ICT Procurement Form

Provide general information about the purchase request. For state purchases, provide the requisition number and/or Pcard case number. If the request is “other”, specify the type of request the product or service is (e.g. non-state and/or zero dollar value).

The requester is the person who is requesting the product and who will be responsible for all executive decisions of the product or service, including the accessibility compliance. The requester may appoint a contact to complete the ITC form for the requester but this person is not responsible for the product/service.

Provide general information about the product including a brief description of what the product or service does.

Example description: “Product XYZ is an online survey development application. The product is used for creating customizable surveys, collecting feedback/data, data analytics, reports, online evaluation and more. ”

Question 4A: check all the areas where the ICT product/service will be used. If the product will be used in a website, provide the web address where the final product will be used.

Question 4B: check who will be the users for this product and provide the annual total of users for each applicable group.

• If students will be using this product, check the box next to students and in the text field below input an estimated annual number of student users.
• If this ICT will be used by students in a classroom setting, the total number of users is determined as Number of students X number of sessions X number of semesters. If the number of sessions per semester is a range, please calculate the highest possible number.
  • Example: 30 students will be using product XYZ in a class. There are 5 sessions of this class and it is offered in the fall and spring semesters (2 semesters). Therefore, the total annual number of student users would be 30 (students) X 5 (sessions) X 2 (semesters) = 300 student users.

The questions in Section 5 are critical to determine the impact of the ICT product/service being procured.  The responses in this section must be clear in order to process any ICT forms within the 15 business days time frame.

• Question 5A: This question asks about the intended usage of the product/service being procured. Please provide clear information on how the user(s) will utilize this product or service on campus. THIS QUESTION IS CRITICAL TO DETERMINE THE ACCESSIBILITY IMPACT OF THE ICT PRODUCT/SERVICE. Examples on how to respond to this question are listed below.
  • Example 1: This product will be used by students to fulfill their class requirements. Students will access this web application online by creating user accounts. They will be using it to complete a project by uploading documents, collaborating with their teammates, searching for resources and tracking the completion of the project.
  • Example 2:This product will be used to create and distribute climate surveys to the University. University staff will create the surveys and will post a link to complete the survey on the main university website. Anyone who visits the website can respond to the survey including students, faculty, staff and other university patrons/visitors.
  • Example 3: This product will be used to create and distribute climate surveys for College ABC. Staff in the college will generate the surveys and students and faculty in the college must fill out the surveys. The students and faculty will receive the surveys via email and will be required to respond by the deadline specified.
  • Example 4: This product will be used by a department for meetings, scheduling, communications, and tracking department data.
  • Example 5: This product will be used by staff to create a website/mobile application where students/faculty/staff/public will be able to accomplish task XYZ.
• Question 5B: If this product will be a website or mobile application, provide information about who will be the final audience of the finished product.
  • Example (if yes): The final website/mobile application for the department of ABC, will allow students/faculty/staff/public to remain up to date with department news.
• Question 5C: Select all statements that are applicable to the product or service being procured.
• Question 5D: this question is only applicable to products if they are intended to be used in a classroom setting. Provide the course information and additional information that may be applicable to the product.

• The VPAT is the first step to understand the accessibility of an ICT product/service and must be submitted as part of your ICT request.
• If the vendor does not have a VPAT, a template to the VPAT is found in the link that says “blank template” on the form.
• If a vendor needs guidance to understand CSUN’s ICT requirements or for assistance on completing VPAT, refer them to UDC’s ICT Vendor Page.