3-PII+Questionnaire (1).xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- USBE Scholarship Granting Organization
- Solicitation number
- USBE-JB26216-RFP
- Issued by
- Utah
About this file
This is a Personal Identifiable Information (PII) questionnaire for the Utah State Board of Education (USBE) in connection with a Scholarship Granting Organization Request for Proposals (RFP Solicitation #USBE-JB26216-RFP). The questionnaire serves as a data inventory tool designed to identify which student, educator, parent, and payment card data elements will be collected, stored, or used by the selected system or application. The document outlines comprehensive categories of PII including student assessment data, communications records, conduct information, demographics, enrollment details, special indicators, contact information, performance metrics, program memberships, survey responses, and student work products. Additional categories address educator PII (name, gender, date of birth, identification number, school and class assignments, salary, and license information), parent or guardian contact information, and payment card information. The RFP anticipates a single contract award for a five-year term to administer the special needs scholarship program under Utah Code 53E-7-4-1 et seq. and Board Rule R277-626-1 et seq.
The questionnaire requires offerors to specify which data elements will be utilized by their proposed system and to provide clarification or additional information where applicable. This data inventory is a critical component of the proposal submission process, ensuring transparency regarding PII handling practices and compliance with data protection requirements. The questionnaire does not establish pricing terms or funding amounts but rather establishes the scope of data management that will be required under the contract. USBE reserves the right to terminate the contract at any time in accordance with the State of Utah Standard Terms and Conditions.
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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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