HUD Manufactured Home Manufacturer’s Monthly Production and Shipment Destination Report |
U.S. Department of Housing and Urban Development Office of Regulatory Affairs and Manufactured Housing |
OMB Approval No. 2502-0233 Expires xx/xx/xxxx |
The Manufactured Home Procedural and Enforcement Regulations 24 CFR Chapter XX Part 3282 Section 552 requires manufacturers to report certification label usage on a monthly basis. The Manufactured Housing Installation Program Regulations 24 CFR Chapter XX Part 3286 Section 9 requires manufacturers to report each home’s destination on a monthly basis. The information collected here will be used to report home distribution, identify home destinations, facilitate coordination of installation certification and inspection, collect fees, and reimburse parties as appropriate under these regulations. Public reporting burden for this collection is estimated to average 1.0 hour per response including the time for reviewing the instructions, searching existing data sources, gathering and maintaining the data as needed, and completing and reviewing the collection of information. Response to the information collection is mandatory. This agency may not collect this information, and you are not required to complete this form, unless the form displays a currently valid OMB control number.
Manufacturer’s Name & Address
|
Factory Address
|
Date (mm/dd/yyyy)
|
Phone Number
|
Manufacturer’s Representative (Print Name) |
Manufacturer’s Representative (Signature)
|
Reporting Period (mm/dd/yyyy) ______________ to ______________ Page ____ of ____ |
IPIA Agency ________________ |
|
Certification Label Number (include all zeros and agency prefix) |
Manufacturer’s Serial Number (Including all letters and numbers)
|
Type of Unit* (See below) |
Date of Manufacture (mm/dd/yyyy) |
Anticipated Home Shipment Date (mm/dd/yyyy) |
First Shipping Destination Information (Retailer/Distributor) |
||||
Name |
Address |
City |
State |
Zip |
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Distribution |
Type of Unit: |
Original: HUD’s Monitoring Contractor |
Single Wide Unit (s) |
Copies to: IPIA |
Multi-Wide Unit 1st Section (M1) |
Manufacturer |
Multi-Wide Unit 2nd Section (M2) |
Retailer |
Multi-Wide Unit 3rd Section (M3) |
Previous Editions Obsolete |
Form HUD-302 (09/05) |
| File Type | application/msword |
| File Title | HUD Manufactured Home Manufacturer’s Monthly Production and Shipment Destination Report |
| Author | jmcjury |
| Last Modified By | h18889 |
| File Modified | 2008-01-24 |
| File Created | 2007-05-31 |