Cover -- Title Page -- Copyright -- Preface -- Contents -- Figures -- Tables -- Summary -- Acknowledgments -- Abbreviations -- Chapter One - Where we are now, How we got Here, and the Decisions We Face -- The Current Situation -- Historical Background -- Confronting the Problem Anew -- Objectives and Approach of This Monograph -- Chapter Two - Technical Approaches to Spent-Nuclear Fuel Management -- On-Site Storage -- Spent-Fuel Pools -- Dry-Cask Storage -- Evaluation of Extended Reliance on On-Site Storage -- Centralized Interim Storage -- Evaluation of Centralized Interim Storage -- Advanced Fuel Cycles -- Uranium Resources -- Proliferation Risk -- Waste Management -- Evaluation of Advanced Fuel Cycles -- Permanent Geological Disposal -- Evaluation of Permanent Geological Disposal -- Comparison of Technical Approaches -- Safety -- Security -- Technical Obstacles -- Public Acceptance -- Cost -- Chapter Three - Review of Institutional, Statutory, and Regulatory Arrangements -- Overview of Current Institutional Framework -- Assessment of the Current Framework -- Organizational Competence and Capacity -- Performance of Decision Processes -- Considerations for Moving Forward -- Chapter Four - Policy Implications of Alternative Strategies -- Expeditiously Proceed with Yucca Mountain -- Develop Centralized Interim Storage in Conjunction with Permanent Geological Disposal -- Pursue Advanced Fuel Cycles -- Maintain Continued On-Site Storage -- Implications for Spent-Fuel Management Policy -- References.