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I-912P Supplement, 2020 HHS Poverty Guidelines for Fee Waiver Request

Use the HHS Poverty Guidelines to complete Form I-912, Fee Waiver Request.

These poverty guidelines are effective beginning Jan.15, 2020.

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:

Sponsor's Household Size 150% of HHS Poverty Guidelines*
1 $19,140
2 $25, 860
3 $32,580
4 $39,300
5 $46,020
6 $52,740
7 $59,460
8 $66,180
  Add $6,720 for each additional person
For Alaska
Household Size 150% of HHS Poverty Guidelines*
1 $23,925
2 $32,325
3 $40,725
4 $49,125
5 $57,525
6 $65,925
7 $74,325
8 $82,725
  Add $8,400 for each additional person
For Hawaii:
Sponsor's Household Size 150% of HHS Poverty Guidelines*
1 $22,020
2 $29,745
3 $37,470
4 $45,195
5 $52,920
6 $60,645
7 $68,370
8 $76,095
  Add $7,725 for each additional person

Form Details

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