1-PII Questionnaire.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
Strategic Plan Creation and Training
Solicitation number
USBE-MI26027-PS
Issued by
Utah

About this file

The document is a Personally Identifiable Information (PII) Questionnaire from the Utah State Board of Education (USBE), detailing a comprehensive data collection template for tracking various student, educator, and parent information types. The questionnaire comprehensively catalogs potential data elements across multiple categories including student demographics (birth date, gender, ethnicity, language), enrollment information (attendance, grade level, curriculum programs), performance data (test scores, program performance), contact details, and specialized indicators like disability status or English language learner information. The document is directly related to a State of Utah procurement opportunity for strategic plan creation and training services, with a maximum contract value of $175,000 and a current project budget of $54,000.

The procurement solicitation seeks a contractor to develop a robust strategic planning framework for USBE, focusing on performance measurement, organizational alignment, and staff/Board member training. The Request for Statement of Qualifications (RFSQ) is governed by Utah Procurement Code and will result in a single contract award under Administrative Rule R277-122-6 for professional services. Vendors are strictly prohibited from communicating with procurement staff or evaluation committee members except through the designated USBE procurement officer. The solicitation emphasizes creating a comprehensive strategic plan with key performance indicators (KPIs) that support the agency's mission and strategic goals, with a structured approach to measuring organizational performance and strategic alignment.

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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 .