HUD-312 State Installation Program Certification Form

State Installation Program
Certification Form

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

OMB Approval No. 2502-0578
Expires 07/31/2022

Pursuant to 42 U.S.C. § 5404(c)(2) (section 605(c)(2) of the National Manufactured Housing Construction and Safety Standards Act of 1974), HUD will
implement an installation program in each state that does not have a program meeting the requirements of 42 U.S.C. § 5404(c)(3). This State
Installation Program Certification form will be used for each state to self-certify the adequacy of its installation program, and for HUD to review that
self- certification. Your answers to the following questions are necessary for a proper review, although some questions are for informational purposes
only. Please answer each question completely, but concisely. Additional pages may be used if necessary, identifying each item by number. At the end
of the form, please certify the responses as full and accurate. Public reporting burden for this collection is estimated to average 2 hours 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 required to obtain and retain state self certification. This agency may not
collect this information, and no one is required to complete this form, unless the form displays a currently valid OMB control number.

Part A – Contact Information
1. Name, address, telephone number, email address, and functional area of responsibility for each state agency
responsible for administering any component (i.e., installation standards, licensing and training of installers, and
inspections of installations) of the state’s installation program:

2. Name and title of the administrator or director in charge of each state agency identified above:

3. Name, title, address, telephone number, and email address of each person responsible for administering each
component of the state’s installation program, listed by component area:

Distribution:
HUD

Page 1 of 6

Form HUD - 312

Part B –State Certification
1. Describe the state’s installation program, citing state laws and regulations that establish requirements for: (a)
installation standards; (b) training of installers; (c) licensing of installers; and (d) inspection of manufactured home
installations.

2. Does the state require that the installation of manufactured homes comply with specific
standards?

YES

NO

3. If yes to question 2, do these installation standards provide residents protection that, as
required by 42 U.S.C. § 5404(c)(3)(A), equals or exceeds the protection provided either: (i) by
standards established by HUD; or (ii) by designs and instructions that have been determined by
the Secretary of HUD or DAPIA to provide protection to residents that equals or exceeds the
protection that would be provided by HUD standards for the applicable installations?

YES

NO

Distribution:
HUD

Page 2 of 6

Form HUD - 312

4. Does the state require that at least the installation standards referenced in item 3, above,
YES
NO
apply in all areas and jurisdictions within the state?
If no to question 4, please identify each area or jurisdiction in the state to which state law does not apply to the
installation standards, and explain why, as a matter of federal law, the state believes it should be exempt from applying
the installation standards in each of those areas and jurisdictions.

5. Describe how the state has determined that its installation standards provide protection that equals or exceeds the
protection provided by HUD’s installation standards, as required by 42 U.S.C. § 5404(c)(3)(A).

Distribution:
HUD

Page 3 of 6

Form HUD - 312

6. Does the state’s manufactured home installation standards address the following items identified in 24 CFR
3286.505?
a.

Site location with respect to home design and construction condition?

YES

NO

b.

Consideration of site-specific condition?

YES

NO

c.

Site preparation and grading for drainage?

YES

NO

d.

Foundation construction?

YES

NO

e.

Anchorage?

YES

NO

f.

Installation of optional features, including comfort cooling systems?

YES

NO

g.

Completion of ductwork, plumbing and fuel supply systems?

YES

NO

h.

Electrical Systems?

YES

NO

i.

Exterior and interior close-up?

YES

NO

j.

Skirting, if installed?

YES

NO

k.

Completion of operational checks and adjustments?

YES

NO

7. Describe how the state’s manufactured home installation program addresses the training of installers in accordance
with 42 U.S.C. § 5404(c)(3)(B). Please provide information on the amount of training required, both initially and on a
continuing basis.

Distribution:
HUD

Page 4 of 6

Form HUD - 312

8. Describe how the state’s manufactured home installation program addresses the licensing of, or other certification
process for, installers in accordance with 42 U.S.C. § 5404(c)(3)(B).

9. Does the state provide adequate funding and personnel to support its installation program?

YES

NO

10. Does the state have a method for inspecting the initial installations of new manufactured
homes in accordance with 42 U.S.C. § 5404(c)(3)(C)?

YES

NO

(a) If yes to question 10, what portion or percentage of the installation of initially sited
manufactured homes is inspected?

YES

NO

(b) If the answer to question (a) is less than one hundred percent of the installation of initially sited manufactured
homes, what sampling plan is used to provide a reasonable likelihood of detecting problems with any installer and to
ensure that overall program quality can be assured with statistical confidence?

Distribution:
HUD

Page 5 of 6

Form HUD - 312

11. Does the state review or track the inspection of manufactured home installations?

YES

NO

12. If yes to question 11, explain what information the state tracks and how the state uses the information.

13. Does the state have a mechanism for revoking or suspending an installer’s license or
certification?

YES

NO

14. If yes to question 13, briefly explain the procedure and when it would be used:

Part C – Compliance Certification
I hereby certify that the state certification information above is true and accurate to the best of my knowledge
and belief.

By:

_____________________________________________
(Signature)

Date: ____________________

_____________________________________________
(Print or type name and official capacity of signatory)

_____________________________________________
(Print or type name of state)

Distribution:
HUD

Page 6 of 6

Form HUD - 312