During 1999, the U.S. Department of Energy, in conjunction with its nuclear laboratories, a national steering committee, and a panel of world experts, developed a roadmap for research, development, demonstration, and deployment of Accelerator-driven Transmutation of Waste (ATW). The ATW concept that was examined in this roadmap study was based on that developed at the Los Alamos National Laboratory (LANL) during the 1990s. The reference deployment scenario in the Roadmap was developed to treat 86,300 tn (metric tonnes initial heavy metal) of spent nuclear fuel that will accumulate through 2035 from existing U.S. nuclear power plants (without license extensions). The disposition of this spent nuclear reactor fuel is an issue of national importance, as is disposition of spent fuel in other nations. The U.S. program for the disposition of this once-through fuel is focused to characterize a candidate site at Yucca Mountain, Nevada for a geological repository for spent fuel and high-level waste. The ATW concept is being examined in the U.S. because removal of plutonium minor actinides, and two very long-lived isotopes from the spent fuel can achieve some important objectives. These objectives include near-elimination of plutonium reduction of the inventory and mobility of long-lived radionuclides in the repository, and use of the remaining energy content of the spent fuel to produce power. The long-lived radionuclides iodine and technetium have roughly one million year half-lives, and they are candidates for transport into the environment via movement of ground water. The scientists and engineers who contributed to the Roadmap Study determined that the ATW is affordable, doable, and its deployment would support all the objectives. We report the status of the U.S. ATW program describe baseline and alternate technologies, and discuss deployment scenarios to support the existing U.S. nuclear capability and/or future growth with a variety of new fuel cycles.