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 U.S. Armed Forces who are petitioning for their spouse or child	For all other sponsors
2	$15,930	$19,912
3	$20,090	$25,112
4	$24,250	$30,312
5	$28,410	$35,512
6	$32,570	$40,712
7	$36,730	$45,912
8	$40,890	$51,112
	Add $4,160 for each additional person.	Add $5,200 for each additional person.

 

For Alaska:

Sponsor's Household Size	100% of HHS Poverty Guidelines*	125% of HHS Poverty Guidelines*
	For sponsors on active duty in the U.S. Armed Forces who are petitioning for their spouse or child	For all other sponsors
2	$19,920	$24,900
3	$25,120	$31,400
4	$30,320	$37,900
5	$35,520	$44,400
6	$40,720	$50,900
7	$45,920	$57,400
8	$51,120	$63,900
	Add $5,200 for each additional person.	Add $6,500 for each additional person.

 

For Hawaii:

Sponsor's Household Size	100% of HHS Poverty Guidelines*	125% of HHS Poverty Guidelines*
	For sponsors on active duty in the U.S. Armed Forces who are petitioning for their spouse or child	For all other sponsors
2	$18,330	$22,912
3	$23,110	$28,887
4	$27,890	$34,862
5	$32,670	$40,837
6	$37,450	$46,812
7	$42,230	$52,787
8	$47,010	$58,762
	Add $4,780 for each additional person.	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, 2015 until new guidelines go into effect in 2016.