Metropolitan areas are home to a majority of American Indians and Alaska Natives (AIAN) in the United States who identify AIAN as their only race. The metro-based AIAN population is growing and becoming more geographically dispersed in part because of the number of people moving to cities from AIAN reservations, tribal lands and native villages. It also is disproportionately disadvantaged compared with the total population in the study sites. To understand the housing conditions, challenges and needs of AIAN nationally, it is important to include metro areas. This report examines changes in AIAN population living in metro areas; factors affecting mobility to and from metro areas; housing challenges; homelessness; and the availability of housing-related services. This is one of four reports presenting the final results of the study, Assessment of American Indian, Alaska Native, and Native Hawaiian Housing Needs, conducted for the U.S. Department of Housing and Urban Development.