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 01/31/2013

(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.
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.
Quantity:

certification labels.

Damaged certification label numbers

Date certification label affixed to unit

(mm/dd/yyyy)

through and including

New certification label number affixed to unit (serial number)
Serial Number:

Destination:

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:
Label certification numbers
IPIA Authorized Label Administrator

labels.
through and including
(signature)

Date

(mm/dd/yyyy)

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

Form HUD-203B (06/09)