must use the NAEP-supplied equipment.

Our school does not use Individualized Education Programs (IEP) or Section 504 Plans. Can our
students still receive accommodations for NAEP?
Yes, students can receive any NAEP-allowed accommodation specified in individualized instructional
plans, or that they routinely receive either during standardized testing or classroom instruction. See the
enclosed SD Inclusion Guidelines for more information on accommodations allowed by NAEP.
We don’t offer technology and engineering literacy classes. How do we evaluate if a student’s
individualized instructional plan should be applied to the TEL assessment?
The TEL computer-based assessment is most closely associated with the STEM subjects – science,
technology, engineering and mathematics. When evaluating if a student’s individualized instructional
plan should be applied to the TEL assessment, review the student’s needs for computer-based testing or
for science, if computer-based testing is not applicable.
What is the process for determining how a student should be included in NAEP?
• Before the preassessment visit, school staff complete the worksheets using these instructions and
the SD Inclusion Guidelines.
• At the preassessment visit, the NAEP representative will collect the completed worksheets,
review them for consistency, and then discuss with the school coordinator how each student
should be assessed on NAEP.
• All final inclusion and accommodation decisions are made by school staff and/or
parents/guardians.

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 1850-0790. The time required to complete
this information collection is estimated to average 10 minutes per student including the time to
review instructions, search 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. 20202-4537. If you have comments or concerns regarding the
status of your individual submission of this form, write directly to: NAEP/NCES, U.S.
Department of Education, 400 Maryland Avenue, S.W., Washington, D.C. 20202.

A project of the National Center for Education Statistics (NCES), Institute of
Education Sciences, U.S. Department of Education. The information you provide
will be used for statistical purposes only. In accordance with the Confidential
Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and
other applicable Federal laws, your responses will be kept confidential and will not
be disclosed in identifiable form to anyone other than employees or agents. By law,
every NCES employee as well as every agent, such as contractors and NAEP
coordinators, has taken an oath and is subject to a jail term of up to 5 years, a fine of
up to $250,000, or both, if he or she willfully discloses ANY identifiable
information about you. OMB No. 1850-0790 • Approval Expires 04/30/2013

How to Complete the Front of the SD Worksheet
Columns A through D are preprinted.
• Names beginning with “&” in column A are also listed on the ELL Worksheet (student is both SD and ELL).
• List any students sampled for NAEP who currently have an IEP but whose names are not preprinted.
• List any students sampled for NAEP who currently have a Section 504 Plan and require accommodations to
be tested, but whose names are not preprinted.
• List any students who routinely receive accommodations for standardized testing or during classroom
instruction.
Columns E through I are to be completed by school staff.
• Column E: Record the student’s current SD classification using one of the codes listed. If a student has
both an IEP and Section 504 Plan, record IEP as the student’s SD classification. If none of
these codes apply, leave the column blank for that student.
• Column F: Record how this student is tested or instructed in the NAEP subject listed in column B,
according to the student’s individualized instructional plan, using one of the codes listed.
• Column G: Record the accommodations this student receives when tested or instructed in the NAEP
subject listed in column B. Refer to the enclosed SD Inclusion Guidelines for information on
the allowed accommodations.
• Column H: Record if all the student’s required accommodations are allowed in the NAEP subject. Refer
to the enclosed SD Inclusion Guidelines for information on the accommodations allowed by
NAEP.
• Column I:
To answer column I, review columns G and H, and the decision tree below.
Column J is for NAEP Use Only.

Decision Tree for Students with Disabilities
According to the student’s IEP,
Section 504 Plan, or individualized
instructional plan, how is this
student assessed on standardized
assessment for science?
Without
accommodations

With
accommodations
allowed by NAEP

With one or more
accommodations
not allowed by
NAEP

With an alternate
assessment with
modified
achievement
standards*

With an alternate
assessment with
alternate
achievement
standards **

Student takes NAEP
without
accommodations

Student takes NAEP
with
accommodations
allowed by NAEP

Student takes NAEP
with
accommodations
allowed by NAEP

Student may be
excluded

(Column I = Code 1)

(Column I = Code 2)

Schools are
encouraged to
include student on
NAEP with
accommodations
allowed by NAEP

(Column I = Code 2)

(Column I = Code 3)

(Column I = Code 2)

* Modified assessments are based on grade-level content that is less rigorous than regular assessments.
** Alternate assessments are based on the grade-level content but at reduced depth, breadth, and complexity than regular assessments.

Page 2 of 4

How to Complete the Back of the SD Worksheet
On the back of the worksheet are some research questions about the same students listed on the front. Please
consult the person most knowledgeable about each student’s disability(ies) and grade-level performance to answer
these questions.
Columns K through N are preprinted.
Columns O through Q are to be completed by school staff.

Column O: Which of the following IDEA categories describes this student’s identified disability(ies)?
Fill in one or more ovals indicating all of each student’s identified disabilities. The categories listed are used
by the Individuals with Disabilities Education Act (IDEA).
“Other (specify)” should only be marked for disability(ies) other than those pre-listed.
Column P: What is the degree of this student’s disability(ies)?
Record the degree of each student’s disability(ies) recorded in column O, using one of the following codes:
1 = Profound/Severe
2 = Moderate
3 = Mild
The response should be based on the knowledge of the person most familiar with this student’s disability(ies)
and based on this person’s professional judgment how it/they might compare to other students with similar
disability(ies) in the same grade.
Column Q: At what grade level does this student perform in science?
Record the grade level at which the student performs in the NAEP subject listed in column L, using one of
the following codes:
1 = At or above grade level
2 = One year below grade level
3 = Two or more years below grade level
4 = Not receiving instruction in this subject
5 = Don’t know
For example, a grade 4 student selected to take the NAEP math assessment who performs at a second-grade
level should be marked as code 3 (two or more years below grade level).

Page 3 of 4

Page 4 of 4

NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS
Wave 2 Submittal for 2013
VOLUME II
BACKGROUND QUESTIONS
Part 4c
Puerto Rico—SD Worksheet & Instructions

Part 4c contains:
Puerto Rico—SD Worksheet & Instructions
The amount of time estimated to complete the corresponding SD form is 10 minutes per student.

A

Student Name
B
C

Session # /
Line #

D

NAEP Student Booklet ID #
(Column O on Admin. Schedule)

E
F
G

What accommodations does this
student receive on your state
(standardized) test for mathematics?

Refer to the enclosed SD Inclusion
Guidelines for information on the allowed
accommodations. Record the NAEP code
of each required accommodation from the
guidelines in the space below for each
student.

H
I

How should this student be tested on NAEP?
Review columns G and H and the SD Decision
Tree on page 2 of the Worksheet Instructions for
how to answer this question.
1 = Without accommodations
2 = With accommodations allowed by NAEP
3 = Do not test

NAEP Use Only

NAEP 2013
Students with Disabilities (SD) Worksheet
Puerto Rico
SCHOOL COPY
Sheet ____ of ____
Are all of the student's accommodations listed
in column G allowed for NAEP?
Refer to the enclosed SD Inclusion Guidelines for
information on the accommodations allowed by
NAEP.
1 = Yes, all accommodations are allowed
2 = No, some/all accommodations are not
allowed

NAEP 2013
Students with Disabilities (SD)
Worksheet
Puerto Rico
perf

Please complete both sides of this
worksheet for each student.

Record the student's current SD classification
using one of the codes below:
1 = Has an IEP for a disability
2 = Has a Section 504 Plan and needs
accommodation to be tested
3 = Does not have an IEP or Section 504 Plan
(Do not complete the rest of the worksheet
for this student)
According to the student's IEP or Section
504 Plan, how is this student assessed on the
state (standardized) assessment for
mathematics?
1 = Without accommodations
(Go to column I)
2 = With accommodations (Go to column G)
3 = With alternate assessment/modified
achievement standards (Go to column G)
4 = With alternate assessment/alternate
achievement standards (Go to column G)

NAEP Subject
M = Mathematics

Inv. #NA000?????

This form must be completed in No. 2 pencil.

SCHOOL #:

School Name:
Please complete the back of this worksheet for each student.

Sheet ____ of ____

J

For
NAEP
Use Only

Student Name
Session # /
Line #

NAEP Student Booklet ID #
(Column O on Admin. Schedule)

Traumatic brain injury

Orthopedic impairment

Emotional disturbance

Intellectual disability

Speech or language impairment

Visual impairment/blindness

O

Other health impairment (specify)

NAEP 2013 SD Worksheet School
183158-001:321

What is the degree of this student's disability(ies)?
1 = Profound/Severe
2 = Moderate
3 = Mild
At what grade level does this student perform in
mathematics?
1 = At or above grade level
2 = One year below grade level
3 = Two or more years below grade level
4 = Not receiving instruction in this subject
5 = Don't know

N

Other health impairment
(Record the other health impairment in the space to
the right)

Developmental delay (age 9 or younger)

M

Autism

NAEP 2013
Students with Disabilities (SD)
Worksheet
Puerto Rico
School Copy
L

Hearing impairment/deafness

of

Specific learning disability

K

NAEP Subject
M = Mathematics

Sheet

Students with Disabilities (SD) Worksheet
Puerto Rico
Sheet ____ of ____
SCHOOL #:
P

Printed in the USA by Pearson

Q

Which of the following IDEA categories best describes this student's identified disability(ies)?
(Fill in all ovals that apply)

ISD8962

National Assessment of Educational Progress (NAEP)
Instructions for Completing Worksheets for Students with Disabilities (SD)
(Please review these instructions before completing the SD Worksheet)

Puerto Rico
NAEP’s goal is to be as inclusive as possible. The expectation is that all students, except
the most cognitively disabled, will participate on NAEP, as they do on their state
assessments.
NAEP results are not reported for individual students or schools and do not affect a
student’s grade or a school’s AYP results.

Frequently Asked Questions
Can students without an IEP or Section 504 Plan receive accommodations on NAEP?
No, students without an IEP or Section 504 Plan participate in NAEP without accommodations. Only
students with an IEP or Section 504 Plan can receive accommodations on NAEP.
What should we record in column G (accommodations the student receives when assessed on the
state assessment in the NAEP subject) if the student is not assessed in that subject?
Record any accommodations listed in the student’s IEP or Section 504 Plan that the student usually
receives during classroom instruction.
What if an SD is withdrawn or graduated, never attends campus (e.g., home schooled), or is
otherwise ineligible for NAEP (e.g., not enrolled in the sampled grade)?
Draw a line through that student’s name, record a note in column G, and leave the rest of the worksheet
blank for that student.
What is the process for determining how a student should be included in NAEP?
• Before the preassessment visit, school staff complete the worksheets using these instructions and
the SD Inclusion Guidelines.
• At the preassessment visit, the NAEP representative will collect the completed worksheets,
review them for consistency, and then discuss with the school coordinator how each student
should be assessed on NAEP.
• All final inclusion and accommodation decisions are made by school staff and/or
parents/guardians.
What should I do with the completed worksheet(s)?
• Return all completed worksheets to the NAEP school coordinator by the date requested.
• If you are the school coordinator, put the completed worksheets in the red NAEP Storage
Envelope. Your NAEP representative will collect them at the preassessment visit.

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 1850-0790. The time required to complete
this information collection is estimated to average 10 minutes per student including the time to
review instructions, search 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. 20202-4537. If you have comments or concerns regarding the
status of your individual submission of this form, write directly to: NAEP/NCES, U.S.
Department of Education, 400 Maryland Avenue, S.W., Washington, D.C. 20202.

A project of the National Center for Education Statistics (NCES), Institute of
Education Sciences, U.S. Department of Education. The information you provide
will be used for statistical purposes only. In accordance with the Confidential
Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and
other applicable Federal laws, your responses will be kept confidential and will not
be disclosed in identifiable form to anyone other than employees or agents. By law,
every NCES employee as well as every agent, such as contractors and NAEP
coordinators, has taken an oath and is subject to a jail term of up to 5 years, a fine of
up to $250,000, or both, if he or she willfully discloses ANY identifiable
information about you. OMB No. 1850-0790 • Approval Expires 04/30/2013

How to Complete the Front of the SD Worksheet
Columns A through D are preprinted.
• Names beginning with “&” in column A are also listed on the SLL Worksheet (student is both SD and SLL).
•

List any students sampled for NAEP who currently have an IEP but whose names are not preprinted.

•

List any students sampled for NAEP who currently have a Section 504 Plan and require accommodations to
be tested, but whose names are not preprinted.

Columns E through I are to be completed by school staff.
• Column E: Record the student’s current SD classification using one of the codes listed. If a student has
both an IEP and Section 504 Plan, record IEP as the student’s SD classification.
•

Column F:

Record how this student is tested or instructed in the NAEP subject listed in column B,
according to the student’s IEP or Section 504 Plan, using one of the codes listed.

•

Column G:

Record the accommodations this student receives when tested in the NAEP subject listed in
column B. Refer to the enclosed SD Inclusion Guidelines for information on the allowed
accommodations.

•

Column H:

Record if all the student’s required accommodations are allowed in the NAEP subject. Refer
to the enclosed SD Inclusion Guidelines for information on the accommodations allowed by
NAEP.

•

Column I:

To answer column I, review columns G and H, and the decision tree below.

Column J is for NAEP Use Only.

Decision Tree for Students with Disabilities
According to the student’s IEP or
Section 504 Plan, how is this student
assessed on the state assessment in
the NAEP subject?

Without
accommodations

With
accommodations
allowed by NAEP

With one or more
accommodations
not allowed by
NAEP

With an alternate
assessment with
modified
achievement
standards*

With an alternate
assessment with
alternate
achievement
standards *

Student takes NAEP
without
accommodations

Student takes NAEP
with
accommodations
allowed by NAEP

Student takes NAEP
with
accommodations
allowed by NAEP

Student may be
excluded

(Column I = Code 1)

(Column I = Code 2)

Schools are
encouraged to
include student on
NAEP with
accommodations
allowed by NAEP

(Column I = Code 2)

(Column I = Code 3)

(Column I = Code 2)
* Check the enclosed SD Inclusion Guidelines for more information about alternate assessments with modified or alternate
achievement standards in your state.

Page 2 of 4

How to Complete the Back of the SD Worksheet
On the back of the worksheet are some research questions about the same students listed on the front. Please
consult the person most knowledgeable about each student’s disability(ies) and grade-level performance to answer
these questions.
Columns K through N are preprinted.
Columns O through Q are to be completed by school staff.

Column O: Which of the following IDEA categories describes this student’s identified disability(ies)?
Fill in one or more ovals indicating all of each student’s identified disabilities. The categories listed are used
by the Individuals with Disabilities Education Act (IDEA).
“Other (specify)” should only be marked for disability(ies) other than those pre-listed.
Column P: What is the degree of this student’s disability(ies)?
Record the degree of each student’s disability(ies) recorded in column O, using one of the following codes:
1 = Profound/Severe
2 = Moderate
3 = Mild
The response should be based on the knowledge of the person most familiar with this student’s disability(ies)
and based on this person’s professional judgment how it/they might compare to other students with similar
disability(ies) in the same grade.
Column Q: At what grade level does this student perform in the NAEP subject listed in column L?
Record the grade level at which the student performs in the NAEP subject listed in column L, using one of
the following codes:
1 = At or above grade level
2 = One year below grade level
3 = Two or more years below grade level
4 = Not receiving instruction in this subject
5 = Don’t know
For example, a grade 4 student selected to take the NAEP math assessment who performs at a second-grade
level should be marked as code 3 (two or more years below grade level).

Page 3 of 4

Page 4 of 4