This final report of the Review and Assessment Committee reviews the 5-year history of the Commission on Preservation and Access, a private, nonprofit organization that works through existing institutions and groups to foster, develop, and support collaboration among libraries and allied organizations in order to ensure the preservation of the published and documentary record in all formats, and to provide enhanced access to these records. The first two of four sections in this report present an assessment of progress in preservation in the nation over the past 5 years, a discussion of the continuing need for preservation activities, and the major issues of the future of preservation. The third section reviews and assesses the role of the commission, with particular attention to the identification of those areas of preservation in which the commission can be most effective in promoting the interests of the national library and archival community. The fourth section presents 20 recommendations for directions the commission should take in the future. (MAB)