I-942P Supplement, Income Guidelines for Reduced Fees

Use this information as income guidelines to complete Form I-942, Reduced Fee Request. To qualify for the reduced fee, your documented annual household income must be greater than 150 percent and not more than 200 percent of the Federal Poverty Guidelines (FPG), at the time of filing, based on your household size. The secretary of the Department of Health and Human Services establishes the Federal Poverty Guidelines annually.

These poverty guidelines are effective beginning Jan. 13, 2021.

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 $19,320 $25,760
2 $26,130 $34,840
3 $32,940 $43,920
4 $39,750 $53,000
5 $46,560 $62,080
6 $53,370 $71,160
7 $60,180 $80,240
8 $66,990 $89,320
  Add $6,810 for each additional person Add $9,080 for each additional person
For Alaska
Household Size 150% of HHS Poverty Guidelines* 200% of HHS Poverty Guidelines*
1 $24,135 $32,180
2 $32,655 $43,540
3 $41,175 $54,900
4 $49,695 $66,260
5 $58,215 $77,620
6 $66,735 $88,980
7 $75,255 $100,340
8 $83,775 $111,700
  Add $8,520 for each additional person Add $11,360 for each additional person
For Hawaii:
Household Size 150% of HHS Poverty Guidelines* 200% of HHS Poverty Guidelines*
1 $22,230 $29,640
2 $30,060 $40,080
3 $37,890 $50,520
4 $45,720 $60,960
5 $53,550 $71,400
6 $61,380 $81,840
7 $69,210 $92,280
8 $77,040 $102,720
  Add $7,830 for each additional person Add $10,440 for each additional person

 

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