Pursuant to Ohio Revised Code section 5153.163(C) and Ohio Administrative Code rule 5101:2-44-13.1(J), the following schedule is to be used only when determining whether families are required to pay five-percent of the total costs of all services received under the Post Adoption Special Services subsidy program effective July 2004. The schedule represents 200% of the 2004 Federal Poverty Guidelines (published in the Federal Register, Volume 69, Number 30, February 13, 2004) rounded to the nearest dollar and adjusted for family size.