An observational study of reading instruction, using the MS-CISSAR protocol, was conducted in general education classrooms, resource classrooms, and self-contained special education/deaf education classrooms in Grades 1 through 4 in public schools within the tri-state area of Ohio, Pennsylvania, and West Virginia. Participants were 24 students who are deaf or hard of hearing and 17 teachers of reading for these students. Results indicated that reading activities varied significantly by instructional setting and grade level enrolled. In addition, teacher behaviors were significantly different by instructional setting, grade level enrolled, reading curriculum level, and students' level of hearing loss. (Contains 6 tables.)