Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
3390 East Harmony Road Fort Collins Colorado 80528 United States Date: 2023-12-11 FCC ID: B94HNI61CPA To the attention of Federal Communications Commission Authorization and Evaluation Division Attestation Statements Attestation Statements Part 2.911(d)(5)(i) Filing HP Inc. certifies that the equipment for which authorization is sought is not “covered” equipment prohibited from receivingan equipment authorization pursuant to section 2.903 of the FCC rules. Attestation Statements Part 2.911(d)(5)(ii) Filing HP Inc. certifies that, as of the date of the filing of the application, the applicant is not identified on the Covered List as an entity producing “covered” equipment. Sincerely yours, _____________________________________________ Liang Rong Chiao / Worldwide Technical Regulations HP International Pte. Ltd., Taiwan Branch Tel.: T +886-2-37892469 E-mail: [email protected]
3390 East Harmony Road Fort Collins Colorado 80528 United States U.S. Agent for Service of Process Attestation To the attention of Federal Communications Commission Authorization and Evaluation Division Applicant / Designated U.S Agent Company Name: HP Inc. FRN: 0025126541 Grantee Code: B94 Contact Person: Richard P Tarsio Street Address: 3390 East Harmony Road, Colorado, United States, City/Province/Zip: Fort Collins 80528 Tel.: 970-898-8713 Email: [email protected] This letter is to confirm that the Applicant has designated itself as the U.S Agent for service of process as required by §2.911(d)(7). The Applicant further acknowledges acceptance to maintain an agent for no less than one year after the grantee has terminated all marketing and importation or the conclusion of any Commission-related proceeding involving the equipment. Applicant / U.S. Agent Signature: Date: 2023-02-21 Signed by (printed name): Person: Richard P Tarsio
This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. SGS Taiwan Ltd. No.134,Wu Kung Road, New Taipei Industrial Park, Wuku District, New Taipei City, Taiwan/新北市五股區新北產業園區五工路134號 台灣檢驗科技股份有限公司 t (886-2) 2299-3279 f (886-2) 2298-0488 www.sgs.com.tw Member of SGS Group Date: March 11, 2024 Federal Communications Commission 7435 Oakland Mills Road Columbia MD 21046 FCC ID: B94HNI61CPA To Whom It May Concern: 1. The application subject to re-use PAG under the KDB 388624 D02 section 3 TXSENS, this specific implementation of the lid angle sensor scheme is the same as that previously employed (for FCC ID B94-MT7921W). 2. The test report TESA2311000704EN demonstrate compliance for simultaneous transmission of multiple RF sources under the FCC ID:B94HNI61CPA and the Contains FCC ID:PD9BE200NG. 3. The test report TESA2311000705EN demonstrate compliance for simultaneous transmission of multiple RF sources under the FCC ID:B94HNI61CPA and the Contains FCC ID:PD9AX211NG. Sincerely, Name: Jim Chang Title: RF Manager On behalf of: SGS Taiwan Ltd. Email: [email protected]
Date: December 1, 2023 Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 REQUEST FOR CONFIDENTIALITY - FCC FCC ID: B94HNI61CPA Pursuant to Sections 0.457(d) and 0.459 of the Commission’s Rules and FCC Guidance document 726920, we hereby request permanent confidential treatment of exhibits identified as such in the table below and request they are permanently withheld from public review based on the documents containing trade secrets and proprietary information not customarily released to the public. The public disclosure of this information might be harmful to the applicant and provide unjustified benefits to its competitors. We also request short-term confidentiality on certain exhibits until the intended date of marketing as outlined below. We request the exhibits be withheld from public view for a period of (180) days. We attest marketing of the product will only commence after the period of short-term confidentiality expires, or if marketing is to commence before the requested number of days listed above, the grantee will inform the TCB to release the Short-Term Confidentiality information withheld on the FCC equipment authorization website. Exhibit Type of Confidentiality Requested Block Diagrams ☒ Permanent ☐ Short Term Operation Description ☒ Permanent ☐ Short Term Software defined radio & security info ☐ Permanent ------------------ Parts List & Placement/BOM ☒ Permanent ☐ Short Term Tune-Up Procedure ☒ Permanent ☐ Short Term Schematic Diagrams ☒ Permanent ☐ Short Term External Photos ------------------ ☒ Short Term Internal Photos ☐ Permanent* ☒ Short Term Test Setup Photos ------------------ ☒ Short Term User’s Manual ☐ Permanent* ☒ Short Term The asterisked items (*) require further information to be provided in this justification letter before permanent confidentiality will be extended to these exhibits. Please refer to FCC KDB 726920 D01 found at: https://apps.fcc.gov/oetcf/kdb/forms/FTSSearchResultPage.cfm?switch=P&id=41731 and review section II, 3) regarding specific information that must accompany these requests. Note: any documents held under the Short-Term confidentiality will automatically become public after the requested time if an appropriate extension request has not been received. Any exhibits (i.e., schematic diagrams) that may have already been requested to have “Permanent” confidentiality as shown above need not be repeated under Short-Term confidentiality request. Sincerely, Signed: Printed name: Liang Rong Chiao Title: Worldwide Technical Regulations Company Name: HP International Pte. Ltd., Taiwan Branch
3390 East Harmony Road Fort Collins Colorado 80528 United States To whom it may concern: This device with FCC ID: B94HNI61CPA integrates a CAT-M module: FCC ID Equipment Class Date of Grant Rule Part CAT-M module ZMOFB520 PCS 09/02/2022 22/24/27/90 No hardware design changes are made on the module, and the software has not been changed to increase the RF output power of the module and provided host level antenna gain is less than the original module grant. Pursuant to KDB 996369 D02, the original modular report (Report Number details see below) are submitted to represent the compliance of Part 2/22/24/27/90 conducted/radiated testing items of this device. Worst radiated cases found in module level testing are performed on the host level to ensure the compliance is kept. Modular Test Report Number SEWM2207000119RG01 SEWM2207000119RG03 _______________________________ Liang Rong Chiao Worldwide Technical Regulations HP International Pte. Ltd., Taiwan Branch 10F-1, 66, Jingmao 2nd Road, Nangang District, Taipei 115. Taiwan [email protected] T:+886 2 3789-2469
Page 1 of 2 Applicant Confidentiality Letter FCC Laboratory 7435 Oakland Mills Road Columbia, MD 21046 Date Subject: Confidentiality Request for Exhibits under FCC ID: B94HNI61CPA To Whom It May Concern: Pursuant of Section 0.457 and 0.459 of the Commission’s Rules and KDB 726920 D01 Confidentiality Request Procedures, we hereby request that the exhibits listed below, submitted in support of the certification application for FCC ID: B94HNI61CPA, be withheld permanently from public disclosure. Exhibit Type File Name Schematics FB520_SCH.pdf Block Diagram FB520_Block Diagram.pdf This request includes third party confidentiality for items not allowed to be accessed by HP Inc. The below third party and its confidentiality documents are listed as below: Documents only accessible by Fibocom Wireless Inc.: Exhibit Type File Name Schematics FB520_SCH.pdf Block Diagram FB520_Block Diagram.pdf The above materials contain trade secrets and proprietary information not customarily released to the public. The public disclosure of these materials may be harmful to the applicant and provide unjustified benefits to its competitors. The applicant understands that pursuant to Section 0.457 of the Rules, disclosure of this application and all accompanying documentation will not be made before the date of the Grant for this application. Best Regards, Signed: Printed name: Patrick Ma Title: Click here to enter text. Company Name: Fibocom Wireless Inc. Page 2 of 2 Third Party Confidentiality Letter FCC Laboratory 7435 Oakland Mills Road Columbia, MD 21046 Date Subject: Third Party Confidentiality Request for Exhibits under FCC ID: B94HNI61CPA To Whom It May Concern: Pursuant of Section 0.457 and 0.459 of the Commission’s Rules and KDB 726920 D01 Confidentiality Request Procedures, we hereby request that the exhibits listed below, submitted in support of the certification application for FCC ID: B94HNI61CPA, be withheld permanently from public disclosure: Exhibit Type File Name Schematics FB520_SCH.pdf Block Diagram FB520_Block Diagram.pdf The above exhibits, owned solely by Fibocom Wireless Inc. and previously submitted to the Commissions permanent confidential exhibits for the certification of the Fibocom Wireless Inc. module with FCC ID: ZMOFB520, contain trade secrets and proprietary information not customarily release to the public. The public disclosure of these materials may be harmful to Fibocom Wireless Inc. and provide unjustified benefits to its competitors. Grantee of FCC ID: B94HNI61CPA, is authorized to reference these exhibits in its application but not authorized to access them. Timco Engineering, Inc., as a TCB, is authorized to access these exhibits and include them in the filing for FCC ID: B94HNI61CPA, under permanent confidentiality. Best Regards, Signed: Printed name: Patrick Ma Title: Certification Manager Company Name: Fibocom Wireless Inc.
Page 1 of 2 Applicant Confidentiality Letter FCC Laboratory 7435 Oakland Mills Road Columbia, MD 21046 Date Subject: Confidentiality Request for Exhibits under FCC ID: B94HNI61CPA To Whom It May Concern: Pursuant of Section 0.457 and 0.459 of the Commission’s Rules and KDB 726920 D01 Confidentiality Request Procedures, we hereby request that the exhibits listed below, submitted in support of the certification application for FCC ID: B94HNI61CPA, be withheld permanently from public disclosure. Exhibit Type File Name Schematics Schematics.pdf Block Diagram Block Diagram.pdf Operation Description Operation Description.pdf Parts List & Placement/BOM BOM.pdf Tune-Up Procedure Tune-Up Procedure.pdf This request includes third party confidentiality for items not allowed to be accessed by HP Inc. The below third party and its confidentiality documents are listed as below: Documents only accessible by Fibocom Wireless Inc.: Exhibit Type File Name Schematics FB520_SCH.pdf Block Diagram FB520_Block Diagram.pdf The above materials contain trade secrets and proprietary information not customarily released to the public. The public disclosure of these materials may be harmful to the applicant and provide unjustified benefits to its competitors. The applicant understands that pursuant to Section 0.457 of the Rules, disclosure of this application and all accompanying documentation will not be made before the date of the Grant for this application. Pursuant to DA04-1705 June 15, 2004 of the Commission’s public notice, we also request temporary confidential treatment of information accompanying this application as outlined below for a period of 180 days: Exhibit Type File Name External Photos Photo_External.pdf Internal Photos Photo_Internal.pdf Test Setup Photos Photo_Test Setup.pdf User’s Manual User Manual_ L11079-001-EN.pdf User Manual_ L25269-004_2023.pdf Page 2 of 2 Signed: Printed name: Liang Rong Chiao Title: Worldwide Technical Regulations Company Name: HP International Pte. Ltd., Taiwan Branch
Label information Model:HSN-I61C 1. Images of the e-label screen are provided below: RMN: HSN-I61C Contains Intel Radio model: AX211NGW Contains FCC ID: PD9AX211NG Contains IC: 1000M-AX211NG Fibocom model: FB520 FCC ID: B94HNI61CPA Contains IC: 21374-FB520 Contains WNC Model: XRAV-1 Contains FCC ID: NKR-XRAV1 Contains IC: 4441A-XRAV1 2. The information that will be displayed on the e-label and information that will remain in the user manual is shown below: Informationon E-label In Manual FCC ID/IC number Yes No Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.”) No Yes Class A / B Digital Device user manual statements1 No Yes 3. Users are able to access the information in no more than three steps in a device’s menu. The actual Steps are: Choose esc or F10 > Advanced > Electronic Labels No special access codes or permissions are required to go through the above steps beyond entering a user-defined password to protect against unauthorized access to the device. 4. The information is stored on the device, no special accessories or supplemental plug-ins (e.g., a SIM/USIM card) are required to access the information. No. 5. Users are provided specific instructions on how to access the information. Yes. 6. The above information must be programmed by the responsible party and the information must be secured in such a manner that third-parties cannot modify it. The e-label information is pre-programmed by the manufacturer. The user cannot modify the e-label information. 7. A packaging label will be applied, and information that will remain on the package is Informationon Packaging FCC ID/IC number Yes Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.”) Yes
Label information Model:HSN-I61C 1. Images of the e-label screen are provided below: RMN: HSN-I61C Contains Intel Radio model: BE200NGW Contains FCC ID: PD9BE200NG Contains IC: 1000M-BE200NG Fibocom model: FB520 FCC ID: B94HNI61CPA Contains IC: 21374-FB520 Contains WNC Model: XRAV-1 Contains FCC ID: NKR-XRAV1 Contains IC: 4441A-XRAV1 2. The information that will be displayed on the e-label and information that will remain in the user manual is shown below: Information on E-label In Manual FCC ID/IC number Yes No Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.”) No Yes Class A / B Digital Device user manual statements1 No Yes 3. Users are able to access the information in no more than three steps in a device’s menu. The actual Steps are: Choose esc or F10 > Advanced > Electronic Labels No special access codes or permissions are required to go through the above steps beyond entering a user-defined password to protect against unauthorized access to the device. 4. The information is stored on the device, no special accessories or supplemental plug-ins (e.g., a SIM/USIM card) are required to access the information. No. 5. Users are provided specific instructions on how to access the information. Yes. 6. The above information must be programmed by the responsible party and the information must be secured in such a manner that third-parties cannot modify it. The e-label information is pre-programmed by the manufacturer. The user cannot modify the e-label in formation. 7. A packaging label will be applied, and information that will remain on the package is Information on Packaging FCC ID/IC number Yes Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.”) Yes
Intel Corporation S.A.S – WRF Lab 425 rue de Goa – Le Cargo B6 - 06600 Antibes, France Tel. +33493001400 / Fax +33493001401 Reference:WRF-DCS-TF-021 Version: 013 Application Date: 04/04/2023 1 of 65 N° 1-6736 Scope available on www.cofrac.fr CERTIFICATE #3478.01 TEST REPORT EUT Description Wireless Module installed in Convertible PC Brand Name Intel® Wi-Fi 6E AX211 Model Name AX211NGW FCC/IC ID PD9AX211NG; 1000M-AX211NG Date of Test Start/End 2024-01-17/ 2024-02-02 Features 802.11ax, Dual Band, 2x2 Wi-Fi + Bluetooth® 5.2 (see section 5) Description Platform: HSN-I61C + Vendor 1 and vendor 2 antenna Applicant Intel Corporation SAS Address 425 Rue de Goa – Le Cargo B6 – 06600 Antibes, FRANCE Contact Person Benjamin Lavenant Telephone/Fax/ Email [email protected] Reference Standards FCC 47 CFR Part §2.1093 RSS-102, issue 5 (see section 1) RF Exposure Environment Portable devices - General population/uncontrolled exposure Exposure Conditions Body worn SAR Result SAR Limit Maximum SAR Result & Limit 1.53 W/kg (1g) 1.6 W/kg (1g) Min. test separation distance 0mm to phantom, 1.90 mm to antenna edge Test Report identification 231128-03.TR02 Revision Control Rev. 00 This test report revision replaces any previous test report revision. (see section 8) The test results relate only to the samples tested. Reference to accreditation shall be used only by full reproduction of test report. Issued by Reviewed by Yamine HADDAD (Test Engineer) Adel LOUNES (Test Lead Engineer) Test Report N° 231128-03.TR02 Rev. 00 2 of 65 Table of Contents 1. Standards, reference documents and applicable test methods ......................................................................... 4 2. General conditions, competences and guarantees ............................................................................................. 4 3. Environmental Conditions ...................................................................................................................................... 5 4. Test samples ............................................................................................................................................................ 5 5. EUT Features ............................................................................................................................................................ 6 6. Remarks and comments ....................................................................................................................................... 12 7. Test Verdicts summary ......................................................................................................................................... 12 8. Document Revision History .................................................................................................................................. 12 Annex A. Test & System Description ..................................................................................................................... 13 SAR DEFINITION ................................................................................................................................................. 13 SPEAG SAR MEASUREMENT SYSTEM ................................................................................................................ 14 A.2.1 SAR Measurement Setup .......................................................................................................................................... 14 A.2.2 E-Field Measurement Probe ...................................................................................................................................... 15 A.2.3 Flat Phantom ............................................................................................................................................................. 15 A.2.4 Device Positioner ....................................................................................................................................................... 16 DATA EVALUATION .............................................................................................................................................. 17 SYSTEM AND LIQUID CHECK ................................................................................................................................ 19 A.4.1 System Check ........................................................................................................................................................... 19 A.4.2 Liquid Check .............................................................................................................................................................. 20 TEST EQUIPMENT LIST ........................................................................................................................................ 21 A.5.1 Tissue Simulant Liquid .............................................................................................................................................. 21 MEASUREMENT UNCERTAINTY EVALUATION ......................................................................................................... 22 RF EXPOSURE LIMITS ......................................................................................................................................... 23 Annex B. Test Results ............................................................................................................................................. 24 TEST CONDITIONS ............................................................................................................................................... 24 B.1.1 Test SAR Test positions relative to the phantom ....................................................................................................... 24 B.1.2 Test signal, Output power and Test Frequencies ...................................................................................................... 24 B.1.3 Evaluation Exclus…
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Intel Corporation S.A.S – WRF Lab 425 rue de Goa – Le Cargo B6 - 06600 Antibes, France Tel. +33493001400 / Fax +33493001401 Reference:WRF-DCS-TF-073 Version: 007 Application Date: 03/13/2023 1 of 62 TEST REPORT EUT Description Wireless Module installed in Convertible PC Brand Name Intel® Wi-Fi 6E AX211 Model Name AX211NGW FCC ID PD9AX211NG Date of Test Start/End 2024-01-15 / 2024-02-02 Features 802.11ax, Dual Band, 2x2 Wi-Fi + Bluetooth® 5.2 (see section 5) Description Platform: HSN-I61C + Vendor 1/ Vendor 2 antenna Applicant Intel Corporation SAS Address 425 Rue de Goa – Le Cargo B6 – 06600 Antibes, FRANCE Contact Person Benjamin Lavenant Telephone/Fax/ Email [email protected] Reference Standards FCC 47 CFR Part §2.1093 (see section 1) RF Exposure Environment Portable devices - General population/uncontrolled exposure Testing Result Limit Maximum Power Density Result & Limit 7.27 W/m 2 (4cm 2 ) 10 W/m 2 (4cm 2 ) Maximum SAR Result & Limit 1.34 W/kg (1g) 1.6 W/kg (1g) Min. test separation distance 0mm to phantom, 1.90 mm to antenna edge (SAR), 2mm to probe tip (PD) Test Report identification 231128-03.TR03 Revision Control Rev. 00 This test report revision replaces any previous test report revision (see section 8) The test results relate only to the samples tested. Issued by Reviewed by Yamine HADDAD (Test Engineer) Adel LOUNES (Test Lead Engineer) Test Report N° 231128-03.TR03 Rev. 00 2 of 62 Table of Contents 1. Standards, reference documents and applicable test methods ......................................................................... 4 2. General conditions, competences and guarantees ............................................................................................. 4 3. Environmental Conditions ...................................................................................................................................... 5 4. Test samples ............................................................................................................................................................ 5 5. EUT Features ............................................................................................................................................................ 6 6. Remarks and comments ......................................................................................................................................... 9 7. Test Verdicts summary ........................................................................................................................................... 9 8. Document Revision History .................................................................................................................................... 9 Annex A. PD Test & System Description ............................................................................................................... 10 POWER DENSITY DEFINITION ............................................................................................................................... 10 SPEAG FREE SPACE MEASUREMENT SYSTEM ..................................................................................................... 10 A.2.1 Measurement Setup .................................................................................................................................................. 10 A.2.2 E-Field Measurement Probe ...................................................................................................................................... 11 A.2.3 Worst Case Linearization Error .................................................................................................................................. 12 A.2.4 Data Evaluation ......................................................................................................................................................... 12 SYSTEM CHECK .................................................................................................................................................. 13 TEST EQUIPMENT LIST ........................................................................................................................................ 14 MEASUREMENT UNCERTAINTY EVALUATION ......................................................................................................... 15 RF EXPOSURE LIMITS ......................................................................................................................................... 16 Annex B. SAR Test & System Description ............................................................................................................ 17 SAR DEFINITION ................................................................................................................................................. 17 SPEAG SAR MEASUREMENT SYSTEM ................................................................................................................ 18 B.2.1 SAR Measurement Setup .......................................................................................................................................... 18 B.2.2 E-Field Measurement Probe ...................................................................................................................................... 19 B.2.3 Flat Phantom ............................................................................................................................................................. 19 B.2.4 Device Positioner ....................................................................................................................................................... 20 DATA EVALUATION .............................................................................................................................................. 21 SYSTEM AND LIQUID CHECK ................................................................................................................................ 23 B.4.1 System …
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Test Report N° 231128-03.TR03 Rev. 00 54 of 62 Annex F. Calibration Certificates ID Device Type/Model Serial Number Manufacturer Calibration Certificate 443-000 E-field Probe EUmmWV2 9538 SPEAG 003-007 Dosimetric E-field Probe EX3DV4 7465 SPEAG 097-000 System Validation Dipole 7000MHz D7GHzV2 1008 SPEAG Dipole calibration According to the KDB 865664 D01, a dipole must be calibrated using a fully validated SAR system according to the tissue dielectric parameters and SAR probe calibration frequency required for device testing. However, instead of the typical annual calibration recommended by measurement standards, longer calibration intervals of up to three years may be considered when it is demonstrated that the SAR target, impedance and return loss of a dipole have remain stable according to the following requirements. The test laboratory must ensure that the required supporting information and documentation are included in the SAR report to qualify for the three-year extended calibration interval; otherwise, recommend annual calibration applies. Immediate re-calibration is required for the following conditions: 1. When the most recent return-loss result, measured at least annually, deviates by more than 20% from the previous measurement (i.e. value in dB × 0.2) or not meeting the required 20 dB minimum return-loss requirement. 2. When the most recent…
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| # | Rule Parts | Frequency Range | Power Output | Emission | Tolerance |
|---|---|---|---|---|---|
| 2 | 27 | 700.5 MHz - 713.5 MHz | 60.30 mW | 1M13G7D | 0.1 ppm |
Wireless Desktop Dongle
Equipment Class
DTS - Digital Transmission SystemWireless Mouse
Equipment Class
DTS - Digital Transmission SystemModel HSN-I70C
Equipment Class
CBE - Citizens Band End User DevicesNotebook PC
Equipment Class
TNB - Licensed Non-Broadcast Station TransmitterNotebook Computer HSN-I65C-4
Equipment Class
PCB - PCS Licensed Transmitter