File: piqtelecom.doc 10-04-2001
Product Information Checklist (P. I. C.)
for FCC Part 68/IC CS03 Equipment Tests
Please print this form, fill it out and FAX to Curtis-Straus at 978-486-8828
Read This: The following is a checklist of items which you must provide to Curtis-Straus in order for us to accurately evaluate your product and write your applications for agency approvals. Failure to provide this information in a timely fashion will delay your approvals. Please help us to help you by providing this information at the start of testing.
Hardware and Set-up:
In order to test your unit to these standards, we must be able to place it in all relevant operating states. We request that you supply the unit, cabling, software, schematics, and any other equipment necessary to make it function. You may use diagnostic software. Our engineers are available to discuss the test set-up with you. A list of the usual operating states referenced by interface type are included in this document.
FCC Part 68 & ACTA Requirements:
__ / Schematics of the interface circuitry. The TCB (Telecom Certification Body) requires schematics of the interface showing dielectric isolation and line interface as part of the application. (Exhibit E)__ / Parts information for the interface circuitry.
a) values for each component in the tip/ring interface, such as resistance and capacitance values
b) for each voltage barrier or protective part, such as transformers, optocouplers, relays, gas discharge tubes, varistors, or isolating capacitors, provide the manufacturer, part number, and voltage rating.
__ / Schematic diagram of power supply primary for AC powered equipment. (Exhibit E)
__ / Parts information for AC supply primary:
a) for the transformer(s), supply the manufacturer, part number, and dielectric rating (1500 VAC minimum).
b) If a wall mount transformer is used, supply the manufacturer, part number and dielectric rating.
__ / Agency Letter: We need an agency letter authorizing us to file your application. It should be an original (not a fax or xerox), and preferably on your letterhead. It must be signed by someone authorized to sign for your company, such as an officer. Suitable text is attached.
__ / Users Manual: Please supply a copy of the user’s manual.
__ / Technical Description: A description of what the equipment does. Typically this includes specifications and a functional description. This may be contained in the manual or in a sales summary sheet. (For Exhibit D).
__ / Label: Information on the ACTA required label that will be used. This may be an actual sample label, an engineering drawing, or a photograph. Indicate where on the unit the label will be placed. For original applications please use the following format when stating the US labeling number: US: AAAEQ##TXXX. (Exhibit H)
Please contact our Telecom Department at (978) 486-8880 ext. 271 to get assistance in deriving or confirming the correct US label number.
Note: As of 23 July 2001, ACTA have new labeling requirements in effect for products requiring registration. FCC registration numbers no longer exist as such but have been replaced by the labeling requirements specified in TIA/EIA/TSB168 Labeling Requirements.
Therefore it’s no longer required to put “FCC Reg. No. ” on the label or before the new labeling number e.g. US: AAAEQ##TXXX.
The latest ACTA requirements can be found at www.part68.org
Statement of Indemnification and liability: Our in-house TCB requires this statement to be filled out on company letterhead before the grant certificate can be issued. It protects ACTA from any liability or damages that may arise from submission of application. Template is attached at end of PIQ.
Please note that this statement requires prior knowledge of the US labeling number. Details about the Labeling number are mentioned in the section titled “Label”
Attestation from plug and jack supplier: A statement from the supplier that the plugs and jacks comply with TIA/EIA-IS-968, or information that they are on a list of suppliers who have filed attestations to that effect with the FCC. A list of those suppliers is attached. If not, the following signed statement must be added to quality assurance:
“(Applicant) attests that the network interface plugs or jacks used on this equipment comply with and will continue to comply with the mechanical requirements specified in TIA/EIA-IS-968, specifically the dimensions, tolerances, and metallic plating requirements. The compliance of these connectors will be assured by purchase specifications and incoming inspection. Documentation of such specifications and /or inspections will be provided to the FCC within 30 days of their request for same.”
Notes:
1. The Part 68 Registration application is organized as a series of exhibits which are identified by letter. These are noted above.
2. Information provided to the FCC is a matter of public record. Therefore, they only request, and we will only provide, the interface section of your schematics to protect your confidentiality. Note that this is in contrast to Industry Canada’s policies, where more complete schematic information is required, but is kept strictly confidential.
IC CS03 Requirements:
__ / Schematic Diagrams: For smaller devices, complete schematics (1 copy). For large systems, at a minimum, we will need complete schematics of interface boards and block diagrams of the balance of the system.__ / Complete Parts List: (1 copy):
__ / Operating/Installation Manual: (1 copy). These must include the IC required statements per section 14 of CP-01 (attached).
__ / Quantity of labels: The quantity of labels to be provided by the IC after certification. IC charges 11 cents for the labels for single line devices, and 50 cents per label for multi-line equipment.
__ / Warranty and/or advertising accompanying the unit on sale.
__ / Technical Information:
a) Block diagram and functional description (similar to FCC requirements)
b) Feature list, if not described in manual
c) Information describing maximum and typical cabling lengths for systems and for digital equipment.
__ / Contact Information: Industry Canada requires the name of a representative of your company who will respond to future inquiries and who can provide post-certification audit samples if requested. This representative has to be based in Canada.
__ / Check for Fees: The DOC requires that a check for the application processing fee and the initial order of labels accompany the application. Note that the fee for original applications has the following components:
· Certification Fee ($45). Note that multiple listings (other party brand/trade names, all model numbers) incur this certification fee for each item.
· Label fee ($110/thousand for single line; $500/thousand for multi-line)
To pay in US funds, total the Canadian amount and multiply by 0.74 to allow for their 2% handling fee and conversion.
Additional Information:
AGENCY LETTER FORMAT 4
FCC Label Documentation 5
FCC Plug and Jack Attestation List 5
FCC Required Information in the User’s Manual: 7
Industry Canada Required Information in the User’s Manual 9
TYPICAL OPERATING STATES FOR TELECOM TESTING 10
Statement of Indemnification and liability 11
AGENCY LETTER FORMAT
Please provide on your letterhead:
To whom it may concern:
I appoint Curtis-Straus LLC to act as agent in preparation of this application for registration of (specific equipment identified by trade name and model number) under Part 68 of FCC rules. I certify that the exhibits properly describe the device or system for which registration is sought; that Exhibit G-1, G-2 represent the policies of the applicant and will be followed for all items manufactured or distributed under the provisions of Part 68; that the labels described in Exhibit H will be affixed to each item; and that information described in Exhibit J will be provided with each item manufactured or distributed by the applicant.
I further certify by signature below that no party (per 47 CFR 1.2002(b)) to the application is subject to a denial of Federal benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 853(a).
Dated:______(Within 120 days of application submittal date.)
By:______Printed:______
Title:______Telephone:______
Label Documentation
Please submit a drawing of the label to be affixed to each unit. Include a brief description of where the label will be placed, and also include the location of the required information that will be placed on the unit. The required information includes: grantee’s name, trade name & model number, date code or serial number, and country of origin if applicable.
For modems and like devices sold to OEMs, the label must be provided to the OEM and placed on the outside of the finished assembly. Likewise the FCC customer information must be placed in the manual of finished assemblies.
Plug and Jack Attestation List
If your plugs are made by manufacturers on this list, no attestation is required.
( this list is not complete, but any manufacturers not on this list should provide a
statement concerning the plating of pins and compliance, or you may send a UL
report for the jack.
______
Curtis-Straus LLC · 527 Great Road · Littleton, MA · tel (978) 486-8880 · fax (978) 486-8828
Copyright 2001 all rights reserved. page 1 of 15
File: piqtelecom.doc 2-Nov-2001
6-Pin Generic
ACS/ACS Industries
Allen Tel Products
Allsun Corporation
Amp Incorporated
AT&T
Corcom
Dupont Electronics
Eucherng Industries
GC Electronics
International Connectors & Cable
Lantech C & C Supply
Leviton Telecom
Modular Devices
Premier telecom Products
Radio Shack
Stewart Connector Systems
Suttle Apparatus
Telco Intercontinental
Virginia Plastics
3-Pin Waterproof
AT&T
6-Pin with Sliding Cover (RJ14X)
Allsun Corporation
AT&T
Premier Telecom Products
Suttle Apparatus
8-Pin Unkeyed
ACW/ACS Industries
Allen Tel Products
Allsun Corporation
Amp Incorporated
AT&T
Corcom
Dupont Electronics
Eucherng Industries
GC-Thorsen
International Connectors & Cable
Lantech C & C Supply
Leviton Telecom
Modular Devices
Premier telecom Products
Stewart Connector Systems
Suttle Apparatus
Teleco International
Virginia Plastics
8_Pin Keyed
ACW/ACS Industries
Allen Tel Products
Amp Incorporated
AT&T
Corcom
Dupont Electronics
Eucherng Industries
International Connectors & Cable
Lantech C & C Supply
Leviton Telecom
Modular Devices
Premier telecom Products
Stewart Connector Systems
Suttle Apparatus
Telco Intercontinental
Virginia Plastics
8-Pin with Shortin Bars
Allen Tel Products
Allsun Corporation
AT&T
GC-Thorsen
International Connectors & Cable
Lantech C & C Supply
Leviton Telecom
Modular Devices
Premier telecom Products
Stewart Connector Systems
Suttle Apparatus
Telco International
Virginia Plastics
50-Pin Generic
Allen Tel Products
Leviton Telecom
Premier Telecom Products
Suttle Apparatus
______
Curtis-Straus LLC · 527 Great Road · Littleton, MA · tel (978) 486-8880 · fax (978) 486-8828
Copyright 2001 all rights reserved. page 14 of 15
File: piqtelecom.doc 2-Nov-2001
GTE HD-540957A, Model 927; HD-540957B, Model 928
Pacific Electricord X-3109-05-IV, X-3109-100-IV, W-2530-500-IV, W-2530-M01-IV, W-3030-500-IV, W-3030-M01-IV
Prima TC007/015/025, TC107/115/125, TC140/1415/1425, TS217, TC1507/1515/1525, TC4006, TC4006M, TC515/525, TC615/625, TC1225, TC50/100/1000
Radio Shack 278-0365, 278-0366, 278-0371, 278-0372, 278-0373, 278-0374, 278-0375, 278-0871, 278-0872, 278-0873, 278-0874, 278-1310, 278-1320
Siecor Corp. Inside-Outside Types IO and IO-P; Inside Cable Type IC-RS, Plenum Cable, NEC 800-3(d)
Superior Cable Inside-Outside Types IO and IO-P
Trak Tape Corp. Tele Trak: Flat Adhesive
Essex Group, Inc SW, SWT, SWP Series, H-Station Wire, ICPI, ICPI-S, ICPIP series, Aerial Cable: Sealpic, Sealpic-84, Buried Cable: Sealpic-F, Sealpic-FSF, CASPIC-F, CASPIC-SFS, BSWF, BDWF, D/V Series, BWFY-SJ; BDF-SJ; BWFY
Required Information in the User’s Manual:
Customer Information:
The following customer information must be provided to customers with each unit of approved terminal equipment. Wherever possible example wordings that meet the requirement have been provided in [bold]. Text in [Italics] is product or manufacturer specific information and has to be filled out accurately.
General Requirements For All Equipment:
1. For equipment approved after July 23, 2001, include the following paragraph:
This equipment complies with Part 68 of the FCC rules and the requirements adopted by the ACTA. On the [insert location of the label] of this equipment is a label that contains, among other information, a product identifier in the format US:AAAEQ##TXXXX. If requested, this number must be provided to the telephone company.
For equipment approved prior to July 23, 2001, include this paragraph:
This equipment complies with Part 68 of the FCC rules. On the [insert location of the label] of this equipment is a label that contains, among other information, the FCC registration number and ringer equivalence number (REN) for this equipment. If requested, this information must be provided to the telephone company.
2. List all applicable certification jack Universal Service Order Codes (“USOC”) for the equipment. For some types of analog and digital systems, list associated Facility Interface Codes (“FIC”) and Service Order Codes (“SOC”). These are required when the customer orders service from the local telephone company.
c) State that for single and two-line equipment that connects to the telephone network via a plug and jack, the plug and jack used with this equipment must comply with FCC Part 68 rules. Use words similar to the following:
A plug and jack used to connect this equipment to the premises wiring and telephone network must comply with the applicable FCC Part 68 rules and requirements adopted by the ACTA. A compliant telephone cord and modular plug is provided with this product. It is designed to be connected to a compatible modular jack that is also compliant. See installation instructions for details.
d) Explain the Ringer Equivalence Number (or REN) and its use. Note: RENs are associated with loop-start and ground-start ports. Do not use for E&M or digital ports. Use words similar to the following:
The REN is used to determine the number of devices that may be connected to a telephone line. Excessive RENs on a telephone line may result in the devices not ringing in response to an incoming call. In most but not all areas, the sum of RENs should not exceed five (5.0). To be certain of the number of devices that may be connected to a line, as determined by the total RENs, contact the local telephone company. For products approved after July 23, 2001, the REN for this product is part of the product identifier that has the format US:AAAEQ##TXXXX. The digits represented by ## are the REN without a decimal point (e.g., 03 is a REN of 0.3). For earlier products, the REN is separately shown on the label.
e) Provide information on what will happen if this equipment causes harm to the telephone network. Use words similar to the following:
If this equipment [insert identity of equipment] causes harm to the telephone network, the telephone company will notify you in advance that temporary discontinuance of service may be required. But if advance notice isn't practical, the telephone company will notify the customer as soon as possible. Also, you will be advised of your right to file a complaint with the FCC if you believe it is necessary.