1-PII Questionnaire.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
USBE-SD26115-PS - USBE Literacy Professional Learning For Middle School Educators
Solicitation number
USBE-SD26115-PS
Issued by
Utah

About this file

The document is a Personally Identifiable Information (PII) Questionnaire from the Utah State Board of Education (USBE), focusing on data collection and usage for educational purposes. The questionnaire comprehensively inventories various types of student, educator, and parent personal information that may be collected or stored in educational systems, including demographic data, contact information, academic performance, special indicators, program memberships, and other sensitive personal details. The form is structured to allow organizations to specify which data elements they will use or collect, covering categories such as student assessment data, enrollment information, communication records, and personal identifiers.

The accompanying contract opportunity details a Request for Statement of Qualifications (RFSQ) for Literacy Professional Learning for Middle School Educators, with a maximum contract value of $175,000 and a current project budget of $75,000. The solicitation is issued by the Utah State Board of Education under Administrative Rule R277-122-6 for Small Purchases of Professional Service Providers and Consultants. Vendors are restricted from communicating with procurement staff except through the designated USBE procurement officer, and the solicitation allows for equivalent product submissions. The document emphasizes compliance with Utah Procurement Code and administrative rules, indicating a structured and regulated procurement process for educational professional development services.

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Sheet1

Instructions: Please check which data elements will be used by system and return to USBE
Data TypeData ElementCheck if used by system or provide additional information
Student PIIAssessmentStandardized test score
Observation data
Other assessment data (Please specify)
CommunicationsOnline communications that are captured (emails, blog entries)
ConductConduct or behavioral data
DemographicsDate of Birth
Place of Birth
Gender
Ethnicity or race
Language information (native, preferred, spoken, etc)
Other demographic information (Please specify)
EnrollmentStudent attendance data
Student school enrollment
Student grade level
Assigned educator
Specific curriculum programs
Year of graduation
Other enrollment information (please specify)
Special IndicatorEnglish language learner information
Low income status
Medical alerts /health data
Student disability information
Specialized education services (IEP or 504)
Living situations (homeless/foster care)
Other indicator information-Please specify:
Student Contact InformationAddress
Email
Phone
Name
Student ID Number
Student PerformanceProgram/application performance (typing program-student types 60 wpm, reading program-student reads below grade level)
Student Program MembershipAcademic or extracurricular activities a student may belong to or participate in
Student Survey ResponsesStudent responses to surveys or questionnaires
Student workStudent generated content; writing, pictures etc.
Other student work data -Please specify:
OtherPlease list each additional data element used, stored or collected by your application
Educator PIIEducator informationName
Gender
Date of Birth
Identification number
School assignment
Class assignment
Salary information
License information
Parent PIIParent/Guardian Contact InformationAddress
Email
Phone
Name
Other information (Please specify)
PCICredit CardPCI protected data
Other information (Please specify)

File details come from the government source that posted it. Updated .