1-PII Questionnaire.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
USBE - Continuous Improvement Experts Prequalification List (add vendors and recertify current vendors)
Solicitation number
USBE-MI26069-RFSQ
Issued by
Utah

About this file

This is a PII (Personally Identifiable Information) Questionnaire document associated with the Utah State Board of Education's Request for Statement of Qualifications for Continuous Improvement Experts serving Elevate and Springboard schools. The questionnaire identifies which data elements will be collected, used, and stored by systems supporting this prequalification vendor list initiative. The document encompasses multiple categories of personal information including student PII (assessment scores, attendance, enrollment, demographics, contact information, performance data, and work samples), educator PII (name, identification numbers, school and class assignments, salary and license information), parent/guardian contact information, and payment card information. No specific response deadlines, site visits, bidder conferences, or award dates are provided within this questionnaire document itself, as it functions as a data inventory tool rather than a solicitation timeline document.

The questionnaire does not contain pricing information, set-asides, incumbent data, or funding details. This document serves as a compliance and transparency instrument for the USBE to document what personal data categories may be utilized by any system implementing the Continuous Improvement Expert services. The prequalification list operates on an indeterminate term with verification of vendor compliance required no less frequently than every 18 months. The USBE retains the right to reopen the solicitation at any time to add additional vendors, and individual local school boards will be responsible for contracting directly with vendors on the approved list. No specific funding amounts or sources are referenced in this particular questionnaire document.

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Text version

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 .