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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* 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.