HUD-203B Damaged Label Report

Damaged Label Report
IPIA/Manufacturer

U.S. Department of Housing and Urban Development
Office of Regulatory Affairs and Manufactured Housing

OMB Approval No. 2502-0233
expires 10/31/2006

(to be used when returning labels)
The Manufactured Housing Procedural and Enforcement Regulations 24 CFR Part 3282 Section 362 requires the Production Inspection Primary Inspection
Agency (IPIA) lto replace damaged certification labels, and Secton 501 authorizes the Secretary to take such actions to oversee the system as the
Secretary deems appropriate. The information collected here will be used by IPIAs and manufacturers to report damaged labels removed from manufactured homes. Public reporting burden for this collection of information is estimated to average 0.5 hours per response, including the time reviewing
the instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Response to this information collection is mandatory under 42 U.S.C. 5413(c)(3). This agency may not collect this information, and you are not
required to complete this form, unless it displays a currently valid OMB control number.
Manufacturer’s Name & Address

Factory Address

Manufacturer’s Representative

Phone

Date (mm/dd/yyyy)

Damaged Labels
(to be completed by manufacturer)

The following manufactured home certification labels have been damaged and are enclosed. Damaged certification labels
include those on units wrecked in transit.
Quantity: _________________ certification labels.

Date certification label affixed to unit _____________________

(mm/dd/yyyy)
Damaged certification label numbers _______________ through and including _________________________________

New certification label number affixed to unit (serial number) ________________________________________________

Assignment of Replacement Labels By
IPIA to Manufacturer
(to be completed by IPIA)

The following certification label number must be assigned to the specific facility identified above.
IPIA _________________________________________
Quantity: _________________ labels.
Label certification numbers _______________________ through and including _________________________________
IPIA Authorized Label Administrator ___________________________________ Date ___________________________
(signature)

(mm/dd/yyyy)

Distribution
Original - HUD’s Contracting Agent
Copies to: IPIA
Manufacturer
Previous editions obsolete

Form HUD-203B (10/20/2006)