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 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 .