Form I-864p - Hhs Poverty Guidelines For Affidavit Of Support

2016 HHS Poverty Guidelines for Affidavit of Support

USCIS

Form I-864P

Department of Homeland Security

Supplement

U.S. Citizenship and Immigration Services

2016 HHS Poverty Guidelines*

Minimum Income Requirements for Use in Completing Form I-864

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

100% of HHS Poverty Guidelines*

125% of HHS Poverty Guidelines*

For sponsors on active duty in the

For all other sponsors

U.S. Armed Forces who are petitioning

for their spouse or child

$16,020

$20,025

$20,160

$25,200

$24,300

$30,375

$28,440

$35,550

$32,580

$40,725

$36,730

$45,912

$40,890

$51,112

Add $4,160 for each

Add $5,200 for each

additional person.

For Alaska:

For Hawaii:

Sponsor's

100% of HHS

125% of HHS

Sponsor's

100% of HHS

125% of HHS

Household Size

Poverty Guidelines*

Household Size

Poverty Guidelines*

For sponsors on active

duty in the U.S. Armed

For all other sponsors

Forces who are

petitioning for their

spouse or child

$20,020

$25,025

$18,430

$23,037

$25,200

$31,500

$23,190

$28,987

$30,380

$37,975

$27,950

$34,937

$35,560

$44,450

$32,710

$40,887

$40,740

$50,925

$37,470

$46,837

$45,920

$57,400

$42,230

$52,787

$51,120

$63,900

$47,010

$58,762

Add $5,200 for each

Add $6,500 for each

Add $4,780 for each

Add $5,975 for each

additional person.

Means - Tested Public Benefits

Federal Means-Tested Public Benefits. To date, Federal agencies administering benefit programs have determined that Federal means-tested public

benefits include Food Stamps, Medicaid, Supplemental Security Income (SSI), Temporary Assistance for Needy Families (TANF), and the State

Child Health Insurance Program (SCHIP).

State Means-Tested Public Benefits. Each State will determine which, if any, of its public benefits are means-tested. If a State determines that it has

programs which meet this definition, it is encouraged to provide notice to the public on which programs are included. Check with the State public

assistance office to determine which, if any, State assistance programs have been determined to be State means-tested public benefits.

Programs Not Included: The following Federal and State programs are not included as means-tested benefits: emergency Medicaid; short-term,

non-cash emergency relief; services provided under the National School Lunch and Child Nutrition Acts; immunizations and testing and treatment

for communicable diseases; student assistance under the Higher Education Act and the Public Health Service Act; certain forms of foster-care or

adoption assistance under the Social Security Act; Head Start Programs; means-tested programs under the Elementary and Secondary Education

Act; and Job Training Partnership Act programs.

* These poverty guidelines remain in effect for use with Form I-864, Affidavit of Support, from March 1, 2016 until new guidelines go into

effect in 2017.

Form I-864P 03/01/16 N

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Form I-864p - Hhs Poverty Guidelines For Affidavit Of Support - 2016

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