3-PII+Questionnaire (1).xlsx

XLSX spreadsheet 15 KB Posted

Attached to
USBE - Utah Professional Practices Advisory Committee (UPPAC) Investigators
Solicitation number
USBE-MI27022-RFP
Issued by
Salt Lake County, Salt Lake City, Utah

About this file

This is a questionnaire document from the Utah State Board of Education (USBE) that identifies personally identifiable information (PII) and other data elements used within educational systems. The questionnaire catalogs data across multiple categories including student PII (assessment scores, communications, conduct records, demographics, enrollment information, contact details, performance data, program memberships, survey responses, and student work); special indicators (English language learner status, low-income status, medical alerts, disability information, and specialized education services); educator PII (name, gender, date of birth, identification number, school and class assignments, salary and license information); and parent/guardian contact information. The form also includes sections for credit card PII data and an open section for additional data elements used, stored, or collected by applications. This questionnaire appears to be part of the USBE-MI27022-RFP solicitation for Utah Professional Practices Advisory Committee (UPPAC) Investigators, which is seeking external, independent investigators to serve on a rotating or random basis as hearings are required through June 30, 2027, with potential for four additional one-year renewal options.

The questionnaire serves as a data inventory tool requiring respondents to identify which data elements will be used by systems and to provide additional information where applicable. No pricing terms, set-asides, incumbent information, or funding amounts are specified in this particular document. The form functions as a compliance and transparency mechanism to ensure proper documentation of data usage within the educational system, likely supporting the investigative and advisory functions of UPPAC.

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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 .