| | Hancock County | KY | 21091 | | | | | metro county (urban) | manufacturing-dependent | https://maps.google.com/?q=HancockCounty+KY |
| | Harlan County | KY | 21095 | | | | | nonmetro county (rural) | mining-dependent | https://maps.google.com/?q=HarlanCounty+KY |
| | Harrison County | KY | 21097 | | | | | nonmetro county (rural) | manufacturing-dependent | https://maps.google.com/?q=HarrisonCounty+KY |
| | Hart County | KY | 21099 | | | | | nonmetro county (rural) | manufacturing-dependent | https://maps.google.com/?q=HartCounty+KY |
| | Hickman County | KY | 21105 | | | | | nonmetro county (rural) | farm-dependent | https://maps.google.com/?q=HickmanCounty+KY |
| | Hopkins County | KY | 21107 | | Madisonville, KY 31580 | | Central | nonmetro county (rural) | nonspecialized | https://maps.google.com/?q=HopkinsCounty+KY |
| | Jackson County | KY | 21109 | | | | | nonmetro county (rural) | nonspecialized | https://maps.google.com/?q=JacksonCounty+KY |
| | Johnson County | KY | 21115 | | | | | nonmetro county (rural) | nonspecialized | https://maps.google.com/?q=JohnsonCounty+KY |
| | Knott County | KY | 21119 | | | | | nonmetro county (rural) | mining-dependent | https://maps.google.com/?q=KnottCounty+KY |
| | Lee County | KY | 21129 | | | | | nonmetro county (rural) | nonspecialized | https://maps.google.com/?q=LeeCounty+KY |