1-PII Questionnaire.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- USBE-JB26274-PS
- Issued by
- Utah
About this file
This is a Personally Identifiable Information (PII) Questionnaire submitted to the Utah State Board of Education (USBE) in connection with a Child and Adult Care Food Program (CACFP) financial document review solicitation. The questionnaire identifies all data elements that will be used, stored, or collected by a system or application supporting the contract. The document catalogs extensive categories of student PII including assessment data, standardized test scores, communications records, behavioral data, demographics, enrollment information, special indicators, contact information, performance metrics, program memberships, survey responses, and student work samples. Additionally, the questionnaire addresses educator PII such as name, gender, date of birth, identification numbers, school and class assignments, salary and license information, as well as parent or guardian contact information and credit card data handling protocols.
The questionnaire serves as a compliance and data governance tool for USBE to understand what personal information will be processed by potential contractors. By itemizing specific data elements across student, educator, and parent categories, USBE ensures that any awarded contractor demonstrates awareness of privacy obligations and regulatory requirements associated with federal child nutrition programs. This documentation is critical for procurement transparency and establishing baseline expectations regarding data handling, security, and protection measures that must be maintained throughout the contract period.
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|---|---|---|
| 2-GRAMA Claim of Business Confidentiality.pdf | ||
| 4-Changing+Your+Time+Zone.pptx | PPTX presentation | |
| 6-Attachment B Scope of Work for RFSQ.pdf | ||
| 5-Att. A - USBE Standard TsCs for Goods and Services (rev. 10-2025).docx | DOCX document | |
| 3-RFSQ Prerequisites Document.pdf |
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Text version
Sheet1
| Instructions: Please check which data elements will be used by system and return to USBE | |||
| Data Type | Data Element | Check if used by system or provide additional information | |
| Student PII | Assessment | Standardized test score | |
| Observation data | |||
| Other assessment data (Please specify) | |||
| Communications | Online communications that are captured (emails, blog entries) | ||
| Conduct | Conduct or behavioral data | ||
| Demographics | Date of Birth | ||
| Place of Birth | |||
| Gender | |||
| Ethnicity or race | |||
| Language information (native, preferred, spoken, etc) | |||
| Other demographic information (Please specify) | |||
| Enrollment | Student attendance data | ||
| Student school enrollment | |||
| Student grade level | |||
| Assigned educator | |||
| Specific curriculum programs | |||
| Year of graduation | |||
| Other enrollment information (please specify) | |||
| Special Indicator | English 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 Information | Address | ||
| Phone | |||
| Name | |||
| Student ID Number | |||
| Student Performance | Program/application performance (typing program-student types 60 wpm, reading program-student reads below grade level) | ||
| Student Program Membership | Academic or extracurricular activities a student may belong to or participate in | ||
| Student Survey Responses | Student responses to surveys or questionnaires | ||
| Student work | Student generated content; writing, pictures etc. | ||
| Other student work data -Please specify: | |||
| Other | Please list each additional data element used, stored or collected by your application | ||
| Educator PII | Educator information | Name | |
| Gender | |||
| Date of Birth | |||
| Identification number | |||
| School assignment | |||
| Class assignment | |||
| Salary information | |||
| License information | |||
| Parent PII | Parent/Guardian Contact Information | Address | |
| Phone | |||
| Name | |||
| Other information (Please specify) | |||
| PCI | Credit Card | PCI protected data | |
| Other information (Please specify) |
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