USDA - Forest Service	
FOREST PEST MANAGEMENT PROJECT PROPOSAL
(Ref:  FSM 3400, Report FS-3400-E)	
Ø	PART I - REQUESTING OFFICE USE ONLY	×	
1.  Region/Area	2.  State	3.  Fiscal Year	4.  Casual Agent	5.  Group	6.  Landownership (x appropriate box)	
						
 					 		National Forest	 	Other Federal	
						
7.  Type of Project (x appropriate box)	8.  Status of Project (x appropriate box)	9.   Host Protected	
			
	 	Prevention		Suppression			New Project	 	Continuing Project		
			
10.  Prevention/Suppression Method	11.  Pesticide	12.  Application Rate	
			
13.	First Year Targets and Costs	Funds Needed in Subsequent Years	
 	 		Total	FY:		FY:		
 Program Activities
(a)	Units of Work
(b)	Unit Cost
(c)	Planned Cost
(d)	Estimated Cost
(e)	Estimated Cost
(f)	
(1)  Pretreatment Survey (Acres)						
 						
(2)  Treatment (Acres)						
 						
(3)  Volume Treated (MBF)						
 						
(4)  Volume Removed (MBF)						
 						
(5)  Volume Protected (MBF)						
 						
(6)  Post-Treatment Evaluation (Acres)						
 						
(7)  Environmental Monitoring (Acres)						
 						
(8)  Other (Identify)						
 						
(9)  Subtotal						
 						
(10)  Indirect and service charges (Field)						
        Percent of Subtotal  	(		%)							
 						
(11) Total Field Costs						
 						
14  Proposed By (Signature)	15.  Title	16.  Date 	
 			
Ø	PART II - REGION OR AREA USE ONLY	×	
17.  Region/Area Indirect and Service Charges						
       Percent of Total Field Costs 	(		%)							
 						
18.  Total Project Costs						
 						
19.  Approved By (Signature)	20.  Title	21. Project Number	22.  Date	
 				
Ø	PART III - WASHINGTON OFFICE USE ONLY	×	
23.  Project Action (x appropriate box)	24.  Total Funds Allocated				
 	 				
		Approved	 	Disapproved					
 	 				
25.  Approved/Disapproved By (Signature)	26.  Title	27.  Date	
 			
28.  Remarks	
	
Previous edition is obsolete	(OVER)	FS-3400-2 (11/82)	

INSTRUCTIONS:	(Reference FSM (3400) Use this form only for projects on National Forest System and other
Federal lands.	
1.	Region/Area	
2.	State	
3.	Fiscal Year	
4.	Casual Agent - Name the insect or disease involved.	
5.	Group- Indicate insect or disease group into which the casual agent falls.  Groups are bark beetle (BB), defoliator (DEF), other insects (01), dwarf mistletoe (DM), oak wilt (OW), other disease (OD).	
6.	Landownership	
7.	Type of Project	
8.	Status of Project	
9.	Host Protected - Name tree species affected.	
10.	Prevention/Suppression Method - Specify method to be used.	
11.	Pesticide - Include trade names of pesticides to be used.	
12.	Application Rate - If pesticide usage is involved, specify the dosage rate in pounds of active ingredient per unit treated.	
13.	Program Activities	
14.	Proposed By - Signature of person initiating the proposal.	
15.	Title	
16.	Date	
17.	Region/Area Indirect and Service Charges - Enter percent of field total cost from block 13(a)(11) and enter the amount imposed against the project at the Regional or Area office level.  	
18.	Total Project Costs - Enter the sum of blocks 13(a)(11) and 15.	
19.	Approved By - Project proposal must be approved and dated by the Regional Office or Area Office or by their designated representative prior to submission to the Washington Office. 	
20.	Title	
21.	Project Number	
22.	Date	
23.	Project Action	
24.	Total Funds Allocated	
25.	Approved/Disapproved By	
26.	Title	
27.	Date	
28.	Remarks