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 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 .