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2017 HHS Poverty Guidelines for Fee Waiver Request USCIS

Department of Homeland Security Form I-912P


Supplement
U.S. Citizenship and Immigration Services

2017 HHS Poverty Guidelines*

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*


1 $18,090
2 $24,360
3 $30,630
4 $36,900
5 $43,170
6 $49,440
7 $55,710
8 $61,980
Add $6,270 for each
additional person.

For Alaska: For Hawaii:

Household Size 150% of HHS Poverty Guidelines* Household Size 150% of HHS Poverty Guidelines*
1 $22,590 1 $20,790
2 $30,435 2 $28,005
3 $38,280 3 $35,220
4 $46,125 4 $42,435
5 $53,970 5 $49,650
6 $61,815 6 $56,865
7 $69,660 7 $64,080
8 $77,505 8 $71,295
Add $7,845 for each Add $7,215 for each
additional person. additional person.

* These poverty guidelines remain in effect for use with Form I-912, Request for Fee Waiver, from January 26, 2017 until new
guidelines go into effect in 2018.

Form I-912P 02/06/17 N Page 1 of 1

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