Concepts for transportation of spent fuel in rail casks from nuclear power plant sites with no rail service are under consideration by the US Department of Energy in the Commercial Spent Fuel Management program at the Pacific Northwest Laboratory. This report identifies and evaluates three alternative systems for intermodal transfer of spent fuel: heavy-haul truck to rail, barge to rail, and barge to heavy-haul truck. This report concludes that, with some modifications and provisions for new equipment, existing rail and marine systems can provide a transportation base for the intermodal transfer of spent fuel to federal interim storage facilities. Some needed land transportation support and loading and unloading equipment does not currently exist. There are insufficient shipping casks available at this time, but the industrial capability to meet projected needs appears adequate.