Form I-942P Income Guidelines for Reduced Fees (rev)

Income Guidelines for Reduced Fees

USCIS
Form I-942P

Department of Homeland Security
U.S. Citizenship and Immigration Services

Supplement

2016 Annual HHS Poverty Guidelines*
To qualify for a reduced fee, documented annual household income must be greater than 150 percent but not more than 200 percent of
the Federal Poverty Guidelines at the time of filing.

DRAFT
NOT FOR
PRODUCTION
12/14/2016

For the 48 Contiguous States, the District of Columbia, Puerto Rico, the U.S. Virgin Islands,
Guam, and the Commonwealth of the Northern Mariana Islands:
Household Size

150% of HHS Poverty Guidelines*

200% of HHS Poverty Guidelines*

1

$17,820

$23,760

2

$24,030

$32,040

3

$30,240

$40,320

4

$36,450

$48,600

5

$42,660

$56,880

6

$48,870

$65,160

7

$55,095

$73,460

8

$61,335

$81,780

+8

Add $6,240 for each
additional person.

Add $8,320 for each
additional person.

For Alaska:

For Hawaii:

HHS Poverty Guidelines*

HHS Poverty Guidelines*

Household Size

150%

200%

Household Size

150%

200%

1

$22,260

$29,680

1

$20,505

$27,340

2

$30,030

$40,040

2

$27,645

$36,860

3

$37,800

$50,400

3

$34,785

$46,380

4

$45,570

$60,760

4

$41,925

$55,900

5

$53,340

$71,120

5

$49,065

$65,420

6

$61,110

$81,480

6

$56,205

$74,940

7

$68,880

$91,840

7

$63,345

$84,460

8

$76,680

$102,240

8

$70,515

$94,020

+8

Add $7,800 for each Add $10,400 for each
additional person.
additional person.

+8

Add $7,170 for each Add $9,560 for each
additional person.
additional person.

*Use these poverty guidelines for Form I-942, Request for Reduced Fee, from December 23, 2016 until new guidelines go into effect
in 2017.

Form I-942P 12/23/16

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