FCC approval date: 22 July 2011
Country of manuf.: China
Connector: Male A (unshielded)
Form factor tags: dongle
For a list of all currently documented Ralink chipsets with specifications, see Ralink.
"LG-PB-8104-M04G-00" appears to be silkscreened on the board in the FCC photos, indicating the device was likely manufactured by netis.