Part 10: Request for Fee Reduction
For information about fees, fee waivers, and reduced fees, see
Form G-1055, Fee Schedule, at
www.uscis.gov/g-1055
.
…
For information about fees, fee waivers, and reduced fees, see
Form G-1055, Fee Schedule, at
www.uscis.gov/g-1055
.
To apply for a reduced fee, complete
Item Numbers 1. – 5.b.
If you are not eligible for a reduced fee, complete
Item Number 1
and proceed to
Part 11.
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Household Income
1. My household income is less than or equal to 400% of the Federal Poverty Guidelines (see Instructions for required documentation).
2. Total household income
$
Required.
3. My household size is
Required.
4. Total number of household members earning income (including yourself)
Required.
5.a. I am the head of household
5.b. Name of head of household
Required if you selected “No.”