FCC ID QDS-BRCM1078

QDSBRCM1078, QDS BRCM1078, QDS-BRCM1078, QDS-BRCM1O78, QDS-BRCMI078, QD5-BRCM1078, ODS-BRCM1078, 0DS-BRCM1078

Broadcom Corporation Broadcom Bluetooth Module BRCM1078

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-BRCM1078 is QDS. The remaining characters of the FCC ID, -BRCM1078, 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: Broadcom Bluetooth Module

Application: Broadcom Bluetooth Module
Equipment Class: DTS - Digital Transmission System
Short Link: fcc.id/QDS-BRCM1078
Sources: FCC.gov | FCC.report
Registered By: Broadcom Corporation - QDS (United States)

App #	Purpose	Date	Unique ID
1	Original Equipment	2013-11-06	y+cu57oNZBXdS4dzKd1Qww==
2	Class II Permissive Change	2014-09-09	fVpfT7eEf4GN+TK0VkmyWQ==

Operating Frequencies

Frequency Range	Power Output	Rule Parts	App #
2.402-2.48 GHz	1.8 mW	15C	2.1
2.402-2.48 GHz	1.8 mW	15C	1.1

Exhibits

Available Exhibits

App #	Document	Type	Submitted Available
2	Confidentiality request	Cover Letter(s) Adobe Acrobat PDF (31 kB)	2014-09-09 2014-09-09
2	C2PC request	Cover Letter(s) Adobe Acrobat PDF (25 kB)	2014-09-09 2014-09-09
2	Authorization letter	Cover Letter(s) Adobe Acrobat PDF (62 kB)	2014-09-09 2014-09-09
2	BCM20737S Label	ID Label/Location Info Adobe Acrobat PDF (15 kB)	2014-09-09 2014-09-09
2	BCM20736S Label	ID Label/Location Info Adobe Acrobat PDF (15 kB)	2014-09-09 2014-09-09
2	Test Setup Photos	Test Setup Photos Adobe Acrobat PDF (274 kB)	2014-09-09 2014-09-09
2	Test Report	Test Report Adobe Acrobat PDF (677 kB)	2014-09-09 2014-09-09
2	Manual	Users Manual Adobe Acrobat PDF (4589 kB)	2014-09-09 2015-03-08
2	Manual_Quick Start	Users Manual Adobe Acrobat PDF (319 kB)	2014-09-09 2015-03-08
2	Internal photos	Internal Photos Adobe Acrobat PDF (3273 kB)	2014-09-09 2015-03-08
2	External photos	External Photos Adobe Acrobat PDF (2863 kB)	2014-09-09 2015-03-08
1	Internal Photographs	Internal Photos JPEG Image (62 kB)	2013-11-06 2014-05-05
1	Host manual	Users Manual Adobe Acrobat PDF (5664 kB)	2013-11-06 2014-05-05
1	Host External photos	External Photos Adobe Acrobat PDF (866 kB)	2013-11-06 2014-05-05
1	Host system regulatory information	Users Manual Adobe Acrobat PDF (143 kB)	2013-11-06 2014-05-05
1	Installation manual	Users Manual Adobe Acrobat PDF (74 kB)	2013-11-06 2014-05-05
1	External Photos	External Photos JPEG Image (62 kB)	2013-11-06 2014-05-05
1	regulatory user guide	Users Manual Adobe Acrobat PDF (25 kB)	2013-11-06 2014-05-05
1	Test Setup	Test Setup Photos Adobe Acrobat PDF (109 kB)	2013-11-06 2014-05-05
1	Agent Authorization	Cover Letter(s) Adobe Acrobat PDF (62 kB)	2013-11-06 2013-11-06
1	Label and Label Location (Host and module)	ID Label/Location Info Adobe Acrobat PDF (329 kB)	2013-11-06 2013-11-06
1	Request for Modular Approval	Cover Letter(s) Adobe Acrobat PDF (29 kB)	2013-11-06 2013-11-06
1	Confidentiality Request	Cover Letter(s) Adobe Acrobat PDF (31 kB)	2013-11-06 2013-11-06
1	SAR Exclusion	RF Exposure Info Adobe Acrobat PDF (147 kB)	2013-11-06 2013-11-06
1	Test Report	Test Report Adobe Acrobat PDF (1323 kB)	2013-11-06 2013-11-06

APP # 2 (2014-09-09)

App #	Document	Type	Submitted Available
2	Confidentiality request	Cover Letter(s) Adobe Acrobat PDF (31 kB)	2014-09-09 00:00:00 2014-09-09 00:00:00
2	C2PC request	Cover Letter(s) Adobe Acrobat PDF (25 kB)	2014-09-09 00:00:00 2014-09-09 00:00:00
2	Authorization letter	Cover Letter(s) Adobe Acrobat PDF (62 kB)	2014-09-09 00:00:00 2014-09-09 00:00:00
2	BCM20737S Label	ID Label/Location Info Adobe Acrobat PDF (15 kB)	2014-09-09 00:00:00 2014-09-09 00:00:00
2	BCM20736S Label	ID Label/Location Info Adobe Acrobat PDF (15 kB)	2014-09-09 00:00:00 2014-09-09 00:00:00
2	Test Setup Photos	Test Setup Photos Adobe Acrobat PDF (274 kB)	2014-09-09 00:00:00 2014-09-09 00:00:00
2	Test Report	Test Report Adobe Acrobat PDF (677 kB)	2014-09-09 00:00:00 2014-09-09 00:00:00
2	Manual	Users Manual Adobe Acrobat PDF (4589 kB)	2014-09-09 00:00:00 2015-03-08 00:00:00
2	Manual_Quick Start	Users Manual Adobe Acrobat PDF (319 kB)	2014-09-09 00:00:00 2015-03-08 00:00:00
2	Internal photos	Internal Photos Adobe Acrobat PDF (3273 kB)	2014-09-09 00:00:00 2015-03-08 00:00:00
2	External photos	External Photos Adobe Acrobat PDF (2863 kB)	2014-09-09 00:00:00 2015-03-08 00:00:00

APP # 1 (2013-11-06)

App #	Document	Type	Submitted Available
1	Internal Photographs	Internal Photos JPEG Image (62 kB)	2013-11-06 00:00:00 2014-05-05 00:00:00
1	Host manual	Users Manual Adobe Acrobat PDF (5664 kB)	2013-11-06 00:00:00 2014-05-05 00:00:00
1	Host External photos	External Photos Adobe Acrobat PDF (866 kB)	2013-11-06 00:00:00 2014-05-05 00:00:00
1	Host system regulatory information	Users Manual Adobe Acrobat PDF (143 kB)	2013-11-06 00:00:00 2014-05-05 00:00:00
1	Installation manual	Users Manual Adobe Acrobat PDF (74 kB)	2013-11-06 00:00:00 2014-05-05 00:00:00
1	External Photos	External Photos JPEG Image (62 kB)	2013-11-06 00:00:00 2014-05-05 00:00:00
1	regulatory user guide	Users Manual Adobe Acrobat PDF (25 kB)	2013-11-06 00:00:00 2014-05-05 00:00:00
1	Test Setup	Test Setup Photos Adobe Acrobat PDF (109 kB)	2013-11-06 00:00:00 2014-05-05 00:00:00
1	Agent Authorization	Cover Letter(s) Adobe Acrobat PDF (62 kB)	2013-11-06 00:00:00 2013-11-06 00:00:00
1	Label and Label Location (Host and module)	ID Label/Location Info Adobe Acrobat PDF (329 kB)	2013-11-06 00:00:00 2013-11-06 00:00:00
1	Request for Modular Approval	Cover Letter(s) Adobe Acrobat PDF (29 kB)	2013-11-06 00:00:00 2013-11-06 00:00:00
1	Confidentiality Request	Cover Letter(s) Adobe Acrobat PDF (31 kB)	2013-11-06 00:00:00 2013-11-06 00:00:00
1	SAR Exclusion	RF Exposure Info Adobe Acrobat PDF (147 kB)	2013-11-06 00:00:00 2013-11-06 00:00:00
1	Test Report	Test Report Adobe Acrobat PDF (1323 kB)	2013-11-06 00:00:00 2013-11-06 00:00:00
1	Operational Description	Operational Description Adobe Acrobat PDF (39 kB)	2013-11-06 00:00:00 N/A
1	Schematics	Schematics Adobe Acrobat PDF (208 kB)	2013-11-06 00:00:00 N/A
1	Antenna Specifications	Operational Description Adobe Acrobat PDF (150 kB)	2013-11-06 00:00:00 N/A
1	Block Diagram	Block Diagram Adobe Acrobat PDF (49 kB)	2013-11-06 00:00:00 N/A

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:	QDSBRCM1078
Unique Application Identifier:	y+cu57oNZBXdS4dzKd1Qww==
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:	-BRCM1078

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]

Technical Contact

Firm Name:	UL Verification Services
First Name:	Grace
Last Name:	Rincand
Line 1:	47173 Benicia Street
City:	Fremont
State:	California
Country:	United States
Zip Code:	94538

Telephone Number:

(510)771-1000

Extension:

Fax Number:	(510)661-0888
E-Mail:	[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?: Yes

If so, specify the short-term confidentiality release date (MM/DD/YYYY format): 05/05/2014
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):	Broadcom Bluetooth Module

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? No

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: UL Verification Services Inc. (formerly UL CCS)

First Name: Matthew

Last Name: Marotto

Telephone Number:

919-549-1652

Extension:

Fax Number: 000-000-0000

E-mail: [email protected]

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power listed is Conducted. Compliance of this device in all final host configurations is the responsibility of the Grantee. OEM integrators and end-users must be provided with specific operating instructions for satisfying RF exposure compliance. OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Installation is limited to the host system evaluated in this filing. Additional host systems will require reassessment of radiated spurious emissions due to the lack of shielding on the module.

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: Grace Rincand

Title of authorized signature: Agent

Complete items below if agent signs the application:

Firm Name: UL Verification Services

Name: Grace Grace Grace

Line 1: Grace

Line 2: Grace

P.O. Box: Grace

City: Grace

State: Grace

Country: Grace

Zip Code: Grace

E-mail: [email protected]

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:	QDSBRCM1078
Unique Application Identifier:	fVpfT7eEf4GN+TK0VkmyWQ==
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:	-BRCM1078

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?: Yes

If so, specify the short-term confidentiality release date (MM/DD/YYYY format): 03/08/2015
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):	Broadcom Bluetooth Module

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? No

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:
Class II permissive change to add new functions through additional software features and a new host as documented in this filing. Output power listed is Conducted. Compliance of this device in all final host configurations is the responsibility of the Grantee. OEM integrators and end-users must be provided with specific operating instructions for satisfying RF exposure compliance. OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Installation is limited to the host system evaluated in this filing. Additional host systems will require reassessment of radiated spurious emissions due to the lack of shielding on the module.

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

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:

Does the applicant or authorized agent so certify? Yes

Applicant/Agent Certification:

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.

Signature of Authorized Person Filing: Daniel Lawless

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: 09/09/2014

Application Dated: 09/09/2014

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-BRCM1078

Name of Grantee:	Broadcom Corporation

Equipment Class:	Digital Transmission System
Notes:	Broadcom Bluetooth Module
Modular Type:	Limited Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2480.0	0.0018

Class II permissive change to add new functions through additional software features and a new host as documented in this filing.

Output power listed is Conducted. Compliance of this device in all final host configurations is the responsibility of the Grantee. OEM integrators and end-users must be provided with specific operating instructions for satisfying RF exposure compliance. OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Installation is limited to the host system evaluated in this filing. Additional host systems will require reassessment of radiated spurious emissions due to the lack of shielding on the module.

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: 09/09/2014

Application Dated: 09/09/2014

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-BRCM1078

Name of Grantee:	Broadcom Corporation

Equipment Class:	Digital Transmission System
Notes:	Broadcom Bluetooth Module
Modular Type:	Limited Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2480.0	0.0018

Class II permissive change to add new functions through additional software features and a new host as documented in this filing.

Mail To:

EA344207

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: 11/06/2013

Application Dated: 11/06/2013

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-BRCM1078

Name of Grantee:	Broadcom Corporation

Equipment Class:	Digital Transmission System
Notes:	Broadcom Bluetooth Module
Modular Type:	Limited Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2480.0	0.0018

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: 11/06/2013

Application Dated: 11/06/2013

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-BRCM1078

Name of Grantee:	Broadcom Corporation

Equipment Class:	Digital Transmission System
Notes:	Broadcom Bluetooth Module
Modular Type:	Limited Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2480.0	0.0018

Mail To:

EA882200

FCC ID QDS-BRCM1078

QDSBRCM1078, QDS BRCM1078, QDS-BRCM1078, QDS-BRCM1O78, QDS-BRCMI078, QD5-BRCM1078, ODS-BRCM1078, 0DS-BRCM1078

Broadcom Corporation Broadcom Bluetooth Module BRCM1078

Purchase on Amazon: Broadcom Bluetooth Module

Operating Frequencies

Exhibits

Available Exhibits

APP # 2 (2014-09-09)

APP # 1 (2013-11-06)

Application Forms

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

Grants

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