Board of Veterans' Appeals: Remand or Referral for Further Action; Notification of Evidence Secured by the Board and Opportunity for Response, 67149-67154 [E9-30094]
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Federal Register / Vol. 74, No. 242 / Friday, December 18, 2009 / Proposed Rules
compromise will be offset against
benefits otherwise payable under 38
U.S.C. chapter 11.
(Authority: 38 U.S.C. 1151(b)(2))
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4. Amend § 3.809 by:
a. In the section introductory text,
removing ‘‘38 U.S.C. 2101(a)’’ and
adding, in its place ‘‘38 U.S.C. 2101(a)
or 2101A(a)’’ and by removing
‘‘veteran’’ and adding, in its place,
‘‘veteran or a member of the Armed
Forces serving on active duty’’;
b. Revising paragraph (a);
c. Revising paragraph (b) introductory
text;
d. In paragraph (b)(3), removing
‘‘wheelchair.’’ and adding, in its place,
‘‘wheelchair, or’’;
e. In paragraph (b)(4), removing ‘‘with
the loss of loss of use’’ and adding, in
its place, ‘‘with the loss or loss of use’’
and removing ‘‘wheelchair.’’ and
adding, in its place, ‘‘wheelchair, or’’;
f. Adding paragraphs (b)(5) and (b)(6);
g. Removing paragraph (c);
h. Redesignating paragraph (d) as new
paragraph (c); and
i. Revising the authority citation at the
end of the section.
The revisions and additions read as
follows:
§ 3.809 Specially adapted housing under
38 U.S.C. 2101(a).
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(a) Eligibility. A veteran must have
had active military, naval, or air service
after April 20, 1898. Benefits are not
restricted to veterans with wartime
service. On or after December 16, 2003,
the benefit under this section is also
available to a member of the Armed
Forces serving on active duty.
(b) Disability. A member of the Armed
Forces serving on active duty must have
a disability that was incurred or
aggravated in line of duty in active
military, naval, or air service. A veteran
must be entitled to compensation under
chapter 11 of title 38, United States
Code, for a disability rated as permanent
and total. In either case, the disability
must be due to:
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(5) The loss or loss of use of both
upper extremities such as to preclude
use of the arms at or above the elbow,
or
(6) Full thickness or subdermal burns
that have resulted in contractures with
limitation of motion of two or more
extremities or of at least one extremity
and the trunk.
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(Authority: 38 U.S.C. 1151(c)(1), 2101,
2101A).
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5. Amend § 3.809a by:
a. In the section introductory text,
removing ‘‘38 U.S.C. 2101(b)’’ and
adding, in its place ‘‘38 U.S.C. 2101(b)
or 2101A(a)’’ and by removing ‘‘April
20, 1898,’’ and adding, in its place,
‘‘April 20, 1898, or to a member of the
Armed Forces serving on active duty
who is eligible for the benefit under this
section on or after December 16, 2003,’’.
b. Removing the authority citation
after the section introductory text.
c. In paragraph (a), removing
‘‘veteran’’ each place it appears and
adding, in each place, ‘‘member of the
Armed Forces serving on active duty or
veteran’’ and by removing the last
sentence of paragraph (a).
d. Revising paragraph (b).
e. Removing paragraph (c).
f. Revising the authority citation at the
end of the section.
g. Adding a cross-reference
immediately after the authority citation
at the end of the section.
The revision and addition read as
follows:
§ 3.809a Special home adaptation grants
under 38 U.S.C. 2101(b).
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(b) A member of the Armed Forces
serving on active duty must have a
disability that was incurred or
aggravated in line of duty in active
military, naval, or air service. A veteran
must be entitled to compensation under
chapter 11 of title 38, United States
Code, for a disability rated as permanent
and total. In either case, the disability
must:
(1) Include the anatomical loss or loss
of use of both hands, or
(2) Be due to:
(i) Blindness in both eyes with 5/200
visual acuity or less, or
(ii) Deep partial thickness burns that
have resulted in contractures with
limitation of motion of two or more
extremities or of at least one extremity
and the trunk, or
(iii) Full thickness or subdermal burns
that have resulted in contracture(s) with
limitation of motion of one or more
extremities or the trunk, or
(iv) Residuals of an inhalation injury
(including, but not limited to,
pulmonary fibrosis, asthma, and chronic
obstructive pulmonary disease).
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(Authority: 38 U.S.C. 1151(c)(1), 2101,
2101A, 2104).
Cross-Reference: Assistance to certain
disabled veterans in acquiring specially
adapted housing. See §§ 36.4400
through 36.4410 of this chapter.
[FR Doc. E9–30096 Filed 12–17–09; 8:45 am]
BILLING CODE 8320–01–P
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67149
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Parts 19 and 20
RIN 2900–AN34
Board of Veterans’ Appeals: Remand
or Referral for Further Action;
Notification of Evidence Secured by
the Board and Opportunity for
Response
Department of Veterans Affairs.
Proposed rule.
AGENCY:
ACTION:
SUMMARY: The Department of Veterans
Affairs (VA) proposes to amend the
Appeals Regulations of the Board of
Veterans’ Appeals (Board or BVA) to
articulate the Board’s practice of
referring unadjudicated claims to the
Agency of Original Jurisdiction (AOJ)
for appropriate action, and to describe
when it is appropriate for the Board to
remand a claim to the AOJ for the
limited purpose of issuing a Statement
of the Case (SOC). We also propose to
amend the Board’s Rules of Practice to
outline the procedures the Board must
follow when supplementing the record
with a recognized medical treatise, and
to remove the notice procedures the
Board must currently follow when
considering law not considered by the
AOJ. The purpose of these amendments
is to codify existing practices derived
from caselaw, enhance efficiency, and
provide guidance and clarification.
DATES: Comments must be received by
VA on or before February 16, 2010.
ADDRESSES: Written comments may be
submitted through https://
www.regulations.gov; by mail or handdelivery to the Director, Regulations
Management (02REG), Department of
Veterans Affairs, 810 Vermont Avenue,
NW., Room 1068, Washington, DC
20420; or by fax to (202) 273–9026.
(This is not a toll-free number.)
Comments should indicate that they are
submitted in response to ‘‘RIN 2900–
AN34—Board of Veterans’ Appeals:
Remand or Referral for Further Action;
Notification of Evidence Secured by the
Board and Opportunity for Response.’’
All comments received will be available
for public inspection in the Office of
Regulation Policy and Management,
Room 1063B, between the hours of
8 a.m. and 4:30 p.m. Monday through
Friday (except holidays). Please call
(202) 461–4902 for an appointment.
(This is not a toll-free number.) In
addition, during the comment period,
comments may be viewed online
through the Federal Docket Management
System (FDMS) at https://
www.regulations.gov.
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Federal Register / Vol. 74, No. 242 / Friday, December 18, 2009 / Proposed Rules
FOR FURTHER INFORMATION CONTACT:
Laura H. Eskenazi, Principal Deputy
Vice Chairman, Board of Veterans’
Appeals (01C2), Department of Veterans
Affairs, 810 Vermont Avenue, NW.,
Washington, DC 20420, (202) 461–8078.
(This is not a toll-free number.)
SUPPLEMENTARY INFORMATION: The Board
is an administrative body within VA
that decides appeals of decisions on
claims for veterans’ benefits, as well as
a limited class of cases of original
jurisdiction. The Board is under the
administrative control and supervision
of a Chairman who is directly
responsible to the Secretary. 38 U.S.C.
7101(a). The Board’s Appeals
Regulations are found at 38 CFR Part 19,
and its Rules of Practice are found at 38
CFR Part 20. This document proposes to
amend Parts 19 and 20 to codify existing
practices derived from caselaw, enhance
efficiency, and provide guidance and
clarification. Specifically, we propose to
amend 38 CFR 19.9 to articulate the
Board’s practice of referring
unadjudicated claims to the AOJ for
appropriate action. We also propose to
amend this section to describe when it
is appropriate for the Board to remand
a claim to the AOJ for the limited
purpose of issuing an SOC.
Additionally, we propose to amend 38
CFR 20.903 to codify the procedures the
Board must follow when supplementing
the record with a recognized medical
treatise, and to eliminate the notice
procedures the Board must currently
follow when considering law not
considered by the AOJ. The specific
changes to each section will be
discussed in turn.
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I. 38 CFR 19.9
A. Referral of Unadjudicated Claims
In reviewing a claim on appeal, the
Board sometimes discovers an
unadjudicated claim in the record. The
courts in recent years have addressed
whether the evidence of record raises a
claim and whether a claim, either
implied or explicit, has been
adjudicated. See, e.g., Williams v.
Peake, 521 F.3d 1348 (Fed. Cir. 2008);
Deshotel v. Nicholson, 457 F.3d 1258
(Fed. Cir. 2006); Ingram v. Nicholson, 21
Vet. App. 232 (2007). Whether the
record contains an unadjudicated claim
often depends on the factual similarity
of other existing claims. See Moody v.
Principi, 360 F.3d 1306, 1310 (Fed. Cir.
2004) (observing that whether various
filings submitted by a claimant should
be interpreted as a claim is ‘‘essentially
a factual inquiry’’). The purpose of this
proposed rulemaking is not to outline
what filings should be interpreted as
raising a claim and under what
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circumstances such claims are
considered adjudicated; those questions
are outside the scope of this rulemaking.
Rather, the purpose of this proposed
rulemaking is to provide guidance as to
what action the Board should take when
it discovers an unadjudicated claim in
the record.
A common example of this situation
is a claimant submitting a new claim at
a hearing before the Board. The Board
may, consistent with 38 CFR 3.155(a)
(‘‘Any communication or action * * *
indicating an intent to apply for one or
more benefits * * * may be considered
an informal claim.’’), construe a
particular statement as a new claim.
However, the Board may not adjudicate
the newly-raised claim because, with
the exception of a narrow class of
matters over which the Board has
original jurisdiction, see, e.g., 38 U.S.C.
7111, the Board is charged with
deciding appeals and may not review
evidence in the first instance. To do so
would frustrate a claimant’s right to
both an initial AOJ decision and the
Board’s appellate review of that
decision. See Disabled Am. Veterans v.
Sec’y of Veterans Affairs, 327 F.3d 1339,
1347 (Fed. Cir. 2003) [hereinafter
‘‘DAV’’] (noting that, under 38 U.S.C.
511(a) and 7104(a), ‘‘the Board acts on
behalf of the Secretary in making the
ultimate decision on claims and
provides ‘one review on appeal to the
Secretary’ ’’). Because the Board may not
adjudicate the new claim in the first
instance, the Board ‘‘refers’’ the
unadjudicated claim to the AOJ for
appropriate action. These referrals help
ensure that the claim will not be
overlooked.
The Board’s practice of referring
claims was addressed favorably by the
United States Court of Appeals for
Veterans Claims (Court) in Godfrey v.
Brown, 7 Vet. App. 398 (1995). In
Godfrey, the Court noted that ‘‘section
7105 of title 38, U.S. Code, establishes
‘very specific, sequential, procedural
steps that must be carried out by a
claimant and the [AOJ] * * * before a
claimant may secure ‘‘appellate review’’
by the BVA’.’’ Godfrey, 7 Vet. App. at
409 (quoting Bernard v. Brown, 4 Vet.
App. 384, 390 (1993)). The Court
reasoned that allowing the Board to
refer a claim to the AOJ enables the AOJ
to make the ‘‘initial review or
determination’’ on that claim, as
referenced in 38 U.S.C. 7105(b)(1), and
thus permits VA to follow the
procedural prerequisites for appellate
review. Id. at 410. Thus, the Court held
that ‘‘the Board did not err in referring
[a] right-ankle claim to the [AOJ]
without additional specific instructions
because * * * that [claim] was not in
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appellate status.’’ Id. at 409. Since
Godfrey, the Court has often referenced
the Board’s ability to refer an
unadjudicated claim to the AOJ for
initial adjudication. See, e.g., Jarrell v.
Nicholson, 20 Vet. App. 326, 334 (2006)
(concluding that, because the Board
lacked jurisdiction over the merits of a
claim that had not been presented to
and adjudicated by the AOJ, the
appropriate course of action for the
Board was to refer the matter to the AOJ
for adjudication in the first instance);
Richardson v. Nicholson, 20 Vet. App.
64, 72–73 (2006) (observing that, if the
Board determines that a claim for
service connection was reasonably
raised but not adjudicated, the claim
remains pending and must be referred to
the AOJ for adjudication); Bruce v. West,
11 Vet. App. 405, 408 (1998) (holding
that the Board properly referred to the
AOJ a claim for service connection for
tinnitus that the claimant raised for the
first time in his testimony at a hearing
before the Board for other claims on
appeal); Smallwood v. Brown, 10 Vet.
App. 93, 99–100 (1997) (concluding that
the Board did not err in referring a clear
and unmistakable error claim to the AOJ
for adjudication).
Although the Board’s regulations
prescribe when a remand is and is not
necessary, the regulations are silent as
to the referral process. The Board’s
Appeals Regulations, contained in 38
CFR Part 19, include a Subpart A—
Operation of the Board of Veterans’
Appeals, which in turn includes a
section titled ‘‘Remand for further
development.’’ 38 CFR 19.9. That
section indicates that, ‘‘[i]f further
evidence, clarification of the evidence,
correction of a procedural defect, or any
other action is essential for a proper
appellate decision, a Veterans Law
Judge * * * shall remand the case to
the [AOJ], specifying the action to be
undertaken.’’ Id. § 19.9(a). The rule also
sets forth ‘‘exceptions’’ for
circumstances in which a remand is not
necessary. Id. § 19.9(b). However, no
rule mentions the Board’s existing
practice of referring unadjudicated
claims to the AOJ for initial
adjudication. Therefore, for clarity and
consistency, we propose to codify this
existing, court-sanctioned practice by
amending 38 CFR 19.9 to describe when
it is appropriate to refer a claim to the
AOJ. Referral of a claim by the Board
will not constitute review of the claim
on appeal. Rather, the referral will be a
formalized mechanism by which to
notify the AOJ of an unadjudicated
claim so that the AOJ may make the
‘‘initial review or determination’’ on
that claim, see 38 U.S.C. 7105(b)(1), as
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well as take any other action the AOJ
deems necessary.
We propose to revise the section
heading of § 19.9 to read, ‘‘Remand or
referral for further action’’, to reflect
inclusion of the referral action under
this section. We also propose to list in
a new paragraph (d) the situations for
which neither a remand nor referral is
required and to revise paragraph (b) to
describe the details of the referral
action. New paragraph (b) would require
that the Board refer to the AOJ for
appropriate consideration and handling
in the first instance all claims
reasonably raised by the record that
have not been initially adjudicated by
the AOJ, except for claims over which
the Board has original jurisdiction. An
example of a claim over which the
Board has original jurisdiction is a
motion for revision of a final Board
decision based on clear and
unmistakable error. 38 U.S.C. 7111(e)
(request for revision of a Board decision
based on clear and unmistakable error
must be decided by the Board on the
merits without referral to any
adjudicative or hearing official acting on
the Secretary’s behalf).
B. Remand for Issuance of an SOC
A similar situation arises when the
Board discovers a Notice of
Disagreement (NOD) that was timely
filed in response to a decision by the
AOJ, but the record does not reflect that
the AOJ issued an SOC as required by
38 U.S.C. 7105(d)(1) before forwarding
the claims file to the Board. If the Board
discovers a timely-filed NOD, and it is
apparent that the NOD was not
withdrawn or the claim was not granted
in full following the NOD, but an SOC
was never issued, the Board is faced
with a question as to the proper
handling of that claim.
The Court addressed this procedural
situation in Manlincon v. West, 12 Vet.
App. 238, 240 (1999), recognizing that
an NOD initiates ‘‘review by the Board.’’
The Court held that if a timely NOD is
filed but an SOC is not issued, the
proper remedy for the Board is to
remand, not refer, the issue to the AOJ
for issuance of a SOC. Id. at 240–41.
Since Manlincon was decided, the
Board has been following the practice
mandated by the Court. If during the
course of reviewing an appeal properly
before it, the Board discovers a timely
filed NOD as to a claim adjudicated by
the AOJ but not granted in full, and the
NOD has not been withdrawn, but no
SOC was issued as to that claim, the
Board remands the claim to the AOJ for
the limited purpose of issuing an SOC.
In other words, the Board takes
jurisdiction over the claim for the
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limited purpose of remanding it to the
AOJ to issue an SOC. The appeal
initiated by the filing of the NOD will
be subsequently returned to the Board
only if, after the AOJ issues the SOC, the
appellant files a timely Substantive
Appeal that perfects the appeal to the
Board. See 38 U.S.C. 7105(d)(3).
The Board’s Appeals Regulations,
Subpart A—Operation of the Board of
Veterans’ Appeals, currently contain
guidance as to when it is proper for the
Board to remand a case to the AOJ, but
the guidance does not cover the
Manlincon situation. Therefore, the
Board proposes to amend its regulations
to codify this existing practice for clarity
and consistency in adjudication.
Specifically, we propose to revise
paragraph (c) of 38 CFR 19.9 to address
the Manlincon situation. New paragraph
(c) would instruct the Board to remand
a claim for issuance of an SOC if an
NOD has been timely filed and not
withdrawn, but the AOJ has not
subsequently granted the claim in full or
furnished the claimant with an SOC.
Although the Manlincon decision did
not specifically address the action the
Board should take if the AOJ partially
grants a claim following an NOD but
does not issue an SOC, proposed
§ 19.9(c) would extend the Manlincon
remand procedures to cover this
situation. It is generally presumed that
a claimant is ‘‘seeking the maximum
benefit allowed by law and regulation’’
and that a claim ‘‘remains in
controversy where less than the
maximum benefit available is awarded.’’
AB v. Brown, 6 Vet. App. 35, 38 (1993).
The AOJ is therefore required to issue
an SOC in cases where the claim is
partially granted following the NOD,
just as it would in cases where the
benefit sought is denied outright. We
believe that it is consistent with
Manlincon for the Board to remand for
issuance of an SOC if the claim was
only partially granted following the
NOD and no SOC was furnished.
Proposed § 19.9(c) would therefore
require remand for issuance of an SOC
unless the claim is granted in full
following the NOD or the claimant,
consistent with the withdrawal
requirements of 38 CFR 20.204,
withdraws the NOD.
We also propose to make additional
changes to 38 CFR 19.9 to enhance
clarity and readability. Current
paragraph (b) of § 19.9 is titled
‘‘Exceptions’’ and sets forth several
specific situations in which remand to
the AOJ is unnecessary. Current
paragraph (c) is titled ‘‘Scope’’ and
outlines specific matters over which the
provisions of § 19.9 do not apply. While
these paragraphs are titled differently,
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the purpose of each is essentially the
same: Namely, to outline various
circumstances in which a remand to the
AOJ is not legally required. Because the
provisions of current paragraphs (b) and
(c) are meant to accomplish the same
purpose, we propose to combine the
provisions of each paragraph in a new
paragraph (d) that would set forth the
situations in which a remand or referral
to the AOJ is not necessary. Specifically,
new paragraph (d) would provide that
remand to the AOJ is not necessary for
each of the activities outlined in current
paragraphs (b)(1) through (3) and (c)(1)
through (3). Additional proposed
changes to current paragraph (b)(2) are
discussed in greater detail below.
II. 38 CFR 20.903
A. Thurber Procedures
We propose to amend 38 CFR 20.903
to clarify the procedures the Board must
follow when it supplements the record
with a recognized medical treatise.
The Court has long held that the
Board is free to supplement the record
on appeal with a recognized medical
treatise. See, e.g., Hatlestad v.
Derwinski, 3 Vet. App. 213, 217 (1992)
(noting that the Board should ‘‘include
in its decisions quotations from medical
treatises * * * and [that] such
quotations should be of sufficient length
so that their context * * * is able to be
determined’’); Colvin v. Derwinski, 1
Vet. App. 171, 175 (1991) (observing
that if ‘‘the medical evidence of record
is insufficient, or, in the opinion of
BVA, of doubtful weight or credibility,
the BVA is always free to supplement
the record by . . . citing recognized
medical treatises in its decisions that
clearly support its ultimate
conclusions’’). When the Board does
supplement the record in this way,
however, the Court has also held that
the Board must ‘‘provide the appellant
with notice of its intention to use a
medical treatise as well as an
opportunity to respond thereto.’’ See
Kirwin v. Brown, 8 Vet. App. 148, 153
(1995) (citing Thurber v. Brown, 5 Vet.
App. 119, 126 (1993)); see also
Hatlestad, supra. The Board’s Appeals
Regulations provide that such notice
does not require remand to the AOJ. 38
CFR 19.9(c)(2); see also Kirwin and
Thurber, supra.
In compliance with Kirwin and
Thurber, when the Board wishes to
supplement the record with a
recognized medical treatise, the Board’s
practice has been to provide the
appellant with a copy of the medical
treatise evidence to be used and offer
the appellant and his or her
representative, if any, 60 days to
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respond. Similar ‘‘notice and response’’
procedures are currently codified for
situations where the Board considers an
opinion from the Veterans Health
Administration (VHA), the Armed
Forces Institute of Pathology (AFIP),
VA’s General Counsel (GC), or an
independent medical expert (IME). 38
CFR 20.901, 20.903.
Thus, the notice and opportunity to
respond provisions are currently set
forth by regulation with respect to the
Board’s consideration of VHA, AFIP,
GC, and IME opinions, but the
regulations are silent with respect to the
Board’s obligation to provide an
appellant with notice of the Board’s
intent to supplement the record with a
recognized medical treatise. Essentially,
the Board’s Rules of Practice contain a
gap because § 19.9(c)(2) allows the
Board to supplement the record with a
recognized medical treatise without first
remanding the claim to the AOJ, but the
regulations do not contain a
corresponding provision that outlines
the ‘‘notice and response’’ procedures
required by Kirwin and Thurber.
To fill this gap, and for other reasons
discussed below, we propose to revise
paragraph (b) of 38 CFR 20.903.
Proposed § 20.903(b)(1) would set forth
the general rule that when the Board
supplements the record with a
recognized medical treatise it must
notify the appellant and his or her
representative, if any, that the Board
will consider such recognized medical
treatise in the adjudication of the
appeal. Proposed 38 CFR 20.903(b)(1)
would also require that such notice
contain a copy of the relevant portions
of the recognized medical treatise. A 60day period would be allowed for
response. Such an approach is
consistent with the ‘‘notice and
response’’ provisions provided for in
situations where the Board considers an
opinion from VHA, AFIP, VA’s GC, or
an IME. 38 CFR 20.901, 20.903(a).
Although Thurber stated that the
Board must provide the appellant with
notice of the ‘‘reliance proposed to be
placed on [the medical treatise
evidence],’’ 5 Vet. App. at 126, we have
slightly modified this language in
proposed § 20.903(b)(1). We believe that
the word ‘‘reliance’’ could be
misconstrued as suggesting that the
Board has already reached a preliminary
decision on the claim. We do not,
however, believe that Thurber requires
the Board to pre-adjudicate a claim
before following the required notice
procedures. To the contrary, the notice
procedures outlined in Thurber are
meant to elicit additional evidence and
argument that will more fully inform the
Board’s eventual decision. To clarify
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that the Board need not pre-adjudicate
the claim to employ the Thurber notice
procedures, proposed § 20.903(b)(1)
would require only that the Board notify
the appellant that it ‘‘will consider such
recognized medical treatise in the
adjudication of the appeal.’’ We believe
that this language serves the purpose of
alerting the appellant that the Board
will rely upon such evidence in
reaching its ultimate determination as
required by Thurber, while at the same
time avoiding any implication that the
Board has reached a preliminary
decision on the appeal.
Proposed § 20.903(b)(2) would
provide that notice is not required if the
Board uses a recognized medical treatise
or a medical dictionary for the limited
purpose of defining a medical term and
that definition is not material to the
Board’s disposition of the appeal. The
Board routinely cites medical
dictionaries to define words that are not
in common usage among lay people,
such as names of rare diseases or
obscure anatomical terms. The Court
has followed a similar practice over the
years. See, e.g., Fritz v. Nicholson, 20
Vet. App. 507, 511 (2006) (relying on
Dorland’s Illustrated Medical Dictionary
to define ‘‘care’’); Felden v. West, 11
Vet. App. 427, 430 (1998) (relying on
Dorland’s Illustrated Medical Dictionary
to define ‘‘convalescence’’);
Lendenmann v. Principi, 3 Vet. App.
345, 347 (1992) (relying on Webster’s
Medical Desk Dictionary to define
several medical terms). Where the Board
cites a definition contained in a medical
treatise or dictionary solely for the
purpose of clarifying or explaining a
medical term, following the notice
procedures required by Thurber would
serve no useful purpose because in such
circumstances the definition is being
provided for general background
information and is not being relied on
by the Board in its adjudication of the
appeal. However, under proposed
§ 20.903(b)(2), if the Board intends to
use a definition found in a medical
treatise or dictionary in a manner that
would materially affect its decision, the
notice procedures required by Thurber
would still need to be followed.
B. Board Consideration of Law Not
Already Considered by the AOJ
As outlined above, we propose to
revise current paragraph (b) of § 20.903
to include the Thurber notice
provisions. We further propose to
completely remove the provisions of
current 38 CFR 20.903(b) from the
Board’s Rules of Practice.
Current § 20.903(b) requires that if the
Board intends to consider law not
already considered by the AOJ, and
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such consideration could result in
denial of the appeal, the Board must
notify the appellant and his or her
representative of its intent to do so,
provide a copy or summary of the law
to be considered, and allow 60 days for
a response. A predecessor of this
provision was first added to the Board’s
Rules of practice in 2002 as part of a
larger rulemaking that, among other
things, established procedures allowing
the Board to develop the record and
consider evidence in the first instance
without remanding the appeal to the
AOJ. See 67 FR 3099, 3105 (Jan. 23,
2002). A predecessor to current 38 CFR
19.9(b)(2), which permits the Board to
consider law not considered by the AOJ
without remanding the appeal, was also
added to the Board’s Rules of Practice
as part of the same rulemaking. Id. at
3104.
The United States Court of Appeals
for the Federal Circuit (Federal Circuit)
subsequently invalidated several
regulatory provisions in the Board’s
Rules of Practice that allowed the Board
to conduct development and consider
evidence in the first instance without
remand to the AOJ. See DAV, 327 F.3d
at 1341–42. As a result of the DAV
decision, VA substantially revised
§§ 19.9 and 20.903, but the predecessors
to current §§ 19.9(b)(2) and 20.903(b)
were retained, with minimal, largely
non-substantive changes. See 69 FR
53807, 53808 (Sept. 3, 2004).
In light of the Federal Circuit’s
decision in DAV and several statutory
provisions, we believe that the notice
procedures outlined in current
§ 20.903(b) are unnecessary and should
be removed from the Board’s Rules of
Practice. In DAV, the Federal Circuit
considered a challenge to the validity of
§ 19.9(b)(2), which permitted the Board
to consider law not considered by the
AOJ in the first instance. DAV, 327 F.3d
at 1349. The Federal Circuit deferred to
VA’s interpretation that the ‘‘Board’s
status as an appellate body does not bar
it from considering law not considered
by the AOJ,’’ and held that in
considering ‘‘whether the proper law
was applied by the AOJ in a particular
claim, the Board inherently provides
legal questions ‘one review on appeal to
the Secretary’ as required by [38 U.S.C.]
7104(a).’’ Id. The Federal Circuit’s
holding was not predicated on the
Board’s adherence to the notice
provisions outlined in current
§ 20.903(b). Id.
Several statutory provisions also
contemplate the Board’s consideration
of all applicable law, whether or not
such law has been considered by the
AOJ and regardless of whether the
notice provisions of current § 20.903(b)
E:\FR\FM\18DEP1.SGM
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Federal Register / Vol. 74, No. 242 / Friday, December 18, 2009 / Proposed Rules
have been satisfied. As pointed out by
the Federal Circuit in DAV, 38 U.S.C.
7104(a) requires that ‘‘[d]ecisions of the
Board * * * be based * * * upon
consideration of all * * * applicable
provisions of law and regulation.’’ Id.
Section 7104(c) provides that the
‘‘Board shall be bound in its decisions
by the regulations of the Department,
instructions of the Secretary, and the
precedent opinions of the chief legal
officer of the Department.’’ 38 U.S.C.
7104(c). Moreover, 38 U.S.C. 7104(d)
requires that each Board decision
include ‘‘a written statement of the
Board’s findings and conclusions, and
the reasons or bases for those findings
and conclusions, on all material issues
of fact and law presented on the
record.’’ (emphasis added). None of
these provisions is conditioned on the
Board’s following notice procedures
similar to those currently outlined in 38
CFR 20.903(b). To the contrary, the
notice procedures outlined in current 38
CFR 20.903(b) are not the product of any
specific statutory requirement. We
believe that removing this provision is
consistent with the jurisprudence of
both the Court and the Federal Circuit,
and more accurately depicts the Board’s
statutory obligation to consider all
applicable provisions of law and
regulation.
To be consistent with our proposed
removal of these provisions from
current paragraph (b), we also propose
to remove the reference to notification
of law to be considered by the Board
from the section heading of § 20.903. We
also propose to remove the reference to
Board consideration of law not
considered by the AOJ from 38 CFR
20.1304(b)(2) and not to include in
proposed § 19.9(d)(2) any reference to
§ 20.903.
Paperwork Reduction Act
This document contains no provisions
constituting a collection of information
under the Paperwork Reduction Act (44
U.S.C. 3501–3521).
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Regulatory Flexibility Act
The Secretary hereby certifies that
this regulatory amendment will not
have a significant economic impact on
a substantial number of small entities as
they are defined in the Regulatory
Flexibility Act, 5 U.S.C. 601–612. These
amendments would not directly affect
any small entities. Only VA
beneficiaries and their survivors could
be directly affected. Therefore, pursuant
to 5 U.S.C. 605(b), these amendments
are exempt from the initial and final
regulatory flexibility analysis
requirements of sections 603 and 604.
VerDate Nov<24>2008
15:10 Dec 17, 2009
Jkt 220001
Executive Order 12866—Regulatory
Planning and Review
Executive Order 12866 directs
agencies to assess all costs and benefits
of available regulatory alternatives and,
when regulation is necessary, to select
regulatory approaches that maximize
net benefits (including potential
economic, environmental, public health
and safety, and other advantages;
distributive impacts; and equity). The
Order classifies a rule as a significant
regulatory action requiring review by
the Office of Management and Budget if
it meets any one of a number of
specified conditions, including: Having
an annual effect on the economy of $100
million or more, creating a serious
inconsistency or interfering with an
action of another agency, materially
altering the budgetary impact of
entitlements or the rights of entitlement
recipients, or raising novel legal or
policy issues. VA has examined the
economic, legal, and policy implications
of this proposed rule and has concluded
that it is not a significant regulatory
action under Executive Order 12866
because it primarily codifies
longstanding VA practice and already
existing law, does not raise any novel
legal or policy issues, and will have
little to no effect on the economy.
Unfunded Mandates
The Unfunded Mandates Reform Act
of 1995 requires, at 2 U.S.C. 1532, that
agencies prepare an assessment of
anticipated costs and benefits before
issuing any rule that may result in an
expenditure by State, local, and tribal
governments, in the aggregate, or by the
private sector of $100 million or more
(adjusted annually for inflation) in any
given year. This rule would have no
such effect on State, local, and tribal
governments, or on the private sector.
Catalog of Federal Domestic Assistance
Numbers and Titles
The Catalog of Federal Domestic
Assistance program numbers and titles
for this proposal are 64.100,
Automobiles and Adaptive Equipment
for Certain Disabled Veterans and
Members of the Armed Forces; 64.101,
Burial Expenses Allowance for
Veterans; 64.102, Compensation for
Service-Connected Deaths for Veterans’
Dependents; 64.103, Life Insurance for
Veterans; 64.104, Pension for NonService-Connected Disability for
Veterans; 64.105, Pension to Veterans’
Surviving Spouses and Children;
64.106, Specially Adapted Housing for
Disabled Veterans; 64.109, Veterans
Compensation for Service-Connected
Disability; 64.110, Veterans Dependency
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67153
and Indemnity Compensation for
Service-Connected Death; 64.114,
Veterans Housing—Guaranteed and
Insured Loans; 64.115, Veterans
Information and Assistance; 64.116,
Vocational Rehabilitation for Disabled
Veterans; 64.117, Survivors and
Dependents Educational Assistance;
64.118, Veterans Housing—Direct Loans
for Certain Disabled Veterans; 64.119,
Veterans Housing—Manufactured Home
Loans; 64.120, Post-Vietnam Era
Veterans’ Educational Assistance;
64.124, All-Volunteer Force Educational
Assistance; 64.125, Vocational and
Educational Counseling for
Servicemembers and Veterans; 64.126,
Native American Veteran Direct Loan
Program; 64.127, Monthly Allowance
for Children of Vietnam Veterans Born
with Spina Bifida; and 64.128,
Vocational Training and Rehabilitation
for Vietnam Veterans’ Children with
Spina Bifida or Other Covered Birth
Defects.
List of Subjects in 38 CFR Parts 19 and
20
Administrative practice and
procedure, Claims, Veterans.
Approved: November 13, 2009.
John R. Gingrich,
Chief of Staff, Department of Veterans Affairs.
For the reasons set forth in the
preamble, VA proposes to amend 38
CFR parts 19 and 20 as follows:
PART 19—BOARD OF VETERANS’
APPEALS: APPEALS REGULATIONS
1. The authority citation for part 19
continues to read as follows:
Authority: 38 U.S.C. 501(a), unless
otherwise noted.
Subpart A—Operation of the Board of
Veterans’ Appeals
2. Amend § 19.9 by:
a. Revising the section heading and
paragraph (a) heading.
b. Revising paragraphs (b) and (c).
c. Adding paragraph (d).
d. Revising the authority citation at
the end of the section.
The revisions and addition read as
follows:
§ 19.9 Remand or referral for further
action.
(a) Remand. * * *
*
*
*
*
(b) Referral. The Board shall refer to
the agency of original jurisdiction for
appropriate consideration and handling
in the first instance all claims
reasonably raised by the record that
have not been initially adjudicated by
the agency of original jurisdiction,
*
E:\FR\FM\18DEP1.SGM
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Federal Register / Vol. 74, No. 242 / Friday, December 18, 2009 / Proposed Rules
except for claims over which the Board
has original jurisdiction.
(c) Remand for a Statement of the
Case. In cases before the Board in which
a claimant has timely filed a Notice of
Disagreement with a determination of
the agency of original jurisdiction on a
claim, but the record does not reflect
that the agency of original jurisdiction
subsequently granted the claim in full or
furnished the claimant with a Statement
of the Case, the Board shall remand the
claim to the agency of original
jurisdiction with instructions to prepare
and issue a Statement of the Case in
accordance with the provisions of
subpart B of this part. A remand for a
Statement of the Case is not required if
the claimant, consistent with the
withdrawal requirements of § 20.204 of
this chapter, withdraws the Notice of
Disagreement.
(d) Exceptions. A remand or referral
to the agency of original jurisdiction is
not necessary for any of the following
purposes:
(1) Clarifying a procedural matter
before the Board, including the
appellant’s choice of representative
before the Board, the issues on appeal,
or requests for a hearing before the
Board;
(2) Considering law not already
considered by the agency of original
jurisdiction, including, but not limited
to, statutes, regulations, and court
decisions;
(3) Reviewing additional evidence
received by the Board, if, pursuant to
§ 20.1304(c) of this chapter, the
appellant or the appellant’s
representative waives the right to initial
consideration by the agency of original
jurisdiction, or if the Board determines
that the benefit or benefits to which the
evidence relates may be fully allowed
on appeal;
(4) Requesting an opinion under
§ 20.901 of this chapter;
(5) Supplementing the record with a
recognized medical treatise; or
(6) Considering a matter over which
the Board has original jurisdiction.
(Authority: 38 U.S.C. 7102, 7103(c), 7104(a),
7105).
erowe on DSK5CLS3C1PROD with PROPOSALS-1
PART 20—BOARD OF VETERANS’
APPEALS: RULES OF PRACTICE
3. The authority citation for part 20
continues to read as follows:
Authority: 38 U.S.C. 501(a) and as noted
in specific sections.
Subpart J—Action by the Board
4. Amend § 20.903 by:
a. Revising the section heading.
b. Revising paragraph (b).
VerDate Nov<24>2008
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Jkt 220001
The revisions read as follows:
§ 20.903 Rule 903. Notification of evidence
to be considered by the Board and
opportunity for response.
*
*
*
*
*
(b) If the Board supplements the
record with a recognized medical
treatise. (1) General. If, pursuant to
§ 19.9(d)(5) of this chapter, the Board
supplements the record with a
recognized medical treatise, the Board
will notify the appellant and his or her
representative, if any, that the Board
will consider such recognized medical
treatise in the adjudication of the
appeal. The notice from the Board will
contain a copy of the relevant portions
of the recognized medical treatise. The
appellant will be given 60 days after the
date of the notice described in this
section to file a response, which may
include the submission of relevant
evidence or argument. The date the
Board gives the notice will be presumed
to be the same as the date of the notice
letter for purposes of determining
whether a response was timely filed.
(2) Exception. The notice described in
paragraph (b)(1) of this section is not
required if the Board uses a recognized
medical treatise or medical dictionary
for the limited purpose of defining a
medical term and that definition is not
material to the Board’s disposition of
the appeal.
5. Revise paragraph (b)(2) of § 20.1304
to read as follows:
§ 20.1304 Rule 1304. Request for change
in representation, request for personal
hearing, or submission of additional
evidence following certification of an appeal
to the Board of Veterans’ Appeals.
*
*
*
*
*
(b) * * *
(2) Exception. The motion described
in paragraph (b)(1) of this section is not
required to submit evidence in response
to a notice described in § 20.903 of this
chapter.
*
*
*
*
*
[FR Doc. E9–30094 Filed 12–17–09; 8:45 am]
BILLING CODE P
ENVIRONMENTAL PROTECTION
AGENCY
40 CFR Part 52
[EPA–R09–OAR–2009–0859, FRL–9093–7]
Revisions to the California State
Implementation Plan, San Joaquin
Valley Air Pollution Control District
AGENCY: Environmental Protection
Agency (EPA).
ACTION: Proposed rule.
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Fmt 4702
Sfmt 4702
SUMMARY: EPA is proposing to approve
revisions to the San Joaquin Valley Air
Pollution Control District (SJVAPCD)
portion of the California State
Implementation Plan (SIP). Under
authority of the Clean Air Act as
amended in 1990 (CAA or the Act), we
are proposing to approve local rules that
address reduction of animal matter and
volatile organic compound (VOC)
emissions from crude oil production,
cutback asphalt, and petroleum solvent
dry cleaning.
DATES: Any comments must arrive by
January 19, 2010.
ADDRESSES: Submit comments,
identified by docket number EPA–R09–
OAR–2009–0859, by one of the
following methods:
1. Federal eRulemaking Portal:
https://www.regulations.gov. Follow the
on-line instructions.
2. E-mail: steckel.andrew@epa.gov.
3. Mail or deliver: Andrew Steckel
(Air–4), U.S. Environmental Protection
Agency Region IX, 75 Hawthorne Street,
San Francisco, CA 94105–3901.
Instructions: All comments will be
included in the public docket without
change and may be made available
online at https://www.regulations.gov,
including any personal information
provided, unless the comment includes
Confidential Business Information (CBI)
or other information whose disclosure is
restricted by statute. Information that
you consider CBI or otherwise protected
should be clearly identified as such and
should not be submitted through
https://www.regulations.gov or e-mail.
https://www.regulations.gov is an
‘‘anonymous access’’ system, and EPA
will not know your identity or contact
information unless you provide it in the
body of your comment. If you send email directly to EPA, your e-mail
address will be automatically captured
and included as part of the public
comment. If EPA cannot read your
comment due to technical difficulties
and cannot contact you for clarification,
EPA may not be able to consider your
comment.
Docket: The index to the docket for
this action is available electronically at
https://www.regulations.gov and in hard
copy at EPA Region IX, 75 Hawthorne
Street, San Francisco, California. While
all documents in the docket are listed in
the index, some information may be
publicly available only at the hard copy
location (e.g., copyrighted material), and
some may not be publicly available in
either location (e.g., CBI). To inspect the
hard copy materials, please schedule an
appointment during normal business
hours with the contact listed in the FOR
FURTHER INFORMATION CONTACT section.
E:\FR\FM\18DEP1.SGM
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Agencies
[Federal Register Volume 74, Number 242 (Friday, December 18, 2009)]
[Proposed Rules]
[Pages 67149-67154]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-30094]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
38 CFR Parts 19 and 20
RIN 2900-AN34
Board of Veterans' Appeals: Remand or Referral for Further
Action; Notification of Evidence Secured by the Board and Opportunity
for Response
AGENCY: Department of Veterans Affairs.
ACTION: Proposed rule.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) proposes to amend the
Appeals Regulations of the Board of Veterans' Appeals (Board or BVA) to
articulate the Board's practice of referring unadjudicated claims to
the Agency of Original Jurisdiction (AOJ) for appropriate action, and
to describe when it is appropriate for the Board to remand a claim to
the AOJ for the limited purpose of issuing a Statement of the Case
(SOC). We also propose to amend the Board's Rules of Practice to
outline the procedures the Board must follow when supplementing the
record with a recognized medical treatise, and to remove the notice
procedures the Board must currently follow when considering law not
considered by the AOJ. The purpose of these amendments is to codify
existing practices derived from caselaw, enhance efficiency, and
provide guidance and clarification.
DATES: Comments must be received by VA on or before February 16, 2010.
ADDRESSES: Written comments may be submitted through https://www.regulations.gov; by mail or hand-delivery to the Director,
Regulations Management (02REG), Department of Veterans Affairs, 810
Vermont Avenue, NW., Room 1068, Washington, DC 20420; or by fax to
(202) 273-9026. (This is not a toll-free number.) Comments should
indicate that they are submitted in response to ``RIN 2900-AN34--Board
of Veterans' Appeals: Remand or Referral for Further Action;
Notification of Evidence Secured by the Board and Opportunity for
Response.'' All comments received will be available for public
inspection in the Office of Regulation Policy and Management, Room
1063B, between the hours of 8 a.m. and 4:30 p.m. Monday through Friday
(except holidays). Please call (202) 461-4902 for an appointment. (This
is not a toll-free number.) In addition, during the comment period,
comments may be viewed online through the Federal Docket Management
System (FDMS) at https://www.regulations.gov.
[[Page 67150]]
FOR FURTHER INFORMATION CONTACT: Laura H. Eskenazi, Principal Deputy
Vice Chairman, Board of Veterans' Appeals (01C2), Department of
Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202)
461-8078. (This is not a toll-free number.)
SUPPLEMENTARY INFORMATION: The Board is an administrative body within
VA that decides appeals of decisions on claims for veterans' benefits,
as well as a limited class of cases of original jurisdiction. The Board
is under the administrative control and supervision of a Chairman who
is directly responsible to the Secretary. 38 U.S.C. 7101(a). The
Board's Appeals Regulations are found at 38 CFR Part 19, and its Rules
of Practice are found at 38 CFR Part 20. This document proposes to
amend Parts 19 and 20 to codify existing practices derived from
caselaw, enhance efficiency, and provide guidance and clarification.
Specifically, we propose to amend 38 CFR 19.9 to articulate the Board's
practice of referring unadjudicated claims to the AOJ for appropriate
action. We also propose to amend this section to describe when it is
appropriate for the Board to remand a claim to the AOJ for the limited
purpose of issuing an SOC. Additionally, we propose to amend 38 CFR
20.903 to codify the procedures the Board must follow when
supplementing the record with a recognized medical treatise, and to
eliminate the notice procedures the Board must currently follow when
considering law not considered by the AOJ. The specific changes to each
section will be discussed in turn.
I. 38 CFR 19.9
A. Referral of Unadjudicated Claims
In reviewing a claim on appeal, the Board sometimes discovers an
unadjudicated claim in the record. The courts in recent years have
addressed whether the evidence of record raises a claim and whether a
claim, either implied or explicit, has been adjudicated. See, e.g.,
Williams v. Peake, 521 F.3d 1348 (Fed. Cir. 2008); Deshotel v.
Nicholson, 457 F.3d 1258 (Fed. Cir. 2006); Ingram v. Nicholson, 21 Vet.
App. 232 (2007). Whether the record contains an unadjudicated claim
often depends on the factual similarity of other existing claims. See
Moody v. Principi, 360 F.3d 1306, 1310 (Fed. Cir. 2004) (observing that
whether various filings submitted by a claimant should be interpreted
as a claim is ``essentially a factual inquiry''). The purpose of this
proposed rulemaking is not to outline what filings should be
interpreted as raising a claim and under what circumstances such claims
are considered adjudicated; those questions are outside the scope of
this rulemaking. Rather, the purpose of this proposed rulemaking is to
provide guidance as to what action the Board should take when it
discovers an unadjudicated claim in the record.
A common example of this situation is a claimant submitting a new
claim at a hearing before the Board. The Board may, consistent with 38
CFR 3.155(a) (``Any communication or action * * * indicating an intent
to apply for one or more benefits * * * may be considered an informal
claim.''), construe a particular statement as a new claim. However, the
Board may not adjudicate the newly-raised claim because, with the
exception of a narrow class of matters over which the Board has
original jurisdiction, see, e.g., 38 U.S.C. 7111, the Board is charged
with deciding appeals and may not review evidence in the first
instance. To do so would frustrate a claimant's right to both an
initial AOJ decision and the Board's appellate review of that decision.
See Disabled Am. Veterans v. Sec'y of Veterans Affairs, 327 F.3d 1339,
1347 (Fed. Cir. 2003) [hereinafter ``DAV''] (noting that, under 38
U.S.C. 511(a) and 7104(a), ``the Board acts on behalf of the Secretary
in making the ultimate decision on claims and provides `one review on
appeal to the Secretary' ''). Because the Board may not adjudicate the
new claim in the first instance, the Board ``refers'' the unadjudicated
claim to the AOJ for appropriate action. These referrals help ensure
that the claim will not be overlooked.
The Board's practice of referring claims was addressed favorably by
the United States Court of Appeals for Veterans Claims (Court) in
Godfrey v. Brown, 7 Vet. App. 398 (1995). In Godfrey, the Court noted
that ``section 7105 of title 38, U.S. Code, establishes `very specific,
sequential, procedural steps that must be carried out by a claimant and
the [AOJ] * * * before a claimant may secure ``appellate review'' by
the BVA'.'' Godfrey, 7 Vet. App. at 409 (quoting Bernard v. Brown, 4
Vet. App. 384, 390 (1993)). The Court reasoned that allowing the Board
to refer a claim to the AOJ enables the AOJ to make the ``initial
review or determination'' on that claim, as referenced in 38 U.S.C.
7105(b)(1), and thus permits VA to follow the procedural prerequisites
for appellate review. Id. at 410. Thus, the Court held that ``the Board
did not err in referring [a] right-ankle claim to the [AOJ] without
additional specific instructions because * * * that [claim] was not in
appellate status.'' Id. at 409. Since Godfrey, the Court has often
referenced the Board's ability to refer an unadjudicated claim to the
AOJ for initial adjudication. See, e.g., Jarrell v. Nicholson, 20 Vet.
App. 326, 334 (2006) (concluding that, because the Board lacked
jurisdiction over the merits of a claim that had not been presented to
and adjudicated by the AOJ, the appropriate course of action for the
Board was to refer the matter to the AOJ for adjudication in the first
instance); Richardson v. Nicholson, 20 Vet. App. 64, 72-73 (2006)
(observing that, if the Board determines that a claim for service
connection was reasonably raised but not adjudicated, the claim remains
pending and must be referred to the AOJ for adjudication); Bruce v.
West, 11 Vet. App. 405, 408 (1998) (holding that the Board properly
referred to the AOJ a claim for service connection for tinnitus that
the claimant raised for the first time in his testimony at a hearing
before the Board for other claims on appeal); Smallwood v. Brown, 10
Vet. App. 93, 99-100 (1997) (concluding that the Board did not err in
referring a clear and unmistakable error claim to the AOJ for
adjudication).
Although the Board's regulations prescribe when a remand is and is
not necessary, the regulations are silent as to the referral process.
The Board's Appeals Regulations, contained in 38 CFR Part 19, include a
Subpart A--Operation of the Board of Veterans' Appeals, which in turn
includes a section titled ``Remand for further development.'' 38 CFR
19.9. That section indicates that, ``[i]f further evidence,
clarification of the evidence, correction of a procedural defect, or
any other action is essential for a proper appellate decision, a
Veterans Law Judge * * * shall remand the case to the [AOJ], specifying
the action to be undertaken.'' Id. Sec. 19.9(a). The rule also sets
forth ``exceptions'' for circumstances in which a remand is not
necessary. Id. Sec. 19.9(b). However, no rule mentions the Board's
existing practice of referring unadjudicated claims to the AOJ for
initial adjudication. Therefore, for clarity and consistency, we
propose to codify this existing, court-sanctioned practice by amending
38 CFR 19.9 to describe when it is appropriate to refer a claim to the
AOJ. Referral of a claim by the Board will not constitute review of the
claim on appeal. Rather, the referral will be a formalized mechanism by
which to notify the AOJ of an unadjudicated claim so that the AOJ may
make the ``initial review or determination'' on that claim, see 38
U.S.C. 7105(b)(1), as
[[Page 67151]]
well as take any other action the AOJ deems necessary.
We propose to revise the section heading of Sec. 19.9 to read,
``Remand or referral for further action'', to reflect inclusion of the
referral action under this section. We also propose to list in a new
paragraph (d) the situations for which neither a remand nor referral is
required and to revise paragraph (b) to describe the details of the
referral action. New paragraph (b) would require that the Board refer
to the AOJ for appropriate consideration and handling in the first
instance all claims reasonably raised by the record that have not been
initially adjudicated by the AOJ, except for claims over which the
Board has original jurisdiction. An example of a claim over which the
Board has original jurisdiction is a motion for revision of a final
Board decision based on clear and unmistakable error. 38 U.S.C. 7111(e)
(request for revision of a Board decision based on clear and
unmistakable error must be decided by the Board on the merits without
referral to any adjudicative or hearing official acting on the
Secretary's behalf).
B. Remand for Issuance of an SOC
A similar situation arises when the Board discovers a Notice of
Disagreement (NOD) that was timely filed in response to a decision by
the AOJ, but the record does not reflect that the AOJ issued an SOC as
required by 38 U.S.C. 7105(d)(1) before forwarding the claims file to
the Board. If the Board discovers a timely-filed NOD, and it is
apparent that the NOD was not withdrawn or the claim was not granted in
full following the NOD, but an SOC was never issued, the Board is faced
with a question as to the proper handling of that claim.
The Court addressed this procedural situation in Manlincon v. West,
12 Vet. App. 238, 240 (1999), recognizing that an NOD initiates
``review by the Board.'' The Court held that if a timely NOD is filed
but an SOC is not issued, the proper remedy for the Board is to remand,
not refer, the issue to the AOJ for issuance of a SOC. Id. at 240-41.
Since Manlincon was decided, the Board has been following the practice
mandated by the Court. If during the course of reviewing an appeal
properly before it, the Board discovers a timely filed NOD as to a
claim adjudicated by the AOJ but not granted in full, and the NOD has
not been withdrawn, but no SOC was issued as to that claim, the Board
remands the claim to the AOJ for the limited purpose of issuing an SOC.
In other words, the Board takes jurisdiction over the claim for the
limited purpose of remanding it to the AOJ to issue an SOC. The appeal
initiated by the filing of the NOD will be subsequently returned to the
Board only if, after the AOJ issues the SOC, the appellant files a
timely Substantive Appeal that perfects the appeal to the Board. See 38
U.S.C. 7105(d)(3).
The Board's Appeals Regulations, Subpart A--Operation of the Board
of Veterans' Appeals, currently contain guidance as to when it is
proper for the Board to remand a case to the AOJ, but the guidance does
not cover the Manlincon situation. Therefore, the Board proposes to
amend its regulations to codify this existing practice for clarity and
consistency in adjudication. Specifically, we propose to revise
paragraph (c) of 38 CFR 19.9 to address the Manlincon situation. New
paragraph (c) would instruct the Board to remand a claim for issuance
of an SOC if an NOD has been timely filed and not withdrawn, but the
AOJ has not subsequently granted the claim in full or furnished the
claimant with an SOC.
Although the Manlincon decision did not specifically address the
action the Board should take if the AOJ partially grants a claim
following an NOD but does not issue an SOC, proposed Sec. 19.9(c)
would extend the Manlincon remand procedures to cover this situation.
It is generally presumed that a claimant is ``seeking the maximum
benefit allowed by law and regulation'' and that a claim ``remains in
controversy where less than the maximum benefit available is awarded.''
AB v. Brown, 6 Vet. App. 35, 38 (1993). The AOJ is therefore required
to issue an SOC in cases where the claim is partially granted following
the NOD, just as it would in cases where the benefit sought is denied
outright. We believe that it is consistent with Manlincon for the Board
to remand for issuance of an SOC if the claim was only partially
granted following the NOD and no SOC was furnished. Proposed Sec.
19.9(c) would therefore require remand for issuance of an SOC unless
the claim is granted in full following the NOD or the claimant,
consistent with the withdrawal requirements of 38 CFR 20.204, withdraws
the NOD.
We also propose to make additional changes to 38 CFR 19.9 to
enhance clarity and readability. Current paragraph (b) of Sec. 19.9 is
titled ``Exceptions'' and sets forth several specific situations in
which remand to the AOJ is unnecessary. Current paragraph (c) is titled
``Scope'' and outlines specific matters over which the provisions of
Sec. 19.9 do not apply. While these paragraphs are titled differently,
the purpose of each is essentially the same: Namely, to outline various
circumstances in which a remand to the AOJ is not legally required.
Because the provisions of current paragraphs (b) and (c) are meant to
accomplish the same purpose, we propose to combine the provisions of
each paragraph in a new paragraph (d) that would set forth the
situations in which a remand or referral to the AOJ is not necessary.
Specifically, new paragraph (d) would provide that remand to the AOJ is
not necessary for each of the activities outlined in current paragraphs
(b)(1) through (3) and (c)(1) through (3). Additional proposed changes
to current paragraph (b)(2) are discussed in greater detail below.
II. 38 CFR 20.903
A. Thurber Procedures
We propose to amend 38 CFR 20.903 to clarify the procedures the
Board must follow when it supplements the record with a recognized
medical treatise.
The Court has long held that the Board is free to supplement the
record on appeal with a recognized medical treatise. See, e.g.,
Hatlestad v. Derwinski, 3 Vet. App. 213, 217 (1992) (noting that the
Board should ``include in its decisions quotations from medical
treatises * * * and [that] such quotations should be of sufficient
length so that their context * * * is able to be determined''); Colvin
v. Derwinski, 1 Vet. App. 171, 175 (1991) (observing that if ``the
medical evidence of record is insufficient, or, in the opinion of BVA,
of doubtful weight or credibility, the BVA is always free to supplement
the record by . . . citing recognized medical treatises in its
decisions that clearly support its ultimate conclusions''). When the
Board does supplement the record in this way, however, the Court has
also held that the Board must ``provide the appellant with notice of
its intention to use a medical treatise as well as an opportunity to
respond thereto.'' See Kirwin v. Brown, 8 Vet. App. 148, 153 (1995)
(citing Thurber v. Brown, 5 Vet. App. 119, 126 (1993)); see also
Hatlestad, supra. The Board's Appeals Regulations provide that such
notice does not require remand to the AOJ. 38 CFR 19.9(c)(2); see also
Kirwin and Thurber, supra.
In compliance with Kirwin and Thurber, when the Board wishes to
supplement the record with a recognized medical treatise, the Board's
practice has been to provide the appellant with a copy of the medical
treatise evidence to be used and offer the appellant and his or her
representative, if any, 60 days to
[[Page 67152]]
respond. Similar ``notice and response'' procedures are currently
codified for situations where the Board considers an opinion from the
Veterans Health Administration (VHA), the Armed Forces Institute of
Pathology (AFIP), VA's General Counsel (GC), or an independent medical
expert (IME). 38 CFR 20.901, 20.903.
Thus, the notice and opportunity to respond provisions are
currently set forth by regulation with respect to the Board's
consideration of VHA, AFIP, GC, and IME opinions, but the regulations
are silent with respect to the Board's obligation to provide an
appellant with notice of the Board's intent to supplement the record
with a recognized medical treatise. Essentially, the Board's Rules of
Practice contain a gap because Sec. 19.9(c)(2) allows the Board to
supplement the record with a recognized medical treatise without first
remanding the claim to the AOJ, but the regulations do not contain a
corresponding provision that outlines the ``notice and response''
procedures required by Kirwin and Thurber.
To fill this gap, and for other reasons discussed below, we propose
to revise paragraph (b) of 38 CFR 20.903. Proposed Sec. 20.903(b)(1)
would set forth the general rule that when the Board supplements the
record with a recognized medical treatise it must notify the appellant
and his or her representative, if any, that the Board will consider
such recognized medical treatise in the adjudication of the appeal.
Proposed 38 CFR 20.903(b)(1) would also require that such notice
contain a copy of the relevant portions of the recognized medical
treatise. A 60-day period would be allowed for response. Such an
approach is consistent with the ``notice and response'' provisions
provided for in situations where the Board considers an opinion from
VHA, AFIP, VA's GC, or an IME. 38 CFR 20.901, 20.903(a).
Although Thurber stated that the Board must provide the appellant
with notice of the ``reliance proposed to be placed on [the medical
treatise evidence],'' 5 Vet. App. at 126, we have slightly modified
this language in proposed Sec. 20.903(b)(1). We believe that the word
``reliance'' could be misconstrued as suggesting that the Board has
already reached a preliminary decision on the claim. We do not,
however, believe that Thurber requires the Board to pre-adjudicate a
claim before following the required notice procedures. To the contrary,
the notice procedures outlined in Thurber are meant to elicit
additional evidence and argument that will more fully inform the
Board's eventual decision. To clarify that the Board need not pre-
adjudicate the claim to employ the Thurber notice procedures, proposed
Sec. 20.903(b)(1) would require only that the Board notify the
appellant that it ``will consider such recognized medical treatise in
the adjudication of the appeal.'' We believe that this language serves
the purpose of alerting the appellant that the Board will rely upon
such evidence in reaching its ultimate determination as required by
Thurber, while at the same time avoiding any implication that the Board
has reached a preliminary decision on the appeal.
Proposed Sec. 20.903(b)(2) would provide that notice is not
required if the Board uses a recognized medical treatise or a medical
dictionary for the limited purpose of defining a medical term and that
definition is not material to the Board's disposition of the appeal.
The Board routinely cites medical dictionaries to define words that are
not in common usage among lay people, such as names of rare diseases or
obscure anatomical terms. The Court has followed a similar practice
over the years. See, e.g., Fritz v. Nicholson, 20 Vet. App. 507, 511
(2006) (relying on Dorland's Illustrated Medical Dictionary to define
``care''); Felden v. West, 11 Vet. App. 427, 430 (1998) (relying on
Dorland's Illustrated Medical Dictionary to define ``convalescence'');
Lendenmann v. Principi, 3 Vet. App. 345, 347 (1992) (relying on
Webster's Medical Desk Dictionary to define several medical terms).
Where the Board cites a definition contained in a medical treatise or
dictionary solely for the purpose of clarifying or explaining a medical
term, following the notice procedures required by Thurber would serve
no useful purpose because in such circumstances the definition is being
provided for general background information and is not being relied on
by the Board in its adjudication of the appeal. However, under proposed
Sec. 20.903(b)(2), if the Board intends to use a definition found in a
medical treatise or dictionary in a manner that would materially affect
its decision, the notice procedures required by Thurber would still
need to be followed.
B. Board Consideration of Law Not Already Considered by the AOJ
As outlined above, we propose to revise current paragraph (b) of
Sec. 20.903 to include the Thurber notice provisions. We further
propose to completely remove the provisions of current 38 CFR 20.903(b)
from the Board's Rules of Practice.
Current Sec. 20.903(b) requires that if the Board intends to
consider law not already considered by the AOJ, and such consideration
could result in denial of the appeal, the Board must notify the
appellant and his or her representative of its intent to do so, provide
a copy or summary of the law to be considered, and allow 60 days for a
response. A predecessor of this provision was first added to the
Board's Rules of practice in 2002 as part of a larger rulemaking that,
among other things, established procedures allowing the Board to
develop the record and consider evidence in the first instance without
remanding the appeal to the AOJ. See 67 FR 3099, 3105 (Jan. 23, 2002).
A predecessor to current 38 CFR 19.9(b)(2), which permits the Board to
consider law not considered by the AOJ without remanding the appeal,
was also added to the Board's Rules of Practice as part of the same
rulemaking. Id. at 3104.
The United States Court of Appeals for the Federal Circuit (Federal
Circuit) subsequently invalidated several regulatory provisions in the
Board's Rules of Practice that allowed the Board to conduct development
and consider evidence in the first instance without remand to the AOJ.
See DAV, 327 F.3d at 1341-42. As a result of the DAV decision, VA
substantially revised Sec. Sec. 19.9 and 20.903, but the predecessors
to current Sec. Sec. 19.9(b)(2) and 20.903(b) were retained, with
minimal, largely non-substantive changes. See 69 FR 53807, 53808 (Sept.
3, 2004).
In light of the Federal Circuit's decision in DAV and several
statutory provisions, we believe that the notice procedures outlined in
current Sec. 20.903(b) are unnecessary and should be removed from the
Board's Rules of Practice. In DAV, the Federal Circuit considered a
challenge to the validity of Sec. 19.9(b)(2), which permitted the
Board to consider law not considered by the AOJ in the first instance.
DAV, 327 F.3d at 1349. The Federal Circuit deferred to VA's
interpretation that the ``Board's status as an appellate body does not
bar it from considering law not considered by the AOJ,'' and held that
in considering ``whether the proper law was applied by the AOJ in a
particular claim, the Board inherently provides legal questions `one
review on appeal to the Secretary' as required by [38 U.S.C.]
7104(a).'' Id. The Federal Circuit's holding was not predicated on the
Board's adherence to the notice provisions outlined in current Sec.
20.903(b). Id.
Several statutory provisions also contemplate the Board's
consideration of all applicable law, whether or not such law has been
considered by the AOJ and regardless of whether the notice provisions
of current Sec. 20.903(b)
[[Page 67153]]
have been satisfied. As pointed out by the Federal Circuit in DAV, 38
U.S.C. 7104(a) requires that ``[d]ecisions of the Board * * * be based
* * * upon consideration of all * * * applicable provisions of law and
regulation.'' Id. Section 7104(c) provides that the ``Board shall be
bound in its decisions by the regulations of the Department,
instructions of the Secretary, and the precedent opinions of the chief
legal officer of the Department.'' 38 U.S.C. 7104(c). Moreover, 38
U.S.C. 7104(d) requires that each Board decision include ``a written
statement of the Board's findings and conclusions, and the reasons or
bases for those findings and conclusions, on all material issues of
fact and law presented on the record.'' (emphasis added). None of these
provisions is conditioned on the Board's following notice procedures
similar to those currently outlined in 38 CFR 20.903(b). To the
contrary, the notice procedures outlined in current 38 CFR 20.903(b)
are not the product of any specific statutory requirement. We believe
that removing this provision is consistent with the jurisprudence of
both the Court and the Federal Circuit, and more accurately depicts the
Board's statutory obligation to consider all applicable provisions of
law and regulation.
To be consistent with our proposed removal of these provisions from
current paragraph (b), we also propose to remove the reference to
notification of law to be considered by the Board from the section
heading of Sec. 20.903. We also propose to remove the reference to
Board consideration of law not considered by the AOJ from 38 CFR
20.1304(b)(2) and not to include in proposed Sec. 19.9(d)(2) any
reference to Sec. 20.903.
Paperwork Reduction Act
This document contains no provisions constituting a collection of
information under the Paperwork Reduction Act (44 U.S.C. 3501-3521).
Regulatory Flexibility Act
The Secretary hereby certifies that this regulatory amendment will
not have a significant economic impact on a substantial number of small
entities as they are defined in the Regulatory Flexibility Act, 5
U.S.C. 601-612. These amendments would not directly affect any small
entities. Only VA beneficiaries and their survivors could be directly
affected. Therefore, pursuant to 5 U.S.C. 605(b), these amendments are
exempt from the initial and final regulatory flexibility analysis
requirements of sections 603 and 604.
Executive Order 12866--Regulatory Planning and Review
Executive Order 12866 directs agencies to assess all costs and
benefits of available regulatory alternatives and, when regulation is
necessary, to select regulatory approaches that maximize net benefits
(including potential economic, environmental, public health and safety,
and other advantages; distributive impacts; and equity). The Order
classifies a rule as a significant regulatory action requiring review
by the Office of Management and Budget if it meets any one of a number
of specified conditions, including: Having an annual effect on the
economy of $100 million or more, creating a serious inconsistency or
interfering with an action of another agency, materially altering the
budgetary impact of entitlements or the rights of entitlement
recipients, or raising novel legal or policy issues. VA has examined
the economic, legal, and policy implications of this proposed rule and
has concluded that it is not a significant regulatory action under
Executive Order 12866 because it primarily codifies longstanding VA
practice and already existing law, does not raise any novel legal or
policy issues, and will have little to no effect on the economy.
Unfunded Mandates
The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C.
1532, that agencies prepare an assessment of anticipated costs and
benefits before issuing any rule that may result in an expenditure by
State, local, and tribal governments, in the aggregate, or by the
private sector of $100 million or more (adjusted annually for
inflation) in any given year. This rule would have no such effect on
State, local, and tribal governments, or on the private sector.
Catalog of Federal Domestic Assistance Numbers and Titles
The Catalog of Federal Domestic Assistance program numbers and
titles for this proposal are 64.100, Automobiles and Adaptive Equipment
for Certain Disabled Veterans and Members of the Armed Forces; 64.101,
Burial Expenses Allowance for Veterans; 64.102, Compensation for
Service-Connected Deaths for Veterans' Dependents; 64.103, Life
Insurance for Veterans; 64.104, Pension for Non-Service-Connected
Disability for Veterans; 64.105, Pension to Veterans' Surviving Spouses
and Children; 64.106, Specially Adapted Housing for Disabled Veterans;
64.109, Veterans Compensation for Service-Connected Disability; 64.110,
Veterans Dependency and Indemnity Compensation for Service-Connected
Death; 64.114, Veterans Housing--Guaranteed and Insured Loans; 64.115,
Veterans Information and Assistance; 64.116, Vocational Rehabilitation
for Disabled Veterans; 64.117, Survivors and Dependents Educational
Assistance; 64.118, Veterans Housing--Direct Loans for Certain Disabled
Veterans; 64.119, Veterans Housing--Manufactured Home Loans; 64.120,
Post-Vietnam Era Veterans' Educational Assistance; 64.124, All-
Volunteer Force Educational Assistance; 64.125, Vocational and
Educational Counseling for Servicemembers and Veterans; 64.126, Native
American Veteran Direct Loan Program; 64.127, Monthly Allowance for
Children of Vietnam Veterans Born with Spina Bifida; and 64.128,
Vocational Training and Rehabilitation for Vietnam Veterans' Children
with Spina Bifida or Other Covered Birth Defects.
List of Subjects in 38 CFR Parts 19 and 20
Administrative practice and procedure, Claims, Veterans.
Approved: November 13, 2009.
John R. Gingrich,
Chief of Staff, Department of Veterans Affairs.
For the reasons set forth in the preamble, VA proposes to amend 38
CFR parts 19 and 20 as follows:
PART 19--BOARD OF VETERANS' APPEALS: APPEALS REGULATIONS
1. The authority citation for part 19 continues to read as follows:
Authority: 38 U.S.C. 501(a), unless otherwise noted.
Subpart A--Operation of the Board of Veterans' Appeals
2. Amend Sec. 19.9 by:
a. Revising the section heading and paragraph (a) heading.
b. Revising paragraphs (b) and (c).
c. Adding paragraph (d).
d. Revising the authority citation at the end of the section.
The revisions and addition read as follows:
Sec. 19.9 Remand or referral for further action.
(a) Remand. * * *
* * * * *
(b) Referral. The Board shall refer to the agency of original
jurisdiction for appropriate consideration and handling in the first
instance all claims reasonably raised by the record that have not been
initially adjudicated by the agency of original jurisdiction,
[[Page 67154]]
except for claims over which the Board has original jurisdiction.
(c) Remand for a Statement of the Case. In cases before the Board
in which a claimant has timely filed a Notice of Disagreement with a
determination of the agency of original jurisdiction on a claim, but
the record does not reflect that the agency of original jurisdiction
subsequently granted the claim in full or furnished the claimant with a
Statement of the Case, the Board shall remand the claim to the agency
of original jurisdiction with instructions to prepare and issue a
Statement of the Case in accordance with the provisions of subpart B of
this part. A remand for a Statement of the Case is not required if the
claimant, consistent with the withdrawal requirements of Sec. 20.204
of this chapter, withdraws the Notice of Disagreement.
(d) Exceptions. A remand or referral to the agency of original
jurisdiction is not necessary for any of the following purposes:
(1) Clarifying a procedural matter before the Board, including the
appellant's choice of representative before the Board, the issues on
appeal, or requests for a hearing before the Board;
(2) Considering law not already considered by the agency of
original jurisdiction, including, but not limited to, statutes,
regulations, and court decisions;
(3) Reviewing additional evidence received by the Board, if,
pursuant to Sec. 20.1304(c) of this chapter, the appellant or the
appellant's representative waives the right to initial consideration by
the agency of original jurisdiction, or if the Board determines that
the benefit or benefits to which the evidence relates may be fully
allowed on appeal;
(4) Requesting an opinion under Sec. 20.901 of this chapter;
(5) Supplementing the record with a recognized medical treatise; or
(6) Considering a matter over which the Board has original
jurisdiction.
(Authority: 38 U.S.C. 7102, 7103(c), 7104(a), 7105).
PART 20--BOARD OF VETERANS' APPEALS: RULES OF PRACTICE
3. The authority citation for part 20 continues to read as follows:
Authority: 38 U.S.C. 501(a) and as noted in specific sections.
Subpart J--Action by the Board
4. Amend Sec. 20.903 by:
a. Revising the section heading.
b. Revising paragraph (b).
The revisions read as follows:
Sec. 20.903 Rule 903. Notification of evidence to be considered by
the Board and opportunity for response.
* * * * *
(b) If the Board supplements the record with a recognized medical
treatise. (1) General. If, pursuant to Sec. 19.9(d)(5) of this
chapter, the Board supplements the record with a recognized medical
treatise, the Board will notify the appellant and his or her
representative, if any, that the Board will consider such recognized
medical treatise in the adjudication of the appeal. The notice from the
Board will contain a copy of the relevant portions of the recognized
medical treatise. The appellant will be given 60 days after the date of
the notice described in this section to file a response, which may
include the submission of relevant evidence or argument. The date the
Board gives the notice will be presumed to be the same as the date of
the notice letter for purposes of determining whether a response was
timely filed.
(2) Exception. The notice described in paragraph (b)(1) of this
section is not required if the Board uses a recognized medical treatise
or medical dictionary for the limited purpose of defining a medical
term and that definition is not material to the Board's disposition of
the appeal.
5. Revise paragraph (b)(2) of Sec. 20.1304 to read as follows:
Sec. 20.1304 Rule 1304. Request for change in representation, request
for personal hearing, or submission of additional evidence following
certification of an appeal to the Board of Veterans' Appeals.
* * * * *
(b) * * *
(2) Exception. The motion described in paragraph (b)(1) of this
section is not required to submit evidence in response to a notice
described in Sec. 20.903 of this chapter.
* * * * *
[FR Doc. E9-30094 Filed 12-17-09; 8:45 am]
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