FCC ID QDS-BRCM1056

802.11b/g/n WLAN + Bluetooth Module Combo

by Broadcom Corporation

Grantee Code: QDS   Product Code: BRCM1056
Latest application date: 2011-06-16

FCC ID Device Details

FCC IDQDS-BRCM1056
Mirrorsfcc.id | gov | fccid.ai
Grantee CodeQDS
Product CodeBRCM1056
Applicant BusinessBroadcom Corporation 🇺🇸
Related Domains broadcom.com
Equipment Class802.11b/g/n WLAN + Bluetooth Module Combo
Test FirmCompliance Certification Services Inc.

Operating Frequencies

Frequency RangeApplication PurposeFinal Action Date
2402-2480 MHzClass II permissive change or modification of presently authorized equipment2011-06-16
2412-2462 MHzClass II permissive change or modification of presently authorized equipment2011-06-16
2412-2462 MHzOriginal Equipment2011-03-16
2402-2480 MHzOriginal Equipment2011-03-16

Exhibits

DocumentTypeAvailableFile
Installation GuideUsers Manual2011-08-28PDF 250.5 KB
Regulatory Users GuideUsers Manual2011-08-28PDF 786 KB
Regulatory Users ManualUsers Manual2011-08-28PDF 786 KB
Host user manualUsers Manual2011-08-01PDF 2.6 MB
Internal PhotosInternal Photos2011-08-28PDF 163.1 KB
Host internal photos 1 of 3Internal Photos2011-08-01PDF 2.9 MB
Host internal photos 2 of 3Internal Photos2011-08-01PDF 1.9 MB
Host internal photos 3 of 3Internal Photos2011-08-01PDF 1.4 MB
External PhotosExternal Photos2011-08-28PDF 836.7 KB
Host external photosExternal Photos2011-08-01PDF 1.1 MB
Host label formatID Label/Location Info2011-06-16PDF 1.1 MB
LabelID Label/Location Info2011-03-16PDF 27.6 KB
BT Test Setup PhotosTest Setup Photos2011-08-28PDF 325.9 KB
DTS Test Setup PhotosTest Setup Photos2011-08-28PDF 246.9 KB
Test Setup PhotosTest Setup Photos2011-08-28PDF 187.6 KB
SAR Test setup photosTest Setup Photos2011-08-01PDF 270.3 KB
Test setu photosTest Setup Photos2011-08-01PDF 276.1 KB
Test setup photosTest Setup Photos2011-08-01PDF 275.2 KB
Test reportTest Report2011-06-16PDF 429.5 KB
Test reportTest Report2011-06-16PDF 374.6 KB
BT Test ReportTest Report2011-03-16PDF 1.5 MB
DTS Test ReportTest Report2011-03-16PDF 1.9 MB
JBP Test ReportTest Report2011-03-16PDF 212.9 KB
AUthorization Letter 1Attestation Statements2011-03-16PDF 115.5 KB
Authorization Letter 1Attestation Statements2011-03-16PDF 115.5 KB
Authorization Letter 2Attestation Statements2011-03-16PDF 95.9 KB
Confidentiality RequestAttestation Statements2011-03-16PDF 34.7 KB
Confidentiality Request LetterAttestation Statements2011-03-16PDF 34.7 KB
Modular Approval CoverAttestation Statements2011-03-16PDF 20.4 KB
Modular LetterAttestation Statements2011-03-16PDF 20.4 KB
no Ad-Hoc AttestationAttestation Statements2011-03-16PDF 27.3 KB
Agent authorizationCover Letter(s)2011-06-16PDF 71.3 KB
Host label formatCover Letter(s)2011-06-16PDF 1.1 MB
Request for C2PCCover Letter(s)2011-06-16PDF 29 KB
Request for C2PC filingCover Letter(s)2011-06-16PDF 29 KB
Request for confidentialityCover Letter(s)2011-06-16PDF 23.5 KB
TCB Q and ACover Letter(s)2011-06-16PDF 56.9 KB
Antenna specificationParts List/Tune Up Info2011-06-16PDF 499.8 KB
RF exposure Info 1 of 5RF Exposure Info2011-06-16PDF 367.3 KB
RF exposure Info 2 of 5RF Exposure Info2011-06-16PDF 1.4 MB
RF exposure Info 4 of 5RF Exposure Info2011-06-16PDF 576.4 KB
RF exposure Info 5 of 5RF Exposure Info2011-06-16PDF 1.4 MB
RF exposure Info3 of 5RF Exposure Info2011-06-16PDF 183.6 KB

Application Information

Application IDdStPq1nnso5I5bxIX+QrtQ==
Final Action Date2011-06-16
Application PurposeClass II permissive change or modification of presently authorized equipment
Applicant FRN0007091952
Model-BRCM1056
Frequency Range2402-2480 MHz
Equipment ClassDSS - Part 15 Spread Spectrum Transmitter
Device Description802.11b/g/n WLAN + Bluetooth Module Combo
Responsible PartyDaniel Lawless, Director of Engineering, System Operations, ComplianceEngineering-list-CA-list@broadcom.com , 408-543-3300
Test FirmKurt Chen, Compliance Certification Services Inc., kurt.chen@ccsrf.com , 886-3-3240332
TCB Emailcertnotice@ccsemc.com
TCB ScopeA4: UNII devices & low power transmitters using spread spectrum techniques
Short-Term ConfidentialityYes
Short-Term Confidentiality Date08/01/2011
Long-Term ConfidentialityYes
Grant DeferralNo
Modular EquipmentSingle Modular Approval
Composite DeviceYes
Composite PartNo
Cognitive RadioNo
Authorization WaiverNo
Authorization Waiver ApprovedNo
Section 5301 CertificationYes
Related OET Knowledge DataBase InquiryNo
Grant CommentsClass II Permissive Change to add the portable configuration as documented in this filing. Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.

Applications

Application IDDatePurpose
dStPq1nnso5I5bxIX+QrtQ==2011-06-16Class II permissive change or modification of presently authorized equipment
TJqaU1Zrn3YQmhjPKDMZSQ==2011-06-16Class II permissive change or modification of presently authorized equipment
q5kMuMTbSREqjR2fCxrqUw==2011-03-16Original Equipment
6F8Mqi4mHSvUfaZnQ3WdkQ==2011-03-16Original Equipment
5ayIh6eXjazYBh2W7USrrg==2011-03-16Original Equipment

Equipment Authorization

FrequencyOutputRulesGrant Notes
15BCC
2402-2480 MHz0.001500015CCC
2412-2462 MHz0.47215CCC
2422-2452 MHz0.29615CCC

Grants

TCB Grant - Application TJqaU1Zrn3YQmhjPKDMZSQ==

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

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 06/16/2011

Application Dated: 06/16/2011
Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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:  QDS-BRCM1056
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11b/g/n WLAN + Bluetooth Module Combo
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2412.0  -  2462.0 0.472  
CC 15C 2422.0  -  2452.0 0.296  

Class II Permissive Change to add the portable configuration as documented in this filing. The highest measured SAR documented in this filing is 1.37W/kg.Power listed is the conducted. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.

CC: This device is certified pursuant to two different Part 15 rules sections.

EAS Grant - Application TJqaU1Zrn3YQmhjPKDMZSQ==

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
United States
  Date of Grant: 06/16/2011

Application Dated: 06/16/2011
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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:  QDS-BRCM1056
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11b/g/n WLAN + Bluetooth Module Combo
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2412.0  -  2462.0 0.472  
CC 15C 2422.0  -  2452.0 0.296  

Class II Permissive Change to add the portable configuration as documented in this filing. The highest measured SAR documented in this filing is 1.37W/kg.Power listed is the conducted. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.


CC: This device is certified pursuant to two different Part 15 rules sections.

TCB Grant - Application q5kMuMTbSREqjR2fCxrqUw==

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

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 03/16/2011

Application Dated: 03/16/2011
Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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:  QDS-BRCM1056
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11b/g/n WLAN + Bluetooth Module Combo Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2412.0  -  2462.0 0.472  
CC 15C 2422.0  -  2452.0 0.296  

Power listed is the conducted. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.

CC: This device is certified pursuant to two different Part 15 rules sections.

EAS Grant - Application q5kMuMTbSREqjR2fCxrqUw==

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
United States
  Date of Grant: 03/16/2011

Application Dated: 03/16/2011
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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:  QDS-BRCM1056
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11b/g/n WLAN + Bluetooth Module Combo Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2412.0  -  2462.0 0.472  
CC 15C 2422.0  -  2452.0 0.296  

Power listed is the conducted. Approval is limited to OEM installation only in mobile RF exposure configurations. Installation of this device in Portable RF exposure configurations requires a permissive change application or new filing. Compliance of this device in all final product configurations is the responsibility of the Grantee. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with the FCC multi-transmitter product procedures. OEM integrators must be provided with antenna installation instructions. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device.


CC: This device is certified pursuant to two different Part 15 rules sections.

TCB Grant - Application dStPq1nnso5I5bxIX+QrtQ==

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

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 06/16/2011

Application Dated: 06/16/2011
Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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:  QDS-BRCM1056
Name of Grantee:  Broadcom Corporation
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: 802.11b/g/n WLAN + Bluetooth Module Combo
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2402.0  -  2480.0 0.0015  

Class II Permissive Change to add the portable configuration as documented in this filing. Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.

CC: This device is certified pursuant to two different Part 15 rules sections.

EAS Grant - Application dStPq1nnso5I5bxIX+QrtQ==

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
United States
  Date of Grant: 06/16/2011

Application Dated: 06/16/2011
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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:  QDS-BRCM1056
Name of Grantee:  Broadcom Corporation
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: 802.11b/g/n WLAN + Bluetooth Module Combo
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2402.0  -  2480.0 0.0015  

Class II Permissive Change to add the portable configuration as documented in this filing. Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.


CC: This device is certified pursuant to two different Part 15 rules sections.

TCB Grant - Application 6F8Mqi4mHSvUfaZnQ3WdkQ==

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

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 03/16/2011

Application Dated: 03/16/2011
Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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:  QDS-BRCM1056
Name of Grantee:  Broadcom Corporation
Equipment Class: Part 15 Class B Computing Device Peripheral
Notes: 802.11b/g/n WLAN + Bluetooth Module Combo Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15B  - 


CC: This device is certified pursuant to two different Part 15 rules sections.

EAS Grant - Application 6F8Mqi4mHSvUfaZnQ3WdkQ==

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
United States
  Date of Grant: 03/16/2011

Application Dated: 03/16/2011
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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:  QDS-BRCM1056
Name of Grantee:  Broadcom Corporation
Equipment Class: Part 15 Class B Computing Device Peripheral
Notes: 802.11b/g/n WLAN + Bluetooth Module Combo Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15B  - 


CC: This device is certified pursuant to two different Part 15 rules sections.

TCB Grant - Application 5ayIh6eXjazYBh2W7USrrg==

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

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 03/16/2011

Application Dated: 03/16/2011
Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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:  QDS-BRCM1056
Name of Grantee:  Broadcom Corporation
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: 802.11b/g/n WLAN + Bluetooth Module Combo Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2402.0  -  2480.0 0.0015  

Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.

CC: This device is certified pursuant to two different Part 15 rules sections.

EAS Grant - Application 5ayIh6eXjazYBh2W7USrrg==

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

Broadcom Corporation
190 Mathilda Place
Sunnyvale, CA 94086
United States
  Date of Grant: 03/16/2011

Application Dated: 03/16/2011
 
Attention: Daniel Lawless , Director of Engineering, System Operations

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:  QDS-BRCM1056
Name of Grantee:  Broadcom Corporation
Equipment Class: Part 15 Spread Spectrum Transmitter
Notes: 802.11b/g/n WLAN + Bluetooth Module Combo Card
Modular Type: Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2402.0  -  2480.0 0.0015  

Output power listed is conducted. This module may only be installed by the OEM or an OEM integrator. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures or as described in the filing. OEM integrators and end users must be provided with specific operating instructions for satisfying RF exposure compliance requirements.


CC: This device is certified pursuant to two different Part 15 rules sections.

Mail To: