5-PII+Questionnaire.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
USBE - Formative Writing Tool
Solicitation number
USBE-CC26335-RFP
Issued by
Salt Lake County, Salt Lake City, Utah

About this file

This is a PII and Data Element Questionnaire associated with the Utah State Board of Education's (USBE) Request for Proposals for a Formative Writing Tool (Solicitation # USBE-CC26335-RFP). The USBE is seeking proposals for an integrated formative online writing system designed to serve students in grades 3 through 12. The contract resulting from this RFP is anticipated to be approximately five years in duration, with USBE reserving the right to terminate at any time in accordance with standard terms and conditions. The maximum contract award is $2.2 million.

The questionnaire documents data elements that will be used by the proposed system, organized into multiple categories including student PII (such as name, date of birth, contact information, and student ID number), assessment data (standardized test scores and observation data), communications, conduct and behavioral data, demographics, enrollment information, special indicators (English language learner status, disability information, health alerts), student performance and program membership, student survey responses and work, educator PII (name, gender, identification, school and class assignment, salary and license information), parent or guardian contact information, and PCI protected data. The questionnaire serves as a data inventory tool to identify which specific elements will be collected, stored, or used by the formative writing application.

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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 .