Skip to main

Foundations of the Certification Examinations

Foundations of the NBCOT Certification Examinations

Learn more about how the exams are developed, constructed, and scored.  

Exam Development & Construction

Exam Format


Test Metrics


Americans with Disabilities Act of 1990, Pub. L. No. 101-336, 104 Stat. 328 (1990).

Cizek, G. (2012). Setting performance standards: Foundations, methods, and innovations (2nd ed.). New York, NY: Routledge.

Equal Employment Opportunity Commission [EEOC] (1978). The Office of Personnel Management, U.S. Department of Justice and U.S. Department of Labor (1979).Uniform guidelines on employee selection procedures. 41 CFR Part 603 (1978).

International Organization for Standardization [ISO] (2012).ISO/IEC 17024, Conformity assessment – General requirements for bodies operating certification of persons (2nd ed.).

NBCOT. (2018a). Practice analysis of the Certified Occupational Therapy Assistant: Executive summary [PDF file]. Retrieved from

NBCOT. (2018b). Content outline for the COTA examination [PDF file]. Retrieved from

NBCOT. (2018c). Practice analysis of the Occupational Therapist Registered: Executive summary [PDF file]. Retrieved from

NBCOT. (2018d). Content outline for the OTR examination [PDF file]. Retrieved from

National Commission for Certifying Agencies. (2014). The NCCA's standards for the accreditation of certification programs. Institute for Credentialing Excellence.