HUD-203B Damaged Label Report

Damaged Label Report
IPIA/Manufacturer

U.S. Department of Housing and Urban Development
Office of Manufactured Housing Programs

OMB Approval No. 2502-0233
Expires 08/31/2019

(to be used when returning damaged labels)
The Manufactured Housing Procedural and Enforcement Regulations 24 CFR Chapter XX Part 3282 Section 552 requires manufacturers to report certification
label usage on a monthly basis. The information collected here will be used to report home distribution, collect fees, and reimburse parties as appropriate under
these Regulations. Public reporting burden for this collection of information is estimated to average 0.5 hours per response including the time for reviewing 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. 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. There are no assurances of confidentiality.
Manufacturer's Name & Address

Factory Name & 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 but repairable by the manufacturer.
Quantity: _____________________________ certification labels.

Date certification label affixed to unit ______________________
(mm/dd/yyyy)

Damaged certification label numbers _______________________ through and including ________________________________
New certification label number(s) affixed to new or repaired unit(s) __________________________________________________
Serial Number: _________________________________________ Des t ination: ____________________________________

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: _____________________ certification labels.
Certification Label numbers _______________________________ through and including ________________________________
IPIA Authorized Label Administrator ________________________________Date _________________
(signature)

Previous editions obsolete

(mm/dd/yyyy)

Form HUD-203B (09/16)