This report, required under the 2008 Farm Bill, reviews the nutritional quality of the food package provided through USDA’s Food Distribution Program on Indian Reservations (FDPIR), comparing its content to scientific standards including the Dietary Guidelines for Americans, the Dietary Reference Intakes (DRIs), the Thrifty Food Plan nutrient standards and the Healthy Eating Index-2005. The FDPIR food package provides a nutritious variety of foods, and sufficient calories to meet the energy needs of most sedentary individuals and many moderately active children. While, similar to American diets in general, there is room for improvement in the quantities of fruits, vegetables, low-fat dairy products and whole grains, the nutritional content of the package is considerable. Individuals consuming FDPIR foods in the quantities provided would achieve a HEI-2005 score of 81 out of 100, considerably better than Americans in general (58 out of 100) and SNAP participants (52 out of 100). The efforts of the FDPIR Food Package Review Work Group, a partnership between FNS and the American Indian community to improve the food package, have contributed to the package’s quality.