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Even though 72% of all American Indians/Alaska Natives (AI/AN), and 78% of all AI/AN children live off of reservations, it can be argued that Native populations residing in urban areas are among the most hidden in the United States. This invisibility has created and perpetuates extreme disparities across all the major sectors of life and community for tribal citizens living in cities, including children and family services, housing and homelessness, economic development and employment, and health and wellness. This report contains recommendations from several leaders of national urban Indian organizations who identified the cultural strengths, challenges, and emerging new directions to create greater opportunities in meeting the needs of rising urban AI/AN populations.