This document discusses how interlibrary loan (ILL) departments in academic libraries have been impacted by ebooks and shrinking collections. It notes that libraries have less ability to lend ebooks from their collections. The Occam's Reader platform enables some ebook lending between libraries. Open access materials have increased ILL requests as patrons seek materials libraries may not own. The UC Santa Cruz library increased ILL usage through outreach and marketing, including at orientations and library events. Overall libraries need more ebook lending options and collaboration to meet patrons' information needs in the digital environment.