This document provides an update and expanded information on a 1988 survey of Nebraska child care arrangements that was conducted by the Center for Public Affairs Research at the University of Omaha. An introduction covers purpose and methodology. A section on Nebraska's caregivers addresses Nebraska and U.S. preschool child care rates; characteristics related to the use of preschool child care in Nebraska; classification of Nebraska child care arrangements; comparison of Nebraska Child Care Patterns in 1988 and 1990; and comparative features of child care arrangements. Topics in the section on parents' choices of child care arrangements include characteristics related to type of child care used and the process of choosing among child care options. The section on access to quality child care concerns availability of child care providers; affordability of child care arrangements; and the quality of child care arrangements. The section on Nebraska child care policy discusses policy objectives; increased availability of child care; decreased cost of child care; improved quality of child care; and priorities for the future. Ten references, and appendices on the survey design, methodology, and questionnaire, and the Nebraska Preschool Child Care Policy Workshop, conclude the document. (SAK)