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Note:  This document has been delivered to the Office of the Federal Register but has not yet been scheduled for publication.  The official version of this document is the document that is published in the Federal Register.

services that are included as early intervention services. Vision services should not be included in the definition of special instruction because some of the examples of vision services would not be appropriate as examples of special instruction. For example, referral for medical or other professional services necessary for the habilitation or rehabilitation of visual functioning disorders, or both, would not fall under the definition of special instruction. The types of qualified personnel who may provide vision

services are listed in §303.13(c). This list includes

optometrists and ophthalmologists and is not exhaustive. Thus, providing additional guidance about who is qualified to provide vision services is not necessary.

Changes: We have added the words “that affect early

childhood development” after the words “specific visual

disorders, delays, and abilities.” We also have removed

the phrase “independent living skills” from proposed


Qualified personnel (§303.13(c))

Comment: Several commenters supported our proposal to include in the definition of qualified personnel in

§303.13(c) types of personnel that are not included in the

current Part C regulations. Commenters specifically

supported the inclusion of “registered dieticians,”