New York was pleased to be awarded the NYS Preschool Development Grant Birth through Five (NYSB5), which supported a Statewide Birth through Five Needs Assessment to analyze the current landscape of the NYS ECCE system. This Needs Assessment was conducted by the Center for Human Services Research (CHSR) at the University of Albany, State University of New York (SUNY), in partnership with the NYSB5 grantee, the NYS Council on Children and Families, the ECAC, and the State’s child-serving agencies and stakeholders. Conducted from January 2019 until September 2019, this NYSB5 Needs Assessment used a methodical approach to comprehensively analyze the NYS birth through five ECCE system, and this resulting report includes the components and methodology followed. Notably, this Needs Assessment provides a first-ever opportunity for the State to examine the interrelatedness of the national, state, and local ECCE services and supports and to focus on historically overlooked populations. To understand the nuances of the ECCE system, a significant amount of data was collected from the early childhood field. It should be highlighted that unprecedented and significant feedback was collected from direct care staff, administrators, and families based on approximately 2,200 survey responses and over 30 regional in-person focus groups. In addition, interviews were conducted with policymakers from State partner agencies. Gathering information from the families, providers, and administrators of the State’s vast early childhood system using various modalities has provided data rich in experiences and areas for improvement. (author abstract)