FCC ID F8I-PSM1904A

F8IPSM1904A, F8I PSM1904A, F8I-PSM1904A, F8I-PSM19O4A, F8I-PSMI904A, F8I-P5M1904A, F81-PSM1904A

ADC Telecommunications Inc Prism HDM 40W PCS SISO RF Module PSM1904A

An FCC ID is the product ID assigned by the FCC to identify wireless products in the market. The FCC chooses 3 or 5 character "Grantee" codes to identify the business that created the product. For example, the grantee code for FCC ID: F8I-PSM1904A is F8I. The remaining characters of the FCC ID, -PSM1904A, are often associated with the product model, but they can be random. These letters are chosen by the applicant. In addition to the application, the FCC also publishes internal images, external images, user manuals, and test results for wireless devices. They can be under the "exhibits" tab below.

Purchase on Amazon: Prism HDM 40W PCS SISO RF Module

Application: Prism HDM 40W PCS SISO RF Module
Equipment Class: B2I - Part 20 Industrial Booster (CMRS)
Short Link: fcc.id/F8I-PSM1904A
Sources: FCC.gov | FCC.report
Registered By: ADC Telecommunications Inc - F8I (United States)

App #	Purpose	Date	Unique ID
1	Original Equipment	2013-09-24	XP80xm3iJ6h7cvloHaTIsg==

Operating Frequencies

Device operates within approved frequencies overlapping with the following cellular bands: LTE 25,1900+ DOWN | LTE 65,2100+ UP | UMTS CH 25 DOWN |

Frequency Range	Power Output	Tolerance	Emission Designator	Rule Parts	Line Entry
1.93-1.995 GHz	45.8 Watts	0.008ppm	1M42F9W	24E	1
1.93-1.995 GHz	51 Watts	0.008ppm	4M69F9W	24E	2
1.93-1.995 GHz	42 Watts	0.008ppm	9M50G7D	24E	3
1.93-1.995 GHz	43 Watts	0.008ppm	14M1G7D	24E	4
1.93-1.995 GHz	41.3 Watts	0.008ppm	18M7G7D	24E	5

Exhibits

Document	Type	Submitted Available
Email from FCC regarding PBAs	Cover Letter(s) Adobe Acrobat PDF (238 kB)	2013-10-17 2013-09-24
User Manual	Users Manual Adobe Acrobat PDF (3725 kB)	2013-09-24 2013-09-24
Tuneup Procedure	Parts List/Tune Up Info Adobe Acrobat PDF (26 kB)	2013-09-24 2013-09-24
Test setup photos	Test Setup Photos Adobe Acrobat PDF (580 kB)	2013-09-24 2013-09-24
RF Exposure	RF Exposure Info Adobe Acrobat PDF (26 kB)	2013-09-24 2013-09-24
Test Report	Test Report Adobe Acrobat PDF (1407 kB)	2013-09-24 2013-09-24
ID Label	ID Label/Location Info Adobe Acrobat PDF (61 kB)	2013-09-24 2013-09-24
Internal Photos	Internal Photos Adobe Acrobat PDF (1920 kB)	2013-09-24 2013-09-24
Request for Confidentiality	Cover Letter(s) Adobe Acrobat PDF (15 kB)	2013-09-24 2013-09-24
External Photos	External Photos Adobe Acrobat PDF (400 kB)	2013-09-24 2013-09-24
Cover letter	Cover Letter(s) Adobe Acrobat PDF (27 kB)	2013-09-24 2013-09-24
Compliance Opinion	Cover Letter(s) Adobe Acrobat PDF (20 kB)	2013-09-24 2013-09-24
Antenna Info	Operational Description Adobe Acrobat PDF (29 kB)	2013-09-24 2013-09-24
Operational Description	Operational Description Adobe Acrobat PDF (18 kB)	2013-09-24
Frequency Block Diagram	Block Diagram Adobe Acrobat PDF (228 kB)	2013-09-24
Schematics	Schematics Adobe Acrobat PDF (1709 kB)	2013-09-24

App #	Document	Date
1	Incoming Correspondence generated [Oct 17 2013]	2013-10-17 15:51:02 oeteascv
1	[Re-Sent]RT Email Correspondence generated [Sep 27 2013]	2013-09-27 15:41:25 oeteascv
1	Incoming Correspondence generated [Oct 17 2013]	2013-10-17 15:47:44 oeteascv

App #

Document

Date

Incoming Correspondence generated [Oct 17 2013]

2013-10-17 15:51:02
oeteascv

[Re-Sent]RT Email Correspondence generated [Sep 27 2013]

2013-09-27 15:41:25
oeteascv

Incoming Correspondence generated [Oct 17 2013]

2013-10-17 15:47:44
oeteascv

Application Forms

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	ADC Telecommunications Inc
FCC Registration Number (FRN):	0008274896
Alphanumeric FCC ID:	F8IPSM1904A
Unique Application Identifier:	XP80xm3iJ6h7cvloHaTIsg==
Line one:	501 Shenandoah Drive
City:	Shakopee
State:	Minnesota
Country:	United States
Zip Code:	55379

TCB Information

TCB Application Email Address:	dghizzone@nwemc.com
TCB Scope:	B1: Commercial mobile radio services equipment in the following 47 CFR Parts 20, 22 (cellular), 24,25 & 27

FCC ID

Grantee Code:	F8I
Product Code:	-PSM1904A

Person at the applicant's address to receive grant or for contact

Name:	Joshua Wittman
Title:	Compliance Engineer

Telephone Number:

952-403-8322

Extension:

Fax Number:	952-403-8858
Email:	Joshua.Wittman@commscope.com

Long-Term Confidentiality

Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?: Yes

Short-Term Confidentiality

Does short-term confidentiality apply to this application?: No

If so, specify the short-term confidentiality release date (MM/DD/YYYY format):
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio

Is this application for software defined/cognitive radio authorization? No

Equipment Class

Equipment Class: B2I - Part 20 Industrial Booster (CMRS)
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant):	Prism HDM 40W PCS SISO RF Module

Related OET KnowledgeDataBase Inquiry

Is there a KDB inquiry associated with this application? No

Modular Equipment

Modular Type: Does not apply

Application Purpose

Application is for: Original Equipment

Composite/Related Equipment

Is the equipment in this application a composite device subject to an additional equipment authorization? No

Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization? No

Test Firm Information

Name of test firm and contact person on file with the FCC:

Firm Name: Northwest EMC, Inc.

First Name: Greg

Last Name: Kiemel

Telephone Number:

503-844-4066

Extension:

Fax Number: 503-844-3826

E-mail: gkiemel@nwemc.com

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power is per channel, RMS average conducted. This application covers only the booster system configuration with Host Unit connected to a basestation in the uplink path; operations if any with Host Unit connected to antenna or amplifier in the uplink require separate equipment authorization for the reverse path of the Remote Unit. The antenna(s) used for this transmitter must be fixed-mounted on (outdoor/indoor) permanent structures. RF exposure compliance is addressed at the time of licensing, as required by the responsible FCC Bureau(s), including antenna co-location requirements of 47 Cfr. 1.307(b)(3).

Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver

Is there an equipment authorization waiver associated with this application? No

If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?: No

WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:

The applicant must certify that neither the applicant nor any party to the application is subject to a denial of Federal benefits, that include FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862 because of a conviction for possession or distribution of a controlled substance. See 47 CFR 1.2002(b) for the definition of a "party" for these purposes.

Does the applicant or authorized agent so certify? Yes

Applicant/Agent Certification:

I certify that I am authorized to sign this application. All of the statements herein and the exhibits attached hereto, are true and correct to the best of my knowledge and belief. In accepting a Grant of Equipment Authorization as a result of the representations made in this application, the applicant is responsible for (1) labeling the equipment with the exact FCC ID specified in this application, (2) compliance statement labeling pursuant to the applicable rules, and (3) compliance of the equipment with the applicable technical rules. If the applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCC's technical requirements.

Authorizing an agent to sign this application, is done solely at the applicant's discretion; however, the applicant remains responsible for all statements in this application.

If an agent has signed this application on behalf of the applicant, a written letter of authorization which includes information to enable the agent to respond to the above section 5301 (Anti-Drug Abuse) Certification statement has been provided by the applicant. It is understood that the letter of authorization must be submitted to the FCC upon request, and that the FCC reserves the right to contact the applicant directly at any time.

Signature of Authorized Person Filing: Joshua Wittman

Title of authorized signature: Compliance Engineer

Grants

TCB	GRANT OF EQUIPMENT AUTHORIZATION	TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

Northwest EMC, Inc.
22975 NW Evergreen Parkway, Suite 400
Hillsboro, OR 97124

Date of Grant: 09/24/2013

Application Dated: 09/24/2013

ADC Telecommunications Inc

501 Shenandoah Drive

Shakopee, MN 55379

Attention: Joshua Wittman , Compliance Engineer

NOT TRANSFERABLE

EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below.

FCC IDENTIFIER:	F8I-PSM1904A

Name of Grantee:	ADC Telecommunications Inc

Equipment Class:	Part 20 Industrial Booster (CMRS)
Notes:	Prism HDM 40W PCS SISO RF Module

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	24E	1930.0 - 1995.0	45.8	0.008 PM	1M42F9W
	24E	1930.0 - 1995.0	51.0	0.008 PM	4M69F9W
	24E	1930.0 - 1995.0	42.0	0.008 PM	9M50G7D
	24E	1930.0 - 1995.0	43.0	0.008 PM	14M1G7D
	24E	1930.0 - 1995.0	41.3	0.008 PM	18M7G7D

Output power is per channel, RMS average conducted. This application covers only the booster system configuration with Host Unit connected to a basestation in the uplink path; operations if any with Host Unit connected to antenna or amplifier in the uplink require separate equipment authorization for the reverse path of the Remote Unit. The antenna(s) used for this transmitter must be fixed-mounted on (outdoor/indoor) permanent structures. RF exposure compliance is addressed at the time of licensing, as required by the responsible FCC Bureau(s), including antenna co-location requirements of 47 Cfr. 1.307(b)(3).

COPY	FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION	COPY
Certification

ADC Telecommunications Inc
501 Shenandoah Drive
Shakopee, MN 55379
United States