Substitution in Case of Death of Claimant, 8666-8674 [2011-3196]
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Federal Register / Vol. 76, No. 31 / Tuesday, February 15, 2011 / Proposed Rules
§ 117.821 Atlantic Intracoastal Waterway,
Albermarle Sound to Sunset Beach.
of Information and Regulatory Affairs
has not designated it as a significant
energy action. Therefore, it does not
require a Statement of Energy Effects
under Executive Order 13211.
Technical Standards
The National Technology Transfer
and Advancement Act (NTTAA) (15
U.S.C. 272 note) directs agencies to use
voluntary consensus standards in their
regulatory activities unless the agency
provides Congress, through the Office of
Management and Budget, with an
explanation of why using these
standards would be inconsistent with
applicable law or otherwise impractical.
Voluntary consensus standards are
technical standards (e.g., specifications
of materials, performance, design, or
operation; test methods; sampling
procedures; and related management
systems practices) that are developed or
adopted by voluntary consensus
standards bodies.
This proposed rule does not use
technical standards. Therefore, we did
not consider the use of voluntary
consensus standards.
Environment
We have analyzed this proposed rule
under Department of Homeland
Security Management Directive 023–01,
and Commandant Instruction
M16475.lD which guides the Coast
Guard in complying with the National
Environmental Policy Act of 1969
(NEPA) (42 U.S.C. 4321–4370f), and
have made a preliminary determination
that this action is one of a category of
actions which do not individually or
cumulatively have a significant effect on
the human environment because it
simply promulgates the operating
regulations or procedures for
drawbridges. We seek any comments or
information that may lead to the
discovery of a significant environmental
impact from this proposed rule.
Bridges.
For the reasons discussed in the
preamble, the Coast Guard proposes to
amend 33 CFR part 117 as follows:
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PART 117—DRAWBRIDGE
OPERATION REGULATIONS
Authority: 33 U.S.C. 499; 33 CFR 1.05–1;
Department of Homeland Security Delegation
No. 0170.1.
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Cape Fear River.
The draw of the Cape Fear Memorial
Bridge, mile 26.8, at Wilmington need
not open for the passage of vessels from
8 a.m. to 10 a.m. on the second Saturday
of July of every year, and from 7 a.m. to
11 a.m. on the first or second Sunday of
November of every year to accommodate
annual marathon races.
4. Revise § 117.829(a)(4) to read as
follows:
§ 117.829
Northeast Cape Fear River.
(a)* * *
(4) From 8 a.m. to 10 a.m. on the
second Saturday of July of every year,
from 12 p.m. to 11:59 p.m. on the last
Saturday of October or the first or
second Saturday of November of every
year, and from 7 a.m. to 11 a.m. on the
first or second Sunday of November of
every year, the draw need not open for
vessels to accommodate annual
marathon and triathlon races.
*
*
*
*
*
Dated: February 1, 2011.
William D. Lee,
Rear Admiral, U.S. Coast Guard, Commander,
Fifth Coast Guard District.
[FR Doc. 2011–3355 Filed 2–14–11; 8:45 am]
BILLING CODE 9110–04–P
38 CFR Parts 3, 14, 20
RIN 2900–AN91
Substitution in Case of Death of
Claimant
Department of Veterans Affairs.
Proposed rule.
AGENCY:
1. The authority citation for part 117
continues to read as follows:
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§ 117.823
DEPARTMENT OF VETERANS
AFFAIRS
List of Subjects in 33 CFR Part 117
2. Revise § 117.821(a)(4) to read as
follows:
(a) * * *
(4) S.R. 74 Bridge, mile 283.1, at
Wrightsville Beach, NC, between 7 a.m.
and 7 p.m., the draw need only open on
the hour; except that from 7 a.m. to 11
a.m. on the third and fourth Saturday in
September of every year, the draw need
not open for vessels and between 7 a.m.
and 10:30 a.m. on the last Saturday of
October each year or the first or second
Saturday of November of every year the
draw need not open for vessels due to
annual triathlon events.
3. Revise § 117.823 to read as follows:
ACTION:
The Department of Veterans
Affairs (VA) proposes to amend its
regulations concerning adjudication of
claims, representation of claimants, and
Board of Veterans’ Appeals rules of
practice. These amendments would
SUMMARY:
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implement section 212 of the Veterans’
Benefits Improvement Act of 2008,
which allows an eligible survivor to
substitute for a deceased claimant in
order to complete the processing of the
deceased claimant’s claim. The
intended effect of these amendments is
to clarify the rules and procedures for
those situations in which substitution is
authorized. Under section 212, if a
claimant dies while his or her claim or
appeal is pending before VA, a survivor
who would be eligible for accrued
benefits under existing statutory
authority may, not later than one year
after the death of the claimant, request
to be substituted for the claimant for the
purposes of processing the claim or
appeal to completion. Accordingly, after
substitution, VA will continue to
process the claim or appeal as if the
claimant had not died. These
amendments clarify the following
matters: Eligibility for substitution, how
an eligible survivor makes a request to
substitute, how VA responds to requests
to substitute, a substitute’s rights in
adjudication, limitations related to
substitution, order of preference among
eligible survivors, representation of
substitutes, and procedures for
substitution when a claim is before the
Board of Veterans’ Appeals.
DATES: Comments must be received by
VA on or before April 18, 2011.
ADDRESSES: Written comments may be
submitted through
www.Regulations.gov; by mail or handdelivery to Director, Regulations
Management (02REG), Department of
Veterans Affairs, 810 Vermont Ave.,
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–
AN91—Substitution in Case of Death of
Claimant.’’ Copies of 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.
FOR FURTHER INFORMATION CONTACT:
Robert Watkins, Department of Veterans
Affairs, Veterans Benefits
Administration, Compensation and
Pension Service, Regulation Staff
(211D), 810 Vermont Avenue, NW.,
Washington, DC 20420, 202–461–9214.
(This is not a toll-free number.)
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Federal Register / Vol. 76, No. 31 / Tuesday, February 15, 2011 / Proposed Rules
Section
212 of the Veterans’ Benefits
Improvement Act of 2008, Public Law
110–389 (the Act), added to title 38,
United States Code, a provision codified
at 38 U.S.C. 5121A. It authorizes a living
person eligible to receive accrued
benefits under 38 U.S.C. 5121(a) to
substitute for a deceased claimant in
order to process a claim or appeal
pending before VA to completion.
Section 5121A permits, upon timely
request, a person who would be eligible
for accrued benefits under 38 U.S.C.
5121(a) to continue a claim that was
pending when the claimant died. The
legislative intent in enacting section 212
was to change the then-state of the law,
which permitted eligible survivors to
file an accrued benefits claim after the
death of a claimant, but made no
provision for substitution. See 154
Cong. Rec. S10447 (daily ed. Oct. 2,
2008) (Joint Explanatory Statement on
Amendment to Senate Bill, S. 3023, as
Amended) (‘‘Currently * * * the
surviving spouse or other beneficiary is
unable to take up the claim where it is
in the process and must refile the claim
separately as if submitting a new
claim.’’); 38 U.S.C. 5121. A successful
accrued benefits claim can only result in
payment of those benefits ‘‘to which [the
claimant] was entitled at death under
existing ratings or decisions or those
based on evidence in the file at date of
death * * * and due and unpaid.’’ 38
U.S.C. 5121. By permitting substitution,
Congress created a new procedural right
and expanded the nature of benefits that
eligible survivors can secure following a
claimant’s death. The availability of
substitution means that survivors are no
longer limited to those benefits to which
the claimant was entitled at death under
existing ratings or decisions or those
based on evidence in the file at date of
death. However, the types of benefits
payable to a survivor—periodic
monetary benefits (other than insurance
and servicemembers’ indemnity)—
remain the same.
To implement the Act, VA proposes
to add to 38 CFR part 3, subpart A, a
new § 3.1010 to clarify adjudication
procedures affected by section 5121A.
Because the Act inserted section 5121A
immediately after section 5121 in title
38, U.S. Code, and otherwise closely
links the two statutes, VA proposes to
insert 5121A’s implementing regulation,
§ 3.1010, immediately after section
5121’s existing implementing
regulations at §§ 3.1000–3.1009 (referred
to as the ‘‘accrued benefits regulations’’).
Further, VA proposes to generally
model §§ 3.1010 after the accrued
benefits regulations to the extent
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appropriate. In addition, VA proposes to
add to and amend portions of part 14 to
address the representation of substitutes
before VA. Finally, VA proposes to add
to and amend portions of 38 CFR part
20 to clarify procedures before the
Board of Veterans’ Appeals (Board)
affected by section 5121A.
Section 5121A(a)(3) provides:
‘‘Substitution under this subsection
shall be in accordance with such
regulations as the Secretary may
prescribe.’’ In addition, section
5121A(a)(2) states, ‘‘Any person seeking
to be substituted for the claimant shall
present evidence of the right to claim
such status within such time as
prescribed by the Secretary in
regulations.’’ Finally, pursuant to 38
U.S.C. 501(a), the Secretary possess the
authority to prescribe all the rules and
regulations that are necessary or
appropriate to carry out the laws
administered by VA and that are
consistent with those laws. Pursuant to
the authority granted to the Secretary
under sections 501(a) and 5121A, VA
proposes the addition of § 3.1010 and
the amendment of §§ 14.630, 14.631,
20.900, 20.1106, 20.1302, and 20.1304.
With respect to each of these
amendments, VA proposes to add a
citation to 38 U.S.C. 5121A in the
existing authority citation. The
following sections of this
SUPPLEMENTARY INFORMATION discuss in
more detail the proposed changes to
parts 3, 14, and 20.
Amendments to Part 3
Eligibility for and Scope of Substitution
Proposed § 3.1010(a) would set forth
the eligibility criteria for substitution. In
accordance with the Act (38 U.S.C.
5121A(a)(1)), the proposed rule states
that, if a claimant dies on or after the
effective date of the Act—October 10,
2008—then a person who would be
eligible to receive accrued benefits
under § 3.1000(a) of the accrued benefits
regulations may request to become a
substitute for the deceased claimant in
a claim for periodic monetary benefits
(other than insurance and servicemen’s
indemnity) under laws administered by
the Secretary, or an appeal of a decision
with respect to such a claim that was
pending, when the claimant died. The
‘‘claimant’’ is in most circumstances a
veteran claiming benefits based upon
his or her own service. However, the
‘‘claimant’’ could also be a veteran’s
surviving spouse, the veteran’s child, or
a person receiving an apportioned share
of a veteran’s benefits, if such person
were claiming benefits based on their
original entitlement, rather than the
entitlement of another person.
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Proposed § 3.1010(a) would also
describe the scope of substitution.
Consistent with the Act (38 U.S.C.
5121A(a)(1)), § 3.1010(a) would state,
‘‘Upon VA’s grant of a request to
substitute, the substitute may continue
the claim or appeal on behalf of the
deceased claimant for purposes of
processing the claim or appeal to
completion.’’
Requests To Substitute and
Determinations
Proposed § 3.1010(b) would describe
the time and place for filing a request to
substitute. Consistent with the Act (38
U.S.C. 5121A(a)(1)), § 3.1010(b) would
require that a person desiring to
substitute for a deceased claimant file a
request to substitute ‘‘no later than one
year after the claimant’s death.’’
Proposed § 3.1010(b) would also require
that all requests to substitute be filed
with the agency of original jurisdiction
(AOJ) for a decision on the request to
substitute in the first instance.
Similarly, proposed § 3.1010(e),
‘‘Decisions on substitution requests,’’
would specify that the AOJ ‘‘will decide
in the first instance all requests to
substitute, including any request to
substitute in an appeal pending before
the Board.’’ These provisions would
clarify that, if a claimant dies while his
or her appeal is pending before the
Board, a person seeking to substitute
must file a request to substitute with the
AOJ in order to receive an initial
decision on a request to substitute.
Pursuant to proposed § 3.1010(g)(1)(ii),
an appeal would be considered to be
pending ‘‘if a claimant filed a notice of
disagreement in response to a
notification from an agency of original
jurisdiction of its decision on a claim,
but dies before the Board of Veterans’
Appeals issues a final decision on the
appeal. Once the Board issues its final
decision on an appeal, the appeal is not
pending for purposes of this section,
even if the 120-day period for appealing
the Board’s decision to the Court of
Appeals for Veterans Claims has not yet
expired.’’ As explained in more detail
below, this procedure is consistent with
the Board’s jurisdictional authority, 38
U.S.C. 7104(a), which provides that
‘‘[a]ll questions in a matter which * * *
is subject to decision by the Secretary
shall be subject to one review on appeal
to the Secretary. Final decisions on such
appeals shall be made by the Board.’’
See 38 CFR 20.101(a) (emphasis added).
Because neither the Act nor any other
legislation amended the Board’s
jurisdictional statute at 38 U.S.C.
7104(a), the Board lacks original
jurisdiction to decide a request to
substitute in the first instance, but, as
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discussed below in this preamble, may
hear an appeal of a denial of a request
to substitute.
The Board’s role in VA’s adjudication
system is generally limited to providing
appellate review of adverse decisions
made by an AOJ. With very limited
exceptions, such as motions to revise a
final Board decision based upon clear
and unmistakable error, the Board does
not have original jurisdiction over
matters subject to a decision by the
Secretary. Because the Board is
jurisdictionally limited to deciding
appeals, the Board cannot entertain
requests to substitute in the first
instance, as this would be outside the
Board’s jurisdiction and deprive
putative substitutes of their statutory
right to ‘‘one review on appeal to the
Secretary’’ in the event of a Board denial
of a request to substitute. Under the
current statutory scheme, an AOJ
decision on a request to substitute is
itself appealable to the Board.
Accordingly, under proposed
§ 3.1010(e)(2), ‘‘Appeals,’’ the denial of a
request to substitute may be appealed to
the Board. For these reasons, the AOJ,
not the Board, must decide these
requests in the first instance.
Notably, the Act (38 U.S.C.
5121A(a)(2)) contemplates the
submission of evidence to establish
eligibility for substitution, specifically
providing that ‘‘[a]ny person seeking to
be substituted for the claimant shall
present evidence of the right to claim
such status.’’ (emphasis added).
(Proposed § 3.1010(d), discussed below
in this preamble, would address the
submission of evidence in support of a
request to substitute.) The United States
Court of Appeals for the Federal Circuit
has made clear that, except as otherwise
specifically provided by law, the Board
generally cannot develop and consider
evidence in the first instance. Initial
consideration of evidence, including
that relating to eligibility for
substitution, must be undertaken by the
AOJ. See Disabled Am. Veterans v. Sec’y
of Veterans Affairs, 327 F.3d 1339, 1347
(Fed. Cir. 2003) (DAV) (‘‘[w]hen the
Board obtains evidence that was not
considered by the AOJ * * * an
appellant has no means to obtain ‘one
review on appeal to the Secretary,’
because the Board is the only appellate
tribunal under the Secretary’’). This is
another reason to have all requests to
substitute be decided by an AOJ in the
first instance.
Proposed § 3.1010 would contain no
provision allowing a person requesting
to substitute the option of waiving his
or her right to one review on appeal. In
DAV, the Federal Circuit implicitly
approved of waiver by a claimant of the
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consideration of evidence by the AOJ in
the first instance. 327 F.3d at 1341.
However, it would be contrary to VA’s
statutory adjudication authority to
employ the use of waivers in the context
of a decision on a request to substitute.
An AOJ decision on a request to
substitute is an appealable decision
under to 38 U.S.C. 7104(a). See, e.g., 20
CFR 19.28 (establishing as an appealable
issue the question of whether a notice
of disagreement is adequate). A
significant difference exists between
waiving the AOJ’s consideration of
certain evidence regarding a claim and
waiving the AOJ’s consideration of an
appealable issue in the first instance,
particularly because waiver would
require original jurisdiction that the
Board lacks. Nothing in DAV suggests
that the Board has the authority to
adjudicate an appealable issue in the
first instance. Rather, DAV stands for
the proposition that the Board may
consider newly obtained evidence that
was not first considered by the AOJ as
part of its adjudication of an issue if a
valid waiver is obtained from the
appellant. In the context of a request to
substitute, the Board would not be
soliciting a waiver for purposes of
considering evidence regarding
eligibility to substitute, which would be
a situation analogous to the discussion
of waiver in DAV. For these reasons,
proposed § 3.1010 would make no
provision for waiver of AOJ
consideration of a request to substitute
in the first instance.
Proposed § 3.1010(e)(3) would define
the term ‘‘joint class’’ and provide the
joint class order of preference rules for
substitution. Specifically, under
§ 3.1010(e)(3), ‘‘Joint class
representative,’’ a ‘‘joint class’’ would
mean ‘‘a group of two or more persons
eligible to substitute under the same
priority group under 38 CFR
3.1000(a)(1) through (a)(5), e.g., two or
more surviving children.’’ As explained
above, Congress closely linked section
5121A and section 5121. Also, the Act
(38 U.S.C. 5121A(b)) specifically
provides the limitation that ‘‘[t]hose who
are eligible to make a claim under this
section shall be determined in
accordance with section 5121.’’ Thus, it
is consistent with the Act to apply the
eligibility standards in the accrued
benefits regulations to the substitution
regulations. The proposed definition of
‘‘joint class’’ would simply describe the
eligibility categories enumerated in the
accrued benefits statute at 38 U.S.C.
5121(a) that could contain multiple
persons, such as ‘‘[t]he veteran’s
children’’ and ‘‘[t]he veteran’s dependent
parents.’’ Although the phrase ‘‘joint
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class’’ is used in the accrued benefits
regulations at 38 CFR 3.1000(c)(2), it is
not described in further detail. For the
sake of clarity, the proposed rule would
include a definition of ‘‘joint class.’’ We
propose in § 3.1010(e)(3)(ii) that ‘‘only
one person of the joint class may be a
substitute at any one time,’’ and ‘‘[t]he
first person in the joint class to file a
request to substitute that is granted will
be the substitute representing the joint
class.’’ This is consistent with the Act
(38 U.S.C. 5121A(a)), which authorizes
only ‘‘a person’’ to substitute.
Format of Request To Substitute
Proposed § 3.1010(c), ‘‘Request
format,’’ would specify the required
format for a request to substitute. Under
proposed § 3.1010(c), a request to
substitute would be required to be
submitted in writing. Further, a request
to substitute would be required to
contain, at a minimum, the word
‘‘substitute’’ or ‘‘substitution,’’ the
applicable claim number or appeal
number, and the names of the deceased
claimant and the person requesting to
substitute. Alternatively, under
proposed § 3.1010(c)(2), a claim for
accrued benefits, death pension, or
dependency and indemnity
compensation by an eligible person
listed in 38 CFR 3.1000(a)(1) through (5)
would be deemed to include a request
to substitute if a claim for periodic
monetary benefits (other than insurance
and servicemembers’ indemnity) under
laws administered by the Secretary, or
an appeal of a decision with respect to
such a claim, was pending before the
AOJ or the Board when the claimant
died. This provision would be
consistent with VA’s current treatment
of claims for death benefits as
interchangeable. Specifically, 38 CFR
3.152(b)(1) requires that ‘‘[a] claim by a
surviving spouse or child for [death]
compensation or dependency and
indemnity compensation * * * be
considered to be a claim for death
pension and accrued benefits, and a
claim by a surviving spouse or child for
death pension * * * be considered to
be a claim for death compensation or
dependency and indemnity
compensation and accrued benefits.’’
Although under the proposed rule VA
would treat qualifying death benefits
claims as requests to substitute, VA
anticipates that not all persons filing a
claim for death benefits will wish to
substitute for a deceased claimant.
Therefore, VA would provide an
opportunity for a person to waive the
right to substitute when he or she has
filed a claim for accrued benefits, death
pension, or dependency and indemnity
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compensation, which VA would
otherwise deem a request to substitute.
Evidence of Eligibility To Substitute
Proposed § 3.1010(d), ‘‘Evidence of
eligibility,’’ would address the
submission of evidence in support of a
request to substitute. Consistent with
the Act (38 U.S.C. 5121A(a)(2)),
proposed § 3.1010(d) would establish
the time period in which a person
seeking to be substituted for a deceased
claimant must present evidence of the
right to claim such status. As an initial
matter, a person desiring to substitute
would have to file a request to substitute
no later than one year after the
claimant’s death, pursuant to the Act
(38 U.S.C. 5121A(a)(1)) and as would be
required under proposed § 3.1010(b).
Under proposed § 3.1010(d), if the
request to substitute does not include
sufficient evidence of the person’s
eligibility to substitute, then VA would
send notification to the person who
filed the request. VA would not provide
notification if the person filing the
request could not be an eligible person.
For example, VA would not send
notification if the person who filed the
request claimed to be an individual
outside the categories of eligible persons
under 38 CFR 3.1000(a)(1) through (5).
Pursuant to proposed § 3.1010(d)(1)
through (3), a person who filed a request
to substitute without necessary evidence
of eligibility would be notified: ‘‘(1) Of
the evidence of eligibility required to
complete the request to substitute; (2)
That VA will take no further action on
the request to substitute unless VA
receives the evidence of eligibility; and
(3) That VA must receive the evidence
of eligibility no later than 60 days after
the date of notification or one year after
the claimant’s death, whichever is later,
or VA will deny the request to
substitute.’’ Thus, under proposed
§ 3.1010(d)(1), a person who does not
provide required evidence of eligibility
to substitute with their request to
substitute would be given 60 days from
the date of VA’s notification or until the
expiration of one year after the
claimant’s death, whichever is later, to
provide necessary evidence of
eligibility. The later of 60 days from the
date of notification or one year from the
date of the claimant’s death is a
reasonable time in which to submit
evidence of eligibility to substitute,
especially because VA would have
notified the person who filed the
request of the evidence required to
demonstrate eligibility.
The accrued benefits regulation at
§ 3.1000(c)(1)(iii) gives an accrued
benefits claimant 1 year from the date of
VA’s notification of an incomplete
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application for accrued benefits in
which to provide the necessary
eligibility evidence. However, this 1year time period from the date of
notification is mandated by the accrued
benefits statute at 38 U.S.C. 5121(c). In
contrast, under the Act (38 U.S.C.
5121A(a)(2)), Congress granted the
Secretary the authority to establish the
time period for the submission of
evidence of eligibility to substitute with
the intent of ensuring the timely
submission of evidence. The sooner the
AOJ receives evidence of eligibility to
substitute, the sooner an eligible person
may become a substitute and begin to
process to completion the claim or
appeal that was pending. Such
timeliness is less significant under the
accrued benefits statute (38 U.S.C.
5121), which does not provide for the
completion of any pending claim or
appeal. Further, proposed § 3.1010
would be consistent with the Act (38
U.S.C. 5121A) because in no event
would a person requesting to substitute
be given less than 1 year from the date
of the claimant’s death in which to
complete the request to substitute.
Adjudications Before the AOJ
Proposed § 3.1010(f) would clarify the
rules governing an adjudication before
the AOJ of a claim involving a
substitute. As noted in proposed
§ 3.1010(f)(5), the rules governing an
appeal before the Board involving a
substitute are specifically addressed in
parts 19 and 20, the proposed
amendments to which are discussed
below in this preamble.
As a general matter, all part 3
regulations that would have been
applicable to the claimant had the
claimant not died would be applicable
to the substitute under the proposed
regulations, with some exceptions
predicated on the fact that the claimant
has died. Under proposed § 3.1010(f)(1),
VA would send to a substitute notice
under 38 CFR 3.159(b) only if the
required notice was not sent to the
deceased claimant or if the notice sent
to the deceased claimant was
inadequate. Section 3.159(b) governs
VA’s duty to notify claimants of
information or evidence that is
necessary to substantiate a claim and is
the implementing regulation for the
notification duty imposed on VA by the
Veterans Claims Assistance Act (VCAA)
of 2000 (Pub. L. 106–475), codified at 38
U.S.C. 5103. VA recognizes that in some
circumstances a claimant would have
been provided this VCAA notice under
§ 3.159(b) prior to death. In such cases,
VA will send notice to a substitute only
if notice was not previously sent or was
inadequate because a substitute is
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generally considered to ‘‘stand in the
shoes’’ of the deceased claimant.
Under proposed § 3.1010(f)(2), a
substitute would be expressly
prohibited from adding new issues to or
expanding the existing claim. However,
a substitute would be permitted to raise
new theories of entitlement as to the
claim. This limitation would be
consistent with the Act (38 U.S.C.
5121A(a)(1)) because the Act
contemplates that a substitute will
replace a deceased claimant for the
purpose of processing a claim or appeal
that was pending to completion.
However, the Act does not authorize a
person to add new issues to a claim,
which would be tantamount to filing a
new claim on behalf of a deceased
claimant. For example, if a veteran had
a claim pending regarding the single
issue of service connection for a knee
injury, a substitute could raise a
previously unraised theory of
entitlement, such as secondary service
connection. However, the substitute
could not add the issue of or file a claim
for service connection for post-traumatic
stress disorder.
Although a substitute could not add
new issues to or expand a claim, under
proposed § 3.1010(f)(3), a substitute
could submit evidence and generally
would have the same rights regarding
hearings, representation, and appeals as
would have applied to the claimant had
the claimant not died.
Limitations on Substitution
Proposed § 3.1010(g), ‘‘Limitations on
substitution,’’ would address the
limitations that apply to substitution.
These limitations would help to further
clarify the scope of substitution and
would be consistent with the language
of the Act. Section 3.1010(g)(1) would
clarify when a person may substitute for
a deceased claimant by specifying that
a claim or appeal must be undecided to
be pending for purposes of substitution.
Specifically, a person could substitute if
a claim has been filed with but has not
been decided by the AOJ before the
claimant’s death, or if a notice of
disagreement has been filed to initiate
an appeal to the Board, but the Board
has not decided the appeal before the
claimant’s death. In other words, a
person could not substitute for a
‘‘claimant’’ who dies without first filing
a claim or initiating an appeal, even if
the substitute were to file a request to
substitute during the appeal period.
VA recognizes that the limitation in
proposed § 3.1010(g)(1) may appear to
conflict with VA’s definitions of
‘‘pending claim’’ and ‘‘finally
adjudicated claim’’ in 38 CFR 3.160,
‘‘Status of claims.’’ Pursuant to
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paragraphs (c) and (d) of § 3.160, a
‘‘pending claim’’ is one that has not been
‘‘finally adjudicated,’’ and a ‘‘finally
adjudicated claim’’ means ‘‘[a]n
application, formal or informal, which
has been allowed or disallowed by the
agency of original jurisdiction, the
action having become final by the
expiration of 1 year after the date of
notice of an award or disallowance, or
by denial on appellate review,
whichever is the earlier.’’ This means
that a decided claim for which the 1year appeal period has not yet expired
is considered a ‘‘pending claim’’ unless
the Board has already decided the
appeal. However, the Act does not use
the term ‘‘pending claim’’ or ‘‘finally
adjudicated claim,’’ and VA does not use
these terms in the proposed rule. VA
interprets the phrase in the Act ‘‘a claim
* * * or an appeal * * * is pending’’ to
mean that a claim or appeal must have
been initiated by the claimant before
death in order for an eligible person to
substitute for the claimant upon the
claimant’s death. In the context of a
living claimant, a claim must be a
‘‘pending claim’’ until the expiration of
the appeal period because that claimant
could initiate an appeal at any time
during that period. Also, a claim must
be a ‘‘pending claim’’ even if appealed to
the Board and not yet decided by the
Board because of the possibility of the
Board remanding the claim for
additional development. However,
when a claimant dies before initiating a
claim or appeal, substitution is not
available because a person may not
substitute for the purpose of initiating a
claim or an appeal.
As explained above, the Act
authorizes VA to pay benefits of a
different nature than allowed by the
accrued benefits statute, i.e., benefits
not limited to those to which the
claimant was entitled at death under
existing ratings or decisions or those
based on evidence in the file at date of
death and due and unpaid. Proposed
§ 3.1010(g)(2) would further clarify the
nature of benefits payable under section
5121A. First, paragraph (g)(2) would
clarify that VA is authorized to award
only past-due benefits to the substitute
and other members of a joint class, if
any. Second, paragraph (g)(2) would
specify that past-due benefits are those
benefits for the time period between the
effective date of the award and what
would have been the effective date of
discontinuance of the award as a result
of the claimant’s death. See 38 CFR
3.500(g). In other words, a substitute
would be eligible to receive past-due
benefits for the period between the
effective date of the award and the last
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day of the month preceding the
claimant’s death.
Proposed paragraphs (g)(3) and (g)(4)
would parallel provisions in the accrued
benefits statute and implementing
regulations. As discussed previously,
parallelism between the proposed
substitution regulations and the accrued
benefits regulations is generally
appropriate given that Congress closely
linked the two statutes together.
Proposed § 3.1010(g)(3) would describe
when the amount of benefits awarded to
a substitute and members of a joint
class, if any, is limited to the amount of
the expense of last sickness and burial.
This provision would simply repeat the
limitation under the accrued benefits
statute at 38 U.S.C. 5121(a)(6),
implemented at 38 CFR 3.1000(a)(5),
which limits the amount of accrued
benefits payable when entitlement
cannot be established under categories
(a)(1) through (a)(5) of that section.
Because the Act (38 U.S.C. 5121A(a)(1))
defines eligibility to substitute in terms
of the eligibility criteria under section
5121(a), the benefit amount limitation
inherent in the eligibility provisions of
section 5121(a)(6) applies to a person
substituted on the basis of having borne
the expense of last sickness and burial.
Proposed paragraph (g)(4) would
mirror the accrued benefits regulation at
§ 3.1000(c)(2) and clarify that, if an
eligible person in a priority category
fails or waives the right to file a request
to substitute, persons of a lower
category are not permitted to substitute.
Similarly, under proposed paragraph
(g)(4), failure or waiver of the right to
file a request to substitute by a member
of a joint class would not serve to
increase the amount payable to other
persons in the class.
Finally, proposed paragraph (g)(5)
would explain when subsequent
substitutions are permitted upon the
death of a substitute. Proposed
paragraph (g)(5) would permit
substitution for a deceased substitute
only under the same circumstances in
which substitution would have been
permitted for a deceased claimant. In
other words, substitution for a substitute
would be permitted only if the
substitute died while a claim was
pending before the AOJ or the Board or
an appeal of a decision on a claim was
pending before the AOJ or the Board.
Further, proposed paragraph (g)(5)
would allow substitution upon the
death of a substitute only if the request
to substitute for the deceased substitute
is filed within the one-year period from
the date of the claimant’s death, not the
date of the substitute’s death. This
provision comes directly from the Act
(38 U.S.C. 5121A(a)(1)), which
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authorizes a request to substitute to be
filed not later than 1 year after the date
of the death of the claimant, but does
not authorize substitution outside of
this 1-year period.
Amendments to Part 14
Representation of Substitutes
The Act does not address the
representation of substitutes by
attorneys, claims agents, veterans
service organization representatives, or
other individuals. However, we propose
to revise VA’s regulations governing
representation of VA claimants to clarify
that the same rules that would apply to
a claimant apply to a substitute.
Specifically, we propose to amend 38
CFR 14.630, ‘‘Authorization for a
particular claim,’’ by adding a new
paragraph (e), to explain that a person
authorized to represent a claimant on a
one-time basis pursuant to § 14.630 may
also represent the substitute with
respect to that claim upon the
claimant’s death as long as a new VA
Form 21–22a, ‘‘Appointment of
Individual as Claimant’s
Representative,’’ is filed. Proposed
§ 14.630(e) would permit such
representation notwithstanding
§ 14.630(b), which authorizes
representation on a ‘‘one time only’’
basis, because the substitute will be
processing the same claim to
completion.
Similarly, we propose to amend
§ 14.631 by adding a new paragraph (g),
to clarify that an attorney, claims agent,
or veterans service organization
representative may represent a
substitute only if a new VA Form 21–
22, ‘‘Appointment of Veterans Service
Organization as Claimant’s
Representative,’’ or VA Form 21–22a,
‘‘Appointment of Individual as
Claimant’s Representative,’’ signed by
the substitute is filed. In other words, in
no case will the representative of the
deceased claimant be permitted to
represent the substitute without the
filing of a new VA Form 21–22 or VA
Form 21–22a signed by the substitute to
authorize such representation. In
addition, if the substitute wants the
representation of a person under
§ 14.630(a), a statement signed by the
person and the substitute that no
compensation will be charged or paid
for the services would be required.
Amendments to Part 20
Adjudications Before the Board
We propose to amend 38 CFR 20.900
by adding new paragraph (a)(2) stating,
‘‘Cases returned to the Board following
the grant of a substitution request or
pursuant to an appeal of a denial of a
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substitution request assume the place on
the docket that was originally held by
the deceased appellant.’’ This provision
ensures that substitutes in appeals that
were pending before the Board when the
appellant died will get the benefit of the
claim’s original docket number. This
proposed rule also makes a related
organizational amendment to § 20.900
by designating as paragraph (a)(1) the
existing provision stating that cases
returned to the Board following action
pursuant to remand assume their
original place on the docket. This
provision is currently part of paragraph
(a).
We also propose to amend 38 CFR
20.1106, ‘‘Rule 1106. Claim for death
benefits by survivor—prior unfavorable
decisions during veteran’s lifetime,’’ by
adding that ‘‘[c]ases in which a person
substitutes for a deceased veteran under
38 U.S.C. 5121A are not claims for death
benefits and are not subject to this
section. Cases in which a person
substitutes for a deceased death benefits
claimant under 38 U.S.C. 5121A are
claims for death benefits subject to this
section.’’ The inclusion of these
statements is appropriate because a
substitute on behalf of a veteran will be
continuing a claim that was pending
when the veteran died, and therefore the
claim is not one for ‘‘death benefits,’’ and
any issues decided must be decided
with regard to the prior disposition of
those issues during the veteran’s
lifetime as they would have been were
the veteran still alive. A person who
substitutes for a death benefits claimant
will be prosecuting a claim for ‘‘death
benefits’’ so the rule regarding decisions
without regard to any prior disposition
of the issues during the veteran’s
lifetime will apply as in other death
benefit claims.
In addition, we propose to amend
§ 20.1302, ‘‘Rule 1302. Death of
appellant during pendency of appeal,’’
to account for section 5121A.
Specifically, we propose to specify that
an appeal pending before the Board
when the appellant dies will be
dismissed ‘‘without prejudice.’’ This
amendment is intended to allow the
appeal to continue following a grant of
a request to substitute and to ensure that
a substitute is not prejudiced by the
dismissal of the appeal upon the death
of the claimant. We also propose to refer
to § 3.1010 to clarify that requests to
substitute must be filed with the AOJ for
a decision on the request to substitute
in the first instance. Moreover, the
proposed amendment contains a
reference to § 20.900(a)(2) to clarify that,
‘‘[i]f the agency of original jurisdiction
grants the request to substitute, the case
will assume its original place on the
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docket pursuant to Rule 900
(§ 20.900(a)(2) of this part).’’
We also propose to add to 38 CFR
20.1302 a paragraph (b) to specify a
narrow exception to the general rule
described in what would be designated
as paragraph (a). Specifically, paragraph
(b)(1) would permit the grant of a
request to substitute by the AOJ prior to
the dismissal of an appeal by the Board
when the appellant had requested a
hearing before the AOJ prior to death
and a written request to substitute has
been received at or before that hearing.
In this limited context, the AOJ may
make a decision on the request to
substitute before the Board dismisses
the appeal on account of the appellant’s
death. Paragraph (b)(2) explains what
happens if the AOJ grants the request to
substitute:
If the [AOJ] grants the request to substitute,
the [Board] can then take the testimony of the
substitute at a hearing held pursuant to Rule
700 et seq. (§ 20.700 et seq. of this part). If
the substitute desires representation at the
hearing, he or she must appoint a
representative prior to the hearing pursuant
to § 14.631(g) of this chapter.
This proposed amendment is intended
to promote efficiency in those
circumstances where a hearing is
scheduled to be held before the AOJ
following the appellant’s death.
Finally, we propose to amend 38 CFR
20.1304(b)(1), which provides the
general rule applicable to a request for
a change in representation, a request for
a personal hearing, or the submission of
additional evidence, received more than
90 days following notification of
certification of an appeal and transfer of
the appellate record to the Board. We
propose to add to the list of items
required in a motion for acceptance of
such requests or evidence based on good
cause ‘‘the name of any substitute
claimant or appellant.’’
Paperwork Reduction Act
Although this document contains
provisions constituting collections of
information, at 38 CFR 3.1010(b) and (c)
and 14.631(g), under the provisions of
the Paperwork Reduction Act (44 U.S.C.
3501 et seq.), no new or proposed
revised collections of information are
associated with this proposed rule. The
information collection requirements for
§§ 3.1010(b) and (c) and 14.631(g), are
currently approved by the Office of
Management and Budget (OMB) and
have been assigned OMB control
numbers 2900–0740 (VA Form 21–0847,
Request for Substitution of Claimant
Upon Death of Claimant); 2900–
0321(VA Form 21–22, Appointment of
Veterans Service Organization as
Claimant’s Representative); and 2900–
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8671
0321 (VA Form 21–22a, Appointment of
Individual as Claimant’s
Representative).
Regulatory Flexibility Act
The Secretary hereby certifies that
this proposed rule 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 et seq. This proposed rule
would directly affect only individuals
and will not directly affect small
entities. Therefore, pursuant to 5 U.S.C.
605(b), this proposed rule is exempt
from the initial and final regulatory
flexibility analysis requirements of
sections 603 and 604.
Executive Order 12866
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
Executive Order classifies a ‘‘significant
regulatory action,’’ requiring review by
the Office of Management and Budget
(OMB), as any regulatory action that is
likely to result in a rule that may: (1)
Have an annual effect on the economy
of $100 million or more or adversely
affect in a material way the economy, a
sector of the economy, productivity,
competition, jobs, the environment,
public health or safety, or State, local,
or tribal governments or communities;
(2) create a serious inconsistency or
otherwise interfere with an action taken
or planned by another agency; (3)
materially alter the budgetary impact of
entitlements, grants, user fees, or loan
programs or the rights and obligations of
recipients thereof; or (4) raise novel
legal or policy issues arising out of legal
mandates, the President’s priorities, or
the principles set forth in the Executive
Order.
The economic, interagency,
budgetary, legal, and policy
implications of this proposed rule have
been examined and it has been
determined that it is not a significant
regulatory action under the Executive
Order.
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 the
expenditure by State, local, and tribal
governments, in the aggregate, or by the
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private sector, of $100 million or more
(adjusted annually for inflation) in any
1 year. This proposed rule would have
no such effect on State, local, and tribal
governments, or on the private sector.
PART 3—AJUDICATION
Catalog of Federal Domestic Assistance
Numbers and Titles
1. The authority citation for part 3,
Subpart A continues to read as follows:
The Catalog of Federal Domestic
Assistance program numbers and titles
for the programs affected by this
document are 64.103, Life Insurance for
Veterans; 64.104, Pension for NonService-Connected Disability for
Veterans; 64.105, Pension to Veterans
Surviving Spouses, and Children;
64.109, Veterans Compensation for
Service-Connected Disability; 64.110,
Veterans Dependency and Indemnity
Compensation for Service-Connected
Death; 64.115, Veterans Information and
Assistance.
Signing Authority
The Secretary of Veterans Affairs, or
designee, approved this document and
authorized the undersigned to sign and
submit the document to the Office of the
Federal Register for publication
electronically as an official document of
the Department of Veterans Affairs. John
R. Gingrich, Chief of Staff, Department
of Veterans Affairs, approved this
document on January 31, 2011, for
publication.
List of Subjects
38 CFR Part 3
Administrative practice and
procedure, Claims, Disability benefits,
Pensions, Veterans.
38 CFR Part 14
Administrative practice and
procedure, Claims, Courts, Foreign
relations, General Counsel, Government
employees, Lawyers, Legal services,
Organization and functions
(Government agencies), Reporting and
recordkeeping requirements, Surety
bonds, Trusts and trustees, Veterans.
38 CFR Part 20
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Administrative practice and
procedure, Claims, Veterans.
Dated: February 8, 2011.
Robert C. McFetridge,
Regulation Policy and Management, Office
of the General Counsel, Department of
Veterans Affairs.
For the reasons stated in the
preamble, VA proposes to amend 38
CFR parts 3, 14, and 20 as follows:
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Subpart A—Pension, Compensation,
and Dependency and Indemnity
Compensation
Authority: 38 U.S.C. 501(a), unless
otherwise noted.
2. Add § 3.1010 to read as follows:
§ 3.1010 Substitution under 38 U.S.C.
5121A following death of a claimant.
(a) Eligibility. If a claimant dies on or
after October 10, 2008, a person eligible
for accrued benefits under § 3.1000(a) of
this part (listed in 38 CFR. 3.1000(a)(1)
through (5)) may, in priority order,
request to substitute for the deceased
claimant in a claim for periodic
monetary benefits (other than insurance
and servicemembers’ indemnity) under
laws administered by the Secretary, or
an appeal of a decision with respect to
such a claim, that was pending before
the agency of original jurisdiction or the
Board of Veterans’ Appeals when the
claimant died. Upon VA’s grant of a
request to substitute, the substitute may
continue the claim or appeal on behalf
of the deceased claimant for purposes of
processing the claim or appeal to
completion. Any benefits ultimately
awarded are payable to the substitute
and other members of a joint class, if
any, in equal shares.
(b) Time and place for filing a request.
A person may not substitute for a
deceased claimant under this section
unless the person files a request to
substitute with the agency of original
jurisdiction no later than one year after
the claimant’s death.
(c) Request format. (1) A request to
substitute must be submitted in writing.
At a minimum, a request to substitute
must include the word ‘‘substitute’’ or
‘‘substitution,’’ the applicable claim
number or appeal number, and the
names of the deceased claimant and the
person requesting to substitute.
(2) In lieu of a specific request to
substitute, a claim for accrued benefits,
death pension, or dependency and
indemnity compensation by an eligible
person listed in 38 CFR 3.1000(a)(1)
through (5) is deemed to include a
request to substitute if a claim for
periodic monetary benefits (other than
insurance and servicemembers’
indemnity) under laws administered by
the Secretary, or an appeal of a decision
with respect to such a claim, was
pending before the agency of original
jurisdiction or the Board of Veterans’
Appeals when the claimant died. A
claimant for accrued benefits, death
pension, or dependency and indemnity
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compensation may waive the right to
substitute.
(d) Evidence of eligibility. A person
filing a request to substitute must
provide evidence of eligibility to
substitute. If a person’s request to
substitute does not include evidence of
eligibility when it is originally
submitted and the person may be an
eligible person, the Secretary will notify
the person—
(1) Of the evidence of eligibility
required to complete the request to
substitute;
(2) That VA will take no further action
on the request to substitute unless VA
receives the evidence of eligibility; and
(3) That VA must receive the evidence
of eligibility no later than 60 days after
the date of notification or one year after
the claimant’s death, whichever is later,
or VA will deny the request to
substitute.
(e) Decisions on substitution requests.
Subject to the provisions of § 20.1302 of
this chapter, the agency of original
jurisdiction will decide in the first
instance all requests to substitute,
including any request to substitute in an
appeal pending before the Board of
Veterans’ Appeals.
(1) Notification. The agency of
original jurisdiction will provide
written notification of the granting or
denial of a request to substitute to the
person who filed the request, together
with notice in accordance with
§ 3.103(b)(1).
(2) Appeals. The denial of a request to
substitute may be appealed to the Board
of Veterans’ Appeals pursuant to 38
U.S.C. 7104(a) and 7105.
(3) Joint class representative. (i) A
joint class means a group of two or more
persons eligible to substitute under the
same priority group under 38 CFR
3.1000(a)(1) through (a)(5), e.g., two or
more surviving children.
(ii) In the case of a joint class of
potential substitutes, only one person of
the joint class may be a substitute at any
one time. The first eligible person in the
joint class to file a request to substitute
will be the substitute representing the
joint class.
(f) Adjudications involving a
substitute. The following provisions
apply with respect to a claim or appeal
in which a survivor has been substituted
for the deceased claimant:
(1) Notice under 38 CFR 3.159. VA
will send notice under 38 CFR 3.159(b),
‘‘Department of Veterans Affairs
assistance in developing claims,’’ to the
substitute only if the required notice
was not sent to the deceased claimant or
if the notice sent to the deceased
claimant was inadequate.
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(2) Expansion of the claim not
permitted. A substitute may not add an
issue to or expand the claim. However,
a substitute may raise new theories of
entitlement in support of the claim.
(3) Submission of evidence and other
rights. A substitute has the same rights
regarding hearings, representation,
appeals, and the submission of evidence
as would have applied to the claimant
had the claimant not died. However,
rights that may have applied to the
claimant prior to death but which
cannot practically apply to a substitute,
such as the right to a medical
examination, are not available to the
substitute. The substitute must complete
any action required by law or regulation
within the time period remaining for the
claimant to take such action on the date
of his or her death. The time remaining
to take such action will start to run on
the date of the mailing of the decision
granting the substitution request.
(4) Board of Veterans’ Appeals
procedures. The rules and procedures
governing appeals involving substitutes
before the Board of Veterans’ Appeals
are found in parts 19 and 20 of this
chapter.
(g) Limitations on substitution. The
following limitations apply with respect
to substitution:
(1) A claim or appeal must be
pending. (i) A claim is considered to be
pending if the claimant had filed the
claim with an agency of original
jurisdiction but dies before the agency
of original jurisdiction makes a decision
on the claim. If the agency of original
jurisdiction has decided a claim before
the claimant dies, but the claimant dies
before filing a Notice of Disagreement,
no claim or appeal is pending for
purposes of this section.
(ii) An appeal is considered to be
pending if a claimant filed a notice of
disagreement in response to a
notification from an agency of original
jurisdiction of its decision on a claim,
but dies before the Board of Veterans’
Appeals issues a final decision on the
appeal. If the Board issued a final
decision on an appeal prior to the
claimant’s death, the appeal is not
pending for purposes of this section,
even if the 120-day period for appealing
the Board’s decision to the Court of
Appeals for Veterans Claims has not yet
expired.
(2) Benefits awarded. Any benefits
ultimately awarded are limited to any
past-due benefits for the time period
between the effective date of the award
and what would have been the effective
date of discontinuance of the award as
a result of the claimant’s death.
(3) Benefits for last sickness and
burial only. When substitution cannot
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be established under any of the
categories listed in 38 CFR 3.1000(a)(1)
through (a)(4), only so much of any
benefits ultimately awarded may be
paid as may be necessary to reimburse
the person who bore the expense of last
sickness and burial. No part of any
benefits ultimately awarded shall be
used to reimburse any political
subdivision of the United States for
expenses incurred in the last sickness or
burial of any claimant.
(4) Substitution by subordinate
members prohibited. Failure to timely
file a request to substitute, or a waiver
of the right to request substitution, by a
person of a preferred category of eligible
person will not serve to vest the right to
request substitution in a person in a
lower category or a person who bore the
expense of last sickness and burial;
neither will such failure or waiver by a
person or persons in a joint class serve
to increase the amount payable to other
persons in the class.
(5) Death of a substitute. If a
substitute dies while a claim is pending
before an agency of original jurisdiction
or the Board, or an appeal of a decision
on a claim is pending, another member
of the same joint class or a member of
the next preferred subordinate category
listed in 38 CFR 3.1000(a)(1) through (5)
may substitute for the deceased
substitute but only if the person
requesting the second substitution files
a request to substitute no later than one
year after the date of the claimant’s
death (not the date of the substitute’s
death).
PART 14—LEGAL SERVICES,
GENERAL COUNSEL, AND
MISCELLANEOUS CLAIMS
3. The authority citation for part 14
continues to read as follows:
Authority: 5 U.S.C. 301; 28 U.S.C. 2671–
2680; 38 U.S.C. 501(a), 512, 515, 5502, 5901–
5905; 28 CFR part 14, appendix to part 14,
unless otherwise noted.
4. Amend § 14.630 by adding
paragraph (e) and revising the authority
citation at the end of the section to read
as follows:
§ 14.630.
claim.
Authorization for a particular
*
*
*
*
*
(e) With respect to the limitation in
paragraph (b) of this section, a person
who had been authorized under
paragraph (a) of this section to represent
a claimant who later dies and is
replaced by a substitute pursuant to 38
CFR 3.1010 for purposes of processing
the claim to completion will be
permitted to represent the substitute if
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Sfmt 4702
8673
the procedures of 38 CFR 14.631(g) are
followed.
*
*
*
*
*
(Authority: 38 U.S.C. 501(a), 5121A, 5903)
5. Amend § 14.631 by adding
paragraph (g) and revising the authority
citation at the end of the section to read
as follows:
§ 14.631 Powers of attorney; disclosure of
claimant information.
*
*
*
*
*
(g) If a request to substitute is granted
pursuant to 38 CFR 3.1010, then a new
VA Form 21–22, ‘‘Appointment of
Veterans Service Organization as
Claimant’s Representative,’’ or VA Form
21–22a, ‘‘Appointment of Individual as
Claimant’s Representative,’’ under
paragraph (a) of this section is required
in order to represent the substitute
before VA. If the substitute desires
representation on a one-time basis
pursuant to § 14.630(a), a statement
signed by the person providing
representation and the substitute that no
compensation will be charged or paid
for the services is also required.
*
*
*
*
*
(Authority: 38 U.S.C. 501(a), 5121A, 5902,
5903, 5904)
PART 20—BOARD OF VETERANS’
APPEALS: RULES OF PRACTICE
6. 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
7. Amend § 20.900 by revising
paragraph (a) and the authority citation
at the end of the section to read as
follows:
§ 20.900 Rule 900. Order of consideration
of appeals.
(a) Docketing of appeals. Applications
for review on appeal are docketed in the
order in which they are received.
(1) Cases returned to the Board
following action pursuant to a remand
assume their original places on the
docket.
(2) Cases returned to the Board
following the grant of a substitution
request or pursuant to an appeal of a
denial of a substitution request assume
the place on the docket that was
originally held by the deceased
appellant.
*
*
*
*
*
(Authority: 38 U.S.C. 5121A, 7107, Pub. L.
103–446, § 302)
Subpart L—Finality
8. Revise § 20.1106 to read as follows:
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8674
Federal Register / Vol. 76, No. 31 / Tuesday, February 15, 2011 / Proposed Rules
§ 20.1106 Rule 1106. Claim for death
benefits by survivor—prior unfavorable
decisions during veteran’s lifetime.
Except with respect to benefits under
the provisions of 38 U.S.C. 1311(a)(2)
and 1318, and certain cases involving
individuals whose Department of
Veterans Affairs benefits have been
forfeited for treason or for subversive
activities under the provisions of 38
U.S.C. 6104 and 6105, issues involved
in a survivor’s claim for death benefits
will be decided without regard to any
prior disposition of those issues during
the veteran’s lifetime. Cases in which a
person substitutes for a deceased
veteran under 38 U.S.C. 5121A are not
claims for death benefits and are not
subject to this section. Cases in which
a person substitutes for a deceased
death benefits claimant under 38 U.S.C.
5121A are claims for death benefits
subject to this section.
(Authority: 38 U.S.C. 5121A, 7104(b))
Subpart N—Miscellaneous
9. Revise § 20.1302 to read as follows:
jlentini on DSKJ8SOYB1PROD with PROPOSALS
§ 20.1302 Rule 1302. Death of appellant
during pendency of appeal before the
Board.
(a) General. An appeal pending before
the Board of Veterans’ Appeals when
the appellant dies will be dismissed
without prejudice. A person eligible for
substitution under § 3.1010 of this
chapter may file with the agency of
original jurisdiction a request to
substitute for the deceased appellant. If
the agency of original jurisdiction grants
the request to substitute, the case will
assume its original place on the docket
pursuant to Rule 900 (§ 20.900(a)(2) of
this part). If the agency of original
jurisdiction denies the request to
substitute and the person requesting to
substitute appeals that decision to the
Board, the appeal regarding eligibility to
substitute will assume the same place
on the docket as the original claim
pursuant to Rule 900 (§ 20.900(a)(2) of
this part).
(b) Exception. (1) If a hearing request
is pending pursuant to Rule 704
(§ 20.704 of this part) when the
appellant dies, the agency of original
jurisdiction may take action on a request
to substitute without regard to whether
the pending appeal has been dismissed
by the Board, if the request is submitted
in accordance with § 3.1010 of this
chapter.
(2) If the agency of original
jurisdiction grants the request to
substitute, the Board of Veterans’
Appeals can then take the testimony of
the substitute at a hearing held pursuant
to Rule 700 et seq. (§ 20.700 et seq. of
VerDate Mar<15>2010
16:26 Feb 14, 2011
Jkt 223001
this part). If the substitute desires
representation at the hearing, he or she
must appoint a representative prior to
the hearing pursuant to § 14.631(g) of
this chapter.
(Authority: 38 U.S.C. 5121A, 5902, 5903,
5904, 7104, 7105, 7105A)
[FR Doc. 2011–3196 Filed 2–14–11; 8:45 am]
BILLING CODE 8320–01–P
(Authority: 38 U.S.C. 5121A, 7104(a))
10. Revise § 20.1304, paragraph (b)(1)
introductory text and the authority
citation at the end of the section to read
as follows:
ENVIRONMENTAL PROTECTION
AGENCY
40 CFR Part 1
[FRL–9267–2]
§ 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.
Notice of a Public Meeting:
Environmental Justice Considerations
for Drinking Water Regulatory Efforts
*
AGENCY:
*
*
*
*
(b) * * *
(1) General rule. Subject to the
exception in paragraph (b)(2) of this
section, following the expiration of the
period described in paragraph (a) of this
section, the Board of Veterans’ Appeals
will not accept a request for a change in
representation, a request for a personal
hearing, or additional evidence except
when the appellant demonstrates on
motion that there was good cause for the
delay. Examples of good cause include,
but are not limited to, illness of the
appellant or the representative which
precluded action during the period;
death of an individual representative;
illness or incapacity of an individual
representative which renders it
impractical for an appellant to continue
with him or her as representative;
withdrawal of an individual
representative; the discovery of
evidence that was not available prior to
the expiration of the period; and delay
in transfer of the appellate record to the
Board which precluded timely action
with respect to these matters. Such
motions must be in writing and must
include the name of the veteran; the
name of the claimant or appellant if
other than the veteran (e.g., a veteran’s
survivor, a guardian, or a fiduciary
appointed to receive VA benefits on an
individual’s behalf) or the name of any
substitute claimant or appellant; the
applicable Department of Veterans
Affairs file number; and an explanation
of why the request for a change in
representation, the request for a
personal hearing, or the submission of
additional evidence could not be
accomplished in a timely manner. Such
motions must be filed at the following
address: Director, Management and
Administration (01E), Board of
Veterans’ Appeals, 810 Vermont
Avenue, NW., Washington, DC 20420.
Depending upon the ruling on the
motion, action will be taken as follows:
*
*
*
*
*
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Environmental Protection
Agency (EPA).
ACTION: Notice of meeting.
The U.S. Environmental
Protection Agency (EPA) is hosting a
public meeting to discuss and solicit
input on environmental justice
considerations related to several
upcoming regulatory efforts. These
regulatory efforts include the long-term
revisions to the Lead and Copper Rule
(LCR) and the third Regulatory
Determinations from the drinking water
Contaminant Candidate List 3. EPA
recently announced its intentions to
develop drinking water regulatory
actions for perchlorate and carcinogenic
volatile organic compounds (VOCs).
While the Agency is in the very
preliminary stages of developing the
regulatory efforts for perchlorate and
carcinogenic VOCs, EPA plans to
discuss these actions at this meeting.
Environmental justice is the fair
treatment and meaningful involvement
of all people regardless of race, color,
national origin, or income with respect
to the development, implementation,
and enforcement of environmental laws,
regulations and policies. EPA is holding
this meeting to provide information to
communities and an opportunity for
communities to provide input on the
LCR, Regulatory Determinations 3,
perchlorate, and carcinogenic VOCs
rulemaking efforts.
Date and Location: The public
meeting will be held in Washington, DC
on Thursday, March 3, 2011, from
10 a.m. to 5 p.m., Eastern Daylight Time
(EDT). Participants will be notified of
the specific meeting room upon
confirmation of registration.
Teleconferencing will be available for
individuals unable to attend the meeting
in person.
FOR FURTHER INFORMATION CONTACT: For
general information about this meeting,
contact Lameka Smith, Standards and
Risk Management Division, Office of
Ground Water and Drinking Water; by
SUMMARY:
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Agencies
[Federal Register Volume 76, Number 31 (Tuesday, February 15, 2011)]
[Proposed Rules]
[Pages 8666-8674]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-3196]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
38 CFR Parts 3, 14, 20
RIN 2900-AN91
Substitution in Case of Death of Claimant
AGENCY: Department of Veterans Affairs.
ACTION: Proposed rule.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) proposes to amend its
regulations concerning adjudication of claims, representation of
claimants, and Board of Veterans' Appeals rules of practice. These
amendments would implement section 212 of the Veterans' Benefits
Improvement Act of 2008, which allows an eligible survivor to
substitute for a deceased claimant in order to complete the processing
of the deceased claimant's claim. The intended effect of these
amendments is to clarify the rules and procedures for those situations
in which substitution is authorized. Under section 212, if a claimant
dies while his or her claim or appeal is pending before VA, a survivor
who would be eligible for accrued benefits under existing statutory
authority may, not later than one year after the death of the claimant,
request to be substituted for the claimant for the purposes of
processing the claim or appeal to completion. Accordingly, after
substitution, VA will continue to process the claim or appeal as if the
claimant had not died. These amendments clarify the following matters:
Eligibility for substitution, how an eligible survivor makes a request
to substitute, how VA responds to requests to substitute, a
substitute's rights in adjudication, limitations related to
substitution, order of preference among eligible survivors,
representation of substitutes, and procedures for substitution when a
claim is before the Board of Veterans' Appeals.
DATES: Comments must be received by VA on or before April 18, 2011.
ADDRESSES: Written comments may be submitted through
www.Regulations.gov; by mail or hand-delivery to Director, Regulations
Management (02REG), Department of Veterans Affairs, 810 Vermont Ave.,
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-AN91--Substitution in Case of
Death of Claimant.'' Copies of 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.
FOR FURTHER INFORMATION CONTACT: Robert Watkins, Department of Veterans
Affairs, Veterans Benefits Administration, Compensation and Pension
Service, Regulation Staff (211D), 810 Vermont Avenue, NW., Washington,
DC 20420, 202-461-9214. (This is not a toll-free number.)
[[Page 8667]]
SUPPLEMENTARY INFORMATION: Section 212 of the Veterans' Benefits
Improvement Act of 2008, Public Law 110-389 (the Act), added to title
38, United States Code, a provision codified at 38 U.S.C. 5121A. It
authorizes a living person eligible to receive accrued benefits under
38 U.S.C. 5121(a) to substitute for a deceased claimant in order to
process a claim or appeal pending before VA to completion. Section
5121A permits, upon timely request, a person who would be eligible for
accrued benefits under 38 U.S.C. 5121(a) to continue a claim that was
pending when the claimant died. The legislative intent in enacting
section 212 was to change the then-state of the law, which permitted
eligible survivors to file an accrued benefits claim after the death of
a claimant, but made no provision for substitution. See 154 Cong. Rec.
S10447 (daily ed. Oct. 2, 2008) (Joint Explanatory Statement on
Amendment to Senate Bill, S. 3023, as Amended) (``Currently * * * the
surviving spouse or other beneficiary is unable to take up the claim
where it is in the process and must refile the claim separately as if
submitting a new claim.''); 38 U.S.C. 5121. A successful accrued
benefits claim can only result in payment of those benefits ``to which
[the claimant] was entitled at death under existing ratings or
decisions or those based on evidence in the file at date of death * * *
and due and unpaid.'' 38 U.S.C. 5121. By permitting substitution,
Congress created a new procedural right and expanded the nature of
benefits that eligible survivors can secure following a claimant's
death. The availability of substitution means that survivors are no
longer limited to those benefits to which the claimant was entitled at
death under existing ratings or decisions or those based on evidence in
the file at date of death. However, the types of benefits payable to a
survivor--periodic monetary benefits (other than insurance and
servicemembers' indemnity)--remain the same.
To implement the Act, VA proposes to add to 38 CFR part 3, subpart
A, a new Sec. 3.1010 to clarify adjudication procedures affected by
section 5121A. Because the Act inserted section 5121A immediately after
section 5121 in title 38, U.S. Code, and otherwise closely links the
two statutes, VA proposes to insert 5121A's implementing regulation,
Sec. 3.1010, immediately after section 5121's existing implementing
regulations at Sec. Sec. 3.1000-3.1009 (referred to as the ``accrued
benefits regulations''). Further, VA proposes to generally model
Sec. Sec. 3.1010 after the accrued benefits regulations to the extent
appropriate. In addition, VA proposes to add to and amend portions of
part 14 to address the representation of substitutes before VA.
Finally, VA proposes to add to and amend portions of 38 CFR part 20 to
clarify procedures before the Board of Veterans' Appeals (Board)
affected by section 5121A.
Section 5121A(a)(3) provides: ``Substitution under this subsection
shall be in accordance with such regulations as the Secretary may
prescribe.'' In addition, section 5121A(a)(2) states, ``Any person
seeking to be substituted for the claimant shall present evidence of
the right to claim such status within such time as prescribed by the
Secretary in regulations.'' Finally, pursuant to 38 U.S.C. 501(a), the
Secretary possess the authority to prescribe all the rules and
regulations that are necessary or appropriate to carry out the laws
administered by VA and that are consistent with those laws. Pursuant to
the authority granted to the Secretary under sections 501(a) and 5121A,
VA proposes the addition of Sec. 3.1010 and the amendment of
Sec. Sec. 14.630, 14.631, 20.900, 20.1106, 20.1302, and 20.1304. With
respect to each of these amendments, VA proposes to add a citation to
38 U.S.C. 5121A in the existing authority citation. The following
sections of this SUPPLEMENTARY INFORMATION discuss in more detail the
proposed changes to parts 3, 14, and 20.
Amendments to Part 3
Eligibility for and Scope of Substitution
Proposed Sec. 3.1010(a) would set forth the eligibility criteria
for substitution. In accordance with the Act (38 U.S.C. 5121A(a)(1)),
the proposed rule states that, if a claimant dies on or after the
effective date of the Act--October 10, 2008--then a person who would be
eligible to receive accrued benefits under Sec. 3.1000(a) of the
accrued benefits regulations may request to become a substitute for the
deceased claimant in a claim for periodic monetary benefits (other than
insurance and servicemen's indemnity) under laws administered by the
Secretary, or an appeal of a decision with respect to such a claim that
was pending, when the claimant died. The ``claimant'' is in most
circumstances a veteran claiming benefits based upon his or her own
service. However, the ``claimant'' could also be a veteran's surviving
spouse, the veteran's child, or a person receiving an apportioned share
of a veteran's benefits, if such person were claiming benefits based on
their original entitlement, rather than the entitlement of another
person.
Proposed Sec. 3.1010(a) would also describe the scope of
substitution. Consistent with the Act (38 U.S.C. 5121A(a)(1)), Sec.
3.1010(a) would state, ``Upon VA's grant of a request to substitute,
the substitute may continue the claim or appeal on behalf of the
deceased claimant for purposes of processing the claim or appeal to
completion.''
Requests To Substitute and Determinations
Proposed Sec. 3.1010(b) would describe the time and place for
filing a request to substitute. Consistent with the Act (38 U.S.C.
5121A(a)(1)), Sec. 3.1010(b) would require that a person desiring to
substitute for a deceased claimant file a request to substitute ``no
later than one year after the claimant's death.'' Proposed Sec.
3.1010(b) would also require that all requests to substitute be filed
with the agency of original jurisdiction (AOJ) for a decision on the
request to substitute in the first instance. Similarly, proposed Sec.
3.1010(e), ``Decisions on substitution requests,'' would specify that
the AOJ ``will decide in the first instance all requests to substitute,
including any request to substitute in an appeal pending before the
Board.'' These provisions would clarify that, if a claimant dies while
his or her appeal is pending before the Board, a person seeking to
substitute must file a request to substitute with the AOJ in order to
receive an initial decision on a request to substitute. Pursuant to
proposed Sec. 3.1010(g)(1)(ii), an appeal would be considered to be
pending ``if a claimant filed a notice of disagreement in response to a
notification from an agency of original jurisdiction of its decision on
a claim, but dies before the Board of Veterans' Appeals issues a final
decision on the appeal. Once the Board issues its final decision on an
appeal, the appeal is not pending for purposes of this section, even if
the 120-day period for appealing the Board's decision to the Court of
Appeals for Veterans Claims has not yet expired.'' As explained in more
detail below, this procedure is consistent with the Board's
jurisdictional authority, 38 U.S.C. 7104(a), which provides that
``[a]ll questions in a matter which * * * is subject to decision by the
Secretary shall be subject to one review on appeal to the Secretary.
Final decisions on such appeals shall be made by the Board.'' See 38
CFR 20.101(a) (emphasis added). Because neither the Act nor any other
legislation amended the Board's jurisdictional statute at 38 U.S.C.
7104(a), the Board lacks original jurisdiction to decide a request to
substitute in the first instance, but, as
[[Page 8668]]
discussed below in this preamble, may hear an appeal of a denial of a
request to substitute.
The Board's role in VA's adjudication system is generally limited
to providing appellate review of adverse decisions made by an AOJ. With
very limited exceptions, such as motions to revise a final Board
decision based upon clear and unmistakable error, the Board does not
have original jurisdiction over matters subject to a decision by the
Secretary. Because the Board is jurisdictionally limited to deciding
appeals, the Board cannot entertain requests to substitute in the first
instance, as this would be outside the Board's jurisdiction and deprive
putative substitutes of their statutory right to ``one review on appeal
to the Secretary'' in the event of a Board denial of a request to
substitute. Under the current statutory scheme, an AOJ decision on a
request to substitute is itself appealable to the Board. Accordingly,
under proposed Sec. 3.1010(e)(2), ``Appeals,'' the denial of a request
to substitute may be appealed to the Board. For these reasons, the AOJ,
not the Board, must decide these requests in the first instance.
Notably, the Act (38 U.S.C. 5121A(a)(2)) contemplates the
submission of evidence to establish eligibility for substitution,
specifically providing that ``[a]ny person seeking to be substituted
for the claimant shall present evidence of the right to claim such
status.'' (emphasis added). (Proposed Sec. 3.1010(d), discussed below
in this preamble, would address the submission of evidence in support
of a request to substitute.) The United States Court of Appeals for the
Federal Circuit has made clear that, except as otherwise specifically
provided by law, the Board generally cannot develop and consider
evidence in the first instance. Initial consideration of evidence,
including that relating to eligibility for substitution, must be
undertaken by the AOJ. See Disabled Am. Veterans v. Sec'y of Veterans
Affairs, 327 F.3d 1339, 1347 (Fed. Cir. 2003) (DAV) (``[w]hen the Board
obtains evidence that was not considered by the AOJ * * * an appellant
has no means to obtain `one review on appeal to the Secretary,' because
the Board is the only appellate tribunal under the Secretary''). This
is another reason to have all requests to substitute be decided by an
AOJ in the first instance.
Proposed Sec. 3.1010 would contain no provision allowing a person
requesting to substitute the option of waiving his or her right to one
review on appeal. In DAV, the Federal Circuit implicitly approved of
waiver by a claimant of the consideration of evidence by the AOJ in the
first instance. 327 F.3d at 1341. However, it would be contrary to VA's
statutory adjudication authority to employ the use of waivers in the
context of a decision on a request to substitute. An AOJ decision on a
request to substitute is an appealable decision under to 38 U.S.C.
7104(a). See, e.g., 20 CFR 19.28 (establishing as an appealable issue
the question of whether a notice of disagreement is adequate). A
significant difference exists between waiving the AOJ's consideration
of certain evidence regarding a claim and waiving the AOJ's
consideration of an appealable issue in the first instance,
particularly because waiver would require original jurisdiction that
the Board lacks. Nothing in DAV suggests that the Board has the
authority to adjudicate an appealable issue in the first instance.
Rather, DAV stands for the proposition that the Board may consider
newly obtained evidence that was not first considered by the AOJ as
part of its adjudication of an issue if a valid waiver is obtained from
the appellant. In the context of a request to substitute, the Board
would not be soliciting a waiver for purposes of considering evidence
regarding eligibility to substitute, which would be a situation
analogous to the discussion of waiver in DAV. For these reasons,
proposed Sec. 3.1010 would make no provision for waiver of AOJ
consideration of a request to substitute in the first instance.
Proposed Sec. 3.1010(e)(3) would define the term ``joint class''
and provide the joint class order of preference rules for substitution.
Specifically, under Sec. 3.1010(e)(3), ``Joint class representative,''
a ``joint class'' would mean ``a group of two or more persons eligible
to substitute under the same priority group under 38 CFR 3.1000(a)(1)
through (a)(5), e.g., two or more surviving children.'' As explained
above, Congress closely linked section 5121A and section 5121. Also,
the Act (38 U.S.C. 5121A(b)) specifically provides the limitation that
``[t]hose who are eligible to make a claim under this section shall be
determined in accordance with section 5121.'' Thus, it is consistent
with the Act to apply the eligibility standards in the accrued benefits
regulations to the substitution regulations. The proposed definition of
``joint class'' would simply describe the eligibility categories
enumerated in the accrued benefits statute at 38 U.S.C. 5121(a) that
could contain multiple persons, such as ``[t]he veteran's children''
and ``[t]he veteran's dependent parents.'' Although the phrase ``joint
class'' is used in the accrued benefits regulations at 38 CFR
3.1000(c)(2), it is not described in further detail. For the sake of
clarity, the proposed rule would include a definition of ``joint
class.'' We propose in Sec. 3.1010(e)(3)(ii) that ``only one person of
the joint class may be a substitute at any one time,'' and ``[t]he
first person in the joint class to file a request to substitute that is
granted will be the substitute representing the joint class.'' This is
consistent with the Act (38 U.S.C. 5121A(a)), which authorizes only ``a
person'' to substitute.
Format of Request To Substitute
Proposed Sec. 3.1010(c), ``Request format,'' would specify the
required format for a request to substitute. Under proposed Sec.
3.1010(c), a request to substitute would be required to be submitted in
writing. Further, a request to substitute would be required to contain,
at a minimum, the word ``substitute'' or ``substitution,'' the
applicable claim number or appeal number, and the names of the deceased
claimant and the person requesting to substitute. Alternatively, under
proposed Sec. 3.1010(c)(2), a claim for accrued benefits, death
pension, or dependency and indemnity compensation by an eligible person
listed in 38 CFR 3.1000(a)(1) through (5) would be deemed to include a
request to substitute if a claim for periodic monetary benefits (other
than insurance and servicemembers' indemnity) under laws administered
by the Secretary, or an appeal of a decision with respect to such a
claim, was pending before the AOJ or the Board when the claimant died.
This provision would be consistent with VA's current treatment of
claims for death benefits as interchangeable. Specifically, 38 CFR
3.152(b)(1) requires that ``[a] claim by a surviving spouse or child
for [death] compensation or dependency and indemnity compensation * * *
be considered to be a claim for death pension and accrued benefits, and
a claim by a surviving spouse or child for death pension * * * be
considered to be a claim for death compensation or dependency and
indemnity compensation and accrued benefits.''
Although under the proposed rule VA would treat qualifying death
benefits claims as requests to substitute, VA anticipates that not all
persons filing a claim for death benefits will wish to substitute for a
deceased claimant. Therefore, VA would provide an opportunity for a
person to waive the right to substitute when he or she has filed a
claim for accrued benefits, death pension, or dependency and indemnity
[[Page 8669]]
compensation, which VA would otherwise deem a request to substitute.
Evidence of Eligibility To Substitute
Proposed Sec. 3.1010(d), ``Evidence of eligibility,'' would
address the submission of evidence in support of a request to
substitute. Consistent with the Act (38 U.S.C. 5121A(a)(2)), proposed
Sec. 3.1010(d) would establish the time period in which a person
seeking to be substituted for a deceased claimant must present evidence
of the right to claim such status. As an initial matter, a person
desiring to substitute would have to file a request to substitute no
later than one year after the claimant's death, pursuant to the Act (38
U.S.C. 5121A(a)(1)) and as would be required under proposed Sec.
3.1010(b). Under proposed Sec. 3.1010(d), if the request to substitute
does not include sufficient evidence of the person's eligibility to
substitute, then VA would send notification to the person who filed the
request. VA would not provide notification if the person filing the
request could not be an eligible person. For example, VA would not send
notification if the person who filed the request claimed to be an
individual outside the categories of eligible persons under 38 CFR
3.1000(a)(1) through (5).
Pursuant to proposed Sec. 3.1010(d)(1) through (3), a person who
filed a request to substitute without necessary evidence of eligibility
would be notified: ``(1) Of the evidence of eligibility required to
complete the request to substitute; (2) That VA will take no further
action on the request to substitute unless VA receives the evidence of
eligibility; and (3) That VA must receive the evidence of eligibility
no later than 60 days after the date of notification or one year after
the claimant's death, whichever is later, or VA will deny the request
to substitute.'' Thus, under proposed Sec. 3.1010(d)(1), a person who
does not provide required evidence of eligibility to substitute with
their request to substitute would be given 60 days from the date of
VA's notification or until the expiration of one year after the
claimant's death, whichever is later, to provide necessary evidence of
eligibility. The later of 60 days from the date of notification or one
year from the date of the claimant's death is a reasonable time in
which to submit evidence of eligibility to substitute, especially
because VA would have notified the person who filed the request of the
evidence required to demonstrate eligibility.
The accrued benefits regulation at Sec. 3.1000(c)(1)(iii) gives an
accrued benefits claimant 1 year from the date of VA's notification of
an incomplete application for accrued benefits in which to provide the
necessary eligibility evidence. However, this 1-year time period from
the date of notification is mandated by the accrued benefits statute at
38 U.S.C. 5121(c). In contrast, under the Act (38 U.S.C. 5121A(a)(2)),
Congress granted the Secretary the authority to establish the time
period for the submission of evidence of eligibility to substitute with
the intent of ensuring the timely submission of evidence. The sooner
the AOJ receives evidence of eligibility to substitute, the sooner an
eligible person may become a substitute and begin to process to
completion the claim or appeal that was pending. Such timeliness is
less significant under the accrued benefits statute (38 U.S.C. 5121),
which does not provide for the completion of any pending claim or
appeal. Further, proposed Sec. 3.1010 would be consistent with the Act
(38 U.S.C. 5121A) because in no event would a person requesting to
substitute be given less than 1 year from the date of the claimant's
death in which to complete the request to substitute.
Adjudications Before the AOJ
Proposed Sec. 3.1010(f) would clarify the rules governing an
adjudication before the AOJ of a claim involving a substitute. As noted
in proposed Sec. 3.1010(f)(5), the rules governing an appeal before
the Board involving a substitute are specifically addressed in parts 19
and 20, the proposed amendments to which are discussed below in this
preamble.
As a general matter, all part 3 regulations that would have been
applicable to the claimant had the claimant not died would be
applicable to the substitute under the proposed regulations, with some
exceptions predicated on the fact that the claimant has died. Under
proposed Sec. 3.1010(f)(1), VA would send to a substitute notice under
38 CFR 3.159(b) only if the required notice was not sent to the
deceased claimant or if the notice sent to the deceased claimant was
inadequate. Section 3.159(b) governs VA's duty to notify claimants of
information or evidence that is necessary to substantiate a claim and
is the implementing regulation for the notification duty imposed on VA
by the Veterans Claims Assistance Act (VCAA) of 2000 (Pub. L. 106-475),
codified at 38 U.S.C. 5103. VA recognizes that in some circumstances a
claimant would have been provided this VCAA notice under Sec. 3.159(b)
prior to death. In such cases, VA will send notice to a substitute only
if notice was not previously sent or was inadequate because a
substitute is generally considered to ``stand in the shoes'' of the
deceased claimant.
Under proposed Sec. 3.1010(f)(2), a substitute would be expressly
prohibited from adding new issues to or expanding the existing claim.
However, a substitute would be permitted to raise new theories of
entitlement as to the claim. This limitation would be consistent with
the Act (38 U.S.C. 5121A(a)(1)) because the Act contemplates that a
substitute will replace a deceased claimant for the purpose of
processing a claim or appeal that was pending to completion. However,
the Act does not authorize a person to add new issues to a claim, which
would be tantamount to filing a new claim on behalf of a deceased
claimant. For example, if a veteran had a claim pending regarding the
single issue of service connection for a knee injury, a substitute
could raise a previously unraised theory of entitlement, such as
secondary service connection. However, the substitute could not add the
issue of or file a claim for service connection for post-traumatic
stress disorder.
Although a substitute could not add new issues to or expand a
claim, under proposed Sec. 3.1010(f)(3), a substitute could submit
evidence and generally would have the same rights regarding hearings,
representation, and appeals as would have applied to the claimant had
the claimant not died.
Limitations on Substitution
Proposed Sec. 3.1010(g), ``Limitations on substitution,'' would
address the limitations that apply to substitution. These limitations
would help to further clarify the scope of substitution and would be
consistent with the language of the Act. Section 3.1010(g)(1) would
clarify when a person may substitute for a deceased claimant by
specifying that a claim or appeal must be undecided to be pending for
purposes of substitution. Specifically, a person could substitute if a
claim has been filed with but has not been decided by the AOJ before
the claimant's death, or if a notice of disagreement has been filed to
initiate an appeal to the Board, but the Board has not decided the
appeal before the claimant's death. In other words, a person could not
substitute for a ``claimant'' who dies without first filing a claim or
initiating an appeal, even if the substitute were to file a request to
substitute during the appeal period.
VA recognizes that the limitation in proposed Sec. 3.1010(g)(1)
may appear to conflict with VA's definitions of ``pending claim'' and
``finally adjudicated claim'' in 38 CFR 3.160, ``Status of claims.''
Pursuant to
[[Page 8670]]
paragraphs (c) and (d) of Sec. 3.160, a ``pending claim'' is one that
has not been ``finally adjudicated,'' and a ``finally adjudicated
claim'' means ``[a]n application, formal or informal, which has been
allowed or disallowed by the agency of original jurisdiction, the
action having become final by the expiration of 1 year after the date
of notice of an award or disallowance, or by denial on appellate
review, whichever is the earlier.'' This means that a decided claim for
which the 1-year appeal period has not yet expired is considered a
``pending claim'' unless the Board has already decided the appeal.
However, the Act does not use the term ``pending claim'' or ``finally
adjudicated claim,'' and VA does not use these terms in the proposed
rule. VA interprets the phrase in the Act ``a claim * * * or an appeal
* * * is pending'' to mean that a claim or appeal must have been
initiated by the claimant before death in order for an eligible person
to substitute for the claimant upon the claimant's death. In the
context of a living claimant, a claim must be a ``pending claim'' until
the expiration of the appeal period because that claimant could
initiate an appeal at any time during that period. Also, a claim must
be a ``pending claim'' even if appealed to the Board and not yet
decided by the Board because of the possibility of the Board remanding
the claim for additional development. However, when a claimant dies
before initiating a claim or appeal, substitution is not available
because a person may not substitute for the purpose of initiating a
claim or an appeal.
As explained above, the Act authorizes VA to pay benefits of a
different nature than allowed by the accrued benefits statute, i.e.,
benefits not limited to those to which the claimant was entitled at
death under existing ratings or decisions or those based on evidence in
the file at date of death and due and unpaid. Proposed Sec.
3.1010(g)(2) would further clarify the nature of benefits payable under
section 5121A. First, paragraph (g)(2) would clarify that VA is
authorized to award only past-due benefits to the substitute and other
members of a joint class, if any. Second, paragraph (g)(2) would
specify that past-due benefits are those benefits for the time period
between the effective date of the award and what would have been the
effective date of discontinuance of the award as a result of the
claimant's death. See 38 CFR 3.500(g). In other words, a substitute
would be eligible to receive past-due benefits for the period between
the effective date of the award and the last day of the month preceding
the claimant's death.
Proposed paragraphs (g)(3) and (g)(4) would parallel provisions in
the accrued benefits statute and implementing regulations. As discussed
previously, parallelism between the proposed substitution regulations
and the accrued benefits regulations is generally appropriate given
that Congress closely linked the two statutes together. Proposed Sec.
3.1010(g)(3) would describe when the amount of benefits awarded to a
substitute and members of a joint class, if any, is limited to the
amount of the expense of last sickness and burial. This provision would
simply repeat the limitation under the accrued benefits statute at 38
U.S.C. 5121(a)(6), implemented at 38 CFR 3.1000(a)(5), which limits the
amount of accrued benefits payable when entitlement cannot be
established under categories (a)(1) through (a)(5) of that section.
Because the Act (38 U.S.C. 5121A(a)(1)) defines eligibility to
substitute in terms of the eligibility criteria under section 5121(a),
the benefit amount limitation inherent in the eligibility provisions of
section 5121(a)(6) applies to a person substituted on the basis of
having borne the expense of last sickness and burial.
Proposed paragraph (g)(4) would mirror the accrued benefits
regulation at Sec. 3.1000(c)(2) and clarify that, if an eligible
person in a priority category fails or waives the right to file a
request to substitute, persons of a lower category are not permitted to
substitute. Similarly, under proposed paragraph (g)(4), failure or
waiver of the right to file a request to substitute by a member of a
joint class would not serve to increase the amount payable to other
persons in the class.
Finally, proposed paragraph (g)(5) would explain when subsequent
substitutions are permitted upon the death of a substitute. Proposed
paragraph (g)(5) would permit substitution for a deceased substitute
only under the same circumstances in which substitution would have been
permitted for a deceased claimant. In other words, substitution for a
substitute would be permitted only if the substitute died while a claim
was pending before the AOJ or the Board or an appeal of a decision on a
claim was pending before the AOJ or the Board. Further, proposed
paragraph (g)(5) would allow substitution upon the death of a
substitute only if the request to substitute for the deceased
substitute is filed within the one-year period from the date of the
claimant's death, not the date of the substitute's death. This
provision comes directly from the Act (38 U.S.C. 5121A(a)(1)), which
authorizes a request to substitute to be filed not later than 1 year
after the date of the death of the claimant, but does not authorize
substitution outside of this 1-year period.
Amendments to Part 14
Representation of Substitutes
The Act does not address the representation of substitutes by
attorneys, claims agents, veterans service organization
representatives, or other individuals. However, we propose to revise
VA's regulations governing representation of VA claimants to clarify
that the same rules that would apply to a claimant apply to a
substitute. Specifically, we propose to amend 38 CFR 14.630,
``Authorization for a particular claim,'' by adding a new paragraph
(e), to explain that a person authorized to represent a claimant on a
one-time basis pursuant to Sec. 14.630 may also represent the
substitute with respect to that claim upon the claimant's death as long
as a new VA Form 21-22a, ``Appointment of Individual as Claimant's
Representative,'' is filed. Proposed Sec. 14.630(e) would permit such
representation notwithstanding Sec. 14.630(b), which authorizes
representation on a ``one time only'' basis, because the substitute
will be processing the same claim to completion.
Similarly, we propose to amend Sec. 14.631 by adding a new
paragraph (g), to clarify that an attorney, claims agent, or veterans
service organization representative may represent a substitute only if
a new VA Form 21-22, ``Appointment of Veterans Service Organization as
Claimant's Representative,'' or VA Form 21-22a, ``Appointment of
Individual as Claimant's Representative,'' signed by the substitute is
filed. In other words, in no case will the representative of the
deceased claimant be permitted to represent the substitute without the
filing of a new VA Form 21-22 or VA Form 21-22a signed by the
substitute to authorize such representation. In addition, if the
substitute wants the representation of a person under Sec. 14.630(a),
a statement signed by the person and the substitute that no
compensation will be charged or paid for the services would be
required.
Amendments to Part 20
Adjudications Before the Board
We propose to amend 38 CFR 20.900 by adding new paragraph (a)(2)
stating, ``Cases returned to the Board following the grant of a
substitution request or pursuant to an appeal of a denial of a
[[Page 8671]]
substitution request assume the place on the docket that was originally
held by the deceased appellant.'' This provision ensures that
substitutes in appeals that were pending before the Board when the
appellant died will get the benefit of the claim's original docket
number. This proposed rule also makes a related organizational
amendment to Sec. 20.900 by designating as paragraph (a)(1) the
existing provision stating that cases returned to the Board following
action pursuant to remand assume their original place on the docket.
This provision is currently part of paragraph (a).
We also propose to amend 38 CFR 20.1106, ``Rule 1106. Claim for
death benefits by survivor--prior unfavorable decisions during
veteran's lifetime,'' by adding that ``[c]ases in which a person
substitutes for a deceased veteran under 38 U.S.C. 5121A are not claims
for death benefits and are not subject to this section. Cases in which
a person substitutes for a deceased death benefits claimant under 38
U.S.C. 5121A are claims for death benefits subject to this section.''
The inclusion of these statements is appropriate because a substitute
on behalf of a veteran will be continuing a claim that was pending when
the veteran died, and therefore the claim is not one for ``death
benefits,'' and any issues decided must be decided with regard to the
prior disposition of those issues during the veteran's lifetime as they
would have been were the veteran still alive. A person who substitutes
for a death benefits claimant will be prosecuting a claim for ``death
benefits'' so the rule regarding decisions without regard to any prior
disposition of the issues during the veteran's lifetime will apply as
in other death benefit claims.
In addition, we propose to amend Sec. 20.1302, ``Rule 1302. Death
of appellant during pendency of appeal,'' to account for section 5121A.
Specifically, we propose to specify that an appeal pending before the
Board when the appellant dies will be dismissed ``without prejudice.''
This amendment is intended to allow the appeal to continue following a
grant of a request to substitute and to ensure that a substitute is not
prejudiced by the dismissal of the appeal upon the death of the
claimant. We also propose to refer to Sec. 3.1010 to clarify that
requests to substitute must be filed with the AOJ for a decision on the
request to substitute in the first instance. Moreover, the proposed
amendment contains a reference to Sec. 20.900(a)(2) to clarify that,
``[i]f the agency of original jurisdiction grants the request to
substitute, the case will assume its original place on the docket
pursuant to Rule 900 (Sec. 20.900(a)(2) of this part).''
We also propose to add to 38 CFR 20.1302 a paragraph (b) to specify
a narrow exception to the general rule described in what would be
designated as paragraph (a). Specifically, paragraph (b)(1) would
permit the grant of a request to substitute by the AOJ prior to the
dismissal of an appeal by the Board when the appellant had requested a
hearing before the AOJ prior to death and a written request to
substitute has been received at or before that hearing. In this limited
context, the AOJ may make a decision on the request to substitute
before the Board dismisses the appeal on account of the appellant's
death. Paragraph (b)(2) explains what happens if the AOJ grants the
request to substitute:
If the [AOJ] grants the request to substitute, the [Board] can
then take the testimony of the substitute at a hearing held pursuant
to Rule 700 et seq. (Sec. 20.700 et seq. of this part). If the
substitute desires representation at the hearing, he or she must
appoint a representative prior to the hearing pursuant to Sec.
14.631(g) of this chapter.
This proposed amendment is intended to promote efficiency in those
circumstances where a hearing is scheduled to be held before the AOJ
following the appellant's death.
Finally, we propose to amend 38 CFR 20.1304(b)(1), which provides
the general rule applicable to a request for a change in
representation, a request for a personal hearing, or the submission of
additional evidence, received more than 90 days following notification
of certification of an appeal and transfer of the appellate record to
the Board. We propose to add to the list of items required in a motion
for acceptance of such requests or evidence based on good cause ``the
name of any substitute claimant or appellant.''
Paperwork Reduction Act
Although this document contains provisions constituting collections
of information, at 38 CFR 3.1010(b) and (c) and 14.631(g), under the
provisions of the Paperwork Reduction Act (44 U.S.C. 3501 et seq.), no
new or proposed revised collections of information are associated with
this proposed rule. The information collection requirements for
Sec. Sec. 3.1010(b) and (c) and 14.631(g), are currently approved by
the Office of Management and Budget (OMB) and have been assigned OMB
control numbers 2900-0740 (VA Form 21-0847, Request for Substitution of
Claimant Upon Death of Claimant); 2900-0321(VA Form 21-22, Appointment
of Veterans Service Organization as Claimant's Representative); and
2900-0321 (VA Form 21-22a, Appointment of Individual as Claimant's
Representative).
Regulatory Flexibility Act
The Secretary hereby certifies that this proposed rule 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 et seq. This proposed rule would directly affect only
individuals and will not directly affect small entities. Therefore,
pursuant to 5 U.S.C. 605(b), this proposed rule is exempt from the
initial and final regulatory flexibility analysis requirements of
sections 603 and 604.
Executive Order 12866
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 Executive
Order classifies a ``significant regulatory action,'' requiring review
by the Office of Management and Budget (OMB), as any regulatory action
that is likely to result in a rule that may: (1) Have an annual effect
on the economy of $100 million or more or adversely affect in a
material way the economy, a sector of the economy, productivity,
competition, jobs, the environment, public health or safety, or State,
local, or tribal governments or communities; (2) create a serious
inconsistency or otherwise interfere with an action taken or planned by
another agency; (3) materially alter the budgetary impact of
entitlements, grants, user fees, or loan programs or the rights and
obligations of recipients thereof; or (4) raise novel legal or policy
issues arising out of legal mandates, the President's priorities, or
the principles set forth in the Executive Order.
The economic, interagency, budgetary, legal, and policy
implications of this proposed rule have been examined and it has been
determined that it is not a significant regulatory action under the
Executive Order.
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 the expenditure by
State, local, and tribal governments, in the aggregate, or by the
[[Page 8672]]
private sector, of $100 million or more (adjusted annually for
inflation) in any 1 year. This proposed 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 the programs affected by this document are 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; 64.109, Veterans Compensation for Service-Connected
Disability; 64.110, Veterans Dependency and Indemnity Compensation for
Service-Connected Death; 64.115, Veterans Information and Assistance.
Signing Authority
The Secretary of Veterans Affairs, or designee, approved this
document and authorized the undersigned to sign and submit the document
to the Office of the Federal Register for publication electronically as
an official document of the Department of Veterans Affairs. John R.
Gingrich, Chief of Staff, Department of Veterans Affairs, approved this
document on January 31, 2011, for publication.
List of Subjects
38 CFR Part 3
Administrative practice and procedure, Claims, Disability benefits,
Pensions, Veterans.
38 CFR Part 14
Administrative practice and procedure, Claims, Courts, Foreign
relations, General Counsel, Government employees, Lawyers, Legal
services, Organization and functions (Government agencies), Reporting
and recordkeeping requirements, Surety bonds, Trusts and trustees,
Veterans.
38 CFR Part 20
Administrative practice and procedure, Claims, Veterans.
Dated: February 8, 2011.
Robert C. McFetridge,
Regulation Policy and Management, Office of the General Counsel,
Department of Veterans Affairs.
For the reasons stated in the preamble, VA proposes to amend 38 CFR
parts 3, 14, and 20 as follows:
PART 3--AJUDICATION
Subpart A--Pension, Compensation, and Dependency and Indemnity
Compensation
1. The authority citation for part 3, Subpart A continues to read
as follows:
Authority: 38 U.S.C. 501(a), unless otherwise noted.
2. Add Sec. 3.1010 to read as follows:
Sec. 3.1010 Substitution under 38 U.S.C. 5121A following death of a
claimant.
(a) Eligibility. If a claimant dies on or after October 10, 2008, a
person eligible for accrued benefits under Sec. 3.1000(a) of this part
(listed in 38 CFR. 3.1000(a)(1) through (5)) may, in priority order,
request to substitute for the deceased claimant in a claim for periodic
monetary benefits (other than insurance and servicemembers' indemnity)
under laws administered by the Secretary, or an appeal of a decision
with respect to such a claim, that was pending before the agency of
original jurisdiction or the Board of Veterans' Appeals when the
claimant died. Upon VA's grant of a request to substitute, the
substitute may continue the claim or appeal on behalf of the deceased
claimant for purposes of processing the claim or appeal to completion.
Any benefits ultimately awarded are payable to the substitute and other
members of a joint class, if any, in equal shares.
(b) Time and place for filing a request. A person may not
substitute for a deceased claimant under this section unless the person
files a request to substitute with the agency of original jurisdiction
no later than one year after the claimant's death.
(c) Request format. (1) A request to substitute must be submitted
in writing. At a minimum, a request to substitute must include the word
``substitute'' or ``substitution,'' the applicable claim number or
appeal number, and the names of the deceased claimant and the person
requesting to substitute.
(2) In lieu of a specific request to substitute, a claim for
accrued benefits, death pension, or dependency and indemnity
compensation by an eligible person listed in 38 CFR 3.1000(a)(1)
through (5) is deemed to include a request to substitute if a claim for
periodic monetary benefits (other than insurance and servicemembers'
indemnity) under laws administered by the Secretary, or an appeal of a
decision with respect to such a claim, was pending before the agency of
original jurisdiction or the Board of Veterans' Appeals when the
claimant died. A claimant for accrued benefits, death pension, or
dependency and indemnity compensation may waive the right to
substitute.
(d) Evidence of eligibility. A person filing a request to
substitute must provide evidence of eligibility to substitute. If a
person's request to substitute does not include evidence of eligibility
when it is originally submitted and the person may be an eligible
person, the Secretary will notify the person--
(1) Of the evidence of eligibility required to complete the request
to substitute;
(2) That VA will take no further action on the request to
substitute unless VA receives the evidence of eligibility; and
(3) That VA must receive the evidence of eligibility no later than
60 days after the date of notification or one year after the claimant's
death, whichever is later, or VA will deny the request to substitute.
(e) Decisions on substitution requests. Subject to the provisions
of Sec. 20.1302 of this chapter, the agency of original jurisdiction
will decide in the first instance all requests to substitute, including
any request to substitute in an appeal pending before the Board of
Veterans' Appeals.
(1) Notification. The agency of original jurisdiction will provide
written notification of the granting or denial of a request to
substitute to the person who filed the request, together with notice in
accordance with Sec. 3.103(b)(1).
(2) Appeals. The denial of a request to substitute may be appealed
to the Board of Veterans' Appeals pursuant to 38 U.S.C. 7104(a) and
7105.
(3) Joint class representative. (i) A joint class means a group of
two or more persons eligible to substitute under the same priority
group under 38 CFR 3.1000(a)(1) through (a)(5), e.g., two or more
surviving children.
(ii) In the case of a joint class of potential substitutes, only
one person of the joint class may be a substitute at any one time. The
first eligible person in the joint class to file a request to
substitute will be the substitute representing the joint class.
(f) Adjudications involving a substitute. The following provisions
apply with respect to a claim or appeal in which a survivor has been
substituted for the deceased claimant:
(1) Notice under 38 CFR 3.159. VA will send notice under 38 CFR
3.159(b), ``Department of Veterans Affairs assistance in developing
claims,'' to the substitute only if the required notice was not sent to
the deceased claimant or if the notice sent to the deceased claimant
was inadequate.
[[Page 8673]]
(2) Expansion of the claim not permitted. A substitute may not add
an issue to or expand the claim. However, a substitute may raise new
theories of entitlement in support of the claim.
(3) Submission of evidence and other rights. A substitute has the
same rights regarding hearings, representation, appeals, and the
submission of evidence as would have applied to the claimant had the
claimant not died. However, rights that may have applied to the
claimant prior to death but which cannot practically apply to a
substitute, such as the right to a medical examination, are not
available to the substitute. The substitute must complete any action
required by law or regulation within the time period remaining for the
claimant to take such action on the date of his or her death. The time
remaining to take such action will start to run on the date of the
mailing of the decision granting the substitution request.
(4) Board of Veterans' Appeals procedures. The rules and procedures
governing appeals involving substitutes before the Board of Veterans'
Appeals are found in parts 19 and 20 of this chapter.
(g) Limitations on substitution. The following limitations apply
with respect to substitution:
(1) A claim or appeal must be pending. (i) A claim is considered to
be pending if the claimant had filed the claim with an agency of
original jurisdiction but dies before the agency of original
jurisdiction makes a decision on the claim. If the agency of original
jurisdiction has decided a claim before the claimant dies, but the
claimant dies before filing a Notice of Disagreement, no claim or
appeal is pending for purposes of this section.
(ii) An appeal is considered to be pending if a claimant filed a
notice of disagreement in response to a notification from an agency of
original jurisdiction of its decision on a claim, but dies before the
Board of Veterans' Appeals issues a final decision on the appeal. If
the Board issued a final decision on an appeal prior to the claimant's
death, the appeal is not pending for purposes of this section, even if
the 120-day period for appealing the Board's decision to the Court of
Appeals for Veterans Claims has not yet expired.
(2) Benefits awarded. Any benefits ultimately awarded are limited
to any past-due benefits for the time period between the effective date
of the award and what would have been the effective date of
discontinuance of the award as a result of the claimant's death.
(3) Benefits for last sickness and burial only. When substitution
cannot be established under any of the categories listed in 38 CFR
3.1000(a)(1) through (a)(4), only so much of any benefits ultimately
awarded may be paid as may be necessary to reimburse the person who
bore the expense of last sickness and burial. No part of any benefits
ultimately awarded shall be used to reimburse any political subdivision
of the United States for expenses incurred in the last sickness or
burial of any claimant.
(4) Substitution by subordinate members prohibited. Failure to
timely file a request to substitute, or a waiver of the right to
request substitution, by a person of a preferred category of eligible
person will not serve to vest the right to request substitution in a
person in a lower category or a person who bore the expense of last
sickness and burial; neither will such failure or waiver by a person or
persons in a joint class serve to increase the amount payable to other
persons in the class.
(5) Death of a substitute. If a substitute dies while a claim is
pending before an agency of original jurisdiction or the Board, or an
appeal of a decision on a claim is pending, another member of the same
joint class or a member of the next preferred subordinate category
listed in 38 CFR 3.1000(a)(1) through (5) may substitute for the
deceased substitute but only if the person requesting the second
substitution files a request to substitute no later than one year after
the date of the claimant's death (not the date of the substitute's
death).
PART 14--LEGAL SERVICES, GENERAL COUNSEL, AND MISCELLANEOUS CLAIMS
3. The authority citation for part 14 continues to read as follows:
Authority: 5 U.S.C. 301; 28 U.S.C. 2671-2680; 38 U.S.C. 501(a),
512, 515, 5502, 5901-5905; 28 CFR part 14, appendix to part 14,
unless otherwise noted.
4. Amend Sec. 14.630 by adding paragraph (e) and revising the
authority citation at the end of the section to read as follows:
Sec. 14.630. Authorization for a particular claim.
* * * * *
(e) With respect to the limitation in paragraph (b) of this
section, a person who had been authorized under paragraph (a) of this
section to represent a claimant who later dies and is replaced by a
substitute pursuant to 38 CFR 3.1010 for purposes of processing the
claim to completion will be permitted to represent the substitute if
the procedures of 38 CFR 14.631(g) are followed.
* * * * *
(Authority: 38 U.S.C. 501(a), 5121A, 5903)
5. Amend Sec. 14.631 by adding paragraph (g) and revising the
authority citation at the end of the section to read as follows:
Sec. 14.631 Powers of attorney; disclosure of claimant information.
* * * * *
(g) If a request to substitute is granted pursuant to 38 CFR
3.1010, then a new VA Form 21-22, ``Appointment of Veterans Service
Organization as Claimant's Representative,'' or VA Form 21-22a,
``Appointment of Individual as Claimant's Representative,'' under
paragraph (a) of this section is required in order to represent the
substitute before VA. If the substitute desires representation on a
one-time basis pursuant to Sec. 14.630(a), a statement signed by the
person providing representation and the substitute that no compensation
will be charged or paid for the services is also required.
* * * * *
(Authority: 38 U.S.C. 501(a), 5121A, 5902, 5903, 5904)
PART 20--BOARD OF VETERANS' APPEALS: RULES OF PRACTICE
6. 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
7. Amend Sec. 20.900 by revising paragraph (a) and the authority
citation at the end of the section to read as follows:
Sec. 20.900 Rule 900. Order of consideration of appeals.
(a) Docketing of appeals. Applications for review on appeal are
docketed in the order in which they are received.
(1) Cases returned to the Board following action pursuant to a
remand assume their original places on the docket.
(2) Cases returned to the Board following the grant of a
substitution request or pursuant to an appeal of a denial of a
substitution request assume the place on the docket that was originally
held by the deceased appellant.
* * * * *
(Authority: 38 U.S.C. 5121A, 7107, Pub. L. 103-446, Sec. 302)
Subpart L--Finality
8. Revise Sec. 20.1106 to read as follows:
[[Page 8674]]
Sec. 20.1106 Rule 1106. Claim for death benefits by survivor--prior
unfavorable decisions during veteran's lifetime.
Except with respect to benefits under the provisions of 38 U.S.C.
1311(a)(2) and 1318, and certain cases involving individuals whose
Department of Veterans Affairs benefits have been forfeited for treason
or for subversive activities under the provisions of 38 U.S.C. 6104 and
6105, issues involved in a survivor's claim for death benefits will be
decided without regard to any prior disposition of those issues during
the veteran's lifetime. Cases in which a person substitutes for a
deceased veteran under 38 U.S.C. 5121A are not claims for death
benefits and are not subject to this section. Cases in which a person
substitutes for a deceased death benefits claimant under 38 U.S.C.
5121A are claims for death benefits subject to this section.
(Authority: 38 U.S.C. 5121A, 7104(b))
Subpart N--Miscellaneous
9. Revise Sec. 20.1302 to read as follows:
Sec. 20.1302 Rule 1302. Death of appellant during pendency of appeal
before the Board.
(a) General. An appeal pending before the Board of Veterans'
Appeals when the appellant dies will be dismissed without prejudice. A
person eligible for substitution under Sec. 3.1010 of this chapter may
file with the agency of original jurisdiction a request to substitute
for the deceased appellant. If the agency of original jurisdiction
grants the request to substitute, the case will assume its original
place on the docket pursuant to Rule 900 (Sec. 20.900(a)(2) of this
part). If the agency of original jurisdiction denies the request to
substitute and the person requesting to substitute appeals that
decision to the Board, the appeal regarding eligibility to substitute
will assume the same place on the docket as the original claim pursuant
to Rule 900 (Sec. 20.900(a)(2) of this part).
(b) Exception. (1) If a hearing request is pending pursuant to Rule
704 (Sec. 20.704 of this part) when the appellant dies, the agency of
original jurisdiction may take action on a request to substitute
without regard to whether the pending appeal has been dismissed by the
Board, if the request is submitted in accordance with Sec. 3.1010 of
this chapter.
(2) If the agency of original jurisdiction grants the request to
substitute, the Board of Veterans' Appeals can then take the testimony
of the substitute at a hearing held pursuant to Rule 700 et seq. (Sec.
20.700 et seq. of this part). If the substitute desires representation
at the hearing, he or she must appoint a representative prior to the
hearing pursuant to Sec. 14.631(g) of this chapter.
(Authority: 38 U.S.C. 5121A, 7104(a))
10. Revise Sec. 20.1304, paragraph (b)(1) introductory text and
the authority citation at the end of the section 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) * * *
(1) General rule. Subject to the exception in paragraph (b)(2) of
this section, following the expiration of the period described in
paragraph (a) of this section, the Board of Veterans' Appeals will not
accept a request for a change in representation, a request for a
personal hearing, or additional evidence except when the appellant
demonstrates on motion that there was good cause for the delay.
Examples of good cause include, but are not limited to, illness of the
appellant or the representative which precluded action during the
period; death of an individual representative; illness or incapacity of
an individual representative which renders it impractical for an
appellant to continue with him or her as representative; withdrawal of
an individual representative; the discovery of evidence that was not
available prior to the expiration of the period; and delay in transfer
of the appellate record to the Board which precluded timely action with
respect to these matters. Such motions must be in writing and must
include the name of the veteran; the name of the claimant or appellant
if other than the veteran (e.g., a veteran's survivor, a guardian, or a
fiduciary appointed to receive VA benefits on an individual's behalf)
or the name of any substitute claimant or appellant; the applicable
Department of Veterans Affairs file number; and an explanation of why
the request for a change in representation, the request for a personal
hearing, or the submission of additional evidence could not be
accomplished in a timely manner. Such motions must be filed at the
following address: Director, Management and Administration (01E), Board
of Veterans' Appeals, 810 Vermont Avenue, NW., Washington, DC 20420.
Depending upon the ruling on the motion, action will be taken as
follows:
* * * * *
(Authority: 38 U.S.C. 5121A, 5902, 5903, 5904, 7104, 7105, 7105A)
[FR Doc. 2011-3196 Filed 2-14-11; 8:45 am]
BILLING CODE 8320-01-P