1-PII Questionnaire.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
USBE - Document Editing and 508 Remediation
Solicitation number
USBE-SD26389-PS
Issued by
Utah

About this file

This is a Personal Identifiable Information (PII) Questionnaire submitted to the Utah State Board of Education (USBE) in connection with a document editing and 508 remediation solicitation. The questionnaire identifies which data elements will be collected, used, or stored by a system or application supporting USBE operations. The document provides a comprehensive checklist across multiple categories including student PII (assessment scores, attendance, enrollment, contact information, performance data, and survey responses), educator PII (name, identification, assignment, and salary information), parent/guardian contact information, and payment card industry (PCI) protected data. The questionnaire serves as a data inventory tool to ensure transparency regarding what personal information will be handled by any contractor or vendor providing services to USBE.

The questionnaire does not establish pricing, set-asides, or funding requirements, as it functions as a disclosure and compliance document rather than a procurement specification. However, it is directly associated with the USBE document editing and 508 remediation contract opportunity, which has a maximum contract value of $175,000 under Utah Administrative Rule R277-122-6 for small purchases of professional service providers, with a current all-inclusive budget of $80,000. The completion and submission of this PII questionnaire by interested vendors is intended to establish a clear understanding of data handling responsibilities and ensure compliance with accessibility standards under Section 508 of the Rehabilitation Act and USBE's style guide requirements.

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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 .