FCC ID QDS-BRCM1022HR1

QDSBRCM1022HR1, QDS BRCM1022HR1, QDS-BRCM1022HR1, QDS-BRCM1O22HR1, QDS-BRCMI022HRI, QD5-BRCM1022HR1, ODS-BRCM1022HR1, 0DS-BRCM1022HR1

Broadcom Corporation 802.11ag/Draft 802.11n Wireless LAN Mini-Card BRCM1022HR1

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: QDS-BRCM1022HR1 is QDS. The remaining characters of the FCC ID, -BRCM1022HR1, 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: 802.11ag/Draft 802.11n Wireless LAN Mini-Card

App # Purpose Date Unique ID
1 Original Equipment 2007-07-03 FFiBW0auTrp2Jj5XHqFFYQ==
2 Original Equipment 2007-07-03 OcJ7cu0iJiQDipGGrzm84A==
3 Class II Permissive Change 2007-07-27 rhMyLpeIOn+kcmCRmrwTAw==

Operating Frequencies

Device operates within approved frequencies overlapping with the following cellular bands: LTE 255,Unlicensed NII-3 DOWN | LTE 46,TD Unlicensed DOWN |
Frequency RangePower OutputRule PartsGrant Notes App #
2.412-2.462 GHz 2.4 GHz WiFi817 mW15C36, CC, MO 1.1
2.412-2.462 GHz 2.4 GHz WiFi817 mW15C36, CC, MO 3.1
2.422-2.452 GHz 2.4 GHz WiFi392 mW15C36, CC, MO 1.2
2.422-2.452 GHz 2.4 GHz WiFi392 mW15C36, CC, MO 3.2
5.18-5.24 GHz 5 GHz WiFi26 mW15E36, CC, MO 2.1
5.19-5.23 GHz 5 GHz WiFi46 mW15E36, CC, MO 2.2
5.26-5.32 GHz 5 GHz WiFi DFS107 mW15E36, CC, MO, ND 2.3
5.27-5.31 GHz 5 GHz WiFi104 mW15E36, CC, MO, ND 2.4
5.5-5.7 GHz 5 GHz WiFi106 mW15E36, CC, MO, ND 2.5
5.51-5.67 GHz 5 GHz WiFi174 mW15E36, CC, MO, ND 2.6
5.745-5.825 GHz 5 GHz WiFi603 mW15C36, CC, MO 1.3
5.745-5.825 GHz 5 GHz WiFi603 mW15C36, CC, MO 3.3
5.755-5.795 GHz 5 GHz WiFi717 mW15C36, CC, MO 1.4
5.755-5.795 GHz 5 GHz WiFi717 mW15C36, CC, MO 3.4

Exhibits

Available Exhibits

App #Document Type Submitted
Available
3 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (115 kB)
2007-07-27
2007-07-27
3 Test ReportTest Report
Adobe Acrobat PDF (450 kB)
2007-07-27
2007-07-27
3 Confidentiality RequestCover Letter(s)
Adobe Acrobat PDF (19 kB)
2007-07-27
2007-07-27
3 C2PC LetterCover Letter(s)
Adobe Acrobat PDF (21 kB)
2007-07-27
2007-07-27
3 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (80 kB)
2007-07-27
2007-07-27
2 ManualUsers Manual
Adobe Acrobat PDF (759 kB)
2007-07-03
2007-07-03
2 07U10893 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (390 kB)
2007-07-03
2007-07-03
2 07U10893 Report 3Test Report
Adobe Acrobat PDF (1061 kB)
2007-07-03
2007-07-03
2 07U10893 Report 2Test Report
Adobe Acrobat PDF (2820 kB)
2007-07-03
2007-07-03
2 07U10893 Report 1Test Report
Adobe Acrobat PDF (2936 kB)
2007-07-03
2007-07-03
2 06U10708 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (309 kB)
2007-07-03
2007-07-03
2 06U10708 ReportTest Report
Adobe Acrobat PDF (3355 kB)
2007-07-03
2007-07-03
2 FCC ID LabelID Label/Location Info
Adobe Acrobat PDF (95 kB)
2007-07-03
2007-07-03
2 External PhotosExternal Photos
Adobe Acrobat PDF (1313 kB)
2007-07-03
2007-07-03
2 RF Exposure InfoRF Exposure Info
Adobe Acrobat PDF (286 kB)
2007-07-03
2007-07-03
2 Ad Hoc AttestationCover Letter(s)
Adobe Acrobat PDF (92 kB)
2007-07-03
2007-07-03
2 TCB Q and ACover Letter(s)
Adobe Acrobat PDF (13 kB)
2007-07-03
2007-07-03
2 Request for ConfidentialityCover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-07-03
2007-07-03
2 Modular Approval LetterCover Letter(s)
Adobe Acrobat PDF (13 kB)
2007-07-03
2007-07-03
2 Agent Authorization LetterCover Letter(s)
Adobe Acrobat PDF (80 kB)
2007-07-03
2007-07-03
1 ManualUsers Manual
Adobe Acrobat PDF (759 kB)
2007-07-03
2007-07-03
1 07U10893 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (294 kB)
2007-07-03
2007-07-03
1 07U10893 Report 2Test Report
Adobe Acrobat PDF (3996 kB)
2007-07-03
2007-07-03
1 07U10893 Report 1Test Report
Adobe Acrobat PDF (3469 kB)
2007-07-03
2007-07-03
1 06U10708 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (313 kB)
2007-07-03
2007-07-03
1 06U10708 Report 2Test Report
Adobe Acrobat PDF (3814 kB)
2007-07-03
2007-07-03
1 06U10708 Report 1Test Report
Adobe Acrobat PDF (3392 kB)
2007-07-03
2007-07-03
1 FCC ID LabelID Label/Location Info
Adobe Acrobat PDF (95 kB)
2007-07-03
2007-07-03
1 External PhotosExternal Photos
Adobe Acrobat PDF (1313 kB)
2007-07-03
2007-07-03
1 Ad Hoc AttestationCover Letter(s)
Adobe Acrobat PDF (92 kB)
2007-07-03
2007-07-03
1 TCB Q and ACover Letter(s)
Adobe Acrobat PDF (37 kB)
2007-07-03
2007-07-03
1 Request for ConfidentialityCover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-07-03
2007-07-03
1 Modular Approval LetterCover Letter(s)
Adobe Acrobat PDF (13 kB)
2007-07-03
2007-07-03
1 Agent Authorization LetterCover Letter(s)
Adobe Acrobat PDF (80 kB)
2007-07-03
2007-07-03

APP # 3 (2007-07-27)

App # Document Type Submitted
Available
3 Setup Photos Test Setup Photos
Adobe Acrobat PDF (115 kB)
2007-07-27 00:00:00
2007-07-27 00:00:00
3 Test Report Test Report
Adobe Acrobat PDF (450 kB)
2007-07-27 00:00:00
2007-07-27 00:00:00
3 Confidentiality Request Cover Letter(s)
Adobe Acrobat PDF (19 kB)
2007-07-27 00:00:00
2007-07-27 00:00:00
3 C2PC Letter Cover Letter(s)
Adobe Acrobat PDF (21 kB)
2007-07-27 00:00:00
2007-07-27 00:00:00
3 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (80 kB)
2007-07-27 00:00:00
2007-07-27 00:00:00

APP # 2 (2007-07-03)

App # Document Type Submitted
Available
2 Manual Users Manual
Adobe Acrobat PDF (759 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 07U10893 Setup Photos Test Setup Photos
Adobe Acrobat PDF (390 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 07U10893 Report 3 Test Report
Adobe Acrobat PDF (1061 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 07U10893 Report 2 Test Report
Adobe Acrobat PDF (2820 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 07U10893 Report 1 Test Report
Adobe Acrobat PDF (2936 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 06U10708 Setup Photos Test Setup Photos
Adobe Acrobat PDF (309 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 06U10708 Report Test Report
Adobe Acrobat PDF (3355 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 FCC ID Label ID Label/Location Info
Adobe Acrobat PDF (95 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 External Photos External Photos
Adobe Acrobat PDF (1313 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 RF Exposure Info RF Exposure Info
Adobe Acrobat PDF (286 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 Ad Hoc Attestation Cover Letter(s)
Adobe Acrobat PDF (92 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 TCB Q and A Cover Letter(s)
Adobe Acrobat PDF (13 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 Request for Confidentiality Cover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 Modular Approval Letter Cover Letter(s)
Adobe Acrobat PDF (13 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
2 Agent Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (80 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00

APP # 1 (2007-07-03)

App # Document Type Submitted
Available
1 Manual Users Manual
Adobe Acrobat PDF (759 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
1 07U10893 Setup Photos Test Setup Photos
Adobe Acrobat PDF (294 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
1 07U10893 Report 2 Test Report
Adobe Acrobat PDF (3996 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
1 07U10893 Report 1 Test Report
Adobe Acrobat PDF (3469 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
1 06U10708 Setup Photos Test Setup Photos
Adobe Acrobat PDF (313 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
1 06U10708 Report 2 Test Report
Adobe Acrobat PDF (3814 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
1 06U10708 Report 1 Test Report
Adobe Acrobat PDF (3392 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
1 FCC ID Label ID Label/Location Info
Adobe Acrobat PDF (95 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
1 External Photos External Photos
Adobe Acrobat PDF (1313 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
1 Ad Hoc Attestation Cover Letter(s)
Adobe Acrobat PDF (92 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
1 TCB Q and A Cover Letter(s)
Adobe Acrobat PDF (37 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
1 Request for Confidentiality Cover Letter(s)
Adobe Acrobat PDF (18 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
1 Modular Approval Letter Cover Letter(s)
Adobe Acrobat PDF (13 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00
1 Agent Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (80 kB)
2007-07-03 00:00:00
2007-07-03 00:00:00

APP # 2 (2007-07-03)

App # Document Type Submitted
Available
2 Hitachi Pifa Antenna Specification Parts List/Tune Up Info
Adobe Acrobat PDF (453 kB)
2007-07-03 00:00:00
N/A
2 ACON PCB Antenna Specification Parts List/Tune Up Info
Adobe Acrobat PDF (1227 kB)
2007-07-03 00:00:00
N/A

APP # 1 (2007-07-03)

App # Document Type Submitted
Available
1 Block Diagram Block Diagram
Adobe Acrobat PDF (91 kB)
2007-07-03 00:00:00
N/A

APP # 3 (2007-07-27)

App # Document Type Submitted
Available
3 Operational Description Operational Description
Adobe Acrobat PDF (56 kB)
2007-07-27 00:00:00
N/A

APP # 2 (2007-07-03)

App # Document Type Submitted
Available
2 Operational Description Operational Description
Adobe Acrobat PDF (56 kB)
2007-07-03 00:00:00
N/A

APP # 1 (2007-07-03)

App # Document Type Submitted
Available
1 Hitachi Pifa Antenna Specification Parts List/Tune Up Info
Adobe Acrobat PDF (453 kB)
2007-07-03 00:00:00
N/A
1 ACON PCB Antenna Specification Parts List/Tune Up Info
Adobe Acrobat PDF (1227 kB)
2007-07-03 00:00:00
N/A

APP # 2 (2007-07-03)

App # Document Type Submitted
Available
2 FoxConn PCB Antenna Parts List/Tune Up Info
Microsoft Excel (212 kB)
2007-07-03 00:00:00
N/A
2 Internal Photos Internal Photos
Adobe Acrobat PDF (162 kB)
2007-07-03 00:00:00
N/A

APP # 1 (2007-07-03)

App # Document Type Submitted
Available
1 Operational Description Operational Description
Adobe Acrobat PDF (56 kB)
2007-07-03 00:00:00
N/A
1 Schematics Schematics
Adobe Acrobat PDF (870 kB)
2007-07-03 00:00:00
N/A
1 Foxconn PCB Antenna Parts List/Tune Up Info
Microsoft Excel (212 kB)
2007-07-03 00:00:00
N/A

APP # 2 (2007-07-03)

App # Document Type Submitted
Available
2 Block Diagram Block Diagram
Adobe Acrobat PDF (91 kB)
2007-07-03 00:00:00
N/A

APP # 1 (2007-07-03)

App # Document Type Submitted
Available
1 Internal Photos Internal Photos
Adobe Acrobat PDF (162 kB)
2007-07-03 00:00:00
N/A

APP # 2 (2007-07-03)

App # Document Type Submitted
Available
2 Schematics Schematics
Adobe Acrobat PDF (870 kB)
2007-07-03 00:00:00
N/A

Application Forms

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1022HR1
Unique Application Identifier: FFiBW0auTrp2Jj5XHqFFYQ==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1022HR1

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
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:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11ag/Draft 802.11n Wireless LAN Mini-Card

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Limited Single Modular Approval

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?   Yes
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:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Limited Modular Approval (LMA). Power listed is the maximum combined peak conducted output power. Device is a PCI-E Mini Card operating in 2x2 Spatial Division Multiplexing/Cyclic Delay Diversity MIMO configurations and single-stream legacy modes as described in this filing. Approval is limited to OEM installation only. 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. 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.
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:  Mike Heckrotte
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1022HR1
Unique Application Identifier: OcJ7cu0iJiQDipGGrzm84A==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1022HR1

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
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:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11ag/DRAFT 802.11n Wireless LAN Mini-Card

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Limited Single Modular Approval

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?   Yes
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:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Limited Modular Approval (LMA). Power listed is the maximum combined peak conducted output power. Device is a PCI-E Mini Card operating in 2x2 Spatial Division Multiplexing/Cyclic Delay Diversity MIMO configurations and single-stream legacy modes as described in this filing. Approval is limited to OEM installation only. 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. 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. This transmitter is restricted to indoor-only use within the 5.15-5.25 GHz band.
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:  Mike Heckrotte
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Broadcom Corporation
FCC Registration Number (FRN): 0007091952
Alphanumeric FCC ID: QDSBRCM1022HR1
Unique Application Identifier: rhMyLpeIOn+kcmCRmrwTAw==
Line one: 190 Mathilda Place
City: Sunnyvale
State: California
Country: United States
Zip Code: 94086

TCB Information
TCB Application Email Address: [email protected]
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: QDS
Product Code: -BRCM1022HR1

Person at the applicant's address to receive grant or for contact
Name: Daniel Lawless
Title: Director of Engineering, System Operations
Telephone Number: 408-543-3300 Extension:
Fax Number: 408-543-3377
Email: [email protected]
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:   DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 802.11ag/Draft 802.11n Wireless LAN Mini-Card

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Limited Single Modular Approval

Application Purpose
Application is for:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   Compliance Certification Services
First Name:   Barbara
Last Name:   Judge
Telephone Number: 510-771-1104 Extension: 104
Fax Number:  510-661-0888
E-mail:  [email protected]

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II Permissive Change to improve band edge channel power in 802.11g mode for mobile operation. Limited Modular Approval (LMA). Power listed is the maximum combined peak conducted output power. Device is a PCI-E Mini Card operating in 2x2 Spatial Division Multiplexing/Cyclic Delay Diversity MIMO configurations and single-stream legacy modes as described in this filing. Approval is limited to OEM installation only. 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. 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.
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:  Thu Chan
Title of authorized signature: 

Applications are submitted for FCC ID and Grant requests. Click an above application to view details

Grants

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: 07/03/2007

Application Dated: 07/03/2007
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-BRCM1022HR1
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11ag/Draft 802.11n Wireless LAN Mini-Card
Modular Type: Limited Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
36 CC MO 15C 2412.0  -  2462.0 0.817  
36 CC MO 15C 2422.0  -  2452.0 0.392  
36 CC MO 15C 5745.0  -  5825.0 0.603  
36 CC MO 15C 5755.0  -  5795.0 0.717  

Limited Modular Approval (LMA). Power listed is the maximum combined peak conducted output power. Device is a PCI-E Mini Card operating in 2x2 Spatial Division Multiplexing/Cyclic Delay Diversity MIMO configurations and single-stream legacy modes as described in this filing. Approval is limited to OEM installation only. 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. 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.

36: Certain antennas used with this equipment require a minimum cable length, or have output power limitations as documented in the application.
CC: This device is certified pursuant to two different Part 15 rules sections.
MO: This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing.
>
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: 07/03/2007

Application Dated: 07/03/2007
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-BRCM1022HR1
Name of Grantee:  Broadcom Corporation
Equipment Class: Unlicensed National Information Infrastructure TX
Notes: 802.11ag/DRAFT 802.11n Wireless LAN Mini-Card
Modular Type: Limited Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
36 CC MO 15E 5180.0  -  5240.0 0.026  
36 CC MO 15E 5190.0  -  5230.0 0.046  
36 CC MO ND 15E 5260.0  -  5320.0 0.107  
36 CC MO ND 15E 5270.0  -  5310.0 0.104  
36 CC MO ND 15E 5500.0  -  5700.0 0.106  
36 CC MO ND 15E 5510.0  -  5670.0 0.174  

Limited Modular Approval (LMA). Power listed is the maximum combined peak conducted output power. Device is a PCI-E Mini Card operating in 2x2 Spatial Division Multiplexing/Cyclic Delay Diversity MIMO configurations and single-stream legacy modes as described in this filing. Approval is limited to OEM installation only. 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. 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. This transmitter is restricted to indoor-only use within the 5.15-5.25 GHz band.

36: Certain antennas used with this equipment require a minimum cable length, or have output power limitations as documented in the application.
CC: This device is certified pursuant to two different Part 15 rules sections.
MO: This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing.
ND: This UNII device complies with the Transmit Power Control (TPC) and Dynamic Frequency Selection (DFS) requirements in Section 15.407(h).
>
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: 07/27/2007

Application Dated: 07/27/2007
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-BRCM1022HR1
Name of Grantee:  Broadcom Corporation
Equipment Class: Digital Transmission System
Notes: 802.11ag/Draft 802.11n Wireless LAN Mini-Card
Modular Type: Limited Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
36 CC MO 15C 2412.0  -  2462.0 0.817  
36 CC MO 15C 2422.0  -  2452.0 0.392  
36 CC MO 15C 5745.0  -  5825.0 0.603  
36 CC MO 15C 5755.0  -  5795.0 0.717  

Class II Permissive Change to improve band edge channel power in 802.11g mode for mobile operation. Limited Modular Approval (LMA). Power listed is the maximum combined peak conducted output power. Device is a PCI-E Mini Card operating in 2x2 Spatial Division Multiplexing/Cyclic Delay Diversity MIMO configurations and single-stream legacy modes as described in this filing. Approval is limited to OEM installation only. 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. 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.


36: Certain antennas used with this equipment require a minimum cable length, or have output power limitations as documented in the application.
CC: This device is certified pursuant to two different Part 15 rules sections.
MO: This Multiple Input Multiple Output (MIMO) device was evaluated for multiple transmitted signals as indicated in the filing.
>

Grants authorize equipment for operation at approved frequencies and sale within the USA. Click an above grant to view details