HUD 306 Form

HUD Manufactured Home Retailer Report - Home Installation Information
OMB Approval No. 2502-0578
Expires 04/30/2018
The Manufactured Housing Installation Program Regulations 24 CFR Chapter XX Part 3286 Section 113 requires manufactured home retailers and distributors to report specific information about the installation of a new manufactured home within 30 days from the date of installation. The information collected here will be used in conjunction with manufacturer shipment reports, retail information reports, and other reports as appropriate under these Regulations. Public reporting burden for this collection is estimated to average 0.25 hour 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 mandatory. This ag ency may not collect this information, and you are not required to complete this form, unless the form displays a currently valid OMB control number.
Reporting Period
Report Correction
Manufacturer Serial Number
Certification Label Number
Retailer Name
Retailer Address
Retailer City
Retailer State
Retailer Zip
Submission Date
Retailer Signature
Installer Name
Inspector Name
Date Installation Work Began
Date of Installer's Certification
Inspector Verification Date
Inspector Address
Inspector City
Inspector State
Inspector Zip
Inspector Phone Number