The purpose of this paper is to present findings on alternate assessments for students who are deaf or hard of hearing (SDHH). Drawn from the results of the "Second National Survey of Assessments and Accommodations for Students Who Are Deaf or Hard of Hearing," this study investigated three alternate assessment formats: portfolio, checklists, and out-of-level testing. Analysis includes descriptive data of alternate assessment use across all three formats, qualitative analyses of teacher perspectives, and an exploratory logistic regression analysis on predictors of alternate assessment use. This exploratory analysis looks at predictors such as state policy, educational setting, grades served, language of instruction, and participant perspectives. Results indicate that predictors at the student, teacher, and system level may influence alternate assessment use for SDHH.