April 6, 2011 Last updated at 03:09 ET
Pakistan still has no “clear path” to defeat militants on its soil, a new White House has said.
The report also said the Afghan Taliban had begun targeting civilian targets in recent months and that “heavy fighting” was expected this spring.
Pakistan has come under increasing criticism from the West for its support of al-Qaeda and Taliban militants.
In January, a US strategic review of the war said Pakistan must do more to defeat the militants.
Pakistan has repeatedly rejected claims that it is dragging its feet in the fight against militancy. It says that it works hard with the US in the “war against terror”.