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Fillable Printable Form I-924P

Fillable Printable Form I-924P

Form I-924P

Form I-924P

*Use these poverty guidelines for Form I-942, Request for Reduced Fee, from January 26, 2017 until new guidelines go into effect in
2018.
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:
Form I-942P 02/06/17 N
2017 Annual HHS Poverty Guidelines*
Household Size150% of HHS Poverty Guidelines*
For Alaska:For Hawaii:
1
2
3
4
5
6
7
8
+8
$18,090
$24,360
$30,630
$36,900
$43,170
$49,440
$55,710
$61,980
Household Size150%
1
2
3
4
5
6
7
8
+8
$22,590
$30,435
$38,280
$46,125
$53,970
$61,815
$69,660
$77,505
Household Size150%
1
2
3
4
5
6
7
8
+8
$20,790
$28,005
$35,220
$42,435
$49,650
$56,865
$64,080
$71,295
Income Guidelines for Reduced Fees
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-942P
Supplement
Page 1 of 1
Add $6,270 for each
additional person.
Add $7,845 for each
additional person.
Add $7,215 for each
additional person.
200% of HHS Poverty Guidelines*
$24,120
$32,480
$40,840
$49,200
$57,560
$65,920
$74,280
$82,640
Add $8,360 for each
additional person.
HHS Poverty Guidelines*
200%
$30,120
$40,580
$51,040
$61,500
$71,960
$82,420
$92,880
$103,340
Add $10,460 for each
additional person.
HHS Poverty Guidelines*
200%
$27,720
$37,340
$46,960
$56,580
$66,200
$75,820
$85,440
$95,060
Add $9,620 for each
additional person.
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.
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