1-PII Questionnaire.xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- Continuous Improvement Expert for Springboard School Grant - The Jean Massieu School of the Deaf
- Solicitation number
- USBE-CC26455-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 Request for Statement of Qualifications for a Continuous Improvement Expert position at The Jean Massieu School of the Deaf. The questionnaire identifies data elements that a system will use, store, or collect across multiple categories including student PII, educator PII, parent PII, and payment card information. Student data elements encompassed include assessment scores, communications, conduct data, demographics, enrollment information, special indicators, contact information, performance metrics, program membership, survey responses, and student-generated work. Educator data includes name, gender, date of birth, identification numbers, school and class assignments, salary information, and license information. Parent or guardian data covers contact information including address, email, phone, and name.
The questionnaire serves as a compliance and transparency tool for the USBE to understand what personal information will be collected and utilized by the system supporting the Continuous Improvement Expert contract. No pricing, award dates, contract terms, or specific performance metrics are detailed in this questionnaire document. The form functions as a preliminary data governance assessment rather than a procurement instrument with specific deliverables, timelines, or financial terms. Respondents are instructed to check which data elements will be used by the system and provide additional information where applicable, enabling USBE to maintain oversight of PII handling in connection with the school improvement initiative for the designated springboard school.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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) |
File details come from the government source that posted it. Updated .