As a result of growing concern for American Indian elderly and an awareness of many not participating in entitlement programs (Food Stamps, Commodities) for which they were eligible, representatives of the Administration for Native Americans and the National Indian Council on Aging (NICOA) planned to conduct an access survey and to develop an access model. Beginning in spring 1979, four reservation sites (Papago, Jicarilla Apache, Pine Ridge, and Confederated Tribes of Siletz) were surveyed and data gathered through personal interviews with Indian elderly people. In addition to reservation survey efforts, a similar survey was conducted in Albuquerque during 1982. This survey compiled the same types of information as the reservation-based surveys, except that this effort was aimed at discerning the needs of urban Indian elderly. Survey findings presented needs of reservation and urban Indian elderly regarding income for basic subsistence needs, protection and surveillance against abuse and burglary, transportation, household maintenance, information and advocacy for enrollment in entitlement programs, a "comforter" visitation program, cultural enrichment activities, and educational effort for relatives of the elderly to encourage assistance. A description of an Access Project Model with five action plans concludes the report. Appendices provide job descriptions, work plan, sample letter, role of NICOA, and statistical information on elderly participation. (ERB)