This report is provided in response to a mandate by Congress in the Head Start Act, §650(b), as amended on December 12, 2007. The Act requires that the Secretary of the U.S. Department of Health and Human Services submit a report on the facilities of Indian Head Start agencies to the Committee on Education and the Workforce of the House of Representatives and the Senate Committee on Health, Education, Labor and Pensions at least once during every five-year period. The report is required to provide the condition, location, and ownership of facilities used or available to be used by Indian Head Start agencies (including Alaska Native Head Start agencies) and Native Hawaiian Head Start agencies. This report focuses solely on American Indian and Alaska Native (AI/AN) Head Start agencies providing AI/AN Head Start services since the Office of Head Start (OHS) did not provide funding to agencies designated as Native Hawaiian during Fiscal Year (FY) 2015. One hundred and fifty-one AI/AN grantees provided services across 26 states within 506 AI/AN Head Start centers in the 2014-2015 program year. There were 147 AI/AN grantees eligible to participate in the facility assessment during the period it was conducted. Of the four grantees ineligible to participate, two only offered home-based services, one was operated by an interim grantee, and one was a new Early Head Start-Child Care Partnership grantee.