12-PII+Questionnaire (1).xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- USBE - IDEA Dispute Resolution Services
- Solicitation number
- USBE-MI26020-RFP
- Issued by
- Salt Lake County, Salt Lake City, Utah
About this file
The document is a Personally Identifiable Information (PII) data collection questionnaire from the Utah State Board of Education (USBE), specifically related to an IDEA Dispute Resolution Services Request for Proposal (RFP). The solicitation (USBE-MI26020-RFP) seeks qualified vendors to provide dispute resolution services under the Individuals with Disabilities Education Act (IDEA), with service categories including State Complaint Investigator, Mediator, Hearing Officer, and Individualized Education Program (IEP) Facilitator. The RFP aims to ensure procedural safeguards for families with students in special education programs by providing no-cost dispute resolution resources.
The questionnaire comprehensively details the types of student, educator, and parent personally identifiable information that may be collected, including demographic data, contact information, performance metrics, enrollment details, special indicators, and other sensitive information. The data elements cover a wide range of personal information such as name, date of birth, address, email, phone number, ethnicity, language information, academic performance, disability status, and program memberships. While the document does not specify pricing or funding sources directly, it underscores the state's commitment to maintaining rigorous data management and privacy protocols for educational service delivery.
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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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