3-PII+Questionnaire (1).xlsx
XLSX spreadsheet 15 KB Posted
- Attached to
- USBE Migrant Education Data System
- Solicitation number
- USBE-JB26296-RFP
- Issued by
- Utah
About this file
This is a Personally Identifiable Information (PII) questionnaire associated with the Utah State Board of Education's (USBE) Migrant Education Data System Request for Proposals (Solicitation #USBE-JB26296-RFP). The questionnaire serves as a data inventory checklist to identify which student, educator, parent, and payment card data elements will be utilized by the proposed system. The document enumerates specific PII categories including student assessment scores, communications data, behavioral records, demographics, enrollment information, special indicators, contact information, performance data, program memberships, survey responses, and student work products. Additionally, it requests disclosure of educator PII such as name, gender, date of birth, identification numbers, school and class assignments, salary and license information, as well as parent or guardian contact information. The questionnaire also includes a section for reporting any credit card (PCI) protected data that may be processed or stored by the system.
The USBE is procuring a comprehensive migrant education data system with a maximum contract budget of $170,000 for a five-year term, with the right to terminate at any time according to state standard terms and conditions. The system must upload migrant student data to MSIX on a daily basis and provide required reporting functionality. This questionnaire functions as a compliance and transparency tool, requiring offerors to identify and document all data elements their proposed system will collect, store, or utilize, thereby enabling USBE to assess data handling practices, security requirements, and regulatory compliance for student privacy protection.
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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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