Form Hud-302 - Hud Manufactured Home Monthly Production Report
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1U.S. Department of Housing and Urban Development
OMB Approval No. 2502-0233
HUD Manufactured Home
Office of Consumer and Regulatory Affairs
expires 05/31/2003
Monthly Production Report
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 Address
Manufacturer’s Representative
(signature)
Phone
Date (mm/dd/yyyy)
Report for the Month of
(mm/yyyy) ______________________
Page ____ of ____
IPIA Agency ____________________________
Certification
Date of
First Shipping Destination Information
Manufacturer’s M/H
Type of Unit
Label Number
Manufacture
ID or Serial Numbers
(include all zeros
Dealer’s Name
City
State
Zip Code
(mm/dd/yyyy)
*(See Below)
and agency prefix)
*Type of Unit:
Distribution
Single-wide Unit (S)
Original - HUD’s Contracting Agent
Multi-wide Unit 1st Section (M1)
Copies to: IPIA
Multi-wide Unit 2nd Section (M2)
Manufacturer
Multi-wide Unit 3rd Section (M3)
Previous editions obsolete
Form HUD-302 (1/00)
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