There has been a limited amount of peer-reviewed literature on long-term trends in electricity reliability including the underlying factors that impact reliability across the United States. In this analysis, we considered up to 16 years of data from 203 U.S. utilities-representing about 70% of electricity sales. Annual frequency of interruptions for an average customer-at the regional and U.S. national-level-has generally decreased over this timeframe. But we do not find that there is a statistically significant trend in the annual duration of interruptions for an average customer. We find that more explicit measures of severe weather are correlated with reliability. We are able to explain 7% and 16% of past variation in the reliability metrics system average interruption duration and frequency indices, respectively, is due to severe weather-a significant improvement over earlier studies. We find that current year spending by utilities is correlated with worse reliability and that cumulative spending over the preceding three years is correlated with better reliability. Finally, we demonstrate that using a statistical instrument to represent the annual frequency of interruptions for an average customer can greatly improve analysis of trends in the annual duration of interruptions for an average customer. 1. Introduction Power interruptions are caused by a number of different factors including weather-related impacts, electrical equipment faults or failure, and, indirectly, spending strategies on power system infrastructure, operations, and maintenance. The U.S. Department of Energy (DOE) reports that extreme weather is the most commonly-reported cause of power interruptions with the frequency of these extreme events increasing significantly over the last two decades [1]. Power interruptions significantly impact economic activity. A recent study estimates that sustained power interruptions cost an average of $44 billion annually in the U.S. alone [2]. The 2017 Atlantic hurricane season is just one example of recent extreme weather that has caused long duration, widespread power interruptions. During this season, six hurricanes were classified as "major" (i.e., Saffir-Simpson Category three storms or higher). For perspective, the long-term average number of major hurricanes since 1851 is six per decade [3]. In August 2017, Hurricane Harvey flooded many parts of Texas and Louisiana where some locations received as much as five feet of rain, resulting in power interruptions that impacted more than 330,000 customers [4]. During this storm, substations were flooded, utility poles were toppled, and there was extensive damage to other critical energy and electricity infrastructure [5, 6]. The following month, Hurricane Irma caused widespread damage to the Florida Keys and resulted in power interruptions for nearly two million customers [7]. Less than a week later, Hurricane Maria-the second category five storm of the season-caused widespread devastation across the U.S. territory of Puerto Rico. This storm destroyed the is...