The Missouri Board of Nursing approves 34 practical, 35 associate degree, one diploma, and 21 baccalaureate degree nursing programs. Although the Board is responsible for all nursing programs leading to initial licensure, its recognition by the U.S. Department of Education applies only to the 57 professional nursing programs eligible for Federal assistance under the Nurse Training Act of 1964, as amended. This paper serves as the interim report of the staff of the National Advisory Committee on Institutional Quality and Integrity (NACIQI) concerning the Missouri Board of Nursing petition for continued recognition.