Form Hud-203b - Damaged Label Report Ipia/manufacturer - U.s. Department Of Housing And Urban Development


Damaged Label Report
U.S. Department of Housing and Urban Development
OMB Approval No. 2502-0233
Office of Consumer and Regulatory Affairs
expires 05/31/2003
(to be used when returning 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 Address
Manufacturer’s Representative
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.
Date certification label affixed to unit _____________________
Damaged certification label numbers _______________ through and including _________________________________
New certification label number affixed to unit (serial number) ________________________________________________
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: _________________ labels.
Label certification numbers _______________________ through and including _________________________________
IPIA Authorized Label Administrator ___________________________________ Date ___________________________
Original - HUD’s Contracting Agent
Copies to: IPIA
Previous editions obsolete
Form HUD-203B (1/00)


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