ICCB Data Request Form

Data Request Form
The Illinois Community College Board (ICCB) ensures that it complies with all applicable laws, materials, regulations and other state and federal requirements with respect to the protection of privacy, security and dissemination of restricted data.

ICCB receives many data requests from outside entities and the data request form allows us to appropriately log and review the request.

Per Statute 110 ILCS 805/2-11.2 of the Illinois Public Community College Act, ICCB has the right to collect a fee to cover the cost of processing and handling individual student-level data requests pursuant to an approved data sharing agreement. The fee will not be assessed on any entities that are complying with State or federally-mandated reporting. Cost is dependent on the size and complexity of the data request (see the fee schedule at the bottom of this form).

Thank You.

Requestor Completing the Form:
Name*

First NameLast Name
Institution/Organization
Enter the name of your organization if applicable
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone Number*
Project Description - Provide a brief synopsis (no more than two paragraphs) of the proposed project, including what you plan to do, why, and the context for the request.*
Research Purpose and Timeline - Explain the research plan that will be conducted using data. What is the purpose of the research? What are the timelines of the research activities?*
Research Question(s) and Hypotheses - Describe the specific research/evaluation questions to be investigated and associated hypotheses.*
Are you requesting individual-level data or summary-level data?*

Individual-level dataSummary-level data
In your research/analysis, are you requesting data that will identify specific community colleges?*

Yes, individual community colleges will be identified in the analysisNo, only statewide data are being requested and specific community colleges will not be identified
Are you requesting personally identifying information on individuals (e.g., name, date of birth) and/or the Illinois Longitudinal Data System (ILDS) Centralized Demographic Dataset (CDD) Identifier (ID)? The CDD matches data across Illinois state agencies participating in the ILDS using multiple identifiers of each person to create a unique CDD-ID that protects the privacy and safety of Illinois' students and families.*

YesNo
Select all variables being requested for this project.*

NameDate of BirthSocial Security NumberAddressCDD-ID
Will ICCB individual-level data be merged with other data sets?*

YesNo
List all other datasets and sources with which ICCB individual-level data will be merged. *
Research Methodology - Describe the specific methods to be used to address the research questions and how the data will be analyzed.*
List specific data elements and/or data tables being requested. What academic years are being targeted? *
Educationally Significant - Does the research align with ICCB’s goals (see goals at the bottom of this form)? Will the research resulting from the data request inform the practices of ICCB, provide a significant contribution to the field of education, or serve some other function that is important to ICCB and Illinois community college system?
Benefits to Illinois Students and Policymakers - If applicable, describe how your use of the data to be shared by ICCB, if granted, will benefit Illinois students and policymakers at large.
Data Security and Privacy - What measures of security will be employed in the usage, transfer, storage, disposal, and protection of data?*
Disclosure of ICCB data must be compliant with all applicable laws, regulation, policies, standards and guidelines and all other State and Federal requirements that support the Transmission of Data. Safeguards must be in place to prevent the use or disclosure of data other than as permitted; and the confidentiality, integrity, and availability of that Data must be protected
Provide any current and/or past working relationships with ICCB and/or Illinois community college(s). *
ICCB Goals

The Illinois Community College Board hereby affirms the mission of the state’s 45 colleges to provide all Illinois residents with opportunities for economic and personal growth, civic engagement, and cultural awareness through a commitment to the following three goals.
- Goal 1: Support minority, first generation, and low-income students across urban, rural, and suburban communities, through the promotion of evidence-based best practices that results in system wide improvement of equity metrics that reduce equity gaps.
- Goal 2: Support a seamless transition for students into and through postsecondary education and the workforce by fostering system engagement and equitable access and outcomes for these students.
- Goal 3: Contribute to economic development by supporting the Illinois community college system’s effort to provide robust workforce training, to expand apprenticeships, to increase credential attainment, to build quality career pathways, and to address the future needs of the Illinois workforce.
ICCB Fee Schedule for Number of Requestor Records Processed

$1,900: Up to 24,000 records
$3,800: 24,001 to 80,000 records
$8,300: 80,001 to 300,000 records
$15,000: 300,001 to 1,000,000 records
Should be Empty: