VA Claims and Appeals Modernization, 138-194 [2018-28350]
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Federal Register / Vol. 84, No. 13 / Friday, January 18, 2019 / Rules and Regulations
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Parts 3, 8, 14, 19, 20, and 21
RIN 2900–AQ26
VA Claims and Appeals Modernization
Department of Veterans Affairs.
Final rule.
AGENCY:
ACTION:
The Department of Veterans
Affairs (VA) amends its claims
adjudication, appeals, and Rules of
Practice of the Board of Veterans’
Appeals (Board) regulations. In
addition, this rule revises VA’s
regulations with respect to accreditation
of attorneys, agents, and Veterans
Service Organization (VSO)
representatives; the standards of
conduct for persons practicing before
VA; and the rules governing fees for
representation. This rulemaking
implements the Veterans Appeals
Improvement and Modernization Act of
2017 (AMA), which amended the
procedures applicable to administrative
review and appeal of VA decisions on
claims for benefits, creating a new,
modernized review system. Unless
otherwise specified in this final rule,
VA amends its regulations applicable to
all claims processed under the new
review system, which generally applies
where an initial VA decision on a claim
is provided on or after the effective date
or where a claimant has elected to opt
into the new review system under
established procedures. For the reasons
set forth in the proposed rule and in this
final rule, VA is adopting the proposed
rule as final, with minor changes, as
explained below.
DATES: This final rule is effective
February 19, 2019.
FOR FURTHER INFORMATION CONTACT:
Veterans Benefits Administration
information, parts 3, 8, and 21: Jennifer
Williams, Senior Management and
Program Analyst, Appeals Management
Office, Department of Veterans Affairs,
810 Vermont Avenue NW, Washington,
DC 20420, (202) 530–9124 (this is not a
toll-free number). Regulation of legal
representatives’ information, parts 19
and 20: Rachel Sauter, Counsel for
Legislation, Regulations, and Policy,
Board of Veterans’ Appeals. Department
of Veterans Affairs, 810 Vermont
Avenue NW, Washington, DC 20420,
(202) 632–5555 (this is not a toll-free
number).
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SUMMARY:
On August
10, 2018, VA published in the Federal
Register (83 FR 39818) a proposed rule
to implement Public Law (Pub. L.) 115–
55, the AMA. The AMA and these
SUPPLEMENTARY INFORMATION:
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implementing regulations provide
much-needed comprehensive reform for
the legacy administrative appeals
process, to help ensure that claimants
receive a timely decision on review
where they disagree with a VA claims
adjudication. The AMA review
procedures and these regulations
replace the current VA appeals process
with a new review process that makes
sense for veterans, their advocates, VA,
and stakeholders.
The statutory requirements, which VA
implements in these regulations,
provide a claimant who is not fully
satisfied with the result of any review
lane additional options to seek further
review while preserving an effective
date for benefits based upon the original
filing date of the claim. For example, a
claimant could go straight from an
initial agency of original jurisdiction
decision on a claim to an appeal to the
Board. If the Board decision was not
favorable, the claimant has two further
options. If the Board’s decision helped
the claimant understand the evidence
needed to support the claim, then the
claimant would have one year to submit
new and relevant evidence to the agency
of original jurisdiction in a
supplemental claim. A claimant in this
situation could instead appeal within
120 days of the Board decision to the
Court of Appeals for Veterans Claims
(CAVC) in accordance with CAVC rules
and deadlines. Alternatively, a claimant
could seek review of the initial decision
by filing a supplemental claim or
requesting a higher-level review in the
agency of original jurisdiction, again,
without any impact on the potential
effective date for payment of benefits.
The differentiated lane framework
required by statute and implemented in
these regulations has many advantages.
It provides a streamlined process that
allows for early resolution of a
claimant’s appeal and the lane options
allow claimants to tailor the process to
meet their individual needs and control
their VA experience. It also enhances
claimants’ rights by preserving the
earliest possible effective date for an
award of benefits, regardless of the
option(s) they choose, as long as the
claimant pursues review of a claim in
any of the lanes within the established
timeframes. By having a higher-level
review lane within the claims process
and a lane at the Board, both providing
for review on only the record
considered by the initial claims
adjudicator, the new process provides a
feedback mechanism for targeted
training and improved quality in the
agency of original jurisdiction.
To ensure that as many claimants as
possible benefit from the streamlined
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features of the new process, the AMA
and these regulations provide
opportunities for claimants and
appellants in the legacy system to take
advantage of the new system. Some
claimants who received a decision prior
to the effective date of the law and thus
had a legacy appeal pending, were able
to participate in the new system by way
of VA’s Rapid Appeals Modernization
Program (RAMP). Claimants who
receive a Statement of the Case (SOC) or
Supplemental Statement of the Case
(SSOC) as part of a legacy appeal after
the effective date of the law will also
have an opportunity to opt-in to the new
system.
Most of the regulatory amendments
prescribed in this final rule are
mandatory to comply with the law.
Through careful collaboration with VA,
VSOs, and other stakeholders, in
enacting the AMA, Congress provided a
highly detailed statutory framework for
claims and appeals processing. VA is
unable to alter amendments that directly
implement mandatory statutory
provisions. In addition to implementing
mandatory requirements, VA prescribes
a few interpretive or gap-filling
amendments to the regulations, which
are not specifically mandated by the
AMA, but that VA believes are in line
with the law’s goals to streamline and
modernize the claims and appeals
process. These amendments reduce
unnecessary regulations, modernize
processes, and improve services for
claimants.
Interested persons were invited to
submit comments to the proposed rule
on or before October 9, 2018, and 29
comments were received. Those
comments have been addressed
according to topic in the discussion
below. This final rule contains
amendments to parts 3, 8, 14, 19, 20,
and 21, as described in detail below.
Part 3—Adjudication
VA amends the regulations in 38 CFR
part 3 as described in the section-bysection supplementary information
below. These regulations govern the
adjudication of claims for VA monetary
benefits (e.g., compensation, pension,
dependency and indemnity
compensation, and burial benefits),
which are administered by the VBA.
These amendments apply to claims
processed in the modernized review
system as described in § 3.2400.
A. Comments Concerning § 3.1—
Definitions
Public Law 115–55, section 2(a),
defines ‘‘supplemental claim’’ as ‘‘a
claim for benefits under laws
administered by the Secretary filed by a
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claimant who had previously filed a
claim for the same or similar benefits on
the same or similar basis.’’ Although it
is possible to read this language as
implicating both claims filed as a
disagreement with a prior decision, and
claims submitted due to a worsening of
a condition, this dual interpretation
would not be consistent with other
sections of the statute. Namely, Public
Law 115–55 also revised 38 U.S.C. 5108,
which requires the Secretary to
‘‘readjudicate’’ a claim where ‘‘new and
relevant evidence is presented or
secured with respect to a supplemental
claim.’’ When both sections are read
together, it becomes clear that the intent
of the law was to make supplemental
claims only applicable to situations
where a claimant disagrees with a
previous VA decision and seeks review
and readjudication. Accordingly, as
noted in VA’s proposed regulation, VA
proposed to clarify in regulation the
definition of supplemental claim. VA
added to the definition of ‘‘claim’’ in
§ 3.1(p) of the proposed rule definitions
of ‘‘supplemental claim,’’ ‘‘initial
claim,’’ and ‘‘claim for increase.’’
VA received six comments regarding
definitions listed in § 3.1(p). Concerns
centered around the definitions of
initial claim (§ 3.1(p)(1)), claim for
increase (§ 3.1(p)(1)(iii)), claim
(§ 3.1(p)(2)), and supplemental claim
(§ 3.1(p)(2)). Several comments
addressed concerns regarding the use of
the term ‘‘written communication’’ in
some definitions while other areas of
the proposed rule referenced ‘‘written or
electronic’’ communication. VA agrees
with the need for clarification regarding
electronic communication and revises
§ 3.1(p) to reflect a claim as both a
written or electronic communication
properly submitted on an application
form prescribed by the Secretary.
Several comments raised concerns
that a claim for increase was included
as a type of initial claim and argued it
is more appropriately considered a
supplemental claim. VA includes claim
for increase in the definition of an
initial claim to clarify to claimants that
a claim for increase is based on a change
or worsening in condition or
circumstance since a prior VA decision
and not based on disagreement with that
decision. Accordingly, VA revises
proposed § 3.1(p)(1)(iii) to reflect a
claim for increase as a change or
worsening in condition or circumstance
since a prior VA decision. One comment
also expressed concern that ‘‘the VA
may sometimes be overbroad in
requiring supplemental claims where a
veteran has not had a decision on a
specific issue or disability previously.’’
VA agrees there may be confusion
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regarding the definition of a
supplemental claim and revised
§ 3.2501 to clarify that a supplemental
claim is based upon a disagreement
with a prior VA decision.
VA revises the definition of ‘‘initial
claim’’ in § 3.1(p)(1), to provide clarity
concerning the term ‘‘original claim’’ in
response to comments. Commenters
expressed confusion between the terms
‘‘original’’ and ‘‘initial’’ based on
dictionary definitions, which treat them
interchangeably. VA’s revisions to
§ 3.1(p)(1) explain that an original claim
is the first initial claim.
One commenter expressed a belief
that the terms ‘‘issue’’ and ‘‘claim’’ are
used interchangeably in sections of the
proposed rule but defined differently. It
is clear from § 3.151(c) that the term
‘‘issue’’ refers to a distinct
determination of entitlement to a
benefit, such as a determination of
entitlement to service-connected
disability compensation for a particular
disability. A claim is a request for
review of one or more issues. If a claim
includes only one issue then the terms
may appear to be used interchangeably.
Accordingly, VA revises § 3.1(p) to
include a reference to § 3.151(c), which
defines issues within a claim.
B. Comments Concerning § 3.103—
Procedural Due Process and Other
Rights
VA received eleven comments
regarding procedural due process
concerns as referenced in § 3.103.
Two commenters expressed concern
that the use of the phrase ‘‘when
applicable’’ in § 3.103(b)(1) is too broad
and open to interpretation. VA agrees
that the term is vague and revises
§ 3.103(b)(1) to refer the reader to
subsection (d), which explains the
availability of a hearing.
Another commenter expressed
concern with the removal of language in
§ 3.103(c)(2) regarding visual
examinations during hearings. These
types of visual examinations are
obsolete as veterans and VA can now
utilize several other methods to add
visual examination findings into the
record. Claimants may use Disability
Benefits Questionnaires (DBQs) that any
physician may complete to document
visual findings. VA may also assist
claimants through the scheduling of
contract examinations which support
VA’s disability evaluation process and
make obtaining examinations easier and
more efficient by bypassing the
requirement to formally schedule one
with a VA provider. Accordingly, VA
does not make any changes to
§ 3.103(c)(2) based upon the comment.
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Several comments raised concerns
regarding § 3.103(c)(2), Treatment of
evidence received after notice of a
decision. The concerns centered around
the desire for VA to notify claimants in
writing each time VA does not consider
evidence received after notice of a
decision, when the record is closed. The
commenters are correct that VA does
not intend to notify a claimant every
time the claimant submits evidence
during a period when the record is
closed. Rather, the initial notice of
decision provided to the claimant will
explain the review options, the
associated evidentiary rules, and the
procedures to follow to obtain VA
consideration of new evidence. In
addition, VA will, in accordance with
the AMA and § 3.103(f), provide
information to the claimant in the initial
decision as to evidence that was
considered, and any subsequent review
decision, based on a closed record, will
inform the claimant generally if VA
received evidence that was not
considered. Finally, decision notices
will provide to claimants instructions
for how to obtain or access the actual
evidence used in making the decision
(the complete record on which the
decision was based).
VA takes seriously its obligation to
administer its process in a claimantfriendly way, and accordingly provides
multiple means for claimants to obtain
information on what evidence VA has
received and the date of receipt to
determine if it was submitted when the
evidentiary record was open or closed.
Most fundamentally, claimants are able
to request a copy of their own claims
files. Additionally, accredited
representatives are eligible to receive
access to the Veterans Benefits
Management System, which enables
them to see what is in the file at any
time. And a claimant can visit the VBA
Regional Office to view their claims file
in a reading room.
Accordingly, to the extent a claimant
is unsure whether a given piece of
evidence was considered the claimant
can check the review decision to see
whether it indicates whether there was
any evidence that was not considered. If
so, the claimant can check the summary
of evidence in the initial decision
notice. VA expects this to resolve the
matter in most instances. However, to
the extent that the claimant needs
access to the entire record on which a
decision is based, the decision notice
will describe that procedure. Finally,
whenever the claimant is uncertain, the
claimant can submit the evidence in
question again as part of a supplemental
claim. If this is done within one year,
there will be no loss of effective date. If
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the evidence was not considered in the
prior claim and is relevant, it would be
considered in adjudicating the
supplemental claim. (As explained in
the proposed rule, even if the claimant
did not submit with the supplemental
claim relevant evidence previously
submitted out of time, VA would be
obligated to consider it.) The law does
not require VA to list evidence not
considered because it was received after
notice of a decision, or during some
other period when the evidentiary
record was closed. Before the AMA, 38
U.S.C. 5104 required VA to provide
certain information only in cases where
VA denied a benefit sought: (1) A
statement of reasons for the decision;
and (2) a summary of the evidence
considered by the Secretary. 38 U.S.C.
5104(b) (2016). In the AMA, Congress
directly addressed the information
requirements for decision notices in a
high level of detail. All decision notices,
regardless of whether or not they deny
a benefit sought, must now include
seven specified data elements. 38 U.S.C.
5104(b)(1)–(7). This includes ‘‘a
summary of the evidence considered by
the Secretary[.]’’ 38 U.S.C. 5104(b)(2).
This extensive list of required data
elements does not include identification
of evidence not considered. It is clear
that Congress directly considered the
requirements for decision notices,
altered the applicable legal
requirements in ways generally
favorable to claimants, and declined to
add a requirement to identify and
discuss evidence not considered.
Beyond the fact that the law does not
require VA to provide notice of
evidence not considered, VA declines to
discretionarily impose such a
requirement through regulation. From
VA’s perspective, the closing of the
evidentiary record is one of the
foundational features of the AMA, and
one of its most valuable in terms of
enabling VA, over time, to process
claims and appeals more efficiently.
Requiring VA to notify claimants each
time evidence is submitted out of time
or list or summarize such evidence
individually in review decisions would
dilute much of the administrative value
of having a closed record following the
initial decision. Providing this notice
would require VA personnel to review
and identify or summarize (if, for
example, the evidence is not dated) lateflowing evidence when preparing the
decision notice. Such a procedure
would unavoidably require ‘‘by hand’’
review and processing of evidence by
VBA adjudicators, similar to the review
required for simply considering the
evidence for decisional purposes. In this
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scenario, VA would be spending its
limited adjudicative resources reading
and processing documents that are not
part of the record and cannot be the
basis for a decision.
Apart from the work of reading and
summarizing extra-record evidence,
imposing this requirement would also
carry a significant cost in terms of
generating procedural complexity. A
regulatory requirement that VA identify
or summarize certain evidence would,
of necessity, need to be enforceable on
appeal in order to be meaningful. (Such
a notice requirement would technically
be distinct from the argument on appeal
that certain evidence was excluded from
the record in error, which is an
appellate argument that is certainly
possible under this final rule.)
Accordingly, the argument that VA
failed to provide legally adequate notice
or description of what evidence was not
considered would become a feature of
the appellate system. This would be
problematic for two reasons. First, it
invites appellate activity centered on
procedure rather than the substance of
veterans’ claims. Second, and worse, it
creates the specter of argument over the
proper discussion of non-record
evidence. Evidence that is nominally
not part of the record of the decision on
appeal would necessarily become
central to such an appellate argument.
At that point, the evidence would, for
all intents and purposes, be part of the
record, even though the premise of the
argument would necessarily be that the
evidence was validly excluded.
We acknowledge that proposed
§ 20.801(b)(3), which we here confirm as
final, will require the Board to provide
‘‘[a] general statement’’ that evidence
received while the record was closed
was not considered. This provision,
governing Board practice, is consonant
with VA’s decision not to impose a
requirement on VBA to list or
summarize untimely evidence. This
provision is necessary to comply with
38 U.S.C. 7104(d)(2), which is specific
to Board decisions. That provision only
requires a broad statement that untimely
evidence was received and not
considered, rather than any meaningful
engagement with that evidence, such as
a listing or summary.
VA recognizes that some individual
claimants might prefer that VA either
provide notification each time it
receives evidence submitted out of time
or list such evidence specifically in
decision notices. However, in balancing
efficiency considerations in line with
the expressed goal of Congress to reduce
VA backlogs and processing times, VA
has chosen the alternative procedures
discussed above to provide claimants
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with information they need to
effectively prosecute their claims
without prejudice to their ability to have
all relevant evidence considered prior to
a final adjudication. Accordingly, VA
does not make any changes to
§ 3.103(c)(2) based upon these
comments. As the precise procedures
for providing such notice may change
based on technological systems, as well
as other resources, VA will continue to
address this matter through internal
procedural guidance consistent with the
law and regulations.
Multiple commenters recommended
that additional information be included
in decision notices beyond what is
required in § 3.103(f). Suggestions
include the compensation rating
decision codesheet, information on
expected improvement in disability, and
full identification of specific evidence
not considered (which we discuss
above). Current VA procedures require
the inclusion of any expected
reexaminations due to expected
improvement or worsening of a
disability consistent with current
§ 3.327 and, in many instances, allow
for the inclusion of the codesheet with
compensation rating decision notices.
VA has a requirement under
§ 3.103(f)(7) to explain how to obtain or
access evidence used in making the
decision. One method authorized
representatives may use to access
evidence is to request access to the
claimant’s electronic claims folder.
Accordingly, VA does not make any
changes to § 3.103(f) based upon these
comments.
A commenter noted that the ‘‘new
§ 3.103 does not require VA to describe
evidence in its possession that it did not
review’’, raising a hypothetical situation
in which a claimant was treated for
conditions at a VA facility the day prior
to the decision being rendered on their
higher-level review. This is a
constructive receipt argument that VA
was in possession of the records from
the day prior and therefore cannot
appropriately adjudicate a higher-level
review without those records, while at
the same time arguing this is not ‘‘new
evidence’’ used in support of a
supplemental claim because the records
were in general custody of VA at the
time.
VA makes minor adjustments to the
rule as proposed to clarify the
parameters in this area. 38 CFR
3.103(c)(2), Treatment of evidence
received after notice of a decision, now
clearly explains what may be included
in the record for adjudication. It states,
‘‘The evidentiary record for a claim
before the agency of original jurisdiction
closes when VA issues notice of a
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decision on the claim. The agency of
original jurisdiction will not consider,
or take any other action on evidence
submitted by a claimant, associated
with the claims file, or constructively
received by VA as described in
§ 3.103(c)(2)(iii), after notice of decision
on a claim, and such evidence will not
be considered part of the record at the
time of any decision by the agency of
original jurisdiction, except’’ in two
specific circumstances relating to the
submission of a supplemental or initial
claim or identification of a duty to assist
error.
Additionally, § 3.103(f)(2) identifies
the requirement to provide a summary
of the evidence considered in
notification of decisions. This provides
the claimant a clear understanding of
what was considered and is consistent
with the definitions of evidence
reviewable under a higher-level review
or supplemental claim. Under these
definitions, the evidence raised in the
hypothetical situation would be
considered new evidence available to be
used by the claimant in a supplemental
claim. To the extent the commenter
means that evidence created by VA
shortly before the record closes but not
associated with the claims record or
identified to adjudicators in any way
should be treated as constructively part
of the record pursuant to Bell v.
Derwinski, 2 Vet. App. 611 (1992), we
note that documents created while the
record is closed do not become part of
the record by virtue of the doctrine of
constructive receipt. At the same time,
if a document created while the record
was open is identified on direct appeal
as having been constructively received
at a time when the record was open
(e.g., the Board or a higher-level
reviewer become aware of a document
within the scope of Bell), the record can
be corrected, including in similar
fashion to a duty to assist error.
However, in order for a Bell error to
cause the record to be augmented in this
way, the document in question must
actually satisfy the law of constructive
receipt in the VA context. Case law
construing Bell makes clear that the
mere existence of a record is not
sufficient to establish constructive
receipt for adjudicative purposes.
Rather, VBA adjudicators must have
sufficient indication that a given record
exists and sufficient information to
locate it, even though they do not have
actual custody of it, in order to trigger
the doctrine of constructive receipt in
the VA claims adjudication context. See
Turner v. Shulkin, 29 Vet. App. 207,
217–219 (2018). We have explicitly
incorporated this concept into the final
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rule at 38 CFR 3.103(c)(2)(iii). In terms
of the level of VBA awareness necessary
to trigger Bell in this context, we import
a familiar standard from the duty to
assist context, which is referenced in
Turner. Turner noted that 38 U.S.C.
5103A(c)(1)(B) requires VA to obtain
records of relevant medical treatment or
examination of the claimant at VA
health care facilities or at VA expense,
‘‘if the claimant furnishes information
sufficient to locate those records.’’
Turner, 29 Vet. App. at 218. There is no
reason why the doctrine of constructive
receipt should be broader than VA’s
duty to obtain records for the claim.
While the duty to assist does not apply
following the closure of the record, it
does apply during the initial claim
process when any document that could
be the basis of a constructive receipt
issue would have to be created.
Accordingly, we provide in
§ 3.103(c)(2)(iii) that VBA must have
had knowledge of the document in
question ‘‘through information
furnished by the claimant sufficient to
locate those records.’’ Further, we note
that to the extent a document
potentially within the scope of that
provision is discovered after a claim
stream has lapsed, the fact that a
document was arguably constructively
part of the record before adjudicators in
the prior decision would not preclude
that document as the basis for a
supplemental claim if it was not, in fact,
considered. A Bell error on the part of
VA is not a basis to deprive the veteran
of his or her right to file a supplemental
claim. Accordingly, Bell and the
ongoing creation of medical treatment
records is not a mechanism for
preventing the adjudicative record from
closing to the extent the law permits
and requires it to do so, but at the same
time, does not preclude the filing of
supplemental claims. These definitions
provide a clearer delineation of what is
and is not part of the evidentiary record
of a particular claim, as compared to the
continuous open record of the legacy
system. Further, through the decision
notice on the initial claim, the claimant
is provided a summary of pertinent
evidence that was developed as part of
VA’s duty to assist. When submitting a
request for ahigher-level review, the
claimant has notice that the evidentiary
record will consist of the same
information identified in the initial
claim decision. Any additional evidence
the claimant wishes to be considered
would warrant their submission of a
supplemental claim request.
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C. Comments Concerning § 3.104—
Binding Nature of Decisions
VA received eight comments
regarding the binding nature of
favorable findings. The AMA added a
new section, 38 U.S.C. 5104A, providing
that any findings favorable to the
claimant will be binding on all
subsequent adjudicators within VA,
unless ‘‘clear and convincing evidence’’
is shown to the contrary to rebut the
favorable findings. These comments
expressed concern over the lack of
definition of ‘‘clear and convincing,’’ as
well as the evidentiary standard
specified in the law being a lower
evidentiary standard than currently
exists and less favorable to claimants.
The CAVC in Fagan v. West, 13 Vet.
App. 48, 55 (1999), clarified that the
‘‘clear and convincing’’ evidentiary
standard of proof is an intermediate
standard between preponderance of the
evidence and beyond a reasonable
doubt. VA notes that the clear and
convincing evidence standard is a lesser
standard than that required for a
Veteran or claimant to correct a VA
error that was not in their favor, which
requires evidence of a clear and
unmistakable error (CUE) (see 38 U.S.C.
5109A(a) and 7111(a)). While 38 U.S.C.
5104A states that VA must meet a ‘‘clear
and convincing’’ evidentiary standard
prior to overturning a favorable finding,
nothing in the statute prohibits VA from
administratively adopting a higher
evidentiary standard to protect favorable
findings on a claimant’s behalf.
VA agrees with the commenters, as a
matter of policy, regarding the wisdom
of setting a higher standard applicable
to overturning favorable findings as it is
claimant-friendly and will reduce the
number of cases where claimants feel
VA is adopting an adversarial approach
to their claim because VA has
overturned a favorable finding.
Accordingly, VA revises § 3.104(c) to
require clear and unmistakable evidence
to rebut a favorable finding. The clear
and unmistakable standard applicable to
rebuttal is similar to the definition of
CUE found in § 3.105(a)(1)(i) and 38
CFR 20.1403(a) that applies to finally
adjudicated issues. However,
application of the clear and
unmistakable standard for rebuttal of a
favorable finding is legally distinct
because, for instance, it is limited to the
scope of the favorable finding itself and
does not require a further determination
that the outcome of the benefit
adjudication would undebatably
change. The clear and unmistakable
rebuttal standard may be satisfied by a
finding that the evidentiary record as a
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whole completely lacks any plausible
support for the favorable finding.
VA discussed in the proposed rule
that no changes are necessary to
§ 3.105(c) through (h), which govern
severance of service connection and
reduction in evaluations, and that the
standards and procedures set forth in
those paragraphs will continue to apply
without change. VA received no
comments on this issue, and VA’s
position in this regard has not changed
as a result of the choice in the final rule
to apply the higher CUE standard to
rebuttal of favorable findings.
D. Comments Concerning § 3.105—
Revision of Decisions
Two comments expressed concern
with the language in proposed
§ 3.105(a)(1)(iv), entitled Change in
interpretation, providing that a clear
and unmistakable error does not include
the otherwise correct application of a
statute or regulation where, subsequent
to the decision being challenged, there
has been a change in the interpretation
of the statute or regulation. As
explained in the preamble to the
proposed rule, this revision to § 3.105(a)
is for the purpose of conforming the
regulations applicable to CUE in finally
adjudicated decisions of the agency of
original jurisdiction with existing
regulations applicable to CUE in finally
adjudicated Board decisions.
Accordingly, § 3.105(a)(1)(iv) tracks the
language in existing 38 CFR 20.1403(e).
VA does not agree with the
commenters’ assertion that these
provisions are contrary to established
caselaw. The Federal Circuit explicitly
rejected the premise of retroactive
application of judicial interpretations of
law in the CUE context in Jordan v.
Nicholson, 401 F.3d 1296 (Fed. Cir.
2005), and Disabled Am. Veterans
(DAV) v. Gober, 234 F.3d 682, 698 (Fed.
Cir. 2000). In DAV, the Federal Circuit
specifically upheld 38 CFR 20.1403(e).
Id. In Jordan, the court explained that
‘‘[t]he Supreme Court has repeatedly
denied attempts to reopen final
decisions in the face of new judicial
pronouncements or decisions.’’ Jordan,
401 F.3d at 1299; see Reynoldsville
Casket Co. v. Hyde, 514 U.S. 749, 758
(1995) (‘‘New legal principles, even
when applied retroactively, do not
apply to cases already closed.’’).
VA does not agree with the argument
by commenters that these cases were
overruled by Patrick v. Shinseki, 668
F.3d 1325 (Fed. Cir. 2011), which was
a decision regarding whether a prior
position of the government was
substantially justified in assessing
whether an award of attorney fees was
due. Further, to the extent there is any
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irreconcilable tension between DAV and
Jordan on the one hand and Patrick on
the other, it is well-established that the
earlier decisions control for precedential
purposes. Newell Companies, Inc. v.
Kenney Mfg. Co., 864 F.2d 757, 765
(Fed. Cir. 1988) (‘‘Where there is a direct
conflict the precedential decision is the
first.’’). Similarly, it is not possible for
one panel of the Federal Circuit Court
to have directly overruled a prior panel.
Sacco v. Dep’t of Justice, 317 F.3d 1384,
1386 (Fed. Cir. 2003) (‘‘[a] panel of [the
Federal Circuit] is bound by prior
precedential decisions unless and until
overturned en banc.’’). VA therefore
makes no change to the regulation based
on the comments.
One of these commenters
recommends the creation of a form
specifically for use in applying for
review of a CUE. VA agrees there is
merit in this recommendation, will
review possible options, and may
decide to implement a form for this
specific use, consistent with the
Paperwork Reduction Act. However, the
current process for claiming and
contesting a CUE should be followed in
the absence of such a form. Should VA
determine such a form is not necessary,
the current process will remain in place.
E. Comments Concerning § 3.151—
Claims for Disability Benefits
The AMA added 38 U.S.C. 5104C,
which outlines the available review
options following a decision by the
agency of original jurisdiction. VA
proposed to add § 3.2500 and revise
§ 3.151 consistent with the statute to
provide that a claimant may request one
of the three review options under
§ 3.2500 (higher-level review,
supplemental claim, or appeal to the
Board) for each issue decided by VA,
consistent with 38 U.S.C. 5104C. A
claimant would not be limited to
choosing the same review option for
each issue for a decision that
adjudicated multiple issues.
One commenter believed that the
terms ‘‘issue’’ and ‘‘claim’’ are used
interchangeably in sections of the
proposed rule but defined differently. It
is clear from § 3.151(c) that the term
‘‘issue’’ refers to a distinct
determination of entitlement to a
benefit, such as a determination of
entitlement to service-connected
disability compensation for a particular
disability. A ‘‘claim’’ is a request for
review of one or more issues. If a claim
includes only one issue then the terms
may appear to be used interchangeably.
VA agrees with the commenter’s
suggestion that clarification is necessary
and revised § 3.1(p) to include a
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reference to § 3.151(c), which defines
issues within a claim.
F. Comments Concerning § 3.155—How
To File a Claim
While the AMA does not specifically
address how to file a claim, or the
concept of intent to file as it relates to
supplemental claims, it is necessary for
VA to create a framework for this
process. Currently, 38 U.S.C. 501(a) and
5104C(a)(2)(D) place the authority to
develop policy in this area on the
Secretary.
One comment expressed concern that
§ 3.155(b), Intent to file, does not apply
to supplemental claims and
recommends recision of this limitation.
However, 38 U.S.C. 5110 of the new
statutory framework provides that a
claimant can maintain the potential
effective date of a potential benefits
award by submitting a request for
review under any of the three new lanes
within one year of the date of the
decision with which the claimant
disagrees. Consistent with this
requirement, the intent to file provisions
of § 3.155(b) do not apply to
supplemental claims because the statute
prescribes a one-year filing period in
order to protect the effective date for
payment of benefits. The commenters
recommendation would allow for the
submission of a supplemental claim
beyond the one-year period. For these
reasons, VA will not make any changes
to § 3.155 based on the commenter’s
recommendation.
G. Comments Concerning § 3.156—New
Evidence
One commenter expressed concern
with the definition of new evidence
meaning evidence not yet ‘‘submitted
to’’ VA and recommended clarification
that new evidence is evidence not yet
‘‘considered by’’ VA. The commenter
suggested this change to ensure that
evidence qualifies as ‘‘new’’ for
purposes of a supplemental claim,
where that evidence was associated
with the claims file when the record
was closed and therefore was not
previously considered by a VA
adjudicator. VA agrees that clarification
along these lines is necessary but has
revised the regulatory language in
different manner. Instead of the change
recommended by the commentator, VA
has replaced ‘‘not previously submitted
to agency adjudicators’’ in the definition
of new evidence with ‘‘not previously
part of the actual record before agency
adjudicators.’’ This change will
accomplish the same goal, with the
additional benefit, through use of the
phrase ‘‘actual record,’’ of clarifying that
new evidence may include evidence
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deemed constructively received as of a
date falling within a period when the
record was open, if that evidence had
never been part of the record on which
a prior adjudication of the issue in
question was based.
Other commenters disagreed with the
change in title for § 3.156(b), from
‘‘Pending claim’’ to ‘‘Pending legacy
claims not under the modernized review
system,’’ resulting in the nonapplicability of current § 3.156(b) in the
modernized system. The commenter
asserted that VA had not provided a
sufficient explanation for this choice.
Section 3.156(b) provides generally
that new and material evidence received
while a claim is pending before VA
must be considered as filed in
connection with the pending claim,
including evidence received after an
initial decision is rendered and during
the period available to file an appeal.
One practical effect of this provision is
that qualifying evidence received during
the appeal period automatically requires
VA to readjudicate the claim and issue
a new decision. Such a requirement
would be inconsistent with the structure
of the new system. First, new 38 U.S.C.
5104B(d) and revised 38 U.S.C. 7113
mandate specific periods when the
record is closed to new evidence,
including during the period following
an initial VA decision. Second, new 38
U.S.C. 5104C and revised 38 U.S.C.
5108 require a claimant who seeks VA
readjudication based on new and
relevant evidence to either file a
supplemental claim with the agency of
original jurisdiction or file a Notice of
Disagreement and select a Board docket
allowing the submission of new
evidence. Defining and limiting the
avenues available to a claimant for
submission of new evidence during the
claim stream is a primary feature of the
AMA, which was designed, in part, to
‘‘streamline VA’s appeal process’’ and
‘‘help ensure that the process is both
timely and fair.’’ H. Rep. No. 115–135 at
5 (2017). Third, new 38 U.S.C. 5104C
provides claimants with a choice of
review options following receipt of an
adverse initial VA decision—file for a
higher-level review within the Veterans
Benefits Administration (VBA), file a
supplemental claim with new and
relevant evidence for readjudication by
the VBA, or file a notice of appeal to the
Board. If VA were to automatically place
the claim on a track for readjudication
by the VBA upon receipt of new
evidence, that action would effectively
preempt the claimant’s choice.
Therefore, because § 3.156(b) requires
automatic readjudication upon the
receipt of new evidence during the oneyear appeal period, it is clearly
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inconsistent with the statutory design of
the new system. Nevertheless, excluding
§ 3.156(b) from the regulations
governing new system claims does not
adversely impact a claimant’s right to
obtain a VA readjudication on new and
relevant evidence. It simply means that
claimants must submit such evidence
though the channels established by the
AMA. Furthermore, automatic
readjudication of claims is not
mandated by 38 U.S.C. 5103, even
though the implementing regulation for
that provision, § 3.159(b), provides for
automatic readjudication of legacy
claims upon VA receipt during the
appeal period of new evidence
substantiating the claim. 38 U.S.C.
5103(a)(1) requires VA to provide
claimants, prior to an initial decision,
with notice of information and evidence
necessary to substantiate a claim.
Section 5103(b)(1) requires the claimant
to provide such evidence within one
year of the date of the notice, but states
in paragraph (b)(3) that VA is not
prohibited from making the initial
decision on a claim prior to the
expiration of the one year. Consistent
with these provisions, VA’s
implementing regulations for legacy
claims provide that if a claimant does
not respond to the notice within 30
days, VA may decide the claim prior to
the expiration of the one-year period.
See 38 CFR 3.159(b)(1). If VA does so
and the claimant subsequently provides
information or evidence substantiating
the claim before the end of the one-year
period, the regulations provide that ‘‘VA
must readjudicate the claim.’’ Id.
However, the regulatory procedure of
automatically readjudicating the claim
in these circumstances was not required
by section 5103. Rather, when the key
features of current 38 U.S.C. 5103 were
enacted in 2000 and 2003 (in the
Veterans Claims Assistance Act of 2000
(VCAA) and the Veterans Benefts
Improvement Act of 2003 (VBIA of
2003), VA had a long-standing practice,
as set forth in § 3.156(b), of
automatically readjudicating a claim
upon the receipt of additional evidence
from a claimant—not just within the
year following issuance of the 5103(a)
notice, but within the longer one-year
period beginning with the issuance of
the initial decision. Following
enactment of the VCAA, VA indicated
that it would simply chose to maintain
this practice. 66 FR 45,620, 45623 (Aug.
29, 2001) (final rule). VA viewed the
essence of 5103(b) not as requiring
automatic readjudication, but as
‘‘essentially an effective date provision
governing the earliest date from which
benefits may be paid if a claimant
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143
submits requested information and
evidence.’’ Id.
VA recognized that the longer period
for submission of new evidence
provided in § 3.156(b) might be in
tension with the bar to awarding
benefits in section 5103(b)(1) where
supporting evidence was not received
within a year of the VA notice, id., but
that bar was removed in the VBIA of
2003 and Congress substituted the
requirement that the substantiating
evidence ‘‘must be received by the
Secretary within one year of the notice
date.’’ 149 Cong Rec H 11,705, (Nov. 20,
2003). At the same time, Congress added
section 5103(b)(3), providing that VA is
not prohibited from adjudicating a claim
prior to the expiration of the one-year
period following section 5103 notice.
Congress explained, consistent with the
view that section 5103(b) was
essentially an effective date preservation
provision, that the statutory changes
were designed to promote the
streamlined adjudication of claims,
while ensuring that claimants had two
essential rights: (1) The opportunity,
following an initial decision, to submit
substantiating information or evidence
for VA readjudication within the oneyear period, and (2) in such cases,
maintenance of the effective date
associated with the filing of the claim.
108 S. Rpt. 169 at 15 (‘‘In such cases, the
one-year time period would still enable
a claimant to submit the requested
information or evidence and if benefits
are granted on readjudication, assign an
effective date of award as if VA had not
made the initial decision.’’); see also 149
Cong Rec H 11,705, 11,720 (Nov. 20,
2003) (Explanatory Statement of the
House and Senate Committees,
indicating that the House accepted the
provisions from the Senate Bill in this
regard).
The new system under the AMA
affords claimants these essential rights,
as claimants are entitled to a VA
readjudication based on new and
relevant evidence submitted within the
one-year appeal period, while their
effective date is protected. Rather than
providing for an automatic
readjudication, however, claimants
must submit the new evidence in
connection with a choice of review
options. The claimant may file either a
supplemental claim pursuant to
§ 3.2501 or a Notice of Disagreement
with the Board indicating selection of a
docket allowing for the submission of
additional evidence. If either filing is
completed within the one-year period
under the AMA to maintain continuous
pursuit of the claim (generally one year
from the date of issuance of the initial
decision), the claimant will not lose the
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effective date associated with the filing
of the claim. The availability of
readjudication based on new evidence
under the AMA therefore fulfils the
essential purpose of section 5103(b) as
an effective date provision governing
the earliest date from which benefits
may be paid if a claimant submits
requested information and evidence
following an initial adjudication.
Nothing in 38 U.S.C. 5103 or caselaw
interpreting it requires VA to
automatically readjudicate a claim or
precludes orderly procedural
requirements for the submission of new
evidence following an initial decision.
Similarly, there is no indication in the
relevant legislative history that Congress
understood itself to be creating such a
requirement. Therefore, the AMA is not
inconsistent with section 5103(b) and
section 5103 does not require VA to
create a special exception to the claim
processing rules set forth in the new
law.
To the extent that section 5103(b)
could be viewed as potentially
conflicting with the AMA by providing
an unrestricted right to submit evidence
and receive readjudication for up to one
year following the VCAA notice,
notwithstanding the timing of any
intervening VA decision, it would be
VA’s duty to resolve the conflict for
operational purposes. Therefore,
regardless of whether one adopts the
view that section 5103(b) provides such
a right, VA interprets section 5103(b)
and the AMA together to provide that
evidence may be submitted in the oneyear period established by section
5103(b), including following a VA
decision, but must be submitted through
the channels provided in the AMA
when VA has issued an initial decision.
VA believes that allowing submission of
new evidence only through the channels
provided in the AMA gives the
maximum possible effect to both
statutory provisions bearing on the issue
and safeguards a claimant’s essential
statutory rights. Further, as a matter of
policy, creating a year-long exception to
the structure of the AMA would
introduce complexity and confusion to
the new claims processing rules, both
for VA adjudicators and claimants, and
would substantially undermine the goal
of the AMA to streamline the VA
appeals system and allow VA to resolve
appeals more quickly.
Consistent with this discussion, VA
eliminates § 3.156(b) for modernized
system claims and makes conforming
amendments to § 3.159, as discussed
below, to require that new and relevant
evidence, to the extent that it is
submitted following a VA decision but
within the year established in section
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H. Comments Concerning § 3.159—
Department of Veterans Affairs
Assistance in Developing Claims
The definition of a substantially
complete application in 3.159 has been
amended to add the requirement that a
supplemental claim application include
or identify potentially new evidence
and that a higher-level review request
identify the date of the decision for
which review is sought. VA’s duty to
assist is reinstated when a substantially
complete initial claim or supplemental
claim is filed or when a claim is
returned to correct a ‘‘duty to assist’’
error in a prior decision as required by
38 U.S.C 5103A(f), as amended by the
AMA.
One commenter is concerned with the
term ‘‘potentially new evidence’’ as
used in §§ 3.159(a)(3)(vii) and in
3.160(a)(6). In this context, ‘‘potentially
new evidence’’ references evidence that
may be new and relevant to the claim,
thereby providing some potential basis
for a supplemental claim. As
adjudicated in the supplemental claim
process, evidence submitted or
identified by a claimant may be found
to be duplicative, not relevant, or
otherwise not new. If this is the case,
the adjudicator then must issue a
decision indicating that there is not
sufficient evidence to readjudicate the
claim. If the evidence is found to be new
and relevant, the claim must be
readjudicated. This identification of
‘‘potentially new evidence’’ is
consistent with § 3.2501. For the above
reasons, VA make no changes to § 3.159
based upon the comment.
However, VA is making technical
amendments to § 3.159 in the final rule
necessary to conform with the
procedural requirements of the AMA.
Specifically, paragraph (b)(4) is added
and paragraph (b)(1) is amended to
clarify, consistent with new section
5104C, that submission of new evidence
following an initial VA decision must be
accomplished either by filing a
supplemental claim on a form
prescribed by the Secretary or by filing
a Notice of Disagreement with the Board
on a form prescribed by the Secretary
and selecting a review option allowing
for the submission of new evidence. As
explained above in the prior section, VA
views these amendments as consistent
with section 5103.
however, replace ‘‘a claim for reopening
a prior decision on a claim, or a claim
for increase of benefits’’ with
‘‘supplemental claim’’ in section
5103(a). Further, section 5104C(a)(2)(D)
places the authority to develop policy in
this area on the Secretary.
Claimants may request review of VA’s
decision by submitting a supplemental
claim after a decision by the agency of
original jurisdiction, the Board, or the
CAVC. VA proposed revising § 3.160(e)
to reflect the requirement that as of the
applicability date of the new law, VA
will no longer accept requests to
‘‘reopen’’ claims and a claimant must
file a supplemental claim under
§ 3.2501 to seek review of a finally
adjudicated claim for a previously
disallowed benefit.
One commenter contends that those
who have filed their claims in the legacy
system have the right to have those
claims adjudicated in the legacy system
and VA cannot force them into the
modernized system outside of the
statutorily prescribed opt-in periods
citing that the courts have held a
claimant has the right to demand the
benefit of the laws in existence at the
time the claim was filed and any new
laws that come into existence during
that claim’s pendency that are more
favorable to the claimant, absent a
specific indication that the change in
law was intended to be retroactive. VA
agrees with the commenter in part;
however, VA did not propose to apply
a new law that is less advantageous to
the claimant. By requiring the filing of
a supplemental claim, VA will no longer
require claimants to identify new and
material evidence to reopen a finally
adjudicated claim. VA will now allow
the submission of evidence that is ‘‘new
and relevant’’, which Congress has
indicated is a lesser standard and
reduces the claimant’s burden. In
addition, this change in filing
requirement does not change VA’s
review of the claim and application of
the laws in effect at the time the claim
was originally decided when
readjudicating the claim. What VA
intends, by allowing claimants with
legacy claims to file under the
supplemental claim framework, is to
reduce claimants’ filing burden while
still maintaining all requirements for
review of the decision based on all
applicable laws and regulations whether
in existence at the time of prior decision
or now. For these reasons, no changes
are made based on this comment.
I. Comments Concerning § 3.160—
Status of Claims
While the AMA does not specifically
address status of claims, the law did,
J. Comments Concerning § 3.328—
Independent Medical Opinions
The AMA repealed 38 U.S.C. 7109,
which authorized the Board to obtain
5103(b), must be submitted to VA
through the channels established by the
new law.
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independent medical opinions (IMOs).
This repeal removed the ability for the
Board to request IMOs. Under 38 U.S.C.
5103A(f)(2) and 5109(d), as added by
the AMA, the Board will, when deemed
necessary, direct the agency of original
jurisdiction to obtain an IMO. VA
proposed to amend § 3.328 to include a
requirement that VBA process IMO
instructions received from the Board.
One commenter requested
clarification on the definition of
‘‘director of the Service’’ in § 3.328(c).
Previous language referenced approval
to be ‘‘granted only upon a
determination by the Compensation
Service or the Pension and Fiduciary
Service’’. The change to ‘‘director of the
Service’’ in § 3.328(c)(1)(i) is necessary
because the modernized system affects
all VA administrations and is not
limited to the Veterans Benefits
Administration’s Compensation Service
and Pension and Fiduciary Service. To
address the commenter’s concern, VA is
adding language to clarify the meaning
of ‘‘director of the Service’’.
Another commenter requested clarity
on the use of the word ‘‘obscurity’’ and
the phrase ‘‘such controversy in the
medical community at large’’ in
proposed § 3.328(c)(1)(i) and
recommended a revision to reflect the
language of the statute. VA agrees that
the regulation should track the language
of the statute and revised § 3.328(c)(1)(i)
accordingly.
K. Comments Concerning § 3.2400—
Applicability of Modernized Review
System
The AMA provides direction on the
applicability of the modernized review
system. Accordingly, § 3.2400 defines
which claims are processed under the
modernized review system and which
clams are processed under the legacy
appeals system. § 3.2400 also clarifies
that the new review system will
generally apply to initial decisions
provided on or after the effective date
denying requests to revise a decision by
the agency of original jurisdiction based
on CUE.
One commenter interpreted proposed
§ 3.2400, specifically the provision
proscribing supplemental claims based
upon CUE, as somehow limiting CUE
claims generally. However, § 3.2400
clarifies that the new review system will
generally apply to initial decisions
issued on or after the effective date of
this final rule, to include decisions
denying requests to revise a decision by
the agency of original jurisdiction based
upon CUE. Although such requests are
not ‘‘claims’’ subject to the AMA
because the requester is not pursuing a
claim for benefits pursuant to part II or
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III of Title 38 of the U.S. Code, Livesay
v. Principi, 15 Vet. App. 165, 178–179
(2001), it is VA’s policy to allow the
requestor to elect review of such
decisions in the higher-level review lane
or through an appeal to the Board.
Revision of a decision based upon CUE
cannot be requested in a supplemental
claim because CUE must be based upon
the facts and law that existed at the time
of the prior decision, not new and
relevant evidence. For these reasons, VA
does not make any changes based upon
the comment.
Another comment expressed concern
that character of discharge
determinations are not expressly
addressed in § 3.2400. While character
of discharge determinations could be
reviewed under the modernized review
process, the AMA does not specifically
implicate or change any existing law
regarding character of discharge
determinations. Accordingly, no
changes are made based on this
comment.
L. Comments Concerning § 3.2500—
Review of Decisions
In the legacy appeals process,
claimants who are dissatisfied with the
initial decision on their claim are given
only one avenue to seek review of that
decision. The new system created by the
AMA allows claimants to choose from
several different review options.
Congress added 38 U.S.C. 5104C to
provide claimants with streamlined,
early resolution options within the
agency of original jurisdiction or in an
appeal directly to the Board. VA
proposed to add § 3.2500 to implement
the new decision review options and set
forth the rules that apply to those
options under section 5104C. In line
with the statutory requirements, VA
proposed to allow a claimant to file for
one of the three review options upon
receipt of a decision by the agency of
original jurisdiction on an initial claim.
Under § 3.2500(b), a claimant will be
able to elect a different review option
for each issue adjudicated in the
decision. It is clear from § 3.151(c) that
the term ‘‘issue’’ refers to a distinct
determination of entitlement to a
benefit, such as a determination of
entitlement to service-connected
disability compensation for a particular
disability. An ‘‘issue’’ is distinct from a
‘‘claim’’ in that a claim may contain one
or more issues.
Several commenters expressed
concern over § 3.2500(b), which
provides that a claimant may not elect
to have the same issue reviewed
concurrently under different review
options, consistent with section
5104C(a)(2)(A). Some of these comments
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were specific to the concurrent election
of a different review lane while an
appeal is simultaneously being
reviewed by a federal court. In general,
it is inefficient and raises potential
conflicts for the same issue to be
reviewed concurrently by two different
processes (e.g., concurrent review in
multiple review lanes or in a review
lane and at a court). These different
review lanes may come to different
conclusions. This final rule establishes
a process for a potentially different
conclusion in a lane than in a previous
lane. It is inefficient and confusing for
those conclusions to be reached separate
from each other without the benefit of
the other review’s conclusions. The
appropriate method for a claimant to
seek a different conclusion is to allow
for a decision to be made, then seek
another appropriate review option to
address any additional evidence,
difference of opinion, or perceived error
in the prior conclusion. VA also notes
that concurrent review of a matter by a
lower level review lane and a federal
court is prevented as a matter of law,
due to VA’s lack of jurisdiction to
review a matter pending before a higherlevel authority. Accordingly, no changes
are made to § 3.2500(b) based on these
comments.
One commenter expressed a belief
that the proposed rule limits the options
for a claimant to appeal downstream
issues to reviewing them all in a single
lane. The example offered by the
commenter was a case in which the
Board grants service connection for a
left knee condition, but the claimant
disagrees with the effective date and
percentage of disability assigned by the
Board, and the claimant must choose
one lane for adjudication for each of
these issues, even though the effective
date issue might be better resolved in a
higher-level review and the evaluation
might be better resolved in a
supplemental claim. The proposed rule
did not specifically address downstream
issues, which are those that necessarily
arise from a decision on one element of
a claim. Ratings and effective dates,
using the commenter’s example, are
separate issues that may arise from a
Board grant of service connection.
VA recognizes that a claimant might
sometimes want to seek review of each
downstream issue in a different lane.
However, as VA discussed in the
preamble to the proposed rule, allowing
a claim to be splintered into several
pieces for review, each potentially
subject to different evidentiary rules and
timelines, would render the new review
system administratively unworkable,
risk self-contradictory decision-making
by VA, and undermine Congressional
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intent to streamline the review process
and reduce adjudication times.
Although problems would not
necessarily arise in every instance, from
the standpoint of administering an
entire system that produces timely
adjudications for all claimants, VA must
attempt to achieve a balance between
more flexibility for individual claimants
and administrative efficiency that
benefits all veterans. Based on extensive
experience administering a claims
adjudication system, and considering
that one of the express goals of the AMA
is to improve the effciency of VA claims
and appeals processing and reduce
overall wait times, VA will not allow
claimants to choose different review
lanes for downstream issues. Rather,
each separate benefit entitlement sought
by a claimant is considered an issue as
defined in § 3.351(c) and cannot be split
into different review lanes for purposes
of admistrative review. VA makes no
regulatory changes based on the
comment.
Some commenters suggested that the
regulatory provision indicating review
options following a Board decision
should include reference to the option
to file a notice of appeal with the U.S.
Court of Appeals for Veterans Claims
(CAVC). VA agrees and revises
§ 3.2500(c)(3) accordingly. Other
commenters suggested that proposed
§ 3.2500(c)(4) should track the statutory
language providing that the one-year
period for continuous pursuit begins
upon issuance of a CAVC decision,
rather than a CAVC judgment. VA
agrees and revises the language in
§ 3.2500(c)(4) accordingly.
Proposed § 3.2500(d) implements
section 5104C(a)(2), providing that the
Secretary may, as the Secretary
considers appropriate, implement a
policy for claimants to switch between
the different review options. A claimant
or the claimant’s duly appointed
representative may, for example, wish to
withdraw a request for higher-level
review or a supplemental claim at any
time prior to VA issuing notice of
decision. VA proposed in § 3.2500(d)
that a claimant may, if the withdrawal
takes place within the one-year period
following notice of the decision being
reviewed, timely elect another review
option to continuously pursue the claim
and preserve the potential effective date
for payment of benefits.
Two commenters expressed concern
that section 5104C(a)(2) does not impose
a time limit on selecting additional
review options upon withdrawal.
However, section 5104C(a)(2)(D) places
the discretion to develop policy in this
area with the Secretary of Veterans
Affairs. Under the AMA (sections
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5104B, 5104C, 5110, and 7105), and in
order to ensure efficiency, consistency,
and timeliness, option election periods
are consistently one year from the date
of the decision with which the claimant
disagrees. A withdrawal and election of
a new option must necessarily also be
based on the date of that decision. For
example, a claimant receives an
unfavorable decision and requests a
higher-level review. Sometime during
the year following the claim decision,
but before the higher-level review
request has been adjudicated, the
claimant decides to change to the
supplemental claim lane. The
supplemental claim must be filed
within that same year from the last
decision date. As long as a claimant
submits a supplemental claim within
the same one-year period that follows
the relevant decision, VA will consider
this to be a continuously pursued claim
and continue to base the effective date
of an award of benefits on the filing date
of the initial claim. This benefits the
claimant by ensuring there are clearer
periods of time associated with
processing an action and definitive
decision points in the process on which
to better determine if further action is
desired while protecting the effective
date. Accordingly, no changes are made
to § 3.2500 based on these comments.
Concern was expressed regarding lane
changes after the one-year period
described above, but before a decision
review request has been adjudicated.
VA understands the concern regarding
withdrawing from one lane in favor of
another, particularly if the one-year
period has expired. Accordingly, VA
will consider requests to extend the oneyear period for claimants in one review
lane to switch to the supplemental
claim lane through the above-described
procedure without loss of the current
effective date. Such requests will be
considered on a case-by-case basis for
good cause shown under § 3.109(b).
Section 3.109(b) generally allows for
requests to extend time limits within
which claimants are required to act
based on good cause, and allows such
requests to be made after the relevant
time period has expired subject to
specified procedural requirements. The
only lane into which a claimant may
switch after the one-year period has
expired is the supplemental claim lane
based on new and relevant evidence,
regardless of whether a good cause
exception is allowed for purposes of
maintaining continuous pursuit of the
claim.
VA makes changes in § 3.2500(e) in
accordance with the above discussion in
response to the comment.
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VA also makes technical changes to
§ 3.2500(d), including adding the
requirement that withdrawal of a
supplemental claim or a request for a
higher-level review must be in writing
or through electronic submission in a
manner prescribed by the Secretary and
must be filed with the agency of original
jurisdiction. These changes are required
for orderly administrative processing
and to provide useful information to
claimants.
M. Comments Concerning § 3.2501—
Supplemental Claims
VA received multiple comments
requesting clarification about electronic
submissions in § 3.2501. These
comments correctly identify that
§ 3.2501 states that applications may be
made ‘‘in writing’’ and says nothing
about electronic submissions. VA agrees
on the need for clarification regarding
electronic submissions. Accordingly,
VA revises § 3.2501 to clarify that a
claimant or their authorized
representative may submit
supplemental claims in writing or
electronically, consistent with
§ 3.160(a). Additionally, clarity is added
regarding new and relevant evidence
that may be in custody of the VA when
reasonably identified by the claimant
consistent with revisions in
§ 3.103(c)(2). The definition of new and
relevant evidence in § 3.2501(a)(1) is
revised in a similar manner to the
revision of § 3.156 regarding evidence
not previously ‘‘considered by’’ agency
adjudicators.
N. Comments Concerning § 3.2502—
Returns by Higher-Level Adjudicator or
Remand by the Board of Veterans’
Appeals
Several commenters expressed
confusion over the inclusion of the term
‘‘adjudication activity.’’ VA agrees that
our use of this term in the proposed rule
was confusing. Accordingly, VA revises
§ 3.2502 to use the term ‘‘agency of
original jurisdiction’’ throughout the
final rule. Similarly, commenters
requested further clarity on what it
means to ‘‘take immediate action to
expedite readjudication.’’ The AMA
amended 38 U.S.C. 5109B to state, ‘‘The
Secretary shall take such actions as may
be necessary to provide for the
expeditious treatment by the Veterans
Benefits Administration of any claim
that is returned by a higher-level
adjudicator under section 5104B of this
title or remanded by the Board of
Veterans’ Appeals.’’ VA agrees that
clarification is necessary and revises
§ 3.2502 to more closely mirror the
statutory language. The statute does not
further define what is meant by
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‘‘expeditious,’’ leaving timely treatment
of claims to the Secretary. Clearly,
Congress intended that VA would
process these claims as expeditiously as
possible depending upon available
resources. VA will similarly not further
define ‘‘expeditious’’ in the rule to
provide the Secretary the discretion to
direct expeditious processing of actions
through allocation of available
resources, appropriate prioritization of
workload, and issuance of procedures.
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O. Comments Concerning § 3.2601—
Higher-Level Review
The higher-level review consists of a
closed evidentiary record and does not
allow for the submission of new
evidence or a hearing. While the closed
evidentiary record does not allow for
submission of new evidence, VA
proposes to provide claimants and/or
their representatives with an
opportunity to point out any specific
errors in the case as part of the higherlevel review. The sole purpose of an
informal conference is to provide a
claimant or his or her representative
with an opportunity to talk with the
higher-level adjudicator so that the
claimant and/or his or her authorized
representative can identify errors of fact
or law in the prior decision. To comply
with the statutory requirement of a
closed evidentiary record, VA would
not allow claimants or representatives to
supplement the evidentiary record
during the informal conference through
the submission of new evidence or
introduction of facts not present at the
time of the prior decision.
Several commenters expressed
concern over the term ‘‘good cause’’ in
§ 3.2601(e) as it relates to VA’s ability to
conduct the higher-level review at the
office which rendered the initial
decision when desired by the claimant.
VA agrees that clarity is needed.
Accordingly, language is added for
clarification regarding situations in
which the VA may not be able to
conduct the higher-level review at the
office which rendered the initial
decision.
P. Comments Concerning General
Timeliness
VA received several comments
recommending timelines and goals
related to timeliness be included in the
rule. VA is committed to the purpose of
appeals modernization, which is to
provide fair, efficient, and more timely
resolution of cases in which a claimant
disagrees with a VA decision. Though
VA intends to maintain a 125-day
average goal for completion of higherlevel reviews and supplemental claims,
the statute does not require a specific
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goal and the Secretary must retain the
authority and responsibility to monitor
and prioritize workload, allocate
resources appropriately, and establish
appropriate procedures to best meet
priorities established by any given
change in administration or policy.
Regulating a specific goal eliminates the
judgement and decision-making
authority of the Secretary and reduces
the ability to adapt to change
appropriately. Goals and timelines for
timely completion of VA processes will
be established and monitored through
VA procedures and policy. For these
reasons, no changes are made based on
these comments.
Q. Comments Outside the Scope of the
Rule
One commenter suggested using nonVA staff, physicians, or case managers at
non-VA facilities to be trained in the
claims and appeals process in order to
fulfill the duty to assist responsibility,
stating this would shorten the claims
and appeals process. This comment is
outside the scope of the proposed rule
because it relates to the specific
methods in which VA accomplishes the
training and management of the law and
regulations. Therefore, no change is
made based on this comment.
Another comment concerned denial
rates under the Rapid Appeals
Modernization Program (RAMP). This
comment is outside the scope of the
proposed rule, therefore, no change is
made based on this comment.
Part 8—National Life Insurance
Program
Based on comments received relative
to part 3, language in § 8.30 is adjusted
to be standardized with the language
used in Part 3 in reference to favorable
findings, supplemental claims, and
higher-level reviews.
Part 14—Legal Services, General
Counsel, and Miscellaneous Claims
For the reasons set forth in the
proposed rule and in this final rule, VA
is adopting the proposed amendments
to 38 CFR part 14 as final, with minor
changes, as explained in the section-bysection supplementary information
below. These regulations govern
recognition of veterans service
organizations (VSO); accreditation of
attorneys, agents, and VSO
representatives; representation of
claimants before VA, including the rules
of conduct applicable while providing
claims assistance; and fees charged by
attorneys and agents for representation.
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147
R. Comment Concerning § 14.631—
Powers of Attorney; Disclosure of
Claimant Information
VA proposed only one change to
current § 14.631, to update a reference
in paragraph (c) from 38 CFR 20.608 to
38 CFR 20.6 to reflect proposed
revisions to the Board of Veterans’
Appeals’ (Board) Rules of Practice.
Nevertheless, VA received one
comment, from a VA-recognized VSO,
asking VA to clarify how claimants may
change representation and what their
‘‘continuing obligations’’ might be, and
specifically asking for clarification as to
how a claimant would change
representation from an attorney to a
veterans service organization. Although
the commenter asked this question in
regard to the organization’s clients, the
comment pertains to other scenarios as
well, including when a claimant
changes representation from one
attorney or agent to another attorney or
agent or from an attorney or agent to
proceeding without representation.
As a starting point, unless an appeal
is before the Board, the claimant may
discharge the attorney or agent at any
time and for any reason. A claimant may
do so by informing VA of the revocation
or by filing a new power of attorney.
Attorneys, agents, and VSOs are also
permitted to withdraw from
representation while the case is before
the agency of original jurisdiction (AOJ)
so long as the withdrawal would not
adversely impact the claimant’s
interests or if there is good cause for the
withdrawal such as if the claimant
pursues a course of action that the
representative believes to be fraudulent
and is being furthered through the
representative’s representation on the
claim. Current § 14.631 identifies the
effect of withdrawal from representation
and the effect of a revocation of a power
of attorney. Withdrawal before the
Board, proposed § 20.6, sets forth a
different procedure and, in some
circumstances, a higher standard that
must be met before a representative is
permitted to withdraw. Upon
withdrawing from representation, the
representative must generally return all
of the claimant’s property to the
claimant.
Under § 14.631(f)(1), receipt of a new
power of attorney by VA generally
revokes existing powers of attorney.
Under § 14.631(f)(2), however, an agent
or attorney may limit the scope of his
or her representation to a particular
claim by describing the limitation on
VA Form 21–22a. If a VA Form 21–22a,
which limits the scope of representation
to a particular claim, is submitted, after
a VA Form 21–22 or VA Form 21–22a
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that did not, then the, organization or
individual with a prior unlimited power
of attorney would retain representation
for all claims before VA with the
exception of the particular claim
indicated on the new VA Form 21–22a
with the limited scope. Conversely,
under § 14.631(f)(1), if VA receives a
new VA Form 21–22 or VA Form 21–
22a, which contains no limitations in
scope, it would revoke an existing
power of attorney even if the initial VA
Form 21–22a indicated that it was
limited in its scope to a particular claim.
VA will make no further changes to
§ 14.631 based on this comment.
As to the claimant’s continuing
obligations to the attorney or agent
pertaining to fees, this aspect of the
comment will be discussed further
below with regard to § 14.636.
S. Comment Concerning § 14.632—
Standards of Conduct for Persons
Providing Representation Before the
Department
In § 14.632(c)(6), VA proposed to
amend the current regulation which
provides, ‘‘An individual providing
representation on a particular claim
under § 14.630, representative, agent, or
attorney shall not . . . [s]olicit, receive,
or enter into agreements for gifts related
to representation provided before an
agency of original jurisdiction has
issued a decision on a claim or claims
and a Notice of Disagreement has been
filed with respect to that decision.’’
(Emphasis added.) VA proposed new
language that would state, ‘‘An
individual providing representation on
a particular claim under § 14.630,
representative, agent, or attorney shall
not . . . [s]olicit, receive, or enter into
agreements for gifts related to services
for which a fee could not lawfully be
charged.’’ (Emphasis added.) One
commenter supported the premise of the
provision because it would discourage
unethical charging of fees disguised as
gifts, but the commenter urged VA to
clarify that VA does not intend to
include de minimis gifts within the
prohibition. The commenter noted that
veterans or their families may want to
send small tokens of gratitude to
advocates.
VA has not changed the language
from the proposed rule. Section
14.632(c)(6), as well as other provisions
such as current § 14.628(d)(2)(i)
(essentially prohibiting recognized
organizations and their accredited
representatives from charging or
accepting a ‘‘fee or gratuity for service
to a claimant’’), implement statutory
prohibitions or limitations on the
charging of fees, such as those contained
in 38 U.S.C. 5902(b)(1)(A) and
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5904(c)(1). VA appreciates the
commenter’s support for preventing
unethical behavior and recognizes that
most accredited practitioners would not
attempt to circumvent statutory or
regulatory prohibitions on charging fees
through the acceptance of gifts. But,
unfortunately, based on VA’s experience
monitoring the conduct of accredited
individuals and addressing complaints
received regarding the receipt of gifts
and donations, VA does not believe that
exceptions to the rule should be
recognized because doing so could open
the door to potential abuses. Indeed, to
be clear, VA believes that, in
circumstances in which a fee would be
unlawful, a prudent practitioner would
return any gift to the donor to avoid the
appearance of a violation of the
standards of conduct in § 14.632. VA
declines to alter the proposed language
or otherwise offer the clarification or
exception for de minimis gifts requested
by the commenter. To assuage the
commenter’s concerns, VA notes that
the prohibition in § 14.632(c)(6) does
not extend to accepting de minimis gifts
under circumstances where a fee could
be charged by the agent or attorney, but
cautions that if the gift is determined
not to be de minimis it could prevent
the attorney or agent from directly
collecting a fee from VA out of the
claimant’s past-due benefits (where a fee
may be charged but must be contingent
on whether the matter is resolved in a
manner favorable to the claimant and
may not exceed 20 percent of the total
amount of the past-due benefits
awarded). Acceptance of such a ‘‘gift’’ in
addition to the amount to be paid
directly from past due benefits could
cause the fee charged to exceed 20
percent of past due benefits. VA notes
that in many jurisdictions the
appropriateness of accepting of a gift
under circumstances when a fee could
be charged would still be governed by
a version of Rule 1.8(c) of the American
Bar Association’s Model Rules of
Professional Conduct—which generally
prohibits attorneys from soliciting
substantial gifts from clients—and by
extension, current § 14.632(d), which
provides that an accredited attorney is
bound by ‘‘the rules of professional
conduct of any jurisdiction in which the
attorney is licensed to practice law.’’
T. Comments Concerning § 14.636—
Payment of Fees for Representation by
Agents and Attorneys in Proceedings
Before Agencies of Original Jurisdiction
and Before the Board of Veterans’
Appeals
VA proposed multiple changes to
§ 14.636. VA did not receive comments
on all the proposed changes and will
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only address here those pertinent to the
comments. One commenter objected to
language in proposed § 14.636 that was
proposed to reflect how Public Law
115–55 changes the starting point at
which fees for representation may be
charged. The commenter specifically
objected to the phrase ‘‘if notice of the
decision on a claim or claims was
issued on or after the effective date of
the modernized review system as
provided in § 19.2(a)’’ in proposed
§ 14.636(c)(1)(ii) and the phrase ‘‘a
Notice of Disagreement has been filed
with respect to that decision on or after
June 20, 2007’’ in both proposed
§ 14.636(c)(2)(i) and (c)(2)(ii). The
commenter also objected to all of
proposed § 14.636(c)(3), which states
the limitations on whether an attorney
or agent can charge a fee in cases in
which a Notice of Disagreement was
filed on or before June 19, 2007.
As VA explained in the preamble to
the proposed rule, current 38 U.S.C.
5904(c)(1) directs that agents and
attorneys may be paid for services
provided after a Notice of Disagreement
is filed in a case. VA proposed language
in § 14.636(c) to implement the change
in section 2(n) of Public Law 115–55
that fees may be charged upon VA’s
issuance of notice of an initial decision
on a claim. The commenter correctly
recognizes that the proposed regulation
describes ‘‘multi-level predicates’’ for
when it is permissible for attorneys and
agents to charge fees. The basis for this
structure is the fact that Congress has
shifted the delimiting event for when
fees may be charged by agents and
attorneys three times, most recently
with the passage of Public Law 115–55.
When Congress has done so, VA has
structured § 14.636 and its predecessor,
former 38 CFR 20.609, to reflect the
statutory amendments to 38 U.S.C. 5904
and its predecessor, former 38 U.S.C.
3404, using the effective dates of the
Public Laws. VA’s structure of proposed
§ 14.636 only continues this structure.
This is best reflected by proposed
§ 14.636(c)(3), which is identical in
language to current § 14.636(c)(2),
having been renumbered from (c)(2) to
(c)(3) because proposed subparagraph
(c)(1) has been added to the regulation
address fees under the modernized
appeal system.
But the commenter asserts that such
a structure for the regulation is ‘‘not
supported by the plain language of the
statute.’’ The commenter explains that
38 U.S.C. 5904(c)(1), as amended by
Public Law 115–55, will state, in
pertinent part, the limit on fees as, ‘‘a
fee may not be charged, allowed, or paid
for services of agents and attorneys with
respect to services provided before the
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date on which a claimant is provided
notice of the agency of original
jurisdiction’s initial decision under
section 5104 of this title with respect to
the case.’’ So, the commenter reasons,
the only limitation supported by the
plain language of the amended statutory
section is that the claimant has been
provided notice of the AOJ’s initial
decision under 38 U.S.C. 5104
regardless of when it was issued or if a
Notice of Disagreement or Board
decision followed.
The commenter urges a reading of
Public Law 115–55—essentially as a
retroactive repeal of prior versions of
sec. 5904(c)(1) rather than a prospective
amendment—which would
impermissibly ignore part of the statute.
Although VA referred specifically to
section 2(n) of Public Law 115–55 in the
preamble to explain the basis for
proposed § 14.636, the structure
provided in the regulation also
encompasses section 2(x) of Public Law
115–55, which states that the
amendments made by the public law
only apply to claims for which a notice
of decision is provided by the AOJ on
or after the effective date of the new
review system. In addition to ignoring
sec. 2(x), the expansion of the language
in sec. 2(n) urged by the commenter is
unrelated to the primary aim of Public
Law 115–55—to amend, going forward,
the procedures applicable to
administrative review and appeal of VA
decisions on claims for benefits in order
to create a new, modernized review
system. Accordingly, VA declines to
change the structure of the proposed
rule based on this comment. However,
in reviewing the proposed rule in light
of the comment, VA did discover a gap
between the language for proposed
paragraphs 14.636(c)(1)(ii) and (c)(2)(ii),
regarding when agents and attorneys
may charge fees for representation
provided with respect to a request for
revision of a decision of an AOJ under
38 U.S.C. 5109A or the Board under 38
U.S.C. 7111 based on clear and
unmistakable error.
This gap was created by VA’s
mistaken reference, in proposed
§ 14.636(c)(2)(ii), to the notice of the
decision on the request for revision
rather than the notice of the decision
that is being challenged based on clear
and unmistakable error. By requiring the
notice of decision on the request for
revision to be issued before the effective
date of the modernized review system,
it created a gap involving circumstances
in which the request for revision of a
prior decision based on clear and
unmistakable error is filed after the
effective date of the modernized review
system but challenges the decision that
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was issued prior to the modernized
review system and for which a Notice of
Disagreement had been filed after June
20, 2007. The proposed language would
have meant that agents and attorneys
could not charge fees under these
circumstances until after VA had issued
a decision on the request for revision.
Despite the proposed language
indicating otherwise, VA had intended
to permit agents and attorneys to charge
fees for representation provided with
respect to a request for revision of a
decision of an agency of original
jurisdiction under 38 U.S.C. 5109A or
the Board of Veterans’ Appeals under 38
U.S.C. 7111 based on clear and
unmistakable error if notice of the
challenged decision was issued before
the effective date of the modernized
review system; a Notice of Disagreement
was filed with respect to the challenged
decision on or after June 20, 2007; and
the agent or attorney has complied with
the power of attorney requirements in
§ 14.631 and the fee agreement
requirements in § 14.636(g). VA has
revised the amendatory language to
address this unintended gap so that an
attorney or agent may charge a fee in
these circumstances regardless of
whether VA has already issued a
decision on the request for revision.
Further, VA has also revised
§ 14.636(c)(1)(ii) to clarify that an
attorney or agent may charge a fee for
representation provided on a request to
revise a decision based on clear and
unmistakable error if the notice of the
decision being challenged based on
clear and unmistakable error was issued
after the modernized review system.
Additionally, VA has added language in
§ 14.636(c)(1)(i) to clarify that, in
requests for revision based on clear and
unmistakable error that are not
otherwise addressed in § 14.636(c)(1)(ii)
or (c)(2)(ii) (e.g., requests challenging
decisions issued before June 20, 2007),
a decision on the request for revision
will be considered the initial decision
for purposes of allowing fees to be
charged for representation.
The same commenter recommended
that VA define the term ‘‘case’’ as used
in 38 U.S.C. 5904(c)(1), as amended by
Public Law 115–55, to include all
requests by a specific individual for a
specific monetary benefit (e.g.,
compensation, pension, or dependency
or indemnity compensation) within a
single case. Under the interpretation
suggested by the commenter, once an
individual receives an initial decision
with respect to a specific type of benefit,
fees could be charged for any
subsequent services provided with
respect to the same type of ‘‘benefit,’’
even if the services related to a claim
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149
with an entirely different basis (e.g., an
initial decision with respect to
compensation for hearing loss would
permit fees to be charged with respect
to the veteran’s subsequent application
for compensation based on service
connection for a mental disorder). VA
disagrees with commenter because such
a rule would untie the term ‘‘case’’ from
the initial decision by the AOJ. The
commenter’s proposal would have the
effect of permitting agents and attorneys
to charge fees to file claims, except the
very first claim filed under a specific
benefit program. If Congress had
intended such a result, it could have
accomplished it by repealing or
replacing the ‘‘with respect to the case’’
language in its entirety. Congress did
not, and, therefore, VA will not interpret
the amended statute in a manner that
would essentially achieve that result in
the absence of any indication that this
was Congress’ intent.
As to the more general aspect of the
commenter’s suggestion that VA should
expressly define the term ‘‘case,’’ at this
time, VA does not believe that it is
necessary to expressly define the term
in regulation to explain under what
circumstances an agent or attorney may
charge fees. Rather, in proposed
§ 14.636(c), VA continues to explain the
term for the purpose of fees in the
context of a ‘‘claim’’ and maintains the
general position that VA must be
allowed to decide a matter before paid
representation is available. See 73 FR
29852, 29868 (May 22, 2008) (the final
rule shifting, pursuant to Public Law
109–461, the delimiting point for the
restriction of fees to the Notice of
Disagreement with respect to the case).
VA recognizes that the term ‘‘claim’’ has
different meanings in different contexts
other than attorney’s fees, so to clarify
the application of the rule VA has
provided guidance in proposed
§ 14.636(c) on three of the more
nuanced circumstances relating to fees:
Supplemental claims, claims for
increase in a rate of disability, and
requests for revision of a prior decision
based on clear and unmistakable error.
VA believes that the proposed
§ 14.636(c) provided sufficient guidance
as to when, and under what
circumstances, a fee may be charged,
but has opted to revise the language to
clarify VA’s current position.
In a similar regard, three commenters
objected to language in proposed
§ 14.636(c)(1) that specifies the
circumstances in which an AOJ’s
decision adjudicating a supplemental
claim will be considered the initial
decision on a claim. Specifically, VA
had proposed adding a sentence to
§ 14.636(c) stating, ‘‘For purposes of this
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paragraph (c)(1)(i), a decision by an AOJ
adjudicating a supplemental claim will
be considered the initial decision on a
claim unless that decision was made
while the claimant continuously
pursued the claim by filing any of the
following, either alone or in succession:
A request for higher-level review, on or
before one year after the date on which
the AOJ issued a decision; a
supplemental claim, on or before one
year after the date on which the AOJ
issued a decision; a Notice of
Disagreement, on or before one year
after the date on which the AOJ issued
a decision; a supplemental claim, on or
before one year after the date on which
the Board issued a decision; or a
supplemental claim, on or before one
year after the date on which the Court
of Appeals for Veterans Claims issued a
decision.’’ The commenters advocated
for an interpretation that would allow
for agents and attorneys to receive fees
for representation on all supplemental
claims regardless of whether they are
being continuously pursued by the
claimant. One commenter expressed a
belief that, based on information
conveyed to the commenter by a
director of a VSO, the non-inclusion of
all supplemental claims within the case
restriction in the proposed regulation is
contrary to the negotiations between VA
and its stakeholders. Ultimately, he
characterizes the proposed language as
‘‘a[n impermissible] denial of
professional services to veterans.’’
It is VA’s position that the regulatory
text is consistent with the language of
the amended statute, and to explain
VA’s interpretation of the statute it is
helpful to consider the legislative
history of the statutory restrictions on
attorney’s fees. Since 1988, Congress has
restricted fees on VA appeals by: (1)
Prohibiting fees prior to a specific event
in the appeal proceeding, and (2)
permitting reasonable fees thereafter.
VA views the language proposed in
§ 14.636(c) as being consistent with that
scheme. Originally, in 1988, under
Public Law 100–687, the Veterans
Judicial Review Act, the delimiting
point was a decision by the Board,
which was the decision that was
appealable to the Veterans Court. Then,
under Public Law 109–461, the Veterans
Benefits, Health Care, and Information
Technology Act of 2006, Congress
shifted the delimiting point to the
Notice of Disagreement, the threshold
requirement to receiving a Board
decision. Under Public Law 115–55, the
delimiting point will shift again, from
the Notice of Disagreement to the notice
of the initial decision by an AOJ.
As to how VA views Public Law 115–
55 in relation to the prior scheme, VA
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interprets the amendment of section
5904(c) by sec. 2(n) of Public Law 115–
55 as merely a means to allow paid
representation with respect to the
claimant’s expanded options for seeking
review of an initial decision on a claim.
As noted above, prior to Public Law
115–55, to obtain direct review of an
AOJ decision, a claimant had to file a
Notice of Disagreement. Thus, the filing
a Notice of Disagreement was the logical
entry point for ensuring that paid
representation was available with
respect to review of AOJ decisions.
However, pursuant to Public Law 115–
55, direct review of an AOJ decision
may be obtained without filing a Notice
of Disagreement. It may be obtained by
choosing from three differentiated
lanes—filing a Notice of Disagreement,
filing a request for higher-level review,
and filing a supplemental claim. As a
result, to permit paid representation
regardless of the form of review,
Congress necessarily had to shift the
entry point for paid representation to
the AOJ decision itself. VA does not
view the amendment as altering the
general premise that ‘‘VA must have an
opportunity to decide a matter before
paid representation is available.’’ See 73
FR 29852, 29868 (May 22, 2008) (the
final rule shifting, pursuant to Public
Law 109–461, the delimiting point for
the restriction of fees). To the extent that
there is any variation from this general
rule when it comes to evidence
submitted shortly after the AOJ’s
decision, it is explained below.
VA has set forth in § 14.636(c)(1)(i)
the circumstances when an attorney or
agent may charge a claimant for services
in response to an adverse AOJ
decision—after the initial decision on
the claim. The proposed language
referring to when ‘‘an agency of original
jurisdiction adjudicating a supplemental
claim will be considered the initial
decision’’ was intended to distinguish
an initial decision by an AOJ from
review actions made by the same entity
while the claimant continuously
pursued the matter. VA carefully chose
the ‘‘continuously pursued’’ language
included in the proposed rule. Pursuant
to Public Law 115–55, Congress shifted
from a single-option appellate system to
a multi-option appellate system
involving the following three options: a
supplemental claim, higher level review
by the AOJ, and appeal to the Board. In
addition to alternatives for pursuing
appeals, the new system allows
claimants to pursue appellate options in
succession, each relating back to the
same AOJ decision for effective date
purposes.
VA acknowledges that this approach
treats supplemental claims differently
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based on whether they were filed within
one year of a prior decision. If a
supplemental claim is filed within one
year of a prior decision, the
supplemental claim relates back to the
claim that gave rise to the earlier claim.
As a result, the relevant time period
with respect to the supplemental claim
overlaps the time period considered in
the earlier decision and is considered a
continuation of that claim. A
supplemental claim filed more than one
year after a prior decision, on the other
hand, is distinct from the prior decision
because it does not overlap with the
timeframe considered in the prior
decision, and, thus, is the beginning of
a new claim for the purposes of
assigning an effective date and a new
claim—or a new case—for the purpose
of determining when attorney fees may
be charged. The distinction between the
submission of evidence on an AOJ
decision for which the review has not
expired and the submission of evidence
after a AOJ decision has been finally
adjudicated, is not a new concept.
Pursuant to current 38 CFR 3.156(b),
new and material evidence received
after an AOJ decision but prior to the
expiration date of the appeal period, or
prior to the appellate decision if a
timely appeal was filed, has long since
been considered to have been filed in
connection with the initial claims
proceeding. In contrast, pursuant to 38
CFR 3.156(a), a finally adjudicated
claim could be reopened but the new
proceeding would not be treated as a
continuation of the prior claim.
Furthermore, unlike supplemental
claims that are filed more than one year
after an AOJ decision or a Board
decision, VA does not have a duty to
notify the claimant who files a
supplemental claim while continuously
pursuing the matter of the information
or evidence necessary to substantiate
the claim in accordance with 38 U.S.C.
5103. See Public Law 115–55, section
2(b). The exclusion of this pro-claimant
obligation also favors treating a
continuously pursued supplemental
claim as part of the matter stemming
from the AOJ’s initial decision. In
contrast, the fact that VA still does have
this obligation with respect to
supplemental claims filed when the
claimant has not continuously pursued
the matter only bolsters the conclusion
that VA should again be permitted to
decide the matter prior to the need for
paid representation.
VA has revised proposed § 14.636(c)
to clarify VA’s position regarding
supplemental claims, claims for
increase in a rate of disability and
requests for revision based on clear and
unmistakable error, but has not made
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any substantive changes to VA’s
position.
Finally, turning back to the
commenter who asked VA about a
claimant’s ‘‘continuing obligations’’ to a
former attorney or agent, VA is
amending § 14.636(e) and (f) based on
this comment to help clarify a
claimant’s continuing obligations with
regard to fees. Simply because a
claimant has discharged an attorney or
agent, or the attorney or agent has
withdrawn from representation does not
eliminate the attorney or agent’s right to
compensation. But the standard for
evaluating a reasonable fee does change.
In the typical case, in which an attorney
or agent has a contingent fee agreement
that does not exceed 20-percent and
provides continuous representation
from the date of the agreement through
the date of the decision awarding
benefits, the fee called for in the fee
agreement is presumed to be reasonable
in the absence of clear and convincing
evidence to the contrary. 38 U.S.C.
5904(a)(5); 38 CFR 14.636(f); see also
Scates v. Principi, 282 F.3d 1362, 1365
(Fed. Cir. 2002) (explaining that even if
a fee agreement provides for a fee of 20
percent of past-due benefits awarded,
implicit in that arrangement is the
understanding that the attorney or
agent’s right to receive the full fee called
for in the fee agreement only arises if
the attorney or agent continues as the
veteran’s representative until the case is
successfully completed). In contrast, if
the attorney or agent’s representation of
the claimant ends before the date of the
decision awarding benefits, the attorney
or agent may still be eligible to receive
a fee, but the full amount of the fee
stated in the agreement generally does
not represent a reasonable fee for that
attorney or agent. Rather a reasonable
fee for a discharged agent or attorney
would be limited to the amount of the
‘‘fee that fairly and accurately reflects
[the attorney or agent’s] contribution to
and responsibility for the benefits
awarded.’’ Scates, 282 F.3d at 1366.
Accordingly, VA is amending
paragraph (f) of § 14.636 by revising the
caption to ‘‘Presumptions and
discharge,’’ amending the current
language to specify that the
presumption that a fee of 20 percent of
any past-due benefits awarded is
reasonable applies ‘‘if the agent or
attorney provided representation that
continued through the date of the
decision awarding benefits,’’ and adding
a new paragraph (f)(2). Paragraph (f)(2)
will explain that a reasonable fee for an
agent or attorney who is discharged by
the claimant or withdraws from
representation before the date of the
decision awarding benefits is one that
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fairly and accurately reflects his or her
contribution to and responsibility for
the benefits awarded and that the
amount of the fee is informed by an
examination of the factors in § 14.636(e).
VA has also amended paragraph (e) of
§ 14.636, which lists factors considered
in determining whether a fee is
reasonable, to add as a factor, when
applicable, ‘‘the reasons why an agent or
attorney was discharged or withdrew
from representation before the date of
the decision awarding benefits.’’ See
Scates, 282 F.3d at 1368.
Beyond these regulatory changes, it is
important to remember that VA’s Office
of General Counsel does not initiate
review of the reasonableness of fees in
every case. However, this does not mean
that a claimant who is unhappy with the
representation provided by his or her
agent or attorney, or former agent or
attorney, is without protection and/or
potential recourse. First, pursuant to
VA’s standards of conduct in 38 CFR
14.632, attorneys and agents are
prohibited from charging, soliciting, or
receiving fees that are clearly
unreasonable, and, if an attorney or
agent who is found to have violated this
standard of conduct, the attorney or
agent would risk losing his or her
accreditation to represent claimants
before VA. Second, if a claimant
believes that the total amount of the fee
charged, solicited or received by the
attorney or agent was not earned, the
claimant may initiate his or her own
motion for VA’s Office of General
Counsel to review of the fee. See 38 CFR
14.636(i) (explaining how a claimant
initiates a motion requesting a
reasonableness review).
Parts 19 and 20—Board of Veterans’
Appeals
VA amends the regulations in 38 CFR
parts 19 and 20 as described in the
section-by-section supplementary
information below. These regulations
govern appeals and rules of practice for
the Board of Veterans’ Appeals.
A. Comments Concerning § 19.2—
Appellant’s Election for Review of a
Legacy Appeal in the Modernized
System
Proposed 38 CFR 19.2(d) discussed
the manners in which appellants with
claims or appeals pending in the legacy
system may elect to have their claims or
appeals adjudicated in the modernized
review system. One commenter
requested clarification regarding the
effect of the phrase ‘‘pursuant to the
Secretary’s authorization to participate
in a test program’’ in 38 CFR 19.2(d)(3),
given that 38 CFR 19.2(d)(1) also
addresses election into a test program;
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151
specifically, the Rapid Appeals
Modernization Program (RAMP). The
commenter did not suggest any changes.
Section 4(a) of the AMA of 2017
authorizes VA to conduct test programs
to evaluate the assumptions used to
develop a plan for processing legacy
appeals and supporting the new appeals
system. Although RAMP is one such
program, CFR 19.2(d)(3) acknowledges
the more general authority to conduct
test programs that was granted by
Section 4(a) of the Appeals
Modernization Act. That authority was
used to conduct the Board’s Early
Applicability of Appeals Modernization
(BEAAM), a small-scale research
program conducted to assess
preliminary data about veterans’ choices
and experiences in the modernized
review system. VA makes no changes
based on this comment.
B. Comments Concerning § 19.30—
Furnishing the Statement of the Case
and Instructions for Filing a Substantive
Appeal; and § 19.31—Supplemental
Statement of the Case
One commenter expressed concern
regarding the notice provided to
claimants in statements of the case. The
commenter remarked that VA should
provide adequate notice to enable a
veteran to make a fully informed
decision as to which review option is
most appropriate. However, the
commenter did not suggest a specific
regulatory change. As an initial matter,
VA notes that statements of the case and
supplemental statements of the case are
not contemplated under the Appeals
Modernization Act framework, but will
be provided in legacy claims. To that
end, VA agrees that the notice provided
with statements of the case and
supplemental statements of the case
must contain adequate information as to
the claimant’s opportunity to opt into
the new system pursuant to section 2,
paragraph (x)(5) of the AMA. In order to
clarify this procedure, VA has amended
38 CFR 3.2400(c)(2) and 19.2(d)(2) to
provide that elections to opt into the
new system must be made on a form
prescribed by the Secretary.
C. Comments Concerning § 19.35—
Certification of Appeals
One commenter noted that while
proposing to remove the requirement for
VA Form 8 contained in § 19.35, VA
indicated in the preamble that
certification for legacy appeals will be
accomplished ‘‘by other means.’’ This
commenter asked for clarification of
what these other means will entail. VA
is not changing the process by which
appeals are certified to the Board, VA is
merely no longer requiring the
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prescribed use of the VA Form 8.
Veterans and representatives will still
receive a letter indicating their appeal
has been transferred to the Board and
will still be able to determine the status
of their appeal by checking their claims
file.
Another commenter expressed
concern that the administrative delay of
certification may impact the evidentiary
timelines under the Appeals
Modernization Act. Under the Appeals
Modernization Act, an appeal is under
the Board’s jurisdiction once a valid
Notice of Disagreement is filed.
Therefore, it is the filing of the Notice
of Disagreement, not certification, that
will determine the evidentiary timeline.
Certification is not consistent with the
design of the Appeals Modernization
Act. VA makes no changes based on
these comments.
D. Comments Concerning § 20.3—
Definitions
A commenter expressed concern that
the elimination of the phrase ‘‘argument
and/or’’ from the definition contained in
38 CFR 20.3(h) could be interpreted as
a means to limit or eliminate arguments
from accredited representatives at a
Board hearing. VA directs the
commenter to § 20.700(b), which states,
‘‘The purpose of a hearing is to receive
argument and testimony relevant and
material to the appellate issue or
issues.’’ VA assures the commenter that
the change to § 20.3(h) does not, and
was not intended to, limit arguments
from representatives. Rather, the change
was merely to eliminate redundant
language that is already contained in
§ 20.700(b). VA will continue to accept
argument from accredited
representatives at a Board hearing. VA
makes no changes based on this
comment.
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E. Comments Concerning Former
§ 20.102—Delegations of Authority—
Rules of Practice; § 20.108—Delegation
of Authority to Chairman and Vice
Chairman, Board of Veterans’ Appeals;
and § 20.109—Delegation of Authority
to Vice Chairman, Deputy Vice
Chairmen, or Members of the Board
Two commenters expressed concern
that the proposed deletion of § 20.102
means the delegation of authority rule of
practice is being removed from the
Board of Veterans’ Appeals. VA assures
these commenters that the delegation of
authority described remains in
§§ 20.108 and 20.109. The proposed
deletion of § 20.102 is merely to
eliminate redundant language.
Therefore, VA makes no changes based
on this comment.
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F. Comments Concerning § 20.104—
Jurisdiction of the Board
A commenter expressed concern that
VA proposed deleting the following
language from § 20.104, ‘‘In its
decisions, the Board is bound by
applicable statutes, the regulations of
the Department of Veterans Affairs and
precedent opinions of the General
Counsel of the Department of Veterans
Affairs.’’ This commenter felt the
removal of this language suggested the
Board would no longer be bound by
precedential opinions of the General
Counsel. VA assures the commenter that
the change to § 20.104 does not, and was
not intended to, suggest the Board is not
bound by precedential opinions of the
General Counsel. Rather, this change
was merely to eliminate redundant
language that is already contained in
§ 20.105. VA makes no changes based
on this comment.
G. Comments Concerning § 20.105—
Criteria Governing Disposition of
Appeals
A commenter suggested VA take this
rulemaking to modify 38 CFR 20.105 to
clarify the precedential or persuasive
value of manual provisions. As
explained in § 20.105, ‘‘The Board is not
bound by Department manuals,
circulars, or similar administrative
issues.’’ VA makes no changes based on
this comment.
H. Comments Concerning § 20.202—
Notice of Disagreement
VA received serveral comments
concerning § 20.202, and will therefore
address these comments by topic, as
follows.
1. Comments Concerning § 20.202(a)—
‘‘Specific Determination’’
Commenters remarked that the term
‘‘specific determination’’ as used in
§ 20.202(a) should be defined. An
additional commenter also asked if a
veteran could indicate they were
appealing ‘‘all issues.’’ The language
‘‘specific determination’’ was included
in the statute. However, VA agrees that
it would be useful to further define this
term in the regulation. VA therefore
amends § 20.202(a) to require
identification of the decision and the
specific issue or issues therein with
which the claimant disagrees. The
amended language references the
definition of issue in 38 CFR 3.151(c).
This change will better inform claimants
of the scope of the identification
requirement and aligns it with other
AMA implementation definitions.
The Notice of Disagreement needs to
contain sufficient information for VA to
determine the issue and adjudication
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with which the veteran disagrees. The
design of the new Notice of
Disagreement form prompts the veteran
to provide the issue and the date of
decision with which the veteran is
disagreeing. Additionally, § 20.202
notes that ‘‘[t]he Board will construe
such arguments in a liberal manner for
purposes of determining whether they
raise issues on appeal.’’ This language
protects the rights of a veteran who, for
example, incorrectly identifies the date
of the agency of original jurisdiction
decision, but does provide enough
information that VA is able to identify
the issue and decision on appeal.
Determination of whether an adequate
Notice of Disagreement was filed falls
within the Board’s jurisdiction. 38
U.S.C. 7105(b)(1)(C). As the proposed
rule makes clear, the Board will
construe Notices of Disagreement in a
liberal manner for purposes of
determining whether they raise issues
on appeal. Finally, if the Board receives
an unclear Notice of Disagreement on
the form prescribed by the Secretary and
the Board cannot identify which denied
issue or issues the claimant wants to
appeal, or which option the claimant
intends to select, the Board will seek
clarification of the Notice of
Disagreement before dismissing the
appeal. Therefore, VA makes no changes
based on this comment.
2. Comments Concerning
§ 20.202(b)(3)—Submission of Evidence
in Conjunction With Notice of
Disagreement
Two commenters noted that 38 CFR
20.202 provides time limits on the
veteran’s opportunity to submit
additional evidence or modify the
Notice of Disagreement to elect a
different evidentiary lane, starting from
the date that the Board receives the
Notice of Disagreement. The
commenters expressed concern that VA
does not provide adequate notice as to
when it received the Notice of
Disagreement and therefore the veteran
will not be able to calculate the relevant
deadlines. VA has carefully considered
this comment and has determined that
no changes to the regulatory
amendments are required. It is currently
the Board’s practice to notify veterans
and representatives when an appeal has
been received and docketed at the
Board. As the precise procedures for
providing such notice may change based
on technological systems, as well as
other resources, VA will continue to
address this matter through internal
procedural guidance consistent with the
law and regulations. VA makes no
changes based on this comment.
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3. Comments Concerning § 20.202(c)—
Policies on Modifying the Notice of
Disagreement and Changing Dockets
Several commenters expressed
concern with the policies on modifying
the Notice of Disagreement and
switching dockets in §§ 20.202(c) and
20.800(a)(2). Under § 20.202(c), a
veteran may request a different
evidentiary docket than the one selected
on the Notice of Disagreement, as long
as the request is made within one year
of the notice of the agency of original
jurisdiction decision, or within 30 days
of receipt of the Notice of Disagreement,
whichever is later. This policy accounts
for the common situation in which a
veteran files the Notice of Disagreement
at the end of the one-year period, and
does not retain representation until after
the Notice of Disagreement is filed. The
policy reflected in the proposed rule
provided an additional 30 days after the
filing of the Notice of Disagreement so
that the representative has an
opportunity to recommend that the
veteran modify the initial choice of an
evidentiary record. However, if a
veteran has already submitted evidence
or testified at a Board hearing, the
request will be denied. If a veteran
requests to switch into the docket
allowing submission of additional
evidence, he or she will have 90 days
to submit additional evidence. The 90day window will begin on the day that
VA issues a letter notifying the veteran
that the request to switch dockets has
been granted. Veterans who request to
switch dockets will retain their original
docket date, based upon VA’s receipt of
the Notice of Disagreement. Therefore,
there is no ‘‘penalty’’ for switching
dockets.
Two commenters asserted that the
one-year period referenced in
§ 20.202(c) is not authorized by statute
and recommended a more liberal policy.
VA does not agree with the statement
that the policy developed by VA is not
authorized by the statute. The
amendments to 38 U.S.C. 7107(e)
authorize the Secretary to ‘‘develop and
implement a policy allowing an
appellant to move the appellant’s case
from one docket to another docket.’’ The
statute places no restrictions on the
agency’s discretion to impose a time
limitation in such policy. Congress
acknowledged this fact in H. Rept. 115–
135, noting that, ‘‘H.R. 2288 does not
mandate that VA allow veterans to
switch from one option to another. It is
expected that the Secretary will use
their discretion to develop policies that
are in the best interest of veterans.’’
Turning to a commenter’s suggestion
that veterans should have unlimited
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time in which to switch dockets, VA
does not view this policy as consistent
with the design of the new system.
Allowing the veteran unlimited time to
modify their Notice of Disagreement
would create an unfair result for other
veterans. VA has established a 365-day
average processing time goal for appeals
in the direct review docket. VA may not
be able to meet this commitment if some
veterans are able to enter the direct
docket ahead of other veterans who
have been waiting on that docket. VA is
also committed to transparency,
including providing veterans with
accurate data about average processing
time on all three dockets. In the new
system, veterans have many choices to
tailor their experience to best suit their
individual needs, and this data will
inform their choices. Allowing some
veterans to switch dockets at any time
in the process will make it difficult for
VA to provide accurate data to all
veterans, effectively taking away their
ability to choose the best path.
Moreover, the primary goal of the
Appeals Modernization Act is to create
a better, more efficient claims and
appeals system that works for veterans.
In the current legacy system, appellants
may add evidence, request a hearing, or
withdraw a hearing request at any time.
Allowing appellants to switch lanes at
any time would mimic this feature of
the legacy system and preclude the
efficiencies built into the new system,
and would thus be contrary to Congress’
intent.
To that end, the Congressional Budget
Office (CBO) determined that section 2
of the AMA, directing VA to implement
the new process to handle appeals of
claims for veterans’ benefits, would be
cost neutral. CBO noted that, ‘‘the
current system allows for repeated
revisions and resubmissions of claims
. . .’’ resulting in wait times of three to
six years and a backlog of approximately
470,000 claims. CBO further noted that
the ‘‘proposed changes are intended to
significantly streamline the appeal
process, which would allow appeals to
be finalized in a shorter period of time
and require the efforts of fewer
employees . . . [E]fficiencies of the new
system would allow the agency to
continue processing legacy appeals
under the current system, very gradually
reducing the existing backlog, without
the need for additional employees.’’
Several commenters have suggested
that the policy deprives veterans of
some of the options available in the new
appeals system, because they may not
understand the ramifications of their
initial review lane choice. In particular,
one commenter suggested that a veteran
who has been waiting for a long time in
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153
the hearing docket should be able to
move to the direct docket. Another
commenter expressed concern with the
policy disallowing a change in dockets
if the veteran had already submitted
evidence with the Notice of
Disagreement. The commenter
suggested that VA should consider
allowing veterans who had already
submitted evidence to subsequently
request a hearing. The commenter
expressed that this change would not
provide an unfair advantage to the
veteran, but would allow a veteran
whose circumstances had changed to
request a hearing before the Board.
The Appeals Modernization Act
provides several new choices for
veterans seeking review of a VA
decision. VA encourages veterans to
seek the advice of their authorized
representative, if any, as soon as
possible when determining which
option best suits their individual
circumstances and to consider
published average wait times associated
with each option. VA understands that
circumstances may change to the extent
that a different option is preferable to
the one initially chosen. As noted
above, however, VA has carefully
balanced the needs of a veteran wishing
to switch dockets against the needs of
all the other veterans waiting for the
Board to decide their appeals. The
proposed policy provides an
opportunity for a veteran to switch
dockets without creating an unfair
disadvantage to other veterans who
wish to continue with their initial
choice, but might experience longer
wait times as a result of others
switching dockets.
Nevertheless, VA recognizes that
exceptional circumstances may
sometimes warrant extensions of the
time period to switch dockets on an
individual basis. Accordingly, VA
amends § 20.203 to add paragraph (c),
which provides that the time limit for
filing a Notice of Disagreement or a
request to modify a Notice of
Disagreement may be extended if the
Board grants the appellant’s motion for
good cause. Examples of good cause
may include serious illness or injury of
the appellant or representative, or the
appellant’s inability to access mail
services due to homelessness, overseas
deployment, or other reasons. Examples
that would not constitute good cause
include change in representation,
change in preference of a review option
at the agency of original jurisdiction or
among the Board review options,
difficulty in obtaining evidence, or
discovery of new evidence during a
period in which the duty to assist does
not apply.
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In addition to the above, another
commenter stated that knowing wait
time predictions (which is linked with
timeliness goals) is important at the
time the initial rating decisions are
made under the new system so that
claimants can make an informed
decision about which Board docket to
choose in a Notice of Disagreement. VA
will be publishing wait times pursuant
to the law, but this is not a reason for
any regulation change.
VA does make a change to § 20.202(c)
in response to comments on a related
Federal Register notice. Because the
Notice of Disagreement form is not a
new information collection, but a
revised information collection under
OMB control number 2900–0674, it was
not published with the proposed
rulemaking. Rather, notice of the
proposed changes to 2900–0674 was
published in the Federal Register on
August 23, 2018, pursuant to the
Paperwork Reduction Act. 83 FR 42769.
One commenter suggested changes to
the Notice of Disagreement for the
purpose of clarifying the procedures for
modifying the Notice of Disagreement.
The commenter recommended that VA
use a standard form for Notice of
Disagreement modifications. VA agrees
with the commenter, and in order to
address the commenter’s concerns, VA
has amended the procedures described
in § 20.202(c) to state that requests to
modify a Notice of Disagreement for the
purpose of selecting a different review
option must be made by filing a new
Notice of Disagreement form.
Several commenters remarked that the
policy does not provide enough time to
change the initial election in the event
that the veteran does not retain
representation until after the Notice of
Disagreement is filed. This concern was
originally addressed in the policy by
providing an additional 30 days
following receipt of the Notice of
Disagreement. Moreover, the Appeals
Modernization Act has shifted
important decision points for veterans
seeking review of a VA decision to
earlier in the process. Under the new
system, the expert advice of
representatives will, in many cases, be
beneficial to veterans as soon as
possible following VA’s initial decision
on their claim. Veterans may wish to
rely on a representative to assist them in
choosing the review option that best
suits their needs. However, VA
acknowledges that some veterans will
not retain representation until after they
file a request for review. In light of the
commenter’s concerns, VA has amended
the policy in § 20.202(c)(2) to provide an
additional 60 days following receipt of
the Notice of Disagreement, instead of
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30. VA hopes that this additional time
will assist veterans’ representatives in
better serving their clients.
4. Comments Concerning § 20.202(d)
and (e)—Use of Non-Standard Form
Under proposed § 20.202(d), the
Board will not accept a Notice of
Disagreement ‘‘submitted in any format
other than the form prescribed by the
Secretary, including on a different VA
form.’’ Section 20.202(e) provides that
the filing of an alternate form or other
communication will not extend, toll, or
otherwise delay the time limit for filing
a Notice of Disagreement, as provided in
§ 20.203(b). Several commenters
requested that the Board provide notice
if it rejects a communication under the
circumstances described in § 20.202(d)
and (e). As an initial matter, the statute
requires that Notices of Disagreement
are filed on a standard form. VA
implemented standardized forms
procedures in 2014. See Standard
Claims and Appeals Forms, 79 FR 57660
(Sept. 25, 2014). This 2014 rule
amended VA’s adjudication and appeal
regulations to require that all claims and
appeals originate on standard VA forms.
Therefore, claimants should be aware
that VA will not accept Notices of
Disagreement submitted in any format
other than the form prescribed by the
Secretary. VA is developing procedures
for notifying claimants when a
communication cannot be accepted as a
Notice of Disagreement. As the precise
procedures for providing such notice
may change based on technological
systems, as well as other resources, VA
will continue to address this matter
through internal procedural guidance
consistent with the law and regulations.
Moreover, VA has a longstanding
practice of providing the status of an
appeal or communication upon request.
VA makes no changes based on this
comment.
5. Comments Concerning § 20.202(f) and
(g)—Clarification of Notice of
Disagreement
One commenter remarked that a
Notice of Disagreement could be
rejected by the Board after the Board
requested clarification because the
clarification was received one year after
the agency of original jurisdiction
decision. This concern is addressed in
§§ 20.202(f) and 20.202(g). If within one
year after mailing an adverse decision
(or 60 days for simultaneously contested
claims), the Board receives an unclear
Notice of Disagreement completed on
the form prescribed by the Secretary,
then the Board will contact the claimant
to request clarification of the claimant’s
intent. The claimant must respond to
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the Board’s request for clarification on
or before the later of 60 days after the
date of the Board’s clarification request
or one year after the date of mailing of
notice of the adverse decision being
appealed (60 days for simultaneously
contested claims). VA will follow the
provisions of §§ 20.202(f) and 20.202(g),
as well as the statute, 38 U.S.C.
7105(b)(1)(C), which provides that
questions as to timeliness or adequacy
of the Notice of Disagreement shall be
decided by the Board.
An additional commenter requested
that VA provide a period longer than 60
days for clarification of a Notice of
Disagreement and provide good cause
exception to the rule. The proposed rule
providing 60 days for clarification is
based on the current regulation § 19.26,
which provides 60 days for clarification
of an unclear Notice of Disagreement
received under the current system. We
are not aware of hardship resulting from
the current rule. Therefore, VA makes
no changes based on these comments.
The same commenter wanted to know
how the Board will contact veterans to
request clarification. VA will contact
veterans via oral, written, or other
means. The commenter did not put forth
a specific recommendation; therefore,
VA makes no changes based on this
comment.
I. Comments Concerning § 20.203—
Place and Time Filing Notice of
Disagreement
One commenter suggested that, when
a veteran selects either the
Supplemental Claim or Higher-Level
Review options, the one-year time limit
to file a Notice of Disagreement must be
tolled. The commenter is mistaken as to
this aspect of the new system
framework. Pursuant to the AMA, a
veteran may choose to file a Notice of
Disagreement within the one-year
period following an initial agency of
original jurisdiction decision on a claim,
a decision on a Supplemental Claim, or
a decision on a Higher-Level Review.
Such filing will protect the effective
date for any granted benefit. VA makes
no changes based on this comment.
Commenters remarked that
§ 20.203(b) uses the term
‘‘determination’’ as it relates to the
requirement of filing a Notice of
Disagreement whereas the term
‘‘decision’’ is used in section §§ 3.103,
3.104, and 3.2500. VA proposed the
term ‘‘determination’’ in § 20.203(b) as
this is the term used in the Appeals
Modernization Act to describe the
determination with which the claimant
disagrees. However, VA agrees with the
commenters’ concerns that use of
‘‘determination’’ will lead to confusion,
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and therefore amends § 20.203(b) to
instead use the term ‘‘decision’’. This
change does not alter the requirement in
§ 20.202(a) to identify to specific
decision and issue or issues therein
with which the claimant disagrees.
A commenter questioned whether
Notices of Disagreement or other
communications can be digitally
submitted to the Board through Direct
Mail Upload or electronically submitted
through a VA Regional Office and still
be considered as received by the Board.
The commenter expressed concern that
these provisions encourage the use of
the paper mail versus the use of
electronic/digital submissions.
Additionally, the commenter suggested
that the Board’s mailing address should
be reflected on standard forms but not
the regulations.
Pursuant to 38 U.S.C. 7105(b)(2)(C),
notices of disagreement shall be filed
with the Board. Therefore, notices of
disagreement may not be filed with a
VA Regional Office. As to the
commenter’s suggestion that the Board’s
mailing address should not be contained
in regulation, the Board is statutorily
required to receive notices of
disagreement and motions directly from
parties. It has been VA’s longstanding
policy to inform the public and settle in
law the mailing address to which those
submissions must be sent. VA makes no
changes based on this comment.
A commenter expressed concern
regarding VA’s procedures for mailing
notice to representatives, and in
particular the provisions of proposed 38
CFR 20.203(b), regarding timeliness of a
Notice of Disagreement. The commenter
asserted that the 90-day evidence
window for cases described in § 20.302
should begin on the date that the
appellant is notified of VA’s receipt of
the Notice of Disagreement, rather than
on the date of VA’s receipt of the Notice
of Disagreement. Pursuant to 38 U.S.C.
7113(c)(2), however, the evidentiary
record for such cases shall include
evidence submitted ‘‘within 90 days
following receipt of the Notice of
Disagreement.’’ Accordingly, VA will
follow the statute and will make no
changes based on this comment.
The same commenter disagreed with
the agency’s presumption, pursuant to
§ 20.203(b), that notice of a VA decision
was mailed on the date of the letter. The
commenter contended that VA
correspondence to representatives is
often postmarked after the date of the
letter. The commenter submitted several
letters and postmarked envelopes from
VA to individual veterans in support of
this argument. Pursuant to 38 U.S.C.
7105(b)(1)(C), questions as to timeliness
or adequacy of the Notice of
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Disagreement shall be decided by the
Board, which is consistent with the fact
that the presumption of regularity is
rebuttable. We further note that the
possibility that the presumption might
be rebutted in a non-trivial number of
cases does not establish that it is
inappropriate in a system the size of
VA’s claims system, which receives and
sends millions and millions of pieces of
mail each year. Finally, operational
issues of the type mentioned by the
commenter are more appropriately
addressed at the sub-regulatory policy
level.
Commenters raised concerns that VA
would not extend the filing deadline for
requests for review of a decision.
Accordingly, VA amends § 20.203 to
add paragraph (c), which provides that
the time limit for filing a Notice of
Disagreement or a request to modify a
Notice of Disagreement may be
extended if the Board grants the
appellant’s motion for good cause.
Examples of good cause may include
serious illness or injury of the appellant
or representative, or the appellant’s
inability to access mail services due to
homelessness, overseas deployment, or
other reasons. Examples that would not
constitute good cause include change in
representation, change in preference of
a review option at the agency of original
jurisdiction or among the Board review
options, difficulty in obtaining
evidence, or discovery of new evidence
during a period in which the duty to
assist does not apply.
Additionally, VA corrects a technical
error in the title of § 20.203, amending
‘‘Place and time filing Notice of
Disagreement’’ to read Place and time of
filing Notice of Disagreement’’.
J. Comments Concerning § 20.205—
Withdrawal of Appeal
One commenter remarked that VA
should include clarifying language
regarding withdrawal of appeals to
ensure that VA only withdraws claims
when that is the veteran’s intention.
Initially, VA notes that this is outside
the scope of the Appeals Modernization
Act. However, VA is still bound by the
caselaw governing adequate
withdrawals of claims and appeals.
Nothing in the Appeals Modernization
Act limits this governing caselaw. VA
makes no changes based on this
comment.
One commenter remarked that
§ 20.205(c) is outside the scope of the
Appeals Modernization Act. Section
20.205(c) provides that the withdrawal
of an appeal does not preclude the filing
of a new Notice of Disagreement, a
request for higher-level review, or a
supplemental claim as to any issue
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withdrawn provided such filing would
be timely if the withdrawn appeal had
never been filed. The commenter states
that there is no justification for VA to
require the refiling to be done within
the initial one year period once a timely
Notice of Disagreement has been
submitted. The Appeals Modernization
Act also provides the Secretary the
authority to develop and implement a
policy for claimants who wish to
withdraw their Notice of Disagreement.
The Appeals Modernization Act clearly
provides the claimant one year to seek
review of the agency of original
jurisdiction determination. Therefore,
this time period is incorporated into
§ 20.205(c). Accordingly, § 20.205(c) is
not outside the scope of the Appeals
Modernization Act, and VA makes no
changes based on this comment.
Commenters suggest that VA should
allow a claimant to withdraw an appeal
at the Board in order to file a
supplemental claim with VBA prior to
receiving a Board decision. The Appeals
Modernization Act specifically states
that for ‘‘purposes of determining the
effective date of an award . . . the date
of application shall be considered the
date of the filing of the initial
application for a benefit if the claim is
continuously pursued by filing . . . A
supplemental claim . . . on or before
the date that is one year after the date
on which the Board of Veterans’
Appeals issues a decision’’ 38 U.S.C.
5110(a)(2)(D) (emphasis added).
Accordingly, the preservation of the
effective date provisions of the Appeals
Modernization Act generally would not
apply to a claimant who withdraws an
appeal at the Board and files a
supplemental claim with VBA prior to
receiving a Board decision if more than
one year has passed since the agency of
original jurisdiction determination.
However, the agency of original
jurisdiction may consider a request for
extension of the one-year period in
which to file a supplemental claim in
these circumstances while maintaining
continuous pursuit of the claim (see,
e.g., § 3.2500(e)(2)). Accordingly, VA
makes no changes to this section based
on these comments.
K. Comments Concerning Part 20,
Subpart D—Evidentiary Record
One commenter requested
clarification regarding how VA will
adjudicate increased rating claims. The
evidentiary record before the Board is
defined by the Appeals Modernization
Act. The Appeals Modernization Act
did not change the substantive case law
governing increased rating claims.
Accordingly, VA makes no change to
the regulations based on this comment.
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One commenter suggested that
evidence submitted to (or constructively
received by) the agency of original
jurisdiction after a supplemental claim
is adjudicated should be later
reviewable by the Board when an Notice
of Disagreement is filed, even if the
veteran selects the Board lane
precluding submission of new evidence.
This is contrary to the statutory design
of the system. Statutory section 7113
provides that the record before the
Board consists of the record before the
agency of original jurisdiction at the
time that the supplemental claim was
adjudicated. This rule is clearly
mirrored in § 20.301.
If a veteran wants to have VA
consider evidence not received by VA
when the record before the agency of
original jurisdiction was open, the
available options are to (a) file another
supplemental claim with new and
relevant evidence or (b) file a Notice of
Disagreement, select a Board lane
allowing submission of new evidence,
and submit the evidence during the
applicable 90-day window as provided
in §§ 20.302 and 20.303. Therefore, VA
makes no changes based on these
comments.
The regulations as proposed require
the Board to notify a veteran in a Board
decision if the Board did not consider
evidence that had been submitted
outside the allowed time period. One
commenter asserted that the regulations
should require the Board to additionally
notify the veteran at the time such
evidence is received by the Board. The
commenter asserted that waiting to
provide such notice until issuance of
the Board decision creates needless
confusion and delay. As we discuss
above in the context of VBA decisions,
VA does not have resources available to
quickly identify evidence submissions
as untimely and provide notice to the
veteran. VA must prioritize processes
which increase efficiency and reduce
average processing times, so that the
new system as a whole will be
successful. As the Federal Circuit has
stated, ‘‘VA possesses a duty not only to
individual claimants, but to the effective
functioning of the veterans
compensation system as a whole.
Moreover, because the VA possesses
limited resources, these dual obligations
may sometimes compel it to make
necessary tradeoffs.’’ Veterans Justice
Grp, LLC v. Sec’y of Veterans Affairs,
818 F.3d 1336, 1351, 1352, 1354 (Fed.
Cir. 2016). However, VA will take the
comment under consideration, and will
explore the possibility of developing
additional procedures for identification
of untimely evidence in the future to the
extent technological and other resources
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lessen the associated administrative
burden. VA further notes that there are
already procedures in place to inform
veterans of the applicable evidence
submission periods and the
consequences of untimely evidence
submission. When veterans receive
notice of their initial decisions, they are
informed of their available review
options and the periods during which
they may submit evidence based on the
options they select. Furthermore, as the
commenter acknowledged, if evidence
is received untimely from a veteran, he
or she is informed of that fact when a
Board decision is issued, pursuant to
proposed 38 CFR 20.801(b)(3). A veteran
may resubmit the evidence with a
supplemental claim within one year of
the Board’s decision and preserve the
effective date associated with his or her
appeal to the Board. VA makes no
changes based on this comment.
Under 38 CFR 20.302(a), when a
Board hearing is requested in the Notice
of Disagreement, the Board’s decision
will include consideration of testimony
and evidence submitted by the
appellant or his or her representative at
the hearing and within 90 days
following the hearing. Under 38 CFR
20.303(b), when a Board hearing is not
requested, but the veteran elects to
submit additional evidence, the Board’s
decision will include consideration of
evidence submitted with the Notice of
Disagreement and within 90 days
following receipt of the Notice of
Disagreement. Several commenters
expressed concern or confusion
regarding these proposed evidence
submission periods.
Specifically, one commenter
expressed concern that veterans who
submit evidence prior to a hearing will
not be notified that such evidence may
not be considered by the Board unless
it is resubmitted during the 90-day
period following the hearing. The
commenter suggested that the Board
advise the appellant on the types of
actions available and that the evidence
needs to be presented at the hearing to
be considered by the Board.
Additionally, the commenter expressed
appreciation for the discretionary
provisions contained in § 20.302(b) and
(c), which allows for a 90-day evidence
submission period even when a hearing
request is withdrawn or the appellant
does not appear for a scheduled hearing.
When veterans receive notice of their
initial decisions, they are informed of
their available review options and the
periods during which they may submit
evidence based on the options they
select. Pursuant to § 20.705(b), a
Veterans Law Judge presiding over a
hearing may find it appropriate to
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discuss applicable evidence submission
rules and how those rules apply to an
individual veteran’s circumstances.
Furthermore, if evidence is received
untimely from a veteran, he or she will
be informed of that fact (and the options
available to have that evidence
reviewed) when a Board decision is
issued, pursuant to section 7104(d)(2) as
implemented in proposed 38 CFR
20.801(b)(3). In light of the statutory
direction to provide notice in the Board
decision and the procedures already in
place in the proposed regulations to
inform veterans of the applicable
evidence submission periods and
consequences of untimely evidence
submission, VA makes no changes
based on this comment.
One commenter asserted generally
that limiting veterans’ ability to submit
evidence to certain time periods
represented a shortcoming in the new
system. Another commenter stated that
the 90-day evidence submission
window was concerning regarding FOIA
requests, specifically, since FOIA
procedures take time to complete.
Finally, another commenter suggested
that representatives do not have an
opportunity to review the claims file,
compile relevant evidence, and submit
argument in support of the veteran’s
appeal prior to issuance of a Board
direct review decision, and that a
reasonable time period for submission
of a written statement addressing
relevant evidence and argument must be
written into the regulations. Although
the modernized review system confines
evidence submission to certain periods,
the statute and proposed regulations do
not—apart from creating a faster review
process—restrict a representative’s
ability to submit argument. The design
of the system favors advocacy early in
the appeals process because this is the
most efficient way to reach a
comprehensive and speedy decision.
VA is confident that veterans’ advocates
will be able to meet this expectation. VA
made no changes based on these
comments.
Another commenter, in addressing
proposed 38 CFR 20.302 and 20.303,
expressed concern that those regulations
created a timeframe, between the agency
of original jurisdiction’s initial decision
and the Board hearing, or the agency of
original jurisdiction’s initial decision
and submission of a Notice of
Disagreement, during which a veteran
could introduce evidence into the
record that would not be considered by
the Board. The commenter
recommended that VA include
provisions allowing for submission of
evidence during those periods, in part
because the commenter interpreted the
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provisions for evidence submission in
38 CFR 20.302 and 20.303 as
inconsistent with each other.
The proposed time periods for
evidence submission included in 38
CFR 20.302 and 20.303 are not
inconsistent with each other. Rather,
they represent two separate review
options defined by the statute. For each
option, the statute clearly specifies what
evidence is included in the record
before the Board based on when the
evidence is submitted. Because the
proposed regulations track the plain
language of the statute, no changes will
be made in response to the comment.
VA notes that, should a veteran submit
evidence untimely, he or she generally
may resubmit the evidence with a
supplemental claim within one year of
the Board’s decision and preserve the
effective date associated with the appeal
to the Board. VA makes no changes
based on these comments.
Finally, two commenters’ discussions
reflected general confusion regarding
the timeline for submitting additional
evidence under 38 CFR 20.303(b), where
the veteran elects in the Notice of
Disagreement to submit additional
evidence without a Board hearing. One
commenter asked if a veteran had a total
of 150 days to submit additional
evidence following the initial
decision—60 days after the initial
decision and 90 days after submission of
the Notice of Disagreement. Another
commenter remarked that claimants
only have 60 days to appeal to the
Board, which is not enough time to
compile relevant evidence. VA initially
notes that the commenters are mistaken
that veterans only have 60 days to
appeal to the Board—this deadline only
applies to simultaneously contested
claims. In other cases, the veteran has
one year from the date of notice of a VA
decision to appeal to the Board.
However, if the evidence submission
option is chosen (but no hearing), the
veteran may submit evidence with the
Notice of Disagreement and then has a
total of 90 days, starting on the day the
Notice of Disagreement is received, to
submit additional evidence for
consideration by the Board. Evidence
submitted before or after this 90-day
window will not be considered by the
Board. The commenters did not suggest
specific amendments; therefore, VA
makes no changes based on these
comments.
L. Comments Concerning § 20.600—
Applicability
One commenter stated that the
regulations concerning hearings on
appeal did not clearly identify which
rules pertain to legacy appeals and
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referenced the applicability provision at
§ 20.600(b). The commenter suggested
generally that, to avoid confusion, VA
provide more clarity in this area. The
commenter did not make a specific
suggestion for change. VA has attempted
in the regulation to be as clear as
possible regarding which regulations
apply to legacy claims and which apply
to claims in the modernized review
system. For this reason, and because the
commenter did not make a specific
suggestion for change, VA made no
changes based on the comment.
M. Comments Concerning § 20.602—
When a Hearing Before the Board of
Veterans’ Appeals May Be Requested in
a Legacy Appeal; Procedure for
Requesting a Change in Method of
Hearing; and § 20.703—When a Hearing
Before the Board of Veterans’ Appeals
May Be Requested; Procedure for
Requesting a Change in Method of
Hearing
Proposed 38 CFR 20.602 and 20.703
describe how the Board will determine
the method of a requested hearing in the
legacy and modernized review systems,
respectively. One commenter asserted
that the Board should continue to allow
veterans to select from among available
hearing options, rather than the Board
making the initial selection based on the
earliest practical date and allowing the
veteran one request for a change in
hearing method. Amendments to
hearing regulations for legacy and new
system appeals are necessary in light of
the Jeff Miller and Richard Blumenthal
Veterans Health Care and Benefits
Improvement Act of 2016, Public Law
114–315. Section 102 of Public Law
114–315, by amending 38 U.S.C. 7107,
directs the Board, upon request for a
hearing, to determine what type of
hearing it will provide an appellant,
while affording the appellant the
opportunity to request an alternative
type of hearing once the Board makes its
initial determination. Proposed 38 CFR
20.602 and 20.703 are necessary to
comply with Public Law 114–315;
therefore, VA makes no changes to the
regulations based on this comment.
Another commenter asserted that the
hearing method determinations
proposed in 38 CFR 20.602 and 20.703
would only be effective if the veteran
could choose his or her preferred
method. The commenter requested an
explanation as to how the Board
planned to determine the method of
hearing after such a preference was
expressed. In accordance with revised
section 7107 and the regulations as
proposed, if a veteran requests a
different hearing method than the one
initially assigned by VA, the veteran’s
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157
request will be honored. However, VA
will only honor one such request. As the
commenter did not suggest an
amendment, VA makes no changes
based on this comment.
N. Comments Concerning 20.700—
General
One commenter suggested VA retain
the option for veterans to submit
electronic records of oral argument to
the Board of Veterans’ Appeals in lieu
of participating in a formal hearing. The
commenter stated that submitting oral
argument would be easier for some
veterans, including those who live in a
rural area, since it may be difficult for
those veterans to travel to the nearest
VA facility for a formal hearing. VA
proposed removing the provisions to
allow for submission of oral recording
in light of the benefits of in-person
testimony, as well as the ability to
submit argument through other means
when testifying at an in-person hearing
is not practical or desired. Veterans are
able to request a video hearing before a
Veterans Law Judge, which benefits
rural veterans. Veterans are also able to
submit photographs and other visual
evidence during an appropriate
evidentiary window. Finally, veterans
and their representatives are able to
submit written argument, including an
informal hearing presentation.
Section 504 of the Rehabilitation Act
requires Federal agencies to provide
individuals with disabilities meaningful
access to programs, activities and
facilities. Section 794(a) of title 29,
United States Code, states that ‘‘[n]o
otherwise qualified individual with a
disability in the United States . . . shall,
solely by reason of her or his disability,
be excluded from participation in, be
denied the benefits of, or be subjected
to discrimination under any program or
activity conducted by any Executive
agency.’’ VA regulations implementing
the Rehabilitation Act are found at 38
CFR part 15. VA is prohibited from
‘‘[d]eny[ing] a qualified individual with
handicaps an opportunity to participate
in or benefit from the aid, benefit, or
service.’’ 38 CFR 15.130(b)(1)(i). Also,
VA is required to ‘‘furnish appropriate
auxiliary aids where necessary to afford
an individual with handicaps an equal
opportunity to participate in, and enjoy
the benefits of, a program or activity
conducted by the agency.’’ 38 CFR
15.160(a)(1). The term ‘‘[a]uxiliary aids
means services or devices that enable
persons with impaired sensory, manual
or speaking skills to have an equal
opportunity to participate in, and enjoy
the benefits of, programs for activities
conducted by the agency.’’ 38 CFR
15.103.
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VA’s proposed amendments to 38
CFR 20.700 do not indicate any intent
by the Department to forego its
obligations under the Rehabilitation Act
and implementing regulations. VA did
not propose any amendments to 38 CFR
part 15. Rather, as required by the
Rehabilitation Act and implementing
regulations, if an individual has a
disability that prevents or limits his or
her ability to submit a written argument
to the Board or attend a hearing at a VA
facility and informs the Board that he or
she needs an accommodation that will
enable submission of an argument, the
Board will make every effort to meet
that need, including accepting an oral
argument on audio cassette. However,
given the fact that 38 CFR part 15
governs Department efforts to ensure
that individuals with disabilities can
participate in all VA programs and that
no one has submitted an oral argument
on audio cassette to the Board in recent
years, we do not believe it is necessary
to maintain the reference to submission
of oral argument on outdated technology
in the new rule. VA notes that, prior to
the changes 38 CFR 20.700 that we
proposed and here confirm as final,
paragraph (d) of that section made
submission of argument by audio
cassette available whenever an
appellant ‘‘cannot, or does not wish to’’
appear. That provision made
submission of argument by audio
cassette much more broadly available
than is necessary to comply with the
Rehabilitation Act. Accordingly, the
elimination of this provision does not
create any tension with VA’s continued
compliance with its regulations
implementing the Rehabilitation Act.
The commenter also states that VA
should consider the efficiencies to the
adjudication process of submission of
recordings in lieu of formal hearings.
VA strongly disagrees. Any such
efficiencies are greatly outweighed by
the benefits of an in-person hearing, the
purpose of which is to elicit relevant
and material testimony, assess the
credibility of witnesses, resolve
disputed issues of fact, and pose followup questions to witnesses and
representatives. 38 CFR 20.700(b).
As for the suggestion that argument
submitted on an audio cassette would
be ‘‘attractive to the schedules’’ of
clinics and their clients, VA points out
that, under § 20.704(a)(1) and (c), Board
hearings are ‘‘scheduled at the
convenience of appellants and their
representatives with consideration of
the travel distance involved,’’ and a
written request to reschedule a hearing
‘‘may be made at any time up to two
weeks prior to the scheduled date of the
hearing if good cause is shown.’’
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VA therefore makes no changes based
on these comments.
P. Comments Concerning § 20.714—
Correction of Hearing Transcipts
O. Comments Concerning § 20.705—
Functions of the Presiding Member
A commenter addressed 38 CFR
20.714, which requires a veteran to seek
correction of the hearing transcript
within 30 days ‘‘after the date that the
transcript is mailed’’ to the appellant.
The commenter explains that this
requirement is not accompanied with an
assurance that a copy of the transcript
will be provided to the veteran (unless
requested) and points out that the
veteran will not know to ask for the
transcript or seek correction within such
a limited timeframe unless the Board
notifies him or her. Under § 20.712, if
the appellant or representative requests
a copy of the written transcript in
accordance with § 1.577, the Board will
furnish one copy to the appellant or
representative. It would be unnecessary
and wasteful to provide written
transcripts where they are not
requested; instead the veteran is given
the choice to request a transcript. As
stated, upon request, the transcript will
be provided. VA has made no changes
based on these comments.
Three commenters stated that
§ 20.705(b)(7), allowing Veterans Law
Judges to reject evidence presented
during a hearing on the basis of
irrelevance, contradicts the pro-veteran
nature of Veterans’ law. The commenter
requested that it be removed, asserting
that veterans should be permitted to
submit whatever evidence they wish
into the record and that the Judge would
be free to assess the evidence’s
probative value. Paragraph (b)(7) states
that it is the duty of the presiding
member to exclude documentary
evidence, testimony, and/or argument
which is not relevant or material to the
issue or issues being considered or
which is unduly repetitious. Paragraph
(b)(7) may not be used to exclude
evidence that is relevant to the issue or
issues on appeal. The commenter is
correct that veterans may submit
evidence and/or testimony into the
record, and that the function of the
presiding Member is to assess the
evidence’s probative value. Rather, the
purpose of paragraph (b)(7) is to allow
the presiding Member to focus hearing
testimony on the issue or issues on
appeal.
Another commenter expressed
concern that VA is seeking to abrogate
Bryant v. Shinseki, 23 Vet.App. 488
(2010) by including paragraph (b)(7).
These regulations do not and do not
intend to limit the holding of Bryant.
This regulation will assist in providing
a focused, directed hearing which will
be as assistive as possible to the veteran
in substantiating the claim consistent
with Bryant. However, based on the
commenters’ concerns, VA will amend
§ 20.705(b)(7) to state that the duties of
the presiding Member include
‘‘determining whether documentary
evidence, testimony, and/or argument is
relevant or material to the issue or
issues being considered and not unduly
repetitious’’. This amendment makes
clear that VA will not exclude any
evidence, but rather, will assist the
veteran in focusing on evidence that
helps to establish the elements of the
claim. For example, if the VA decision
on appeal contained a binding favorable
finding as to the veteran’s current
diagnosis, the presiding Member may
instruct the veteran that no further
testimony or other evidence is needed
as to the current diagnosis, as that
element of the claim has already been
established.
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Q. Comments Concerning § 20.715—
Loss of Hearing Tapes Or Transcripts—
Motion for New Hearing
In proposing § 20.715, the title read:
‘‘Loss of hearing recordings or
transcripts—motion for new hearing.’’
The inclusion of the word ‘‘motion’’ in
the title was an error. Motions are no
longer required, as the content of the
rule makes clear. This final rule revises
‘‘motion’’ to read ‘‘request’’.
In regard to § 20.715(a)(2), one
commenter stated that a veteran would
be unfairly disadvantaged in the event
that a recording is lost through no fault
of his or her own, and suggested that
affording the opportunity to submit
argument and evidence within 60 days
would be more equitable than only
giving the veteran 30 days to respond to
a letter asking whether a new hearing
was requested.
This rule eliminates the prior
requirement that a motion for a new
hearing be made by the veteran prior to
VA offering a new hearing. This
formality proved unnecessary in
practice because VA often offered a new
hearing without a motion. VA has
proposed limiting the time period to 30
days in the interest of expediting the
case. It is intuitive that a veteran who
had recently appeared for a hearing
would be responsive to an offered
choice. Giving the veteran a choice in
the face of a lost or destroyed recording
is consistent with the general theme of
the Appeals Modernization Act.
Regarding the commenter’s suggestion
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that VA offer a third option—an
additional 60 days to submit evidence
or argument in lieu of a new hearing,
this is not necessary as this option
already exists. The veteran has 90 days
following the Board hearing in which to
submit evidence and may submit
argument at any time prior to the Board
decision. Accordingly, the veteran
would have already had an opportunity
to submit evidence and argument. VA
has made no changes in response to this
comment.
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R. Comments Concerning § 20.800—
Order of Consideration of Appeals
One commenter expressed concern
that the proposed 38 CFR 20.800
removes the authority of the Chairman
of the Board of Veterans’ Appeals to
expedite (advance on docket) cases on
his or her own motion. The commenter
is mistaken, as § 20.800 maintains the
authority of the Chairman to advance
cases on the docket on the Chairman’s
own motion. (‘‘A case may be advanced
on the docket to which it is assigned on
the motion of the Chairman . . .’’)
Several commenters raised concerns
regarding claims in which the veteran
chooses to appeal to the Board again
following a Board remand and
readjudication by the agency of original
jurisdiction. Commenters suggested that
such appeals must be automatically
returned to the Board after the
readjudication, and the original docket
date restored. Automatically returning
appeals to the Board without the
veteran’s affirmative election would be
inconsistent with the AMA. This facet
of the current regulatory system means
that veterans seeking further review are
forced to return to the Board by default,
regardless of whether this is their
choice, or the most advantageous
option. At the same time, the Board is
compelled to expend limited resources
on cases where the claimant may no
longer disagree with VA’s decision,
delaying adjudication of new appeals.
In contrast, the AMA provides
veterans with review choices whenever
a VA decision is issued, without regard
to whether the decision follows a
remand from the Board. A veteran
whose case is returned by the Board for
readjudication has the same options as
a veteran seeking review for the first
time. In many instances, one of the
agency of original jurisdiction lanes will
be a better review option for a veteran
whose case is adjudicated following
remand, rather than an appeal to the
Board. VA makes no changes based on
this comment.
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S. Comments Concerning § 20.801—The
Decision
Multiple commenters asserted that the
general statement required under
proposed 38 CFR 20.801(b)(3) will not
adequately inform veterans of the
evidence that was not considered in a
Board decision due to untimely
submission. The commenters
recommended that the Board decision
include a more detailed description of
the evidence that was not considered, to
include noting the date unconsidered
evidence was submitted. One of those
commenters also asserted that the
proposed regulations did not create an
avenue for informing a veteran what
recourse he or she has when evidence
is not considered by VA. The law
requires that each decision will contain
a general statement indicating whether
evidence submitted while the record
was closed was not considered, and
notice of the options available to have
such evidence considered. See AMA
section 2(w)(2)(C). The information in
the decision should be the avenue for
the pertinent information the veteran
requires to prevail on the claim. As the
precise procedures for providing more
detailed notice may change based on
technological systems, as well as other
resources, VA will continue to address
this matter through internal procedural
guidance consistent with the law and
regulations. VA made no changes based
on these comments.
T. Comments Concerning § 20.802—
Remand for Correction of Error
Several commenters suggested that
the Board should expedite claims in
which the veteran chooses to appeal to
the Board again following a Board
remand and readjudication by the
agency of original jurisdiction. One
commenter specifically stated that
§ 20.800(e), providing that a new Notice
of Disagreement filed after a
reajudication by the agency of original
jurisdiction will be docketed according
to the date of the new Notice of
Disagreement, was in conflict with
§ 20.802(c), which provides that the
agency of original jurisdiction must
provide for the expeditious treatment of
any claim that is remanded by the
Board.
VA disagrees that the rules are in
conflict. Section 20.802(c) requires that
the agency of original jurisdiction treat
remands from the Board expeditiously;
it does not require expeditious
treatment by the Board. This section is
consistent with revised 38 U.S.C. 5109,
which provides: ‘‘The Secretary shall
take such actions as may be necessary
to provide for the expeditious treatment,
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159
by the Veterans Benefits
Administration, of any claim that is
returned by a higher-level adjudicator
under section 5104B of this title or
remanded by the Board of Veterans’
Appeals.’’ This provision does not apply
to the Board. Accordingly, 20.800(e) is
consistent with the statute and there is
no conflict between §§ 20.800(e) and
20.802(c).
In amending 38 U.S.C. 5104B,
Congress chose not to include a
requirement that the Board expedite
cases re-appealed to the Board following
remand. If the Board were to expedite
new appeals following remand,
adjudication of other appeals at the
Board would be delayed. In addition, as
discussed above, under the new system
the veteran must file a new Notice of
Disagreement following the decision on
remand to elect review by the Board.
The Notice of Disagreement initiates a
new appeal at the Board that may
challenge the adjudication below on an
entirely new basis on a new evidentiary
record. Given these factors and
Congress’ choice to limit the scope of
section 5104B, prioritizing adjudication
according to the date the Notice of
Disagreement is received (within the
evidentiary lane selected) achieves a
reasonable balance among the interests
at stake. VA makes no changes based on
these comments.
A commenter questioned how appeals
returned from CAVC would be
docketed. The AMA did not change the
procedures at the Board for expediting
cases returned from CAVC. Consistent
with 38 U.S.C. 7112, the Board will
continue to expedite the adjudication
required by a CAVC remand. Notably,
CAVC remands require the Board to
readjudicate the appeal based upon the
same record previously before the
Board; accordingly, such appeals would
be placed on the same docket that the
veteran was on previously. VA makes
no changes based on this comment.
A commenter expressed general
concerns as to how advisory medical
opinions will be implemented pursuant
to § 20.802(b). The commenter stated,
‘‘[w]hile 38 [CFR] 20.802(c)(1)(ii) allows
thorough consideration of the issues
presented in the claim by experienced
Board personnel and gives the Board
broad authority to request IMOs in
remands, we are concerned that this
important tool may be buried under the
clunky procedures in the regulation.’’
The commenter did not offer any
specific suggestions or
recommendations for this rulemaking,
but did suggest that the new procedures
placed a greater burden on the veteran
to request an advisory medical opinion
at the claim stage. The AMA eliminated
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the statutory provision which
previously authorized the Board to
independently request medical
opinions, and created a new process by
which the Board orders such opinions
through remands. 38 U.S.C.
5103A(f)(2)(B). Section 20.802(b)
implements the statutory amendments
to this process. Therefore, VA makes no
changes based on this comment.
A commenter expressed concern that
because remanded cases are no longer
returned to the Board per the proposed
rule, the Board will not be able to
ensure that the agency of original
jurisdiction complied with all remand
directives, consistent with Stegall v.
West, 11 Vet. App. 268, 271 (1999). The
commenter urged VA to develop and
implement a dedicated quality review
methodology for Board remands. The
design of the new system provides
ample protections to ensure that
subsequent adjudicators comply with
the Board’s remand directives. The
AMA requires that any pre-decisional
duty to assist error discovered by an
adjudicator be cured and that the
decision be readjudicated by the agency
of original jurisdiction. Following
readjudication, the veteran may again
request Higher-Level Review, file a
Supplemental Claim, or appeal to the
Board. If such action is taken within one
year, the original effective date will be
preserved.
Regarding the commenter’s
recommendation for dedicated quality
review, the Direct Review docket,
described in proposed § 20.301,
captures quality feedback from appeals
in which no additional evidence is
added to the record. This allows VA to
identify areas in which the claims
process can be improved and will allow
VA to develop targeted training. VA
makes no changes based on these
comments.
panel continues to adjudicate pursuant
to the Notice of Disagreement which led
to the prior Board decision. Under the
Appeals Modernization Act, the Notice
of Disagreement indicates the claimant’s
selection of a Board review option. For
consistency purposes and because
reconsideration is an adjudication
pursuant to the Notice of Disagreement,
VA makes no changes based on this
comment.
U. Comments Concerning § 20.1003—
Hearing on Reconsideration
A commenter contended that the
provision of § 20.1003 precluding a
hearing on allowed Motions for
Reconsideration unless the veteran had
requested a hearing on the underlying
Notice of Disagreement violates due
process. The commenter remarked that
a Motion for Reconsideration is solely
based on the Board’s decision and
therefore should not be affected by the
Notice of Disagreement, which was filed
prior to the Board’s decision. As laid out
in § 20.1003, hearings are only provided
if a motion for reconsideration has been
allowed. Once allowed, the Chairman
will assign a panel to adjudicate the
underlying issues that were before the
Board. This means the reconsideration
A commenter suggested that VA
should modify 38 CFR 20.1302 to
provide that a substituted appellant will
have similar timeframes to those the
veteran would have had in the
modernized appeal system. The
language of 38 CFR 20.1302 already
provides this policy. The amended rule
provides that a substituted appellant
will assume the veteran’s appeal in its
original place on the docket. That
means, the substituted appellant will
maintain the same evidentiary
timeframes of the docket the veteran
selected. Furthermore, the substituted
appellant will be free to submit
argument in support of their appeal. VA
makes no changes based on this
comment.
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V. Comments Concerning § 20.1103—
Finality of Determinations of the Agency
of Original Jurisdiction Where Issue Is
Not Appealed
Two commenters were concerned that
§ 20.1103 did not make clear the
continued applicability of §§ 3.105 and
3.156(c) to all claims. Additional
commenters recommended adding a
reference to CUE and 38 CFR 3.105 in
proposed § 20.1103. VA agrees that prior
to the initial decision on the claim VA
must consider VA records as explained
in Bell v. Derwinski, 2 Vet. App. 611
(1992). The Bell doctrine of constructive
possession will continue to apply,
unchanged, while the duty to assist
applies. This means that until the
veteran receives the notice of decision
of his claim or supplemental claim, all
treatment records in the agency’s
possession are deemed associated with
the veteran’s file. The other commenter
wanted VA to include a reference to
§ 3.156(c) in proposed regulation
§ 20.1103; this is unnecessary because
§ 3.156(c) was untouched by the
Appeals Modernization Act. Neither
inclusion is necessary, and VA makes
no changes based on these comments.
W. Comments Concerning § 20.1302—
Death of Appellant During Pendency of
Appeal Before the Board
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X. Comments Concerning § 20.1304—
Request for a Change in Representation
A commenter suggested that the
timeframe for changing representation
should mirror the timeline for
submitting evidence, so that if the
record is closed the veteran is no longer
able to switch representation. This
commenter explained once the record is
closed, representation is ‘‘seriously
constrained as to the strategy of the
appeal at that stage.’’ VA proposed to
maintain the 90-day window to change
representation once an appeal is at the
Board in § 20.1304 so that it mirrors the
policy in place under the legacy system.
Representatives maintain the ability to
decline representation if they determine
they cannot adequately support the
veteran’s appeal. Furthermore,
representatives maintain the ability to
submit argument on the veteran’s
appeal. VA makes no changes based on
this comment.
Y. Comments Concerning § 20.1305—
Procedures for Legacy Appellants To
Request a Change in Representation,
Personal Hearing, or Submission of
Additional Evidence Following
Certification of an Appeal to the Board
of Veterans’ Appeals
Another commenter asked VA to add
language to proposed 38 CFR 20.1305
acknowledging the possibility of
multiple 90-day notices and the
opportunity for multiple Board hearings
in a legacy system claim. In support of
that request, the commenter asserted
that multiple Board hearings are
provided for in continuously pursued
claims in the modern review system,
provided a veteran had filed a
supplemental claim between the
hearings. However, the commenter is
conflating the concept of continuous
pursuit for the purposes of preserving
an effective date and the concept of a
continuous claim for the purposes of
providing development such as a Board
hearing. The modernized review system
does not specifically provide for
multiple Board hearings during
processing of a single claim. Thus, the
commenter’s assertion that the legacy
system regulation should mirror the
provisions applicable to Board hearings
in the modernized system is misplaced.
VA makes no changes based on this
comment.
One commenter objected to the option
in the new system for a veteran who
receives an adverse Board decision to
file a supplemental claim based on new
and relevant evidence, asserting that
this option may operate to prevent
finality and judicial review. The
commenter was concerned that a
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veteran in receipt of an adverse Board
decision might be tempted to exercise
the option to file a supplemental claim,
causing the veteran to return to the first
step of the adjudication process and
thereby prolonging resolution of the
claim. Because the option to file a
supplemental claim following a Board
decision is a feature of the statute, VA
does not have discretion to adopt a
different procedure. In any event, filing
a supplemental claim following a Board
decision is optional, and the veteran
may instead choose to file an appeal
with the U.S. Court of Appeals for
Veterans Claims or, alternatively, file a
request with the Board for revision
based on clear and unmistakable error
once the judicial appeal period has
expired. To the extent that the
commenter suggests that VA
adjudicators will be predisposed to
deny supplemental claims, any such
predisposition is against VA policy.
Adjudicators are required to review a
supplemental claim objectively and
fairly based on its merits under
applicable law. VA makes no changes
based on this comment.
Z. Comments Concerning § 20.1403—
What Constitutes Clear and
Unmistakable Error; What Does Not
One commenter questioned why VA
inserted a time limitation on the
evidence in § 20.1403 that would affect
legacy appellants. However, this final
rule does not amend the 90-day time
period already mentioned in § 20.1403;
there is no new time limitation.
Another commenter expressed
concern that the proposed regulations
newly restrict evidence that may be
submitted in support of a motion for
revision of a prior Board decision based
on CUE or, at the least, do not seem to
accommodate the possibility, under the
modernized system, of submitting
additional evidence to support a CUE
motion via a supplemental claim.
However, the outcome of CUE continues
to be based on the evidence of record
before the Board at the time of the prior
Board decision. That underlying
consideration is unchanged by the
Appeals Modernization Act. To the
extent that the description of CUE in
§ 3.105(a) has been expanded in the
proposed regulations, that expansion
merely incorporates longstanding
caselaw. As the outcome of a CUE
motion continues to depend upon
whether the correct facts, as they were
known at the time of the decision, were
before the adjudicator, and whether the
statutory and regulatory provisions
extant at the time were correctly
applied, VA makes no changes based on
this comment.
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AA. General Comments
Several commenters encouraged VA
to create timeliness goals regarding the
processing of legacy and Appeals
Modernization Act cases. One
commenter suggested that the
regulations should include a provision
requiring that representatives have
access to online tools that provide wait
time predictions and appeal status. VA
has carefully considered this comment,
and has determined that no changes to
the regulatory amendments are required.
The issue raised by the commenter
concerns a sub-regulatory policy
determination within the agency’s
discretion. VA will address this matter
through internal procedural guidance
consistent with the law and regulations.
One commenter stated that VA should
amend the regulations to specify the
time period when the claimant and
representative may submit a written
argument when the claimant files a
Notice of Disagreement and requests
direct review without the opportunity
for a hearing or to submit additional
evidence. The proposed regulations did
not limit the period when written
argument can be submitted to the Board
between the filing of an NOD and
issuance of the Board decision. We do
not believe that imposition of a time
period for submission of argument
would appreciably speed up the
appellate process, and it could deprive
the veteran of an opportunity to argue
in favor of his or her claim. VA makes
no changes based on this comment.
One commenter remarked that VA
should define the term ‘‘timely’’ in
regulation, and that failure to do so
would be unlawful. The AMA did not
amend 38 U.S.C. 7101 which already
provides that the Board must have
sufficient resources to ‘‘conduct
hearings and dispose of appeals
properly before the Board in a timely
manner.’’ However, VA may not
determine future resource levels
without Congressional authorization.
Defining the term ‘‘timely’’ in regulation
would be improper as it would infringe
on the appropriations process. Only
Congress may determine whether VA
requires additional resources. Therefore,
VA makes no changes based on this
comment.
Several commenters expressed
concern that the new system will be too
complicated and will disadvantage pro
se claimants. The fundamental features
of the framework are required by law;
however, VA acknowledges the
commenter’s concern and remains
committed to the non-adversarial
process.
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One commenter asked whether, if a
veteran has an appeal in the legacy
system that becomes inextricably
intertwined with an issue in the
modernized appeal system, the veteran
will be given the choice to remain in the
legacy system or have both issues
proceed in the modernized system. VA
has carefully considered this comment
and has determined that no changes to
the regulatory amendments are required.
The issue raised by the commenter may
be dealt with as a sub-regulatory policy
determination within the agency’s
discretion. VA makes no regulatory
changes based on this comment, but
will address this matter through internal
procedural guidance consistent with the
law and regulations.
One commenter remarked that the
ability to select different review options
for different claims will cause confusion
and asked if claims can be rejoined once
the claimant selects different review
options. VA will respect the veteran’s
choice to select different review options
for different issues. A claimant may
choose to modify the Notice of
Disagreement, as provided in
§ 20.202(c), if he or she wishes to
change review options. Thus, it is
possible for a claimant to ‘‘rejoin’’
claims as described by the commenter.
However, VA will not automatically
rejoin claims for administrative
efficiency purposes or any other reason
unless the claimant specifically requests
this under § 20.202(c). The fundamental
features of the framework are required
by law, and VA encourages claimants to
discuss their review options with their
representatives, if they have one.
Claimants have one year from the date
of notification of the rating decision on
appeal to modify their review option.
VA makes no changes based on this
comment.
One commenter suggested that VA
does not need to create a third docket
at the Board for Veterans’ Appeals for
veterans who wish to submit new
evidence without holding a hearing,
since the Appeals Modernization Act
only required a minimum of at least two
dockets. This commenter suggests
veterans who submit additional
evidence within 90 days of the Notice
of Disagreement should be maintained
on the same docket as the closed record
review. VA has considered this
comment, but determined that
combining the direct review and
evidence only dockets would be
contrary to the spirit of the Appeals
Modernization Act. One key advantage
of maintaining a separate docket that
does not allow for a hearing or
submission of additional evidence is
that the Board reviews the same record
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that was before the agency of original
jurisdiction. This review provides VA
with a quality feedback loop, in which
VA is able to identify trends and areas
for correction in the adjudications by
the agencies of original jurisdiction.
This quality feedback loop will provide
for more targeted training of VA staff to
ensure accurate adjudication of claims.
If additional evidence was added to
appeals in this lane, then the Board’s
determination may be based on the
changed record and would no longer
provide the same direct quality review
feedback. VA makes no changes based
on this comment.
A commenter suggested that if a
veteran who has an appeal pending with
the Board submits evidence, this new
evidence should automatically be
considered as a supplemental claim.
This suggestion is contrary to the
framework established in the Appeals
Modernization Act. Specifically, the
Appeals Modernization Act explicitly
provides that once a veteran chooses a
review option he/she may not pursue
another review option until a decision
is received or the veteran affirmatively
withdraws the initial review option. 38
U.S.C. 5104C(a)(2)(A). Accordingly, VA
makes no changes based on this
comment.
One commenter remarked that VA
should provide a formal application for
a motion for CUE. The purpose of this
rulemaking is to amend VA’s claims
adjudication, appeals, and Rules of
Practice of the Board of Veterans’
Appeals regulations as required to
implement the AMA. Nevertheless, VA
will take the commenter’s suggestion
under advisement.
Additional commenters suggested that
VA create a standardized form for
Veterans to use in withdrawing appeals
before the Board. The purpose of this
rulemaking is to amend VA’s claims
adjudication, appeals, and Rules of
Practice of the Board of Veterans’
Appeals regulations as required to
implement the AMA. Nevertheless, VA
will take the commenters’ suggestion
under advisement.
BB. Comments Concerning VA Form
10182—Notice of Disagreement
One commenter raised concern that
the required forms referred to in the
regulations were not published as part
of the rulemaking proposal. Because the
Notice of Disagreement is not a new
information collection, but a revised
information collection under OMB
control number 2900–0674, it was not
published with the proposed
rulemaking. Rather, notice of the
proposed changes to 2900–0674 was
published in the Federal Register on
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August 23, 2018, pursuant to the
Paperwork Reduction Act. 83 FR 42769.
The fact of separate publication was
noted at the proposed rule stage and
publication of the notice closely
followed publication of the rulemaking
proposal. As noted in the notice, a copy
of the draft form will be provided upon
request. VA makes no change based on
this comment.
One commenter expressed concern
that VA forms are too long and
suggested the information could instead
be found on a web page. VA wants to
ensure all Veterans have access to the
important information, including those
Veterans without access to the internet.
Therefore, VA will continue to include
this information on the forms. However,
VA has worked to streamline the design
of these forms and the accompanying
information. VA makes no change based
on this comment.
CC. Comments of Scope
Two commenters inquired about VA’s
plan regarding staffing, personnel
issues, and training. These comments
are outside the scope of the rulemaking.
Part 21—Vocational Rehabilitation and
Education
VA received two comments
specifically related to Vocational
Rehabilitation and Education (VR&E).
One comment concerned VR&E’s lack of
automation and how that may impact
timely processing of payments to
facilities. The comment stated ‘‘VR&E is
antiquated and may need updates. For
example, it is not automized, at least for
certifying officials, which means some
certifications may fall into a ‘black
hole’. Schools often wait up to 6 months
to receive payment.’’ This comment is
not related to appeals processing and
does not affect the rule. Therefore, VA
makes no changes to the rule based on
this comment.
The second comment stated ‘‘VR&E is
also significantly understaffed. How
would current staffing accommodate the
new lanes of appeals? For example, one
of the proposed ‘‘lanes’’ would enable a
claimant to get a second opinion on
VA’s claims decision. If VR&E
employees are busy giving second
opinions, what type of further backlog
would this create for newly submitted
claims? Or would the newly-required
second opinion in appeals fall by the
wayside?’’ VR&E currently has a process
in place for ‘‘second opinions’’, which
VA refers to as administrative reviews.
Administrative reviews are very similar
to a higher-level review in the new
appeals process. Under VR&E’s current
processes, administrative reviews are
completed by management level
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personnel at the regional office, and in
some very specific situations, at the
Central Office level. Under the new
appeals process, management level
personnel, as well as supervisory
personnel who are not currently
permitted to perform administrative
reviews, will be tasked with completing
higher-level reviews. As such, VR&E
will have more employees available to
perform higher-level reviews than it
does under the current system for
administrative reviews. VR&E does not
anticipate an increase in the number of
requests for a ‘‘second opinion’’, or
higher-level review, under the new
appeals process than it receives under
the current administrative review
process. In addition, it is important to
note that newly submitted claims are
processed by non-management level
VR&E staff, Vocational Rehabilitation
Counselors (VRC). VRCs will not be
performing higher-level reviews. Lastly,
and unrelated to the new appeals
process, VR&E is currently in the
process of hiring an additional 169
VRCs across the nation. These VRCs
manage all aspects of the claims
process, including newly submitted
claims. Therefore, based on these many
factors, staffing issues are not an
identified area of concern for VR&E
under the new appeals process; as such,
VA makes no changes to the rule based
on this comment.
One commenter expressed concern
about the impact implementation of the
AMA may have on the implementation
of the Forever GI Bill. VA does not
expect implementation of the AMA to
impact ongoing benefits or the
implementation of the Forever GI Bill.
Finally, several commenters urged
consistent use of terms, definitions, and
descriptions. Based on comments
received relative to Part 3, redundant
language in § 21.416 is adjusted to refer
back to part 3, specifically § 3.2601, in
order to avoid potential confusion.
Additionally, references to timeliness
goals in § 21.416 have been removed for
reasons discussed.
Paperwork Reduction Act
The Paperwork Reduction Act of 1995
(44 U.S.C. 3507(d)) requires that VA
consider the impact of paperwork and
other information collection burdens
imposed on the public. According to the
1995 amendments to the Paperwork
Reduction Act (5 CFR 1320.8(b)(2)(vi)),
an agency may not collect or sponsor
the collection of information, nor may it
impose an information collection
requirement unless it displays a
currently valid Office of Management
and Budget (OMB) control number. This
rule includes provisions constituting
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new collections of information under
the Paperwork Reduction Act of 1995
that require approval by the OMB.
Accordingly, under 44 U.S.C. 3507(d),
VA has submitted a copy of this
rulemaking action to OMB for review.
OMB assigns control numbers to
collections of information it approves.
VA may not conduct or sponsor, and a
person is not required to respond to, a
collection of information unless it
displays a currently valid OMB control
number. 38 CFR 3.160(c), 3.2501,
3.2601, 8.30, 20.202, and 21.1034
contain collections of information under
the Paperwork Reduction Act of 1995. If
OMB does not approve the collections
of information as requested, VA will
immediately remove the provisions
containing a collection of information or
take such other action as is directed by
the OMB.
The collections of information
contained in 38 CFR 3.160(c), 3.2501,
3.2601, 8.30, 20.202, 21.416, and
21.1034 are described immediately
following this paragraph. VA intends to
revise OMB Control No. 2900–0674 so
that it will contain all appeals-related
information collections for the legacy
and new systems, including the four
claims and appeals related information
collections previously approved under
OMB Control No. 2900–0085. OMB
Control No. 2900–0085 will be
discontinued upon approval of the
request to renew 2900–0674. As
discussed in the regulatory impact
analysis, VA believes that the net
impact of the reorganization of the
collections of information is likely to be
deregulatory.
For each of the collections of
information below, VBA used general
wage data from the Bureau of Labor
Statistics (BLS) to estimate the
respondents’ costs associated with
completing the information collection.
According to the latest available BLS
data, the mean hourly wage of full-time
wage and salary workers was $24.34
based on the BLS wage code—‘‘00–0000
All Occupations.’’ This information was
taken from the following website:
https://www.bls.gov/oes/current/oes_
nat.htm (May 2017).
Title: Decision Review Request:
Supplemental Claim (VA Form 20–
0995).
OMB Control No.: 2900–XXXX
(NEW).
CFR Provisions: 38 CFR 3.160(a),
3.2501, 8.30, 21.416, and 21.1034.
Summary of collection of information:
VA administers an integrated program
of benefits and services, established by
law, for veterans, service personnel, and
their dependents and/or beneficiaries.
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Title 38 U.S.C. 5101(a) provides that a
specific claim in the form provided by
the Secretary must be filed in order for
benefits to be paid to any individual
under the laws administered by the
Secretary. VA is proposing a new
information collection in this regulatory
action under 38 CFR 3.160(c), 3.2501,
8.30, 21.416, and 21.1034 for
supplemental claims in accordance with
Public Law 115–55. Public Law 115–55
includes a new review option for
Veterans or claimants who disagree with
a VA claims decision known as a
‘‘supplemental claim’’ that is conducted
within the agency of original
jurisdiction. This review option is
designed to allow submission of new
and relevant evidence in connection
with a previously decided claim. The
new collection of information in 38 CFR
3.160(c), 3.2501, and 8.30 would require
claimants to submit VA Form 20–0995
in either paper or electronic submission,
where applicable, in order to initiate a
supplemental claim for VA disability
benefits.
Description of need for information
and proposed use of information: The
collection of information is necessary to
determine the issue(s) upon which a
claimant is dissatisfied and seeks to
initiate a supplemental claim for VA
disability benefits. VA will use this
information to initiate or determine the
claimant’s eligibility under the
supplemental claim in accordance with
the AMA.
Description of likely respondents:
Veterans or claimants who indicate
dissatisfaction with a decision issued by
a VA agency of original jurisdiction and
would like review of new and relevant
evidence in support of their claim for
disability benefits. VA cannot make
further assumptions about the
population of respondents because of
the variability of factors such as the
educational background and wage
potential of respondents. Therefore,
VBA used general wage data to estimate
the respondents’ costs associated with
completing the information collection.
Estimated number of respondents per
month/year: 80,000 annually.
Estimated frequency of responses per
month/year: One time for most Veterans
or other claimants; however, the
frequency of responses is also
dependent on the number of claims
submitted on this form by the claimant
as VA does not limit the number of
claims that a claimant can submit.
Estimated average burden per
response: 15 minutes.
Estimated total annual reporting and
recordkeeping burden: 20,000 hours.
Estimated cost to respondents per
year: VBA estimates the total cost to all
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163
respondents to be $486,800 per year
(20,000 burden hours × $24.34 per
hour). Legally, respondents may not pay
a person or business for assistance in
completing the information collection.
Therefore, there are no expected
overhead costs for completing the
information collection.
Title: Decision Review Request:
Higher-Level Review (VA Form 20–
0996).
OMB Control No.: 2900–XXXX
(NEW).
CFR Provisions: 38 CFR 3.2601, 8.30,
21.416, and 21.1034.
Summary of collection of information:
VA administers an integrated program
of benefits and services, established by
law, for veterans, service personnel, and
their dependents and/or beneficiaries.
Title 38 U.S.C. 5101(a) provides that a
specific claim in the form provided by
the Secretary must be filed in order for
benefits to be paid to any individual
under the laws administered by the
Secretary. The new collection of
information in 38 CFR 3.2601, 8.30,
21.416, and 21.1034 would require
claimants to submit VA prescribed
applications in either paper or
electronic submission of responses,
where applicable, in order to request a
higher-level review of a VA decision on
a claim for benefits.
Description of need for information
and proposed use of information: The
collection of information is necessary to
determine the issue(s) upon which a
claimant is dissatisfied and seeks
higher-level review by VA. VA will use
this information to initiate a higherlevel review by an agency adjudicator in
accordance with the AMA.
Description of likely respondents:
Veterans or other claimants who
indicate dissatisfaction with a decision
issued by a VA office agency of original
jurisdiction.
Estimated number of respondents per
month/year: 35,000 annually.
Estimated frequency of responses per
month/year: One response total.
Estimated average burden per
response: 15 minutes.
Estimated total annual reporting and
recordkeeping burden: 8,750 hours.
Estimated cost to respondents per
year: As above, VBA used May 2017
general wage data to estimate the
respondents’ costs associated with
completing the information collection.
VBA estimates the total cost to all
respondents to be $212,975 per year
(8,750 burden hours × $24.34 per hour).
Legally, respondents may not pay a
person or business for assistance in
completing the information collection.
Therefore, there are no expected
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overhead costs for completing the
information collection.
Title: Decision Review Request: Board
Appeal (Notice of Disagreement) (VA
Form 10182).
OMB Control No.: 2900–0674.
CFR Provisions: 38 CFR 20.202.
Summary of collection of information:
38 CFR 20.202 would require that in
order for a claimant to appeal one or
more previously decided issues to the
Board, that claimant must file a Notice
of Disagreement in the form prescribed
by VA. In order to promote efficiency in
the adjudication process while ensuring
that the process is simple and reliable
for claimants, VA will require the use of
a specific form for this purpose. VA
Form 10182 will be titled Decision
Review Request: Board Appeal (Notice
of Disagreement). To be accepted by the
Board, a complete Notice of
Disagreement will be required to
identify the specific determination with
which the claimant disagrees and must
indicate if the claimant requests to have
a hearing before the Board, an
opportunity to submit additional
evidence, or neither. 38 U.S.C.
7105(b)(3). Additionally, in order to
permit appellants and their
representatives to exercise their appealrelated rights, the information collected
will include withdrawals of services by
representatives (38 CFR 20.6), requests
by appellants for changes in hearing
dates or methods (38 CFR 20.703), and
motions for reconsideration of Board
decisions (38 CFR 20.1002).
Description of need for information
and proposed use of information: This
collection of information is necessary to
permit claimants to appeal to the Board,
to identify their request for a hearing
and selection of the evidentiary record
on appeal, to request new times or
methods for hearings, to seek
reconsideration of Board decisions, and
so that representatives may effectively
move to withdraw their representation
of a claimant.
Description of likely respondents:
Veterans or other claimants who
indicate dissatisfaction with a decision
issued by a VA agency of original
jurisdiction, and who are appealing one
more issues in that decision to the
Board.
Estimated number of respondents per
month/year: 43,000 annually.
Estimated frequency of responses per
month/year: One response per
respondent accounted for above.
Estimated average burden per
response: An average of 30 minutes.
Estimated total annual reporting and
recordkeeping burden: 21,500 hours
annually.
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Estimated cost to respondents per
year: The respondent population for this
information collection is composed of
individual appellants or their
representatives. In this regard, VA notes
that the earning capacity of individual
appellants spans an extremely wide
spectrum. Additionally, an appellant’s
representative may be an employee of a
recognized Veterans’ Service
Organization who provides appellate
services as part of their overall free
services to Veterans, or may be an
attorney-at-law or accredited agent that
charges a fee. VA cannot make further
assumptions about the population of
respondents because of the variability of
factors such as the educational
background and wage potential of
respondents. Therefore, VBA used the
BLS general wage data from May 2017
to estimate the respondents’ costs
associated with completing the
information collection. VA seeks
comment as to whether use of the
general wage data is appropriate in light
of this wide spectrum of earning
capacity in individual respondents. VA
estimates the total cost to respondents
using VA Form 10182 in the new
appeals system to be $523,310 per year
(21,500 burden hours × $24.34 per
hour).
The total costs of these information
collections to respondents is estimated
to be $8.4 million over a five-year
period (FY2019–FY2023). Although it is
difficult to predict the percentage of
respondents that will be able to take
advantage of the new system forms each
year beginning in February 2019, VA
estimates that the incremental
information collection costs for
respondents will be $1,092,258 in
FY2019. VA has also determined there
will be incremental information
collection savings of $6,258,423 over a
five-year period, once the legacy forms
are no longer in use. This equates to
approximately $1.25 million per year or
$1.77 million per year on an ongoing
basis discounted at 7 percent relative to
year 2016, over a perpetual time
horizon. This final rule is considered an
E.O. 13771 deregulatory action.
Regulatory Flexibility Act
The Secretary hereby certifies that
these regulatory amendments will not
have a significant economic impact on
a substantial number of small entities as
they are defined in the Regulatory
Flexibility Act, 5 U.S.C. 601–612. These
amendments will not directly affect any
small entities. Only VA beneficiaries
and their survivors would be directly
affected. Therefore, pursuant to 5 U.S.C.
605(b), these amendments are exempt
from the initial and final regulatory
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flexibility analysis requirements of
sections 603 and 604.
Executive Orders 12866, 13563, 13771
Executive Orders 12866 and 13563
direct agencies to assess the 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
effects, and other advantages;
distributive impacts; and equity).
Executive Order 13563 (Improving
Regulation and Regulatory Review)
emphasizes the importance of
quantifying both costs and benefits,
reducing costs, harmonizing rules, and
promoting flexibility. Executive Order
12866 (Regulatory Planning and
Review) defines a ‘‘significant
regulatory action,’’ which requires
review by 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 this Executive Order.’’
The economic, interagency,
budgetary, legal, and policy
implications of this rule have been
examined, and it has been determined
that this is an economically significant
regulatory action under Executive Order
12866. As discussed in the Paperwork
Reduction Act section of this final rule,
we estimate that this final rule will lead
to paperwork cost savings of
approximately $1.77 million This rule is
expected to be an E.O. 13771
deregulatory action. Details on the
estimated cost savings of this rule can
be found in the rule’s economic
analysis. VA’s impact analysis can be
found as a supporting document at
https://www.regulations.gov, usually
within 48 hours after the rulemaking
document is published. Additionally, a
copy of the rulemaking and its impact
analysis are available on VA’s website at
https://www.va.gov/orpm by following
the link for VA Regulations Published
from FY 2004 Through Fiscal Year to
Date.
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Unfunded Mandates
The Unfunded Mandates Reform Act
of 1995 requires, at 2 U.S.C. 1532, that
agencies prepare an assessment of
anticipated costs and benefits before
issuing any rule that may result in an
expenditure by State, local, and tribal
governments, in the aggregate, or by the
private sector of $100 million or more
(adjusted annually for inflation) in any
given year. This rule will have no such
effect on State, local, and tribal
governments, or on the private sector.
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Congressional Review Act
The Secretary of Veterans Affairs
finds that there is good cause under the
provisions of 5 U.S.C. 808(2) to publish
this final rule without prior
Congressional review and to make the
rule effective on February 19, 2019.
This final rule meets the
‘‘impracticable’’ and ‘‘public interest’’
exceptions in 5 U.S.C. 808(2) because
any delay in implementing the rule
would have a severe detrimental impact
on Veterans seeking benefits. VA’s
legacy appeals process is overly
complex and can take many years for
claimants to receive resolution on their
claims. Under the legacy appeals
process, Veterans wait an average of 3
years for a final decision if they choose
to appeal, and an average of 7 years if
they continue their appeal to the Board.
The Veterans Appeals Improvement and
Modernization Act authorizes a
streamlined process that provides
Veterans and other claimants with
choices when seeking review of a VA
decision and much faster resolution.
This rule is necessary to implement the
Act, and provides much-needed
comprehensive reform for the legacy
appeals process. VA estimates that
under this rule the average time to
complete an appeal will be
approximately 2 years less than under
the legacy appeals process. However,
Congress required within the Act that
VA have the ‘resources, personnel,
office space, procedures, and
information technology required’ to
implement the new system. VA cannot
implement the Act as planned without
final regulations allowing claimants to
participate in the new system. Delaying
the effective date of this final rule will
prolong the existence, and result in an
increased number of legacy process
appeals, thus increasing the number of
appeals that are subject to, and will
themselves add to, severe delays in
appeals processing and a prolonged
inability for Veterans to timely receive
their earned benefits.
While the severity of the impact on
Veterans seeking benefits constitutes
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good cause to implement these
presumptions with an earlier effective
date, there is an additional basis for the
Secretary’s decision that good cause
exists. Although the rule is a major rule
under the Congressional Review Act,
VA believes that this rule will not result
in any new or increased benefit
payments (transfers) to claimants.
Furthermore, the transfers associated
with this rulemaking ($100 million or
more in any given year), which would
already be due to Veterans, would be
the same with or without this rule. The
difference is simply because VA
believes that the rule will lead to
claimants receiving a decision earlier
than they would under the legacy
appeals process, causing a shift in the
timing of benefits paid to Veterans and
other beneficiaries to earlier fiscal years.
Lastly, VA would be obligated to pay
these transfers regardless of timing and
the amount of transfers awarded to
veterans would not be a result of this
rulemaking. Since the rule will reduce
the time it takes to review or adjudicate
an appeal, the benefits will be paid
much quicker than under the legacy
appeals process. VA believes that total
benefits paid to an individual
beneficiary granted a positive appeal
decision would be the same under both
this rule and the legacy appeals process;
only the timing of these payments
would differ. The provisions of this rule
do not go beyond the intent or structure
of the Act, which was enacted after the
Congress received a cost-neutral
assessment from the Congressional
Budget Office. Therefore, because
Congress itself has already committed to
the structure that is causing the timing
of the benefits payments to be ‘‘pulled
forward’’ in time and is aware of the
impact of the law as enacted, it would
be unnecessary and contrary to the
public interest to delay the effective
date of the final rule to allow for the
congressional review contemplated by
the Congressional Review Act.
Accordingly, the Secretary has
determined that there is good cause
under 5 U.S.C. 808(2) to publish this
final rule with a February 19, 2019
effective date.
VA received 29 comments in response
to the proposed rule. The comments
received were generally requests for
clarification or recommendations for
substantive changes. In turn, the
majority of changes made in response to
comments were clarifying in nature,
conformed the regulations more closely
to the statutory requirements, or, where
substantive, were of a pro-claimant
nature. The comments received and
subsequent changes made were not
controversial. For example, based on
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commenter suggestions, VA provided
additional clarity on the definitions of
‘‘claim,’’ ‘‘issue,’’ and ‘‘new evidence.’’
VA made changes to the evidentiary
standard used to overturn favorable
findings that provided greater protection
to claimants, made improvements to the
notice provided to claimants regarding
opportunities to opt into the new
system, and extended the amount of
time appellants have to modify their
Notice of Disagreement. Additionally,
parts 8 and 21 were updated in several
areas to more closely align with the
language of the Act.
As noted, the comments received, and
changes made in response, generally
only addressed marginal aspects of the
rule, and did not oppose the underlying
substance of the rule, which mainly
implemented mandatory requirements
imposed by Congress in the Act. This
demonstrates that a delay of the
effective date of the rule for an
additional period of congressional
review for an assessment of the burden
on the public would be unnecessary.
Accordingly, the Secretary finds there
is good cause to dispense with the
opportunity for prior Congressional
review and to publish this final rule
with an effective date on February 19,
2019.
Catalog of Federal Domestic Assistance
Numbers and Titles
The Catalog of Federal Domestic
Assistance program numbers and titles
for this rule are 64.100, Automobiles
and Adaptive Equipment for Certain
Disabled Veterans and Members of the
Armed Forces; 64.101, Burial Expenses
Allowance for Veterans; 64.102,
Compensation for Service-Connected
Deaths for Veterans’ Dependents;
64.103, Life Insurance for Veterans;
64.104, Pension for Non-ServiceConnected Disability for Veterans;
64.105, Pension to Veterans Surviving
Spouses, and Children; 64.106,
Specially Adapted Housing for Disabled
Veterans; 64.109, Veterans
Compensation for Service-Connected
Disability; 64.110, Veterans Dependency
and Indemnity Compensation for
Service-Connected Death; 64.114,
Veterans Housing—Guaranteed and
Insured Loans; 64.115, Veterans
Information and Assistance;
64.116,Vocational Rehabilitation for
Disabled Veterans; 64.117, Survivors
and Dependents Educational Assistance;
64.118, Veterans Housing—Direct Loans
for Certain Disabled Veterans; 64.119,
Veterans Housing—Manufactured Home
Loans; 64.120, Post-Vietnam Era
Veterans’ Educational Assistance;
64.124, All-Volunteer Force Educational
Assistance; 64.125, Vocational and
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Educational Counseling for
Servicemembers and Veterans; 64.126,
Native American Veteran Direct Loan
Program; 64.127, Monthly Allowance
for Children of Vietnam Veterans Born
with Spina Bifida; and 64.128,
Vocational Training and Rehabilitation
for Vietnam Veterans’ Children with
Spina Bifida or Other Covered Birth
Defects.
List of Subjects
38 CFR Part 3
Administrative practice and
procedure, Claims, Disability benefits,
Health care, Pensions, Radioactive
materials, Veterans.
38 CFR Part 8
For the reasons set forth in the
preamble, VA amends 38 CFR parts 3,
8, 14, 19, 20, and 21 as follows:
PART 3—ADJUDICATION
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. Amend § 3.1 by revising paragraph
(p) to read as follows:
Life insurance, Military personnel,
Veterans.
■
38 CFR Part 14
§ 3.1
Administrative practice and
procedure, Claims, Courts, Foreign
relations, Government employees,
Lawyers, Legal services, Organization
and functions (Government agencies),
Reporting and recordkeeping
requirements, Surety bonds, Trusts and
trustees, Veterans.
38 CFR Parts 19 and 20
Administrative practice and
procedure, Claims, Veterans.
38 CFR Part 21
Administrative practice and
procedure, Armed forces, Civil rights,
Claims, Colleges and universities,
Conflict of interests, Defense
Department, Education, Employment,
Grant programs—education, Grant
programs—veterans, Health care, Loan
programs—education, Loan programs—
veterans, Manpower training programs,
Reporting and recordkeeping
requirements, Schools, Travel and
transportation expenses, Veterans,
Vocational education, Vocational
rehabilitation.
Signing Authority
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Dated: December 21, 2018.
Consuela Benjamin,
Regulations Development Coordinator, Office
of Regulation Policy & Management, Office
of the Secretary, Department of Veterans
Affairs.
The Secretary of Veterans Affairs
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. Robert L. Wilkie,
Secretary, Department of Veterans
Affairs, approved this document on
November 29, 2018, for publication.
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Definitions.
*
*
*
*
*
(p) Claim means a written or
electronic communication requesting a
determination of entitlement or
evidencing a belief in entitlement, to a
specific benefit under the laws
administered by the Department of
Veterans Affairs submitted on an
application form prescribed by the
Secretary. (See scope of claim,
§ 3.155(d)(2); complete claim, § 3.160(a);
issues within a claim, § 3.151(c)).
(1) Initial claim. An initial claim is
any complete claim, other than a
supplemental claim, for a benefit on a
form prescribed by the Secretary. The
first initial claim for one or more
benefits received by VA is further
defined as an original claim. (See
original claim, § 3.160(b)). Initial claims
include:
(i) A new claim requesting service
connection for a disability or grant of a
new benefit, and
(ii) A claim for increase in a disability
evaluation rating or rate of a benefit
paid based on a change or worsening in
condition or circumstance since the last
decision issued by VA for the benefit.
(2) Supplemental claim. A
supplemental claim is any complete
claim for a VA benefit on an application
form prescribed by the Secretary where
an initial or supplemental claim for the
same or similar benefit on the same or
similar basis was previously decided.
(See supplemental claim; § 3.2501.)
*
*
*
*
*
§ 3.31
[Amended]
3. In § 3.31, remove the word
‘‘reopened’’ and add in its place the
word ‘‘supplemental’’.
■
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4. Amend § 3.103 by revising the
section heading and paragraphs (b)(1),
(c), (d), and (f) to read as follows:
■
§ 3.103
rights.
Procedural due process and other
*
*
*
*
*
(b) * * *
(1) General. Claimants and their
representatives are entitled to notice of
any decision made by VA affecting the
payment of benefits or the granting of
relief. Such notice will clearly set forth
the elements described under paragraph
(f) of this section, the right to a hearing
on any issue involved in the claim as
provided in paragraph (d) of this
section, the right of representation, and
the right, as well as the necessary
procedures and time limits to initiate a
higher-level review, supplemental
claim, or appeal to the Board of
Veterans’ Appeals.
*
*
*
*
*
(c) Submission of evidence—(1)
General rule. VA will include in the
record, any evidence whether
documentary, testimonial, or in other
form, submitted by the claimant in
support of a pending claim and any
issue, contention, or argument a
claimant may offer with respect to a
claim, except as prescribed in paragraph
(c)(2) of this section and § 3.2601(f).
(2) Treatment of evidence received
after notice of a decision. The
evidentiary record for a claim before the
agency of original jurisdiction closes
when VA issues notice of a decision on
the claim. The agency of original
jurisdiction will not consider, or take
any other action on evidence that is
submitted by a claimant, associated
with the claims file, or constructively
received by VA as described in
paragraph (c)(2)(iii) of this section, after
notice of decision on a claim, and such
evidence will not be considered part of
the record at the time of any decision by
the agency of original jurisdiction,
except as described in § 3.156(c) and
under the following circumstances:
(i) Receipt of a complete claim. The
agency of original jurisdiction
subsequently receives a complete
application for a supplemental claim or
initial claim; or
(ii) Board and higher-level review
returns. A claim is pending
readjudication after identification of a
duty to assist error (which includes an
error resulting from constructive receipt
of evidence prior to the notice of
decision), during a higher-level review
or appeal to the Board of Veterans’
Appeals. Those events reopen the
record and any evidence previously
submitted to the agency of original
jurisdiction or associated with the
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claims file while the record was closed
will become part of the evidentiary
record to be considered upon
readjudication.
(iii) Constructive receipt of VA
treatment records. Records within the
actual custody of the Veterans Health
Administration are deemed
constructively received by the Veterans
Benefits Administration at the time
when the Veterans Benefits
Administration had knowledge of the
existence of said records through
information furnished by the claimant
sufficient to locate those records (see 38
U.S.C. 5103A(c)).
(d) The right to a hearing. (1) Upon
request, a claimant is entitled to a
hearing on any issue involved in a claim
within the purview of part 3 of this
chapter before VA issues notice of a
decision on an initial or supplemental
claim. A hearing is not available in
connection with a request for higherlevel review under § 3.2601. VA will
provide the place of hearing in the VA
field office having original jurisdiction
over the claim, or at the VA office
nearest the claimant’s home having
adjudicative functions, or
videoconference capabilities, or, subject
to available resources and solely at the
option of VA, at any other VA facility
or federal building at which suitable
hearing facilities are available. VA will
provide one or more employees who
have original determinative authority of
such issues to conduct the hearing and
be responsible for establishment and
preservation of the hearing record. Upon
request, a claimant is entitled to a
hearing in connection with proposed
adverse actions before one or more VA
employees having original
determinative authority who did not
participate in the proposed action. All
expenses incurred by the claimant in
connection with the hearing are the
responsibility of the claimant.
(2) The purpose of a hearing is to
permit the claimant to introduce into
the record, in person, any available
evidence which he or she considers
relevant and any arguments or
contentions with respect to the facts and
applicable law which he or she may
consider pertinent. All testimony will
be under oath or affirmation. The
claimant is entitled to produce
witnesses, but the claimant and
witnesses must be present. The agency
of original jurisdiction will not normally
schedule a hearing for the sole purpose
of receiving argument from a
representative. It is the responsibility of
the VA employees conducting the
hearings to explain fully the issues and
suggest the submission of evidence
which the claimant may have
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overlooked and which would be of
advantage to the claimant’s position. To
assure clarity and completeness of the
hearing record, questions which are
directed to the claimant and to
witnesses are to be framed to explore
fully the basis for claimed entitlement
rather than with an intent to refute
evidence or to discredit testimony.
*
*
*
*
*
(f) Notification of decisions. The
claimant or beneficiary and his or her
representative will be notified in writing
of decisions affecting the payment of
benefits or granting of relief. Written
notification must include in the notice
letter or enclosures or a combination
thereof, all of the following elements:
(1) Identification of the issues
adjudicated;
(2) A summary of the evidence
considered;
(3) A summary of the laws and
regulations applicable to the claim;
(4) A listing of any findings made by
the adjudicator that are favorable to the
claimant under § 3.104(c);
(5) For denied claims, identification
of the element(s) required to grant the
claim(s) that were not met;
(6) If applicable, identification of the
criteria required to grant service
connection or the next higher-level of
compensation;
(7) An explanation of how to obtain
or access evidence used in making the
decision; and
(8) A summary of the applicable
review options under § 3.2500 available
for the claimant to seek further review
of the decision.
*
*
*
*
*
■ 5. Amend § 3.104 as follows:
■ a. Revise the section heading;
■ b. Revise paragraph (a);
■ c. Add a heading to paragraph (b); and
■ d. Add paragraph (c).
The revisions and additions read as
follows:
§ 3.104
Binding nature of decisions.
(a) Binding decisions. A decision of a
VA rating agency is binding on all VA
field offices as to conclusions based on
the evidence on file at the time VA
issues written notification in accordance
with 38 U.S.C. 5104. A binding agency
decision is not subject to revision except
by the Board of Veterans’ Appeals, by
Federal court order, or as provided in
§§ 3.105, 3.2500, and 3.2600.
(b) Binding administrative
determinations. * * *
(c) Favorable findings. Any finding
favorable to the claimant made by either
a VA adjudicator, as described in
§ 3.103(f)(4), or by the Board of
Veterans’ Appeals, as described in
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167
§ 20.801(a) of this chapter, is binding on
all subsequent agency of original
jurisdiction and Board of Veterans’
Appeals adjudicators, unless rebutted
by evidence that identifies a clear and
unmistakable error in the favorable
finding. For purposes of this section, a
finding means a conclusion either on a
question of fact or on an application of
law to facts made by an adjudicator
concerning the issue(s) under review.
■ 6. Amend § 3.105 by revising
paragraphs (a) and (b) and adding
paragraph (j) to read as follows:
§ 3.105
Revision of decisions.
*
*
*
*
*
(a)(1) Error in final decisions.
Decisions are final when the underlying
claim is finally adjudicated as provided
in § 3.160(d). Final decisions will be
accepted by VA as correct with respect
to the evidentiary record and the law
that existed at the time of the decision,
in the absence of clear and unmistakable
error. At any time after a decision is
final, the claimant may request, or VA
may initiate, review of the decision to
determine if there was a clear and
unmistakable error in the decision.
Where evidence establishes such error,
the prior decision will be reversed or
amended.
(i) Definition of clear and
unmistakable error. A clear and
unmistakable error is a very specific and
rare kind of error. It is the kind of error,
of fact or of law, that when called to the
attention of later reviewers compels the
conclusion, to which reasonable minds
could not differ, that the result would
have been manifestly different but for
the error. If it is not absolutely clear that
a different result would have ensued,
the error complained of cannot be clear
and unmistakable. Generally, either the
correct facts, as they were known at the
time, were not before VA, or the
statutory and regulatory provisions
extant at the time were incorrectly
applied.
(ii) Effective date of reversed or
revised decisions. For the purpose of
authorizing benefits, the rating or other
adjudicative decision which constitutes
a reversal or revision of a prior decision
on the grounds of clear and
unmistakable error has the same effect
as if the corrected decision had been
made on the date of the reversed
decision. Except as provided in
paragraphs (d) and (e) of this section,
where an award is reduced or
discontinued because of administrative
error or error in judgment, the
provisions of § 3.500(b)(2) will apply.
(iii) Record to be reviewed. Review for
clear and unmistakable error in a prior
final decision of an agency of original
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jurisdiction must be based on the
evidentiary record and the law that
existed when that decision was made.
The duty to assist in § 3.159 does not
apply to requests for revision based on
clear and unmistakable error.
(iv) Change in interpretation. Clear
and unmistakable error does not include
the otherwise correct application of a
statute or regulation where, subsequent
to the decision being challenged, there
has been a change in the interpretation
of the statute or regulation.
(v) Limitation on Applicability.
Decisions of an agency of original
jurisdiction on issues that have been
decided on appeal by the Board or a
court of competent jurisdiction are not
subject to revision under this
subsection.
(vi) Duty to assist not applicable. For
examples of situations that are not clear
and unmistakable error see 38 CFR
20.1403(d).
(vii) Filing Requirements—(A)
General. A request for revision of a
decision based on clear and
unmistakable error must be in writing,
and must be signed by the requesting
party or that party’s authorized
representative. The request must
include the name of the claimant; the
name of the requesting party if other
than the claimant; the applicable
Department of Veterans Affairs file
number; and the date of the decision to
which the request relates. If the
applicable decision involved more than
one issue, the request must identify the
specific issue, or issues, to which the
request pertains.
(B) Specific allegations required. The
request must set forth clearly and
specifically the alleged clear and
unmistakable error, or errors, of fact or
law in the prior decision, the legal or
factual basis for such allegations, and
why the result would have been
manifestly different but for the alleged
error. Non-specific allegations of failure
to follow regulations or failure to give
due process, or any other general, nonspecific allegations of error, are
insufficient to satisfy the requirement of
the previous sentence.
(2) Error in binding decisions prior to
final adjudication. Prior to the time that
a claim is finally adjudicated, previous
decisions which are binding will be
accepted as correct by the agency of
original jurisdiction, with respect to the
evidentiary record and law existing at
the time of the decision, unless the
decision is clearly erroneous, after
considering whether any favorable
findings may be reversed as provided in
§ 3.104(c).
(b) Difference of opinion. Whenever
an adjudicative agency is of the opinion
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that a revision or an amendment of a
previous decision is warranted on the
basis of the evidentiary record and law
that existed at the time of the decision,
a difference of opinion being involved
rather than a clear and unmistakable
error, the proposed revision will be
recommended to Central Office.
However, a decision may be revised
under § 3.2600 or § 3.2601 without
being recommended to Central Office.
*
*
*
*
*
(j) Supplemental claims and higherlevel review. VA may revise an earlier
decision denying benefits, if warranted,
upon resolution of a supplemental claim
under § 3.160(c) or higher-level review
under § 3.2601.
*
*
*
*
*
§ 3.110
[Amended]
7. In § 3.110, amend paragraph (b) by
removing ‘‘§§ 20.302 and 20.305’’ from
the last sentence and adding in its place
‘‘§§ 19.52, 20.203, and 20.110’’.
■
§ 3.114
[Amended]
8. In § 3.110, remove the word
‘‘reopened’’ and add in its place the
word ‘‘supplemental’’
■ 9. Amend § 3.151 by revising
paragraph (a) and adding paragraphs (c)
and (d) to read as follows:
■
§ 3.151
Claims for disability benefits.
(a) General. A specific claim in the
form prescribed by the Secretary must
be filed in order for benefits to be paid
to any individual under the laws
administered by VA. (38 U.S.C. 5101(a)).
A claim by a veteran for compensation
may be considered to be a claim for
pension; and a claim by a veteran for
pension may be considered to be a claim
for compensation. The greater benefit
will be awarded, unless the claimant
specifically elects the lesser benefit.
(See scope of claim, § 3.155(d)(2);
complete claim, § 3.160(a);
supplemental claims, § 3.2501(b)).
*
*
*
*
*
(c) Issues within a claim. (1) To the
extent that a complete claim application
encompasses a request for more than
one determination of entitlement, each
specific entitlement will be adjudicated
and is considered a separate issue for
purposes of the review options
prescribed in § 3.2500. A single decision
by an agency of original jurisdiction
may adjudicate multiple issues in this
respect, whether expressly claimed or
determined by VA to be reasonably
within the scope of the application as
prescribed in § 3.155(d)(2). VA will
issue a decision that addresses each
such identified issue within a claim.
Upon receipt of notice of a decision, a
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claimant may elect any of the applicable
review options prescribed in § 3.2500
for each issue adjudicated.
(2) With respect to service-connected
disability compensation, an issue for
purposes of paragraph (c)(1) of this
section is defined as entitlement to
compensation for a particular disability.
For example, if a decision adjudicates
service-connected disability
compensation for both a knee condition
and an ankle condition, compensation
for each condition is a separate
entitlement or issue for which a
different review option may be elected.
However, different review options may
not be selected for specific components
of the knee disability claim, such as
ancillary benefits, whether a knee injury
occurred in service, or whether a
current knee condition resulted from a
service-connected injury or condition.
(d) Evidentiary record. The
evidentiary record before the agency of
original jurisdiction for an initial or
supplemental claim includes all
evidence received by VA before VA
issues notice of a decision on the claim.
Once the agency of original jurisdiction
issues notice of a decision on a claim,
the evidentiary record closes as
described in § 3.103(c)(2) and VA no
longer has a duty to assist in gathering
evidence under § 3.159. (See § 3.155(b),
submission of evidence).
*
*
*
*
*
■ 10. Amend § 3.155 by revising the
second sentence of the introductory text
and paragraph (d)(1) to read as follows:
§ 3.155
How to file a claim.
* * * The provisions of this section
are applicable to all claims governed by
part 3, with the exception that
paragraph (b) of this section, regarding
intent to file a claim, does not apply to
supplemental claims.
*
*
*
*
*
(d) * * *
(1) Requirement for complete claim
and date of claim. A complete claim is
required for all types of claims, and will
generally be considered filed as of the
date it was received by VA for an
evaluation or award of benefits under
the laws administered by the
Department of Veterans Affairs.
(i) Supplemental claims. Upon receipt
of a communication indicating a belief
in entitlement to benefits that is
submitted in wiritng or electronically on
a supplemental claim form prescribed
by the Secretary that is not complete as
defined in § 3.160(a) of this section, the
Secretary shall notify the claimant and
the claimant’s representative, if any, of
the information necessary to complete
the application form prescribed by the
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Secretary. If VA receives a complete
claim within 60 days of notice by VA
that an incomplete claim was filed, it
will be considered filed as of the date
of receipt of the incomplete claim (see
§ 3.2501).
(ii) For other types of claims. If VA
receives a complete claim within 1 year
of the filing of an intent to file a claim
that meets the requirements of
paragraph (b) of this section, it will be
considered filed as of the date of receipt
of the intent to file a claim. Only one
complete claim for a benefit (e.g.,
compensation, pension) may be
associated with each intent to file a
claim for that benefit, though multiple
issues may be contained within a
complete claim. In the event multiple
complete claims for a benefit are filed
within 1 year of an intent to file a claim
for that benefit, only the first claim filed
will be associated with the intent to file
a claim. In the event that VA receives
both an intent to file a claim and an
incomplete application form before the
complete claim as defined in § 3.160(a)
is filed, the complete claim will be
considered filed as of the date of receipt
of whichever was filed first provided it
is perfected within the necessary
timeframe, but in no event, will the
complete claim be considered filed
more than one year prior to the date of
receipt of the complete claim.
*
*
*
*
*
■ 11. Amend § 3.156 as follows:
■ a. Revise the section heading;
■ b. Add introductory text;
■ c. Revise paragraph (a);
■ d. Revise the paragraph (b) heading;
and
■ e. Add paragraph (d);
The revisions and additions read as
follows:
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§ 3.156
New evidence.
(a) New and material evidence. For
claims to reopen decided prior to the
effective date provided in § 19.2(a), the
following standards apply. A claimant
may reopen a finally adjudicated legacy
claim by submitting new and material
evidence. New evidence means
evidence not previously considered by
agency adjudicators. Material evidence
means existing evidence that, by itself
or when considered with previous
evidence of record, relates to an
unestablished fact necessary to
substantiate the claim. New and
material evidence can be neither
cumulative nor redundant of the
evidence of record at the time of the last
prior final denial of the claim sought to
be reopened, and must raise a
reasonable possibility of substantiating
the claim.
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(Authority: 38 U.S.C. 501, 5103A(h), 5108)
(b) Pending legacy claims not under
the modernized review system. * * *
*
*
*
*
*
(d) New and relevant evidence. On or
after the effective date provided in
§ 19.2(a), a claimant may file a
supplemental claim as prescribed in
§ 3.2501. If new and relevant evidence,
as defined in § 3.2501(a)(1), is presented
or secured with respect to the
supplemental claim, the agency of
original jurisdiction will readjudicate
the claim taking into consideration all of
the evidence of record.
*
*
*
*
*
■ 12. Amend § 3.158 by revising the first
sentence of paragraph (a) to read as
follows:
§ 3.158
Abandoned claims.
(a) * * * Except as provided in
§ 3.652, where evidence requested in
connection with an initial claim or
supplemental claim or for the purpose
of determining continued entitlement is
not furnished within 1 year after the
date of request, the claim will be
considered abandoned. * * *
*
*
*
*
*
■ 13. Amend § 3.159 as follows:
■ a. Revise paragraph (a)(3);
■ b. Revise the first and last sentence of
paragraph (b)(1);
■ c. Revise paragraph (b)(3);
■ d. Add paragraph (b)(4);
■ e. Revise paragraph (c) introductory
text;
■ f. Revise paragraph (c)(4)(iii);
■ g. Add paragraph (c)(4)(iv); and
■ h. In paragraph (d) introductory text,
in the first sentence, remove the text
‘‘for a claim’’ and add in its place ‘‘for
an initial or supplemental claim’’.
The revisions and additions read as
follows:
§ 3.159 Department of Veterans Affairs
assistance in developing claims.
(a) * * *
(3) Substantially complete application
means an application containing:
(i) The claimant’s name;
(ii) His or her relationship to the
veteran, if applicable;
(iii) Sufficient service information for
VA to verify the claimed service, if
applicable;
(iv) The benefit sought and any
medical condition(s) on which it is
based;
(v) The claimant’s signature; and
(vi) In claims for nonserviceconnected disability or death pension
and parents’ dependency and indemnity
compensation, a statement of income;
(vii) In supplemental claims,
identification or inclusion of potentially
new evidence (see § 3.2501);
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169
(viii) For higher-level reviews,
identification of the date of the decision
for which review is sought.
*
*
*
*
*
(b) * * * (1) Except as provided in
paragraph (3) of this section, when VA
receives a complete or substantially
complete initial or supplemental claim,
VA will notify the claimant of any
information and medical or lay evidence
that is necessary to substantiate the
claim (hereafter in this paragraph
referred to as the ‘‘notice’’) * * * If VA
does so, however, and the claimant
subsequently provides the information
and evidence within one year of the
date of the notice in accordance with
the requirements of paragraph (b)(4) of
this section, VA must readjudicate the
claim.
*
*
*
*
*
(3) No duty to provide the notice
described in paragraph (b)(1) of this
section arises:
(i) Upon receipt of a supplemental
claim under § 3.2501 within one year of
the date VA issues notice of a prior
decision;
(ii) Upon receipt of a request for
higher-level review under § 3.2601;
(iii) Upon receipt of a Notice of
Disagreement under § 20.202 of this
chapter; or
(iv) When, as a matter of law,
entitlement to the benefit claimed
cannot be established.
(4) After VA has issued a notice of
decision, submission of information and
evidence substantiating a claim must be
accomplished through the proper filing
of a review option in accordance with
§ 3.2500 on a form prescribed by the
Secretary. New and relevant evidence
may be submitted in connection with
either the filing of a supplemental claim
under § 3.2501 or the filing of a Notice
of Disagreement with the Board under
38 CFR 20.202, on forms prescribed by
the Secretary, and election of a Board
docket that permits the filing of new
evidence (see 38 CFR 20.302 and
20.303).
(c) VA’s duty to assist claimants in
obtaining evidence. VA has a duty to
assist claimants in obtaining evidence to
substantiate all substantially complete
initial and supplemental claims, and
when a claim is returned for
readjudication by a higher-level
adjudicator or the Board after
identification of a duty to assist error on
the part of the agency of original
jurisdiction, until the time VA issues
notice of a decision on a claim or
returned claim. VA will make
reasonable efforts to help a claimant
obtain evidence necessary to
substantiate the claim. VA will not pay
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any fees charged by a custodian to
provide records requested. When a
claim is returned for readjudication by
a higher-level adjudicator or the Board
after identification of a duty to assist
error, the agency of original jurisdiction
has a duty to correct any other duty to
assist errors not identified by the higherlevel adjudicator or the Board.
*
*
*
*
*
(4) * * *
(iii) For requests to reopen a finally
adjudicated claim received prior to the
effective date provided in § 19.2(a) of
this chapter, this paragraph (c)(4)
applies only if new and material
evidence is presented or secured as
prescribed in § 3.156.
(iv) This paragraph (c)(4) applies to a
supplemental claim only if new and
relevant evidence under § 3.2501 is
presented or secured.
*
*
*
*
*
■ 14. Amend § 3.160 by revising
paragraphs (a), (d), and (e) and removing
paragraph (f).
The revisions read as follows:
khammond on DSK30JT082PROD with RULES2
§ 3.160
Status of claims.
(a) Complete claim. A submission of
an application form prescribed by the
Secretary, whether paper or electronic,
that meets the following requirements:
(1) A complete claim must provide
the name of the claimant; the
relationship to the veteran, if applicable;
and sufficient information for VA to
verify the claimed service, if applicable.
(2) A complete claim must be signed
by the claimant or a person legally
authorized to sign for the claimant.
(3) A complete claim must identify
the benefit sought.
(4) A description of any symptom(s)
or medical condition(s) on which the
benefit is based must be provided to the
extent the form prescribed by the
Secretary so requires.
(5) For nonservice-connected
disability or death pension and parents’
dependency and indemnity
compensation claims, a statement of
income must be provided to the extent
the form prescribed by the Secretary so
requires; and
(6) For supplemental claims,
potentially new evidence must be
identified or included.
*
*
*
*
*
(d) Finally adjudicated claim. A claim
that is adjudicated by the Department of
Veterans Affairs as either allowed or
disallowed is considered finally
adjudicated when:
(1) For legacy claims not subject to the
modernized review system, whichever
of the following occurs first:
(i) The expiration of the period in
which to file a Notice of Disagreement,
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pursuant to the provisions of § 19.52(a)
or § 20.502(a) of this chapter, as
applicable; or
(ii) Disposition on appellate review.
(2) For claims under the modernized
review system, the expiration of the
period in which to file a review option
available under § 3.2500 or disposition
on judicial review where no such
review option is available.
(e) Reopened claims prior to effective
date of modernized review system. An
application for a benefit received prior
to the effective date provided in
§ 19.2(a) of this chapter, after final
disallowance of an earlier claim that is
subject to readjudication on the merits
based on receipt of new and material
evidence related to the finally
adjudicated claim, or any claim based
on additional evidence or a request for
a personal hearing submitted more than
90 days following notification to the
appellant of the certification of an
appeal and transfer of applicable
records to the Board of Veterans’
Appeals which was not considered by
the Board in its decision and was
referred to the agency of original
jurisdiction for consideration as
provided in § 20.1304(b)(1) of this
chapter. As of the effective date
provided in § 19.2(a) of this chapter,
claimants may no longer file to reopen
a claim, but may file a supplemental
claim as prescribed in § 3.2501 to apply
for a previously disallowed benefit. A
request to reopen a finally decided
claim that has not been adjudicated as
of the effective date will be processed as
a supplemental claim subject to the
modernized review system.
(Authority: 38 U.S.C. 501, 5108)
§ 3.161
■
[Removed and Reserved]
15. Remove and reserve § 3.161.
§ 3.321
[Amended]
16. In § 3.321, remove the word
‘‘reopened’’ and add in its place the
word ‘‘supplemental’’.
■
§ 3.326
[Amended]
17. In § 3.326, remove the word
‘‘reopened’’ and add in its place the
word ‘‘supplemental’’
■ 18. Amend § 3.328 in paragraph (b), in
the first sentence, by removing the text
‘‘at the regional office level’’ and add in
its place ‘‘before VA’’ and by revising
paragraph (c).
The revision reads as follows:
■
§ 3.328
lndependent medical opinions.
*
*
*
*
*
(c) Approval. (1) Requests for
independent medical opinions shall be
approved when one of the following
conditions is met:
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(i) The director of each Service from
which a benefit is sought, or his or her
designee, determines that the issue
under consideration poses a medical
problem of such complexity or
controversy as to justify solicitation of
an independent medical opinion; or
(ii) The independent medical opinion
is required to fulfill the instructions
contained in a remand order from the
Board of Veterans’ Appeals.
(2) A determination that an
independent medical opinion is not
warranted may be contested only as part
of an appeal to the Board of Veterans’
Appeals on the merits of the decision
rendered on the primary issue by VA.
(Authority: 38 U.S.C. 5109, 5701(b)(1);
5 U.S.C. 552a(f)(3))
*
*
§ 3.372
*
*
*
[Amended]
19. In § 3.372, remove the word
‘‘reopened’’ and add in its place the
word ‘‘supplemental’’.
■ 20. Amend § 3.400 by revising the
introductory text and paragraphs (h)(1)
through (3) and (z)(2) and adding
paragraph (z)(3) to read as follows:
■
§ 3.400
General.
Except as otherwise provided, the
effective date of an evaluation and
award of pension, compensation, or
dependency and indemnity
compensation based on an initial claim
or supplemental claim will be the date
of receipt of the claim or the date
entitlement arose, whichever is later.
For effective date provisions regarding
revision of a decision based on a
supplemental claim or higher-level
review, see § 3.2500.
*
*
*
*
*
(h) Difference of opinion (§ 3.105). (1)
As to decisions not finally adjudicated
(see § 3.160(d)) prior to timely receipt of
an application for higher-level review,
or prior to readjudication on VA
initiative, the date from which benefits
would have been payable if the former
decision had been favorable.
(2) As to decisions which have been
finally adjudicated (see § 3.160(d)), and
notwithstanding other provisions of this
section, the date entitlement arose, but
not earlier than the date of receipt of the
supplemental claim.
(3) As to decisions which have been
finally adjudicated (see 3.160(d)) and
readjudication is undertaken solely on
VA initiative, the date of Central Office
approval authorizing a favorable
decision or the date of the favorable
Board of Veterans’ Appeals decision.
*
*
*
*
*
(z) * * *
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(2) Reopened claims received prior to
the effective date provided in § 19.2(a)
of this chapter: Latest of the following
dates:
(i) November 23, 1977.
(ii) Date entitlement arose.
(iii) One year prior to date of receipt
of reopened claim.
(3) Supplemental claims received
more than one year after notice of
decision: Latest of the following dates:
(i) Date entitlement arose.
(ii) One year prior to date of receipt
of a supplemental claim.
*
*
*
*
*
§ 3.401
[Amended]
21. In § 3.401, remove the word
‘‘reopened’’ and add in its place the
word ‘‘supplemental’’.
■
§ 3.402
[Amended]
22. In § 3.402, remove the word
‘‘reopened’’ and add in its place the
word ‘‘supplemental’’.
■
§ 3.404
[Amended]
23a. In § 3.404, remove the word
‘‘reopened’’ and add in its place the
word ‘‘supplemental’’.
■
§ 3.655
[Amended]
23b. In § 3.655, remove the word
‘‘reopened’’ and add in its place the
word ‘‘supplemental’’.
■
§ 3.814
[Amended]
24. Amend § 3.814 in paragraph (e)
introductory text by removing the words
‘‘original claim, a claim reopened after
final disallowance, or a claim for
increase’’ and adding in their place the
words ‘‘initial claim or supplemental
claim’’.
■
§ 3.815
[Amended]
25. Amend § 3.815 in paragraph (i)
introductory text by removing the words
‘‘original claim, a claim reopened after
final disallowance, or a claim for
increase,’’ and adding in their place the
words ‘‘initial claim or supplemental
claim’’.
■
Subpart D—Universal Adjudication
Rules That Apply to Benefit Claims
Governed by Part 3 of This Title
26. The authority citation for part 3,
subpart D continues to read as follows:
khammond on DSK30JT082PROD with RULES2
■
Authority: 38 U.S.C. 501(a), unless
otherwise noted.
■
27. Add § 3.2400 to read as follows:
§ 3.2400 Applicability of modernized
review system.
(a) Applicability. The modernized
review system defined in 38 CFR 19.2(b)
applies to all claims, requests for
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reopening of finally adjudicated claims,
and requests for revision based on clear
and unmistakable error:
(1) For which VA issues notice of an
initial decision on or after the effective
date of the modernized review system as
provided in 38 CFR 19.2(a); or
(2) Where a claimant has elected
review of a legacy claim under the
modernized review system as provided
in paragraph (c) of this section.
(b) Legacy claims. A legacy claim is a
claim, or request for reopening or
revision of a finally adjudicated claim,
for which VA provided notice of a
decision prior to the effective date of the
modernized review system and the
claimant has not elected to participate
in the modernized review system as
provided in paragraph (c) of this
section.
(c) Election into the modernized
review system. For claims governed by
this part, pursuant to election by a
claimant, the modernized review system
applies where:
(1) Rapid appeals modernization
program election. A claimant with a
legacy appeal elects to opt-in to the
modernized review system on or after
November 1, 2017, as part of a program
authorized by the Secretary pursuant to
section 4 of Public Law 115–55; or
(2) Election after receiving a statement
of the case. A claimant with a legacy
appeal elects to opt-in to the
modernized review system, following
issuance, on or after the effective date of
the modernized system, of a VA
Statement of the Case or Supplemental
Statement of the Case, by filing for a
review option under the new system in
accordance with § 3.2500 on a form
prescribed by the Secretary within the
time allowed for filing a substantive
appeal under 38 CFR 19.52(b) and other
applicable provisions in part 19 of this
chapter.
(d) Effect of election. Once an eligible
claimant elects the modernized review
system with respect to a particular
claim, the provisions of 38 CFR parts 3,
19, and 20 applicable to legacy claims
and appeals no longer apply to that
claim.
■ 28. Add § 3.2500 to read as follows:
§ 3.2500
Review of decisions.
(a) Reviews available. (1) Within one
year from the date on which the agency
of original jurisdiction issues a notice of
a decision on a claim or issue as defined
in § 3.151(c), except as otherwise
provided in paragraphs (c), (e), and (f)
of this section, a claimant may elect one
of the following administrative review
options by timely filing the appropriate
form prescribed by the Secretary:
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171
(i) A request for higher-level review
under § 3.2601 or
(ii) An appeal to the Board under
§ 20.202 of this chapter.
(2) At any time after VA issues notice
of a decision on an issue within a claim,
a claimant may file a supplemental
claim under § 3.2501.
(b) Concurrent election prohibited.
With regard to the adjudication of a
claim or an issue as defined in
§ 3.151(c), a claimant who has filed for
review under one of the options
available under paragraph (a) of this
section may not, while that review is
pending final adjudication, file for
review under a different available
option While the adjudication of a
specific benefit is pending on appeal
before a federal court, a claimant may
not file for administrative review of the
claim under any of options listed in
paragraph (a) of this section.
(c) Continuously pursued issues. A
claimant may continuously pursue a
claim or an issue by timely and properly
filing one of the following
administrative review options, as
specified (except as otherwise provided
in paragraphs (c), (e), and (f) of this
section), after any decision by the
agency of original jurisdiction, Board of
Veterans’ Appeals, or entry of judgment
by the U.S. Court of Appeals for
Veterans Claims, provided that any
appeal to the U.S. Court of Appeals for
Veterans Claims is timely filed as
determined by the court:
(1) Following notice of a decision on
an initial claim or a supplemental claim,
the claimant may file a supplemental
claim, request a higher-level review, or
appeal to the Board of Veterans’
Appeals.
(2) Following notice of a decision on
a higher-level review, the claimant may
file a supplemental claim or appeal to
the Board of Veterans’ Appeals. (See
appeal to the Board, 38 CFR 20.202).
(3) Following notice of a decision on
an appeal to the Board of Veterans’
Appeals, the claimant may file a
supplemental claim or file a notice of
appeal to the Court of Appeals for
Veterans Claims.
(4) Following a decision on an appeal
to the Court of Appeals for Veterans
Claims, the claimant may file a
supplemental claim.
(d) Voluntary withdrawal. A claimant
may withdraw a supplemental claim or
a request for a higher-level review at any
time before VA renders a decision on
the issue. A claimant must submit in
writing or through electronic
submission in a manner prescribed by
the Secretary any notice of withdrawal
of an issue under the selected review
option to the agency of original
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jurisdiction. The withdrawal will be
effective the date VA receives it. A
claimant may withdraw an appeal to the
Board of Veteran’s Appeals as
prescribed in § 20.205.
(e) Changing review options while a
review is pending adjudication—(1)
Within one year of prior decision notice.
A claimant may change the review
option selected by withdrawing the
request as prescribed in § 3.2500(d) and
filing the appropriate application for the
requested review option within one year
from the date on which VA issued
notice of a decision on an issue.
(2) More than one year after notice of
a decision. A claimant may change the
review option selected to a
supplemental claim after expiration of
one-year following the date on which
VA issued a notice of decision on an
issue by following the procedure
specified in paragraph (e)(1) of this
section. Where VA receives the
supplemental claim application after
expiration of the one-year period,
continuous pursuit of the claim will be
broken and VA will apply the effective
date provisions under paragraph (h)(2)
of this section, unless VA grants an
extension of the one-year period for
good cause shown under § 3.109(b) and
the supplemental claim application is
received within the extension period
allowed.
(f) Applicability. This section applies
to claims and requests under the
modernized review system as set forth
in § 3.2400, with the exception that a
supplemental claim may not be filed in
connection with a denial of a request to
revise a final decision of the agency of
original jurisdiction based on clear and
unmistakable error.
(g) Review of simultaneously
contested claims. Notwithstanding other
provisions of this part, a party to a
simultaneously contested claim may
only seek administrative review of a
decision by the agency of original
jurisdiction on such claim by filing an
appeal to the Board as prescribed in
§ 20.402 of this chapter within 60 days
of the date VA issues notice of the
decision on the claim. (See contested
claims, 38 CFR 20.402).
(h) Effective dates—(1) Continuously
pursued claims. Except as otherwise
provided by other provisions of this
part, including § 3.400, the effective
date will be fixed in accordance with
the date of receipt of the initial claim or
date entitlement arose, whichever is
later, if a claimant continuously pursues
an issue by timely filing in succession
any of the available review options as
specified in paragraph (c) of this section
within one year of the issuance of the
decision (or the time period specified in
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paragraph (f) of this section, as
applicable to simultaneously contested
claims), provided that any appeal to the
U.S. Court of Appeals for Veterans
Claims must be accepted as timely by
that court.
(2) Supplemental claims received
more than one year after notice of
decision. Except as otherwise provided
in this section, for supplemental claims
received more than one year after the
date on which the agency of original
jurisdiction issues notice of a decision
or the Board of Veterans’ Appeals issued
notice of a decision, the effective date
will be fixed in accordance with the
date entitlement arose, but will not be
earlier than the date of receipt of the
supplemental claim.
■ 29. Add § 3.2501 to read as follows:
§ 3.2501
Supplemental claims.
Except as otherwise provided, a
claimant or his or her authorized
representative, if any, who disagrees
with a prior VA decision may file a
supplemental claim (see § 3.1(p)(2)) by
submitting in writing or electronically a
complete application (see § 3.160(a)) on
a form prescribed by the Secretary any
time after the agency of original
jurisdiction issues notice of a decision,
regardless of whether the claim is
pending (see § 3.160(c)) or has become
finally adjudicated (see § 3.160(d)). If
new and relevant evidence is presented
or secured with respect to the
supplemental claim, the agency of
original jurisdiction will readjudicate
the claim taking into consideration all of
the evidence of record. If new and
relevant evidence is not presented or
secured, the agency of original
jurisdiction will issue a decision finding
that there was insufficient evidence to
readjudicate the claim. In determining
whether new and relevant evidence is
presented or secured, VA will consider
any VA treatment records reasonably
identified by the claimant and any
evidence received by VA after VA
issued notice of a decision on the claim
and while the evidentiary record was
closed (see 3.103(c)).
(a) New and relevant evidence. The
new and relevant standard will not
impose a higher evidentiary threshold
than the previous new and material
evidence standard under § 3.156(a).
(1) Definition. New evidence is
evidence not previously part of the
actual record before agency
adjudicators. Relevant evidence is
information that tends to prove or
disprove a matter at issue in a claim.
Relevant evidence includes evidence
that raises a theory of entitlement that
was not previously addressed.
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(2) Receipt prior to notice of a
decision. New and relevant evidence
received before VA issues its decision
on a supplemental claim will be
considered as having been filed in
connection with the claim.
(b) Evidentiary record. The
evidentiary record for a supplemental
claim includes all evidence received by
VA before VA issues notice of a decision
on the supplemental claim. For VA to
readjudicate the claim, the evidentiary
record must include new and relevant
evidence that was not of record as of the
date of notice of the prior decision.
(c) Duty to assist. Upon receipt of a
substantially complete supplemental
claim, VA’s duty to assist in the
gathering of evidence under § 3.159 of
this part is triggered and includes any
such assistance that may help secure
new and relevant evidence as defined in
paragraph (a) of this section to complete
the supplemental claim application.
(d) Date of filing. The filing date of a
supplemental claim is determined
according to § 3.155, with the exception
of the intent to file rule found in
§ 3.155(b) which applies to initial
claims.
(Authority: 38 U.S.C. 501, 5103A(h), 5108)
■
30. Add § 3.2502 to read as follows:
§ 3.2502 Return by higher-level adjudicator
or remand by the Board of Veterans’
Appeals.
Upon receipt of a returned claim from
a higher-level adjudicator or remand by
the Board of Veterans’ Appeals, the
agency of original jurisdiction will
expeditiously readjudicate the claim in
accordance with 38 U.S.C. 5109B. The
agency of original jurisdiction retains
jurisdiction of the claim. In
readjudicating the claim, the agency of
original jurisidction will correct all
identified duty to assist errors, complete
a new decision and issue notice to the
claimant and or his or her legal
representative in accordance with
3.103(f). The effective date of any
evaluation and award of pension,
compensation or dependency and
indemnity compensation will be
determined in accordance with the date
of receipt of the initial claim as
prescribed under § 3.2500(g).
■ 31. Amend § 3.2600 by revising the
section heading, adding introductory
text, and removing paragraph (g).
The revisions and additions read as
follows:
§ 3.2600 Legacy review of benefit claims
decisions.
This section applies only to legacy
claims as defined in § 3.2400 in which
a Notice of Disagreement is timely filed
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on or after June 1, 2001, under
regulations applicable at the time of
filing.
*
*
*
*
*
■ 32. Add § 3.2601 to read as follows:
khammond on DSK30JT082PROD with RULES2
§ 3.2601
Higher-level review.
(a) Applicability. This section applies
to all claims under the modernized
review system, with the exception of
simultaneously contested claims.
(b) Requirements for election. A
claimant who is dissatisfied with a
decision by the agency of original
jurisdiction may file a request for
higher-level review in accordance with
§ 3.2500, by submitting a complete
request for review on a form prescribed
by the Secretary.
(c) Complete request. A complete
request for higher-level review is a
submission of a request on a form
prescribed by the Secretary, whether
paper or electronic, that meets the
following requirements:
(1) A complete request must provide
the name of the claimant and the
relationship to the veteran, if applicable;
(2) A complete request must be signed
by the claimant or a person legally
authorized to sign for the claimant; and
(3) A complete request must specify
the date of the underlying decision for
which review is requested and specify
the issues for which review is requested.
(d) Filing period. A complete request
for higher-level review must be received
by VA within one year of the date of
VA’s issuance of the notice of the
decision. If VA receives an incomplete
request form, VA will notify the
claimant and the claimant’s
representative, if any, of the information
necessary to complete the request form
prescribed by the Secretary. If a
complete request is submitted within 60
days of the date of the VA notification
of such incomplete request or prior to
the expiration of the one-year filing
period, VA will consider it filed as of
the date VA received the incomplete
application form that did not meet the
standards of a complete request.
(e) Who may conduct a higher-level
review. Higher-level review will be
conducted by an experienced
adjudicator who did not participate in
the prior decision. Selection of a higherlevel adjudicator to conduct a higherlevel review is at VA’s discretion. As a
general rule, an adjudicator in an office
other than the office that rendered the
prior decision will conduct the higherlevel review. An exception to this rule
applies for claims requiring specialized
processing, such as where there is only
one office that handles adjudication of
a particular type of entitlement. A
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claimant may request that the office that
rendered the prior decision conduct the
higher-level review, and VA will grant
the request in the absence of good cause
to deny such as when processing is
centralized at one office within the
agency of original jurisdiction or when
the office that rendered the prior
decision does not have higher-level
review personnel available to conduct
the review.
(f) Evidentiary record. The evidentiary
record in a higher-level review is
limited to the evidence of record as of
the date the agency of original
jurisdiction issued notice of the prior
decision under review and the higherlevel adjudicator may not consider
additional evidence. The higher-level
adjudicator may not order development
of additional evidence that may be
relevant to the claim under review,
except as provided in paragraph (g) of
this section.
(g) Duty to assist errors. The higherlevel adjudicator will ensure that VA
complied with its statutory duty to
assist (see § 3.159) in gathering evidence
applicable prior to issuance of the
decision being reviewed. If the higherlevel adjudicator both identifies a duty
to assist error that existed at the time of
VA’s decision on the claim under
review and cannot grant the maximum
benefit for the claim, the higher-level
adjudicator must return the claim for
correction of the error and
readjudication. Upon receipt, the agency
of jurisdiction will expeditiously
readjudicate the claim in accordance
with 38 U.S.C. 5109B.
(1) For disability evaluations, the
maximum benefit means the highest
schedular evaluation allowed by law
and regulation for the issue under
review.
(2) For ancillary benefits, the
maximum benefit means the granting of
the benefit sought.
(3) For pension benefits or
dependents indemnity compensation,
the maximum benefit means granting
the highest benefit payable.
(h) Informal conferences. A claimant
or his or her representative may include
a request for an informal conference
with a request for higher-level review.
For purposes of this section, informal
conference means contact with a
claimant’s representative or, if not
represented, with the claimant,
telephonically, or as otherwise
determined by VA, for the sole purpose
of allowing the claimant or
representative to identify any errors of
law or fact in a prior decision based on
the record at the time the decision was
issued. If requested, VA will make
reasonable efforts to contact the
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173
claimant and/or the authorized
representative to conduct one informal
conference during a higher-level review,
but if such reasonable efforts are not
successful, a decision may be issued in
the absence of an informal conference.
The higher-level adjudicator with
determinative authority over the issue
will conduct the informal conference,
absent exceptional circumstances. VA
will not receive any new evidence or
introduction of facts not present at the
time of the prior decision or apart of the
evidentiary record in support of the
higher-level review during the informal
conference in accordance with
paragraph (d) of this section. Any
expenses incurred by the claimant in
connection with the informal
conference are the responsibility of the
claimant.
(i) De novo review. The higher-level
adjudicator will consider only those
decisions and claims for which the
claimant has requested higher-level
review, and will conduct a de novo
review giving no deference to the prior
decision, except as provided in
§ 3.104(c).
(j) Difference of opinion. The higherlevel adjudicator may grant a benefit
sought in the claim under review based
on a difference of opinion (see
§ 3.105(b)). However, any finding
favorable to the claimant is binding
except as provided in § 3.104(c) of this
part. In addition, the higher-level
adjudicator will not revise the outcome
in a manner that is less advantageous to
the claimant based solely on a
difference of opinion. The higher-level
adjudicator may reverse or revise (even
if disadvantageous to the claimant) prior
decisions by VA (including the decision
being reviewed or any prior decision) on
the grounds of clear and unmistakable
error under § 3.105(a)(1) or (a)(2), as
applicable, depending on whether the
prior decision is finally adjudicated.
(k) Notice requirements. Notice of a
decision made under this section will
include all of the elements described in
§ 3.103(f), a general statement indicating
whether evidence submitted while the
record was closed was not considered,
and notice of the options available to
have such evidence considered.
(Authority: 38 U.S.C. 5109A and 7105(d))
PART 8—NATIONAL SERVICE LIFE
INSURANCE
33. The authority citation for part 8
continues to read as follows:
■
Authority: 38 U.S.C. 501, 1901–1929,
1981–1988, unless otherwise noted.
■
34. Revise § 8.30 to read as follows:
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§ 8.30 Review of Decisions and Appeal to
Board of Veterans’ Appeals.
(a) Decisions. This section pertains to
insurance decisions involving questions
arising under parts 6, 7, 8, and 8a of this
chapter, to include the denial of
applications for insurance, total
disability income provision, or
reinstatement; disallowance of claims
for insurance benefits; and decisions
holding fraud or imposing forfeiture.
The applicant or claimant and his or her
representative, if any, will be notified in
writing of such a decision, which must
include, in the notice letter or
enclosures or a combination thereof, all
of the following elements:
(1) Identification of the issues
adjudicated.
(2) A summary of the evidence
considered.
(3) A summary of the applicable laws
and regulations relevant to the decision.
(4) Identification of findings that are
favorable to the claimant.
(5) For denials, identification of the
element(s) not satisfied that led to the
denial.
(6) An explanation of how to obtain
or access the evidence used in making
the decision.
(7) A summary of the applicable
review options available for the
claimant to seek further review of the
decision.
(b) Favorable findings. Any finding
favorable to the claimant or applicant is
binding on all subsequent agency of
original jurisdiction and Board of
Veterans’ Appeals adjudicators, unless
rebutted by evidence that identifies a
clear and unmistakable error in the
favorable finding.
(c) Review of decisions. Within one
year from the date on which the agency
of original jurisdiction issues notice of
an insurance decision as outlined in
paragraph (a) of this section, applicants
or claimants may elect one of the
following administrative review options
by timely filing the appropriate form
prescribed by the Secretary:
(1) Supplemental claim review. The
nature of this review will accord with
§ 3.2501 of this title to the extent the
terms used therein apply to insurance
matters.
(2) Request for a higher-level review.
The nature of this review will accord
with § 3.2601 of this title to the extent
the terms used therein apply to
insurance matters. Higher-level reviews
will be conducted by an experienced
adjudicator who did not participate in
the prior decision. Selection of a higherlevel adjudicator to conduct a higherlevel review is at VA’s discretion.
(3) Appeal to Board of Veterans’
Appeals. See 38 CFR part 20.
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(d) Part 3 provisions. See § 3.2500(b)
through (d) of this chapter for principles
that generally apply to a veteran’s
election of review of an insurance
decision.
(e) Applicability. This section applies
where notice of an insurance decision
was provided to an applicant or
claimant on or after the effective date of
the modernized review system as
provided in § 19.2(a) of this chapter, or
where an applicant or claimant has
elected review of a legacy claim under
the modernized review system as
provided in § 3.2400(c) of this title.
(f) Unpaid premiums. When a
claimant or applicant elects a review
option under paragraph (c) of this
section, any unpaid premiums,
normally due under the policy from
effective date of issue or reinstatement
(as appropriate), will become an
interest-bearing lien, enforceable as a
legal debt due the United States and
subject to all available collection
procedures in the event of a favorable
result for the claimant or applicant.
(g) Premium payments. Despite a
claimant’s or applicant’s election of a
review option under paragraph (c) of
this section, where the agency of
original jurisdiction’s decision involved
a change in or addition to insurance
currently in force, premium payments
must be continued on the existing
contract.
(h) Section 1984. Nothing in this
section shall limit an applicant’s or
claimant’s right to pursue actions under
38 U.S.C. 1984.
(Authority: 38 U.S.C. 501, 1901–1929, 1981–
1988)
PART 14—LEGAL SERVICES,
GENERAL COUNSEL, AND
MISCELLANEOUS CLAIMS
35. 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.
36. Amend § 14.629:
a. By removing the introductory text;
b. In paragraph (b)(5), by removing the
words ‘‘General Counsel or his or her
designee’’ and adding in their place the
words ‘‘Chief Counsel with subjectmatter jurisdiction’’; and
■ c. Adding paragraph (d).
The additions reads as follows:
■
■
■
§ 14.629 Requirements for accreditation of
service organization representatives;
agents; and attorneys.
*
*
*
*
*
(d) Decisions on applications for
accreditation. The Chief Counsel with
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subject-matter jurisdiction will conduct
an inquiry and make an initial
determination regarding any question
relating to the qualifications of a
prospective service organization
representative, agent, or attorney.
(1) If the Chief Counsel determines
that the prospective service organization
representative, agent, or attorney meets
the requirements for accreditation in
paragraph (a) or (b) of this section,
notification of accreditation will be
issued by the Chief Counsel and will
constitute authority to prepare, present,
and prosecute claims before an agency
of original jurisdiction or the Board of
Veterans’ Appeals.
(2)(i) If the Chief Counsel determines
that the prospective representative,
agent, or attorney does not meet the
requirements for accreditation,
notification will be issued by the Chief
Counsel concerning the reasons for
disapproval, an opportunity to submit
additional information, and any
restrictions on further application for
accreditation. If an applicant submits
additional evidence, the Chief Counsel
will consider such evidence and
provide further notice concerning his or
her final decision.
(ii) The determination of the Chief
Counsel regarding the qualifications of a
prospective service organization
representative, agent, or attorney is a
final adjudicative determination of an
agency of original jurisdiction that may
only be appealed to the Board of
Veterans’ Appeals.
*
*
*
*
*
■ 37. In § 14.631, in paragraph (c),
revise the second sentence to read as
follows:
§ 14.631 Powers of attorney; disclosure of
claimant information.
*
*
*
*
*
(c) * * * This section is applicable
unless 38 CFR 20.6 governs withdrawal
from the representation. * * *
*
*
*
*
*
§ 14.632
[Amended]
38. In § 14.632, in paragraph (c)(6),
remove the words ‘‘representation
provided before an agency of original
jurisdiction has issued a decision on a
claim or claims and a Notice of
Disagreement has been filed with
respect to that decision’’ and add in
their place the words ‘‘services for
which a fee could not lawfully be
charged’’.
■ 39. Amend § 14.633:
■ a. In paragraph (e)(2)(i), by adding the
words ‘‘before the Office of the General
Counsel’’ after the words ‘‘close the
record’’ in the last sentence;
■
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b. In paragraph (e)(2)(ii), by adding the
words ‘‘before the Office of the General
Counsel’’ after the words ‘‘close the
record’’;
■ c. By revising paragraph (h);
■ d. In paragraph (i), by adding the
words ‘‘suspended or’’ before the word
‘‘cancelled’’; and
■ e. By adding paragraph (j).
The revision and addition read as
follows:
■
§ 14.633 Termination of accreditation or
authority to provide representation under
§ 14.630.
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*
*
*
*
*
(h) The decision of the General
Counsel is a final adjudicative
determination of an agency of original
jurisdiction that may only be appealed
to the Board of Veterans’ Appeals.
(1) Decisions issued before the
effective date of the modernized review
system. Notwithstanding provisions in
this section for closing the record before
the Office of the General Counsel at the
end of the 30-day period for filing an
answer or 10 days after a hearing,
appeals of decisions issued before the
effective date of the modernized review
system as provided in § 19.2(a) of this
chapter shall be initiated and processed
using the procedures in 38 CFR parts 19
and 20 applicable to legacy appeals.
Nothing in this section shall be
construed to limit the Board’s authority
to remand a matter to which this
paragraph (h)(1) applies to the General
Counsel under 38 CFR 20.904 for any
action that is essential for a proper
appellate decision or the General
Counsel’s ability to issue a
Supplemental Statement of the Case
under 38 CFR 19.31.
(2) Decisions issued on or after the
effective date of the modernized review
system. Notwithstanding provisions in
this section for closing the record before
the Office of the General Counsel at the
end of the 30-day period for filing an
answer or 10 days after a hearing,
appeals of decisions issued on or after
the effective date of the modernized
review system as provided in § 19.2(a)
of this chapter shall be initiated and
processed using the procedures in 38
CFR part 20 applicable to appeals under
the modernized system.
*
*
*
*
*
(j) The effective date for suspension or
cancellation of accreditation or
authority to provide representation on a
particular claim shall be the date upon
which the General Counsel’s final
decision is rendered.
*
*
*
*
*
■ 40. Amend § 14.636:
■ a. Revising paragraph (c);
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b. In paragraph (e)(7), by removing
‘‘and’’;
■ c. By revising paragraph (e)(8);
■ d. By adding paragraph (e)(9);
■ e. By revising paragraph (f);
■ f. By removing the references to
‘‘reopened’’ in paragraph (h)(3)
introductory text and in the first
sentence in paragraph (h)(3)(i) and
adding in their place the word
‘‘readjudicated’’; and
■ g. By revising paragraphs (i)(3) and
(k).
The revisions and addition read as
follows:
■
§ 14.636 Payment of fees for
representation by agents and attorneys in
proceedings before Agencies of Original
Jurisdiction and before the Board of
Veterans’ Appeals.
*
*
*
*
*
(c) Circumstances under which fees
may be charged. Except as noted in
paragraph (d) of this section, agents and
attorneys may only charge fees as
follows:
(1)(i) Agents and attorneys may charge
claimants or appellants for
representation provided after an agency
of original jurisdiction has issued notice
of an initial decision on the claim or
claims if the notice of the initial
decision was issued on or after the
effective date of the modernized review
system as provided in § 19.2(a) of this
chapter, and the agent or attorney has
complied with the power of attorney
requirements in § 14.631 and the fee
agreement requirements in paragraph (g)
of this section. For purposes of this
paragraph (c)(1)(i), an initial decision on
a claim would include an initial
decision on an initial claim for an
increase in rate of benefit, an initial
decision on a request to revise a prior
decision based on clear and
unmistakable error (unless fees are
permitted at an earlier point pursuant to
paragraph (c)(1)(ii) or paragraph
(c)(2)(ii) of this section), and an initial
decision on a supplemental claim that
was presented after the final
adjudication of an earlier claim.
However, a supplemental claim will be
considered part of the earlier claim if
the claimant has continuously pursued
the earlier claim by filing any of the
following, either alone or in succession:
A request for higher-level review, on or
before one year after the date on which
the agency of original jurisdiction
issued a decision; a supplemental claim,
on or before one year after the date on
which the agency of original jurisdiction
issued a decision; a Notice of
Disagreement, on or before one year
after the date on which the agency of
original jurisdiction issued a decision; a
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175
supplemental claim, on or before one
year after the date on which the Board
of Veterans’ Appeals issued a decision;
or a supplemental claim, on or before
one year after the date on which the
Court of Appeals for Veterans Claims
issued a decision.
(ii) Agents and attorneys may charge
fees for representation provided with
respect to a request for revision of a
decision of an agency of original
jurisdiction under 38 U.S.C. 5109A or
the Board of Veterans’ Appeals under 38
U.S.C. 7111 based on clear and
unmistakable error if notice of the
challenged decision on a claim or
claims was issued on or after the
effective date of the modernized review
system as provided in § 19.2(a), and the
agent or attorney has complied with the
power of attorney requirements in
§ 14.631 and the fee agreement
requirements in paragraph (g) of this
section.
(2)(i) Agents and attorneys may charge
claimants or appellants for
representation provided: After an
agency of original jurisdiction has
issued a decision on a claim or claims,
including any claim to reopen under 38
CFR 3.156(a) or for an increase in rate
of a benefit; the agency of original
jurisdiction issued notice of that
decision before the effective date of the
modernized review system as provided
in § 19.2(a) of this chapter; a Notice of
Disagreement has been filed with
respect to that decision on or after June
20, 2007; and the agent or attorney has
complied with the power of attorney
requirements in § 14.631 and the fee
agreement requirements in paragraph (g)
of this section.
(ii) Agents and attorneys may charge
fees for representation provided with
respect to a request for revision of a
decision of an agency of original
jurisdiction under 38 U.S.C. 5109A or
the Board of Veterans’ Appeals under 38
U.S.C. 7111 based on clear and
unmistakable error if notice of the
challenged decision was issued before
the effective date of the modernized
review system as provided in § 19.2(a);
a Notice of Disagreement was filed with
respect to the challenged decision on or
after June 20, 2007; and the agent or
attorney has complied with the power of
attorney requirements in § 14.631 and
the fee agreement requirements in
paragraph (g) of this section.
(3) In cases in which a Notice of
Disagreement was filed on or before
June 19, 2007, agents and attorneys may
charge fees only for services provided
after both of the following conditions
have been met:
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(i) A final decision was promulgated
by the Board with respect to the issue,
or issues, involved in the appeal; and
(ii) The agent or attorney was retained
not later than 1 year following the date
that the decision by the Board was
promulgated. (This condition will be
considered to have been met with
respect to all successor agents or
attorneys acting in the continuous
prosecution of the same matter if a
predecessor was retained within the
required time period.)
(4) Except as noted in paragraph (i) of
this section and § 14.637(d), the agency
of original jurisdiction that issued the
decision referenced in paragraph (c)(1)
or (2) of this section shall determine
whether an agent or attorney is eligible
for fees under this section. The agency
of original jurisdiction’s eligibility
determination is a final adjudicative
action that may only be appealed to the
Board.
*
*
*
*
*
(e) * * *
(8) Whether, and to what extent, the
payment of fees is contingent upon the
results achieved; and
(9) If applicable, the reasons why an
agent or attorney was discharged or
withdrew from representation before the
date of the decision awarding benefits.
(f) Presumptions and discharge. (1)
Fees which do not exceed 20 percent of
any past-due benefits awarded as
defined in paragraph (h)(3) of this
section shall be presumed to be
reasonable if the agent or attorney
provided representation that continued
through the date of the decision
awarding benefits. Fees which exceed
331⁄3 percent of any past-due benefits
awarded shall be presumed to be
unreasonable. These presumptions may
be rebutted through an examination of
the factors in paragraph (e) of this
section establishing that there is clear
and convincing evidence that a fee
which does not exceed 20 percent of
any past-due benefits awarded is not
reasonable or that a fee which exceeds
331⁄3 percent is reasonable in a specific
circumstance.
(2) With regard to a fee agreement in
which the amount of the fee is
contingent on the claimant receiving an
award of benefits, a reasonable fee for an
agent or attorney who is discharged by
the claimant or withdraws from
representation before the date of the
decision awarding benefits is one that
fairly and accurately reflects his or her
contribution to and responsibility for
the benefits awarded. The amount of the
fee is informed by an examination of the
factors in paragraph (e) of this section.
*
*
*
*
*
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(i) * * *
(3) The Office of the General Counsel
shall close the record before the Office
of the General Counsel in proceedings to
review fee agreements 15 days after the
date on which the agent or attorney
served a response on the claimant or
appellant, or 30 days after the claimant,
appellant, or the Office of the General
Counsel served the motion on the agent
or attorney if there is no response. The
Deputy Chief Counsel with subjectmatter jurisdiction may, for a reasonable
period upon a showing of sufficient
cause, extend the time for an agent or
attorney to serve an answer or for a
claimant or appellant to serve a reply.
The Deputy Chief Counsel shall forward
the record and a recommendation to the
General Counsel or his or her designee
for a final decision. Unless either party
files a Notice of Disagreement, the agent
or attorney must refund any excess
payment to the claimant or appellant
not later than the expiration of the time
within which the Office of the General
Counsel’s decision may be appealed to
the Board of Veterans’ Appeals.
*
*
*
*
*
(k)(1) Decisions issued before the
effective date of the modernized review
system. Notwithstanding provisions in
this section for closing the record before
the Office of the General Counsel at the
end of the 30-day period for serving a
response or 15 days after the date on
which the agent or attorney served a
response, appeals of decisions issued
before the effective date of the
modernized review system as provided
in § 19.2(a) of this chapter, shall be
initiated and processed using the
procedures in 38 CFR parts 19 and 20
applicable to legacy appeals. Nothing in
this section shall be construed to limit
the Board’s authority to remand a matter
to the General Counsel under 38 CFR
20.904 for any action that is essential for
a proper appellate decision or the
General Counsel’s ability to issue a
Supplemental Statement of the Case
under 38 CFR 19.31.
(2) Decisions issued on or after the
effective date of the modernized review
system. Notwithstanding provisions in
this section for closing the record before
the Office of the General Counsel at the
end of the 30-day period for serving a
response or 15 days after the date on
which the agent or attorney served a
response, appeals of decisions issued on
or after the effective date of the
modernized review system as provided
in § 19.2(a) of this chapter, shall be
initiated and processed using the
procedures in 38 CFR part 20 applicable
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to appeals under the modernized
system.
*
*
*
*
*
■ 41. Amend § 14.637 by revising
paragraphs (d)(3) and (f) to read as
follows:
§ 14.637 Payment of the expenses of
agents and attorneys in proceedings before
Agencies of Original Jurisdiction and
before the Board of Veterans’ Appeals.
*
*
*
*
*
(d) * * *
(3) The Office of the General Counsel
shall close the record before the Office
of the General Counsel in proceedings to
review expenses 15 days after the date
on which the agent or attorney served a
response on the claimant or appellant,
or 30 days after the claimant, appellant,
or the Office of the General Counsel
served the motion on the agent or
attorney if there is no response. The
Deputy Chief Counsel with subjectmatter jurisdiction may, for a reasonable
period upon a showing of sufficient
cause, extend the time for an agent or
attorney to serve an answer or for a
claimant or appellant to serve a reply.
The Deputy Chief Counsel shall forward
the record and a recommendation to the
General Counsel or his or her designee
for a final decision. Unless either party
files a Notice of Disagreement, the agent
or attorney must refund any excess
payment to the claimant or appellant
not later than the expiration of the time
within which the Office of the General
Counsel’s decision may be appealed to
the Board of Veterans’ Appeals.
*
*
*
*
*
(f)(1) Decisions issued before the
effective date of the modernized review
system. Notwithstanding provisions in
this section for closing the record before
the Office of the General Counsel at the
end of the 30-day period for serving a
response or 15 days after the date on
which the agent or attorney served a
response, appeals of decisions issued
before the effective date of the
modernized review system as provided
in § 19.2(a) of this chapter, shall be
initiated and processed using the
procedures in 38 CFR parts 19 and 20
applicable to legacy appeals. Nothing in
this section shall be construed to limit
the Board’s authority to remand a matter
to the General Counsel under 38 CFR
20.904 for any action that is essential for
a proper appellate decision or the
General Counsel’s ability to issue a
Supplemental Statement of the Case
under 38 CFR 19.31.
(2) Decisions issued on or after the
effective date of the modernized review
system. Notwithstanding provisions in
this section for closing the record before
the Office of the General Counsel at the
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end of the 30-day period for serving a
response or 15 days after the date on
which the agent or attorney served a
response, appeals of decisions issued on
or after the effective date of the
modernized review system as provided
in § 19.2(a) of this chapter, shall be
initiated and processed using the
procedures in 38 CFR part 20 applicable
to appeals under the modernized
system.
*
*
*
*
*
PART 19—BOARD OF VETERANS’
APPEALS: LEGACY APPEALS
REGULATIONS
Part 19 sections
19.1 ....................
19.2 ....................
19.3 ....................
19.4 ....................
19.5 ....................
19.7 ....................
19.8 ....................
19.9 ....................
19.11 ..................
19.12 ..................
19.13 ..................
19.14 ..................
Part 20 sections
20.100
20.101
20.106
20.103
20.105
20.903
20.905
20.904
20.1004
20.107
20.108
20.109
PART 19—[AMENDED]
§§ 19.50 through 19.53
42. The authority citation for part 19
continues to read as follows:
■
■
[Removed]
54. Remove §§ 19.50 through 19.53.
PARTS 19 AND 20—[AMENDED]
Authority: 38 U.S.C. 501(a), unless
otherwise noted.
§§ 20.200, 20.201, 20.202, 20.204, and 20.300
through 20.304 [Transferred to Part 19 and
Redesignated as §§ 19.20, 19.21, 19.22,
19.55, 19.51, 19.50, and 19.52 through 19.54]
PART 20—BOARD OF VETERANS’
APPEALS: RULES OF PRACTICE
43. The authority citation for part 20
continues to read as follows:
55. As displayed in the following
table, transfer and redesignate the part
20 sections in the left column to the
corresponding part 19 sections in the
right column.
■
■
Authority: 38 U.S.C. 501(a), unless
otherwise noted in specific sections.
PART 19—[AMENDED]
Part 20 sections
45. The heading for part 19 is revised
as set forth above.
Part 19 sections
■
Subpart A—Applicability
46. The heading for subpart A is
revised as set forth above.
■
PART 20—[AMENDED]
§ 20.102
■
56. Add new §§ 19.1 and 19.2 to read
as follows:
■
[Redesignated as § 20.102]
[Redesignated as § 20.104]
49–50. Redesignate § 20.101 as
§ 20.104.
■
§ 20.903
[Redesignated as § 20.908]
51. Redesignate § 20.903 as § 20.908.
§ 20.904
■
[Redesignated as § 20.1000]
52. Redesignate § 20.904 as § 20.1000.
PARTS 19 AND 20—[AMENDED]
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19.20 (in subpart B)
19.21 (in subpart B)
19.22 (in subpart B)
19.55
19.51
19.50
19.52
19.53
PART 19—[AMENDED]
48. Redesignate § 20.100 as § 20.102.
§ 20.101
■
................
................
................
................
................
................
................
................
47. Remove § 20.102.
§ 20.100
■
[Removed]
20.200
20.201
20.202
20.204
20.300
20.301
20.302
20.303
§§ 19.1 through 19.5, 19.7 through 19.9, and
19.11 through 19.14 [Transferred to Part
20 and Redesignated as §§ 20.100, 20.101,
201.106, 20.103, 20.105, 20.903, 20.905,
20.904, 20.1004, 20.107, 20.108, and 20.109]
53. As displayed in the following
table, transfer and redesignate the part
19 sections in the left column to the
corresponding part 20 sections in the
right column.
■
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§ 19.1. Provisions applicable to legacy
appeals.
Part 19 and subparts F, G, and J of
part 20 apply only to the processing and
adjudication of legacy appeals, as
defined in § 19.2. Except as otherwise
provided in specific sections, subparts
A, B, H, K, L, M, N, and O of part 20
apply to the processing and
adjudication of both appeals and legacy
appeals. For applicability provisions
concerning appeals in the modernized
review system, see § 20.4 of this chapter.
§ 19.2. Appellant’s election for review of a
legacy appeal in the modernized system.
(a) Effective date. As used in this
section, the effective date means
February 19, 2019.
(b) Modernized review system. The
modernized review system refers to the
current statutory framework for claims
and appeals processing, set forth in
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177
Public Law 115–55, and any
amendments thereto, applicable on the
effective date. The modernized review
system applies to all claims, requests for
reopening of finally adjudicated claims,
and requests for revision based on clear
and unmistakable error for which VA
issues notice of an initial decision on or
after the effective date, or as otherwise
provided in paragraph (d) of this
section.
(c) Legacy appeals. A legacy appeal is
an appeal of a legacy claim, as defined
in 38 CFR 3.2400(b), where a claimant
has not elected to participate in the
modernized review system as provided
in paragraph (d) of this section. A legacy
appeal is initiated by the filing of a
Notice of Disagreement and is perfected
to the Board with the filing of a
Substantive Appeal pursuant to
applicable regulations in accordance
with 38 CFR parts 19 and 20.
(d) Election into the modernized
review system. The modernized review
system applies to legacy claims and
appeals where:
(1) A claimant with a legacy claim or
appeal elects the modernized review
system pursuant to 38 CFR 3.2400(c)(1);
(2) A claimant with a legacy claim or
appeal elects the modernized review
system, following issuance, on or after
the effective date, of a VA Statement of
the Case or Supplemental Statement of
the Case. The election is made by filing,
on a form prescribed by the Secretary,
an appeal in accordance with 38 CFR
20.202, or a review option in accordance
with 38 U.S.C. 5108 or 5104B, as
implemented by 38 CFR 3.2500 and
other applicable regulations. The
election must be filed within the time
allowed for filing a substantive appeal
under § 19.52(b); or
(3) VA issued notice of a decision
prior to the effective date, and, pursuant
to the Secretary’s authorization to
participate in a test program, the
claimant elects the modernized review
system by filing an appeal in accordance
with 38 U.S.C. 7105, or a review option
in accordance with 38 U.S.C. 5108 or
5104B.
(Authority: Pub. L. 115–55; 131 Stat. 1105; 38
U.S.C. 5104B, 5104C(a); 5108; 38 U.S.C.
7105)
§§ 19.3 through 19.5, 19.7 through 19.9, and
19.11 through 19.14 [Reserved]
57. Add reserved §§ 19.3 through 19.5,
19.7 through 19.9, and 19.11 through
19.14 to subpart A.
■
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Subpart B—Legacy Appeals and
Legacy Appeals Processing by Agency
of Original Jurisdiction
58. Revise the subpart B heading as set
forth above.
■ 59. Amend newly redesignated
§ 19.20:
■ a. By revising the section heading;
■ b. In the introductory text, by
removing the text ‘‘§ 20.201’’ and adding
in its place the text ‘‘§ 19.21’’, by
removing the text ‘‘§ 20.302(a)’’ and
adding in its place the text ‘‘§ 19.52(a)’’,
and by adding the text ‘‘of this chapter’’
after the text ‘‘of § 20.501(a)’’; and
■ c. Revising the authority citation at
the end of the section.
The revisions read as follows:
■
§ 19.20
*
*
What constitutes an appeal.
*
*
§ 19.25 Notification by agency of original
jurisdiction of right to appeal.
*
*
*
*
*
(Authority: 38 U.S.C. 7105(a) (2016))
65. Amend § 19.26 by revising the
authority citation at the end of the
section to read as follows:
■
§ 19.26 Action by agency of original
jurisdiction on Notice of Disagreement.
*
(Authority: 38 U.S.C. 7105 (2016))
*
60. Amend newly redesignated
§ 19.21:
■ a. By revising the section heading;
■ b. In paragraph (a)(5), by removing the
text ‘‘§ 20.302(a)’’ and adding in its
place the text ‘‘§ 19.52(a)’’;
■ c. In paragraph (c), by removing the
text ‘‘§§ 20.500 and 20.501’’ and adding
in its place the text ‘‘Rules 500 and 501
(§§ 20.500 and 20.501 of this chapter)’’;
and
■ d. Revising the authority citation at
the end of the section.
The revisions to read as follows:
(Authority: 38 U.S.C. 501; 38 U.S.C. 7105,
7105A (2016))
§ 19.21
■
■
*
*
*
*
*
61. Amend newly redesignated
§ 19.22 by revising the section heading
and authority citation at the end of the
section to read as follows:
■
§ 19.22
*
*
Substantive Appeal.
*
*
*
(Authority: 38 U.S.C. 7105(d)(3)–(5) (2016))
§ 19.23
[Amended]
62. Amend § 19.23:
a. In paragraph (a), by removing the
words ‘‘§ 20.201(a) of this chapter’’ and
adding in their place the text
‘‘§ 19.21(a)’’ both places they appear,
and by removing the text ‘‘, § 19.27’’;
■ b. In paragraph (b), by removing the
words ‘‘§ 20.201(b) of this chapter’’ and
adding in their place the text
‘‘§ 19.21(b)’’, and by removing the text ‘‘,
§ 19.27’’.
■
■
§ 19.24
[Amended]
63. Amend § 19.24 by:
a. In paragraph (a), by removing the
text ‘‘§ 20.201(a) of this chapter’’ and
adding in its place the text ‘‘§ 19.21(a)’’;
■
■
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*
§ 19.27
*
*
*
[Removed and Reserved]
70. Amend § 19.31 by adding a second
sentence to paragraph (a) and revising
the authority citation at the end of the
section to read as follows: ‘‘
■
§ 19.31
case.
Supplemental statement of the
(a) * * * The information furnished
with the Supplemental Statement of the
Case shall include a statement
describing the available review options
if the appellant elects review of the
issue or issues on appeal in the
modernized system. * * *
*
*
*
*
*
(Authority: 38 U.S.C. 5902, 5903, 5904; 38
U.S.C. 7105(d) (2016))
71. Amend § 19.32 by revising the
authority citation at the end of the
section to read as follows:
■
§ 19.32 Closing of appeal for failure to
respond to Statement of the Case.
*
*
*
*
*
(Authority: 38 U.S.C. 7105(d)(3) (2016))
§ 19.33
[Removed and Reserved]
72. Remove and reserve § 19.33.
73. Amend § 19.34 by revising the
authority citation at the end of the
section to read as follows:
66. Remove and reserve § 19.27.
■ 67. Amend § 19.28 by revising the
authority citation at the end of the
section to read as follows:
■
§ 19.28 Determination that a Notice of
Disagreement is inadequate protested by
claimant or representative.
§ 19.34 Determination that Notice of
Disagreement or Substantive Appeal was
not timely filed protested by claimant or
representative.
■
*
*
*
*
*
§ 19.29
*
*
Statement of the Case.
*
*
*
(Authority: 38 U.S.C. 7105(d)(1) (2016))
69. Amend § 19.30 by revising
paragraph (b) and the authority citation
at the end of the section to read as
follows:
■
§ 19.30 Furnishing the Statement of the
Case and instructions for filing a
Substantive Appeal.
*
*
*
*
*
(b) Information furnished with the
Statement of the Case. With the
Statement of the Case, the appellant and
the representative will be furnished
information on the right to file, and time
limit for filing, a substantive appeal;
information on hearing and
representation rights; and a VA Form 9,
‘‘Appeal to Board of Veterans’ Appeals’’,
and a statement describing the available
review options if the appellant elects
review of the issue or issues on appeal
in the modernized review system.
(Authority: Sec. 2, Pub. L. 115–55; 131 Stat.
1105; 38 U.S.C. 7105 (2016))
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■
*
(Authority: 38 U.S.C. 7105 (2016))
68. Amend § 19.29 by revising the
authority citation at the end of the
section to read as follows:
Notice of Disagreement.
(Authority: 38 U.S.C. 7105 (2016))
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b. In paragraph (b)(1), by removing the
text ‘‘paragraph (a) of § 20.201 of this
chapter’’ and adding in its place the text
‘‘§ 19.21(a)’’; and
■ c. In paragraph (b)(3) introductory
text, by removing the text ‘‘§ 20.302(a) of
this chapter’’ and adding in its place the
text ‘‘§ 19.52(a)’’.
■ 64. Amend § 19.25 by revising the
authority citation at the end of the
section to read as follows:
■
*
*
*
*
(Authority: 38 U.S.C. 7105 (2016))
74. Amend § 19.35 by removing the
second sentence and revising the
authority citation at the end of the
section.
The revision reads as follows:
■
§ 19.35
*
*
Certification of appeals.
*
*
*
(Authority: 38 U.S.C. 7105 (2016))
75. Amend § 19.36 by:
a. Removing the text ‘‘Rule of Practice
1304 (§ 20.1304 of this chapter)’’ from
the first sentence and adding in its place
the text ‘‘Rule 1305 (§ 20.1305 of this
chapter)’’; and by removing the text
‘‘§ 20.1304’’ from the second sentence
and adding in its place the text
‘‘§ 20.1305’’; and
■ b. Revising the authority citation at
the end of the section.
The revision reads as follows:
■
■
§ 19.36 Notification of certification of
appeal and transfer of appellate record.
*
*
*
*
*
(Authority: 38 U.S.C. 5902, 5903; 38 U.S.C.
5904, 7105 (2016))
76. Amend § 19.37 by revising the
authority citation at the end of the
section to read as follows:
■
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§ 19.37 Consideration of additional
evidence received by the agency of original
jurisdiction after an appeal has been
initiated.
§ 19.54 Filing additional evidence does not
extend time limit for appeal.
■
*
*
PART 20—[AMENDED]
*
*
*
*
77. Amend § 19.38 by:
a. Removing the text ‘‘Rule of Practice
302, paragraph (c) (§ 20.302(c) of this
chapter)’’ and adding in its place the
text ‘‘§ 19.52(c)’’; and
■ b. Revising the authority citation at
the end of the section.
The revision reads as follows:
§ 19.38 Action by agency of original
jurisdiction when remand received.
*
*
*
(Authority: 38 U.S.C. 7105(d)(1) (2016))
Subpart C—Claimant Action in a
Legacy Appeal
78. Revise the subpart C heading to
read as set forth above.
■ 79. Amend newly redesignate § 19.50
by revising the section heading and the
authority citation at the end of the
section to read as follows:
■
§ 19.50
*
*
Who can file an appeal.
*
*
*
*
*
83. Amend newly redesignated
§ 19.55:
■ a. By revising the section heading;
■ b. By revising the paragraph (b)(1)
subject heading to read ‘‘Content’’, by
removing the first sentence, and by
removing the word ‘‘They’’ from the
second sentence and adding in its place
the words ‘‘Appeal withdrawals’’;
■ c. In paragraph (b)(2), by revising the
last sentence;
■ d. In paragraph (b)(3), by removing the
word ‘‘part’’ and adding in its place the
word ‘‘chapter’’ in the second sentence;
and
■ e. Revising the authority citation at
the end of the section.
The revisions read as follows:
■
■
■
*
*
(Authority: 38 U.S.C. 7105 (2016))
(Authority: 38 U.S.C. 5902, 5903, 5904; 38
U.S.C. 7105(d)(1) (2016))
*
The revisions to read as follows:
§ 19.55
Withdrawal of Appeal.
*
*
*
*
*
(b) * * *
(2) * * * Thereafter, file the
withdrawal at the Board.
*
*
*
*
*
(Authority 38 U.S.C. 7105(b), (d) (2016))
*
(Authority: 38 U.S.C. 7105(b)(2) (2016))
Subpart D—[Removed and Reserved]
80. Amend newly redesignate § 19.52
by revising the section heading and the
authority citations to paragraphs (a)
through (c) to read as follows:
■
§ 19.52 Time limit for filing Notice of
Disagreement, Substantive Appeal, and
response to Supplemental Statement of the
Case.
(a) * * *
(Authority: 38 U.S.C. 7105(b)(1) (2016))
84. Remove and reserve subpart D,
consisting of §§ 19.75 through 19.99.
■
Subpart E—Simultaneously Contested
Claims
85. Amend § 19.100 by revising the
authority citation at the end of the
section to read as follows:
■
§ 19.100 Notification of right to appeal in
simultaneously contested claims.
(b) * * *
*
(Authority: 38 U.S.C. 7105(b)(1), (d)(3)
(2016))
*
*
*
*
(Authority: 38 U.S.C. 7105A(a) (2016))
86. Amend § 19.101 by revising the
authority citation at the end of the
section to read as follows:
■
(c) * * *
(Authority: 38 U.S.C. 7105(d)(3) (2016))
81. Amend newly redesignated
§ 19.53 by revising the section heading
and the authority citation at the end of
the section to read as follows:
■
§ 19.53 Extension of time for filing
Substantive Appeal and response to
Supplemental Statement of the Case.
*
*
*
*
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*
*
*
88. Amend § 19.102 by revising the
authority citation at the end of the
section to read as follows:
*
16:05 Jan 17, 2019
*
■
82. Amend newly redesignated
§ 19.54:
■ a. By revising the section heading;
■ b. In the introductory text, by
removing the text ‘‘Rule 302(b)
(§ 20.302(b) of this part)’’ and adding in
its place the text ‘‘§ 19.52(b)’’; and
■ c. Revising the authority citation at
the end of the section.
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*
(Authority: 38 U.S.C. 7105A(b) (2016))
(Authority: 38 U.S.C. 7105(d)(3) (2016))
■
§ 19.101 Notice to contesting parties on
receipt of Notice of Disagreement in
simultaneously contested claims.
§ 19.102 Notice of appeal to other
contesting parties in simultaneously
contested claims.
*
*
*
*
*
(Authority: 38 U.S.C. 7105A(b) (2016))
§§ 19.103–19.199
[Added and Reserved]
80. Add reserved §§ 19.103 through
19.199 to subpart E.
■
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179
Appendix A to Part 19 [Removed]
90. Remove appendix A to part 19.
Subpart A—General
§ 20.1
[Amended]
91. Amend § 20.1 in paragraph (a) by
adding the text ‘‘(Board)’’ after the text
‘‘Board of Veterans’ Appeals’’.
■ 92. Amend § 20.3 by:
■ a. Revising paragraphs (b), (c) and (f);
■ b. Removing paragraph (h);
■ c. Redesignating paragraph (i) as
paragraph (h);
■ d. In newly redesignated paragraph
(h), revising the subject heading and
removing the text ‘‘argument and/or’’;
■ d. Removing paragraphs (j) and (k);
■ e. Redesignating paragraph (l) as
paragraph (i) and revising the second
sentence;
■ f. Removing paragraph (m);
■ g. Redesignating paragraph (n) as
paragraph (j) and removing the word
‘‘reopened’’ and adding in its place the
word ‘‘readjudicated’’.
■ h. Redesignating paragraph (o) as
paragraph (k);
■ i. Redesignating paragraph (p) as
paragraph (l);
■ j. Redesignating paragraph (q) as
paragraph (m);
The revisions read as follows:
■
§ 20.3
Rule 3. Definitions.
*
*
*
*
*
(b) Agent means a person who has met
the standards and qualifications for
accreditation outlined in § 14.629(b) of
this chapter and who has been properly
designated under the provisions of
§ 14.631 of this chapter. It does not
include representatives accredited
under § 14.629(a) of this chapter,
attorneys accredited under § 14.629(b)
of this chapter, or a person authorized
to represent a claimant for a particular
claim under § 14.630 of this chapter.
(c) Appellant means a claimant who
has filed an appeal to the Board of
Veterans’ Appeals either as a legacy
appeal or in the modernized review
system, as those terms are defined in
§ 19.2 of this chapter, and Rule 4 (§ 20.4
of this part), respectively.
*
*
*
*
*
(f) Claim means a written
communication requesting a
determination of entitlement or
evidencing a belief in entitlement, to a
specific benefit under the laws
administered by the Department of
Veterans Affairs submitted on an
application form prescribed by the
Secretary.
*
*
*
*
*
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(h) Hearing on appeal or Board
hearing * * *
(i) * * * For example, a request to
correct a hearing transcript (see Rule
714 (§ 20.714)) is raised by motion.
* * *
*
*
*
*
*
■ 93. Add § 20.4 to read as follows:
§ 20.4 Rule 4. Appeal systems definitions
and applicability provisions.
(a) Appeal—(1) In general. An appeal
consists of a Notice of Disagreement
timely filed to the Board on any issue
or issues for which VA provided notice
of a decision under 38 U.S.C. 5104 on
or after the effective date, as defined in
§ 19.2(a) of this chapter.
(2) Appellant’s election for review of
a legacy claim or appeal in the
modernized review system. The
regulations applicable to appeals are
also applicable to legacy claims and
appeals, as those terms are defined in
§§ 3.2400(b) and 19.2(c) of this chapter,
where the claimant elects the
modernized review system pursuant to
§ 19.2(d) of this chapter, and upon the
timely filing to the Board of a Notice of
Disagreement.
(b) Applicability of parts 19 and 20—
(1) Appeals. Subparts C, D, E, and I of
part 20 apply only to the processing and
adjudication of appeals in the
modernized review system.
(2) Legacy claims and appeals. Part 19
and subparts F, G, and J of part 20 apply
only to the processing and adjudication
of legacy claims and appeals.
(3) Both appeals systems. Except as
otherwise provided in specific sections,
subparts A, B, H, K, L, M, N, and O of
part 20 apply to the processing and
adjudication of both appeals and legacy
claims and appeals.
(Authority: Sec. 2, Pub. L. 115–55; 131 Stat.
1105)
Subpart B—The Board
94. Amend newly redesignated
§ 20.100 by revising the section heading
to read as follows:
■
§ 20.100
Board.
Rule 100. Establishment of the
*
*
*
*
95. In newly redesignated § 20.102,
revise the section heading and
paragraph (c) to read as follows:
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■
§ 20.102 Rule 102. Name, business hours,
and mailing address of the Board.
*
*
*
*
(c) Mailing address. The mailing
address of the Board is: Board of
Veterans’ Appeals, P.O. Box 27063,
Washington, DC 20038. Mail to the
Board that is not related to an appeal
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§ 20.104
Board.
Rule 104. Jurisdiction of the
*
*
*
*
*
(c) Authority to determine
jurisdiction. The Board shall decide all
questions pertaining to its jurisdictional
authority to review a particular case.
When the Board, on its own initiative,
raises a question as to a potential
jurisdictional defect, all parties to the
proceeding and their representative(s), if
any, will be given notice of the potential
jurisdictional defect(s) and granted a
period of 60 days following the date on
which such notice is mailed to present
written argument and additional
evidence relevant to jurisdiction and to
request a hearing to present oral
argument on the jurisdictional
question(s). The date of mailing of the
notice will be presumed to be the same
as the date stamped on the letter of
notification. The Board may dismiss any
case over which it determines it does
not have jurisdiction.
(d)(1) Appeals as to jurisdiction in
legacy claims and appeals. All
claimants in legacy appeals, as defined
in § 19.2 of this chapter, have the right
to appeal a determination made by the
agency of original jurisdiction that the
Board does not have jurisdictional
authority to review a particular case.
Jurisdictional questions which a
claimant may appeal, include, but are
not limited to, questions relating to the
timely filing and adequacy of the Notice
of Disagreement and the Substantive
Appeal.
(Authority: Sec. 2, Pub. L. 115–55; 131 Stat.
1105)
*
*
must be addressed to: Board of Veterans’
Appeals, 810 Vermont Avenue NW,
Washington, DC 20420.
*
*
*
*
*
■ 96. Amend newly redesignated
§ 20.104 by:
■ a. Removing the third sentence of
paragraph (a);
■ b. Revising paragraphs (c) and (d);
■ c. Removing paragraph (e); and
■ d. Revising the authority citation at
the end of the section.
The revisions read as follows:
(2) Application of 20.904 and
20.1305. Section 20.904 of this part
shall not apply to proceedings to
determine the Board’s own jurisdiction.
However, the Board may remand a case
to an agency of original jurisdiction in
order to obtain assistance in securing
evidence of jurisdictional facts. The
time restrictions on requesting a hearing
and submitting additional evidence in
§ 20.1305 of this part do not apply to a
hearing requested, or evidence
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submitted, under paragraph (c) of this
section.
(Authority: 38 U.S.C. 511(a), 7104, 7105,
7108)
97. Revise subpart C to read as
follows:
■
Subpart C—Commencement and Filing
of Appeals
Sec.
20.200 Rule 200. Notification by agency of
original jurisdiction of right to appeal.
20.201 Rule 201. What constitutes an
appeal.
20.202 Rule 202. Notice of Disagreement.
20.203 Rule 203. Place and time of filing of
Notice of Disagreement.
20.204 Rule 204. Who can file a Notice of
Disagreement.
20.205 Rule 205. Withdrawal of appeal.
20.206–20.299 [Reserved]
§ 20.200 Rule 200. Notification by agency
of original jurisdiction of right to appeal.
The claimant and his or her
representative, if any, will be informed
of appellate rights provided by 38 U.S.C.
chapters 71 and 72, including the right
to a personal hearing and the right to
representation. The agency of original
jurisdiction will provide this
information in each notification of a
determination of entitlement or
nonentitlement to Department of
Veterans Affairs benefits, pursuant to 38
U.S.C. 5104, 5104B, and 5108.
(Authority: 38 U.S.C. 7105(a))
§ 20.201
appeal.
Rule 201. What constitutes an
An appeal of a decision by the agency
of original jurisdiction consists of a
Notice of Disagreement submitted to the
Board in accordance with the provisions
of §§ 20.202–20.204.
(Authority: 38 U.S.C. 7105)
§ 20.202
Rule 202. Notice of Disagreement.
(a) In general. A Notice of
Disagreement must be properly
completed on a form prescribed by the
Secretary. If the agency of original
jurisdiction decision addressed several
issues, the Notice of Disagreement must
identify the specific decision and issue
or issues therein with which the
claimant disagrees. The term issue
means an adjudication of a specific
entitlement as described in 38 CFR
3.151(c). The Board will construe such
arguments in a liberal manner for
purposes of determining whether they
raise issues on appeal, but the Board
may dismiss any appeal which fails to
identify the specific decision and issue
or issues therein with which the
claimant disagrees.
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(b) Review options. Upon filing the
Notice of Disagreement, a claimant must
indicate whether the claimant requests:
(1) Direct review by the Board of the
record before the agency of original
jurisdiction at the time of its decision,
without submission of additional
evidence or a Board hearing;
(2) A Board hearing, to include an
opportunity to submit additional
evidence at the hearing and within 90
days following the hearing; or
(3) An opportunity to submit
additional evidence without a Board
hearing with the Notice of Disagreement
and within 90 days following receipt of
the Notice of Disagreement.
(c)(1) The information indicated by
the claimant in paragraph (b) of this
section determines the evidentiary
record before the Board as described in
subpart D of this part, and the docket on
which the appeal will be placed, as
described in Rule 800 (§ 20.800). Except
as otherwise provided in paragraph (2)
of this section, the Board will not
consider evidence as described in Rules
302 or 303 (§§ 20.302 and 20.303) unless
the claimant requests a Board hearing or
an opportunity to submit additional
evidence on the Notice of Disagreement.
(2) A claimant may modify the
information identified in the Notice of
Disagreement for the purpose of
selecting a different evidentiary record
option as described in paragraph (b) of
this section. Requests to modify a Notice
of Disagreement must be made by
completing a new Notice of
Disagreement on a form prescribed by
the Secretary, and must be received at
the Board within one year from the date
that the agency of original jurisdiction
mails notice of the decision on appeal,
or within 60 days of the date that the
Board receives the Notice of
Disagreement, whichever is later.
Requests to modify a Notice of
Disagreement will not be granted if the
appellant has submitted evidence or
testimony as described in §§ 20.302 and
20.303.
(d) Standard form required. The
Board will not accept as a Notice of
Disagreement an expression of
dissatisfaction or disagreement with an
adjudicative determination by the
agency of original jurisdiction and a
desire to contest the result that is
submitted in any format other than the
form prescribed by the Secretary,
including on a different VA form.
(e) Alternate form or other
communication. The filing of an
alternate form or other communication
will not extend, toll, or otherwise delay
the time limit for filing a Notice of
Disagreement, as provided in
§ 20.203(b). In particular, returning the
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incorrect VA form does not extend, toll,
or otherwise delay the time limit for
filing the correct form.
(f) Unclear Notice of Disagreement. If
within one year after mailing an adverse
decision (or 60 days for simultaneously
contested claims), the Board receives a
Notice of Disagreement completed on
the form prescribed by the Secretary,
but the Board cannot identify which
denied issue or issues the claimant
wants to appeal or which option the
claimant intends to select under
paragraph (b) of this section, then the
Board will contact the claimant to
request clarification of the claimant’s
intent.
(g) Response required from
claimant—(1) Time to respond. The
claimant must respond to the Board’s
request for clarification on or before the
later of the following dates:
(i) 60 days after the date of the Board’s
clarification request; or
(ii) One year after the date of mailing
of notice of the adverse decision being
appealed (60 days for simultaneously
contested claims).
(2) Failure to respond. If the claimant
fails to provide a timely response, the
previous communication from the
claimant will not be considered a Notice
of Disagreement as to any claim for
which clarification was requested. The
Board will not consider the claimant to
have appealed the decision(s) on any
claim(s) as to which clarification was
requested and not received.
(h) Action following clarification. The
unclear Notice of Disagreement is
properly completed, and thereby filed,
under paragraph (a) of this section when
the Board receives the clarification.
(i) Representatives and fiduciaries.
For the purpose of the requirements in
paragraphs (f) through (h) of this
section, references to the ‘‘claimant’’
include reference to the claimant or his
or her representative, if any, or to his or
her fiduciary, if any, as appropriate.
(Authority: 38 U.S.C. 7105)
[Approved by the Office of Management and
Budget under control number 2900–0674]
§ 20.203 Rule 203. Place and time of filing
of Notice of Disagreement.
(a) Place of filing. The Notice of
Disagreement must be filed with the
Board of Veterans’ Appeals, P.O. Box
27063, Washington, DC 20038.
(b) Time of filing. Except as provided
in § 20.402 for simultaneously contested
claims, a claimant, or his or her
representative, must file a properly
completed Notice of Disagreement with
a decision by the agency of original
jurisdiction within one year from the
date that the agency mails the notice of
the decision. The date of mailing the
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181
letter of notification of the decision will
be presumed to be the same as the date
of that letter for purposes of determining
whether an appeal has been timely filed.
(c) Extension of time of filing. An
extension of the period for filing a
Notice of Disagreement or a request to
modify a Notice of Disagreement may be
granted for good cause. A request for
such an extension must be in writing
and must be filed with the Board.
Whether good cause for an extension
has been established will be determined
by the Board.
(Authority: 38 U.S.C. 7105)
§ 20.204 Rule 204. Who can file a Notice of
Disagreement.
(a) Persons authorized. A Notice of
Disagreement may be filed by a claimant
personally, or by his or her
representative if a proper Power of
Attorney is on record or accompanies
such Notice of Disagreement.
(b) Claimant rated incompetent by
Department of Veterans Affairs or under
disability and unable to file. If an appeal
is not filed by a person listed in
paragraph (a) of this section, and the
claimant is rated incompetent by the
Department of Veterans Affairs or has a
physical, mental, or legal disability
which prevents the filing of an appeal
on his or her own behalf, a Notice of
Disagreement may be filed by a
fiduciary appointed to manage the
claimant’s affairs by the Department of
Veterans Affairs or a court, or by a
person acting as next friend if the
appointed fiduciary fails to take needed
action or no fiduciary has been
appointed.
(c) Claimant under disability and able
to file. Notwithstanding the fact that a
fiduciary may have been appointed for
a claimant, an appeal filed by a claimant
will be accepted.
(Authority: 38 U.S.C. 7105(b)(2)(A))
§ 20.205
Rule 205. Withdrawal of appeal.
(a) When and by whom filed. Only an
appellant, or an appellant’s authorized
representative, may withdraw an
appeal. An appeal may be withdrawn as
to any or all issues involved in the
appeal.
(b) Filing—(1) Content. Appeal
withdrawals 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), the
applicable Department of Veterans
Affairs file number, and a statement that
the appeal is withdrawn. If the appeal
involves multiple issues, the
withdrawal must specify that the appeal
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is withdrawn in its entirety, or list the
issue(s) withdrawn from the appeal.
(2) Where to file. Appeal withdrawals
should be filed with the Board.
(3) When effective. An appeal
withdrawal is effective when received
by the Board. A withdrawal received
after the Board issues a final decision
under Rule 1100(a) (§ 20.1100(a)) will
not be effective.
(c) Effect of filing. Withdrawal of an
appeal will be deemed a withdrawal of
the Notice of Disagreement as to all
issues to which the withdrawal applies.
Withdrawal does not preclude filing a
new Notice of Disagreement pursuant to
this subpart, a request for higher-level
review under 38 U.S.C. 5104B, or a
supplemental claim under 38 U.S.C.
5108, as to any issue withdrawn,
provided such filing would be timely
under these rules if the withdrawn
appeal had never been filed.
§ 20.301 Rule 301. Appeals with no request
for a Board hearing and no additional
evidence.
[Reserved]
Subpart D—Evidentiary Record
98. Revise the subpart D heading to
read as set forth above.
■
§ 20.305
[Redesignated as § 20.110]
99. Redesignate § 20.305 as § 20.110.
100. Amend newly redesignated
§ 20.110 by revising the section heading
to read as follows:
■
■
*
§ 20.306
*
*
§ 20.302 Rule 302. Appeals with a request
for a Board hearing.
*
[Redesignated as § 20.111]
101. Redesignate § 20.306 as § 20.111.
102. Amend newly redesignated
20.111 by:
■ a. Revising the section heading; and
■ b. Removing the words ‘‘Rule 305
(§ 20.305)’’ and adding in their place the
words ‘‘Rule 110 (§ 20.110)’’.
The revision reads as follows:
■
■
§ 20.111
Rule 111. Legal holidays.
*
*
*
*
*
■ 103. Add new §§ 20.300 through
20.303 to read as follows:
Sec.
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*
*
*
*
*
20.300 Rule 300. General.
20.301 Rule 301. Appeals with no request
for a Board hearing and no additional
evidence.
20.302 Rule 302. Appeals with a request for
a Board hearing.
20.303 Rule 303. Appeals with no request
for a Board hearing, but with a request
for submission of additional evidence.
*
*
*
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*
*
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Jkt 247001
For appeals in which the appellant
requested, on the Notice of
Disagreement, direct review by the
Board without submission of additional
evidence and without a Board hearing,
the Board’s decision will be based on a
review of the evidence of record at the
time of the agency of original
jurisdiction decision on the issue or
issues on appeal.
(Authority: 38 U.S.C. 7105, 7107, 7113(a))
§ 20.110 Rule 110. Computation of time
limit for filing.
*
Rule 300. General.
(a) Decisions of the Board will be
based on a de novo review of the
evidence of record at the time of the
agency of original jurisdiction decision
on the issue or issues on appeal, and
any additional evidence or testimony
submitted pursuant to this subpart, as
provided in § 20.801.
(b) Waiver of appellant’s right to
submit evidence. For appeals described
in 20.302 and 20.303, an appellant has
a right to submit evidence during a
period of 90 days, unless this right is
waived by the appellant or
representative at any time prior to the
expiration of the applicable 90-day
period. Such a waiver must be in
writing or, if a hearing on appeal is
conducted pursuant to 20.302, the
waiver must be formally and clearly
entered on the record orally at the time
of the hearing.
(Authority: 38 U.S.C. 7104)
(Authority: 38 U.S.C. 7105)
§§ 20.206–20.299
§ 20.300
(a) Except as described in paragraphs
(b) and (c) of this section, for appeals in
which the appellant requested, on the
Notice of Disagreement, a Board
hearing, the Board’s decision will be
based on a review of the following:
(1) Evidence of record at the time of
the agency of original jurisdiction’s
decision on the issue or issues on
appeal;
(2) Evidence submitted by the
appellant or his or her representative at
the hearing, to include testimony
provided at the hearing; and
(3) Evidence submitted by the
appellant or his or her representative
within 90 days following the hearing.
(b) In the event that the hearing
request is withdrawn pursuant to
§ 20.704(e), the Board’s decision will be
based on a review of evidence described
in paragraph (a)(1) of this section, and
evidence submitted by the appellant or
his or her representative within 90 days
following receipt of the withdrawal.
(c) In the event that the appellant does
not appear for a scheduled hearing, and
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the hearing is not rescheduled subject to
§ 20.704(d), the Board’s decision will be
based on a review of evidence described
in paragraph (a)(1) of this section, and
evidence submitted by the appellant or
his or her representative within 90 days
following the date of the scheduled
hearing.
(Authority: 38 U.S.C. 7105, 7107, 7113(b))
§ 20.303 Rule 303. Appeals with no request
for a Board hearing, but with a request for
submission of additional evidence.
For appeals in which the appellant
requested, on the Notice of
Disagreement, an opportunity to submit
additional evidence without a Board
hearing, the Board’s decision will be
based on a review of the following:
(a) Evidence of record at the time of
the agency of original jurisdiction’s
decision on the issue or issues on
appeal; and
(b) Evidence submitted by the
appellant or his or her representative:
(1) With the Notice of Disagreement or
within 90 days following receipt of the
Notice of Disagreement; or,
(2) If the appellant did not request an
opportunity to submit additional
evidence on the Notice of Disagreement,
but subsequently requested to submit
additional evidence pursuant to Rule
202, (§ 20.202(c)(2)(ii)), within 90 days
following VA’s notice that the appeal
has been moved to the docket described
in § 20.800(a)(ii).
(Authority: 38 U.S.C. 7105, 7107, 7113(c))
§§ 20.304 through 20.306
Reserved]
[Added and
104. Add reserved §§ 20.304 through
20.306.
■ 105. Revise subpart E to read as
follows:
■
Subpart E—Appeal in Simultaneously
Contested Claims
Sec.
20.400 Rule 400. Notification of the right to
appeal in a simultaneously contested
claim.
20.401 Rule 401. Who can file an appeal in
simultaneously contested claims.
20.402 Rule 402. Time limits for filing
Notice of Disagreement in
simultaneously contested claims.
20.403 Rule 403. Notice to contesting
parties on receipt of Notice of
Disagreement in simultaneously
contested claims.
20.404 Rule 404. Time limit for response to
appeal by another contesting party in a
simultaneously contested claim.
20.405 Rule 405. Docketing of
simultaneously contested claims at the
Board.
20.406 Rule 406. Notices sent to last
addresses of record in simultaneously
contested claims.
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20.407 Rule 407. Favorable Findings are not
binding in Contested Claims.
20.408–20.499 [Reserved]
§ 20.400 Rule 400. Notification of the right
to appeal in a simultaneously contested
claim.
All interested parties will be
specifically notified of the action taken
by the agency of original jurisdiction in
a simultaneously contested claim and of
the right and time limit for submitting
a Notice of Disagreement to the Board,
as well as hearing and representation
rights.
§ 20.401 Rule 401. Who can file an appeal
in simultaneously contested claims.
In simultaneously contested claims,
any claimant or representative of a
claimant may file a Notice of
Disagreement within the time limits set
out in Rule 402 (§ 20.402).
(Authority: 38 U.S.C. 7105(b)(2), 7105A)
§ 20.402 Rule 402. Time limits for filing
Notice of Disagreement in simultaneously
contested claims.
In simultaneously contested claims,
the Notice of Disagreement from the
person adversely affected must be filed
within 60 days from the date of mailing
of the notification of the determination
to him or her; otherwise, that
determination will become final. The
date of mailing of the letter of
notification will be presumed to be the
same as the date of that letter for
purposes of determining whether a
Notice of Disagreement has been timely
filed.
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(Authority: 38 U.S.C. 7105A)
the content of the Notice of
Disagreement is furnished as provided
in § 20.403. Such content will be
presumed to have been furnished on the
date of the letter that accompanies the
content.
(Authority: 38 U.S.C. 7105A(b)(1))
§ 20.405 Rule 405. Docketing of
simultaneously contested claims at the
Board.
After expiration of the 30 day period
for response in § 20.404, the Board will
place all parties of the simultaneously
contested claim on the docket for the
type of review requested under
§ 20.202(b). In the event the parties
request different types of review, if any
party requests a hearing the appeal will
be placed on the docket described in
§ 20.800(a)(iii), and VA will notify the
parties that a hearing will be scheduled.
If no party requested a hearing, but any
party requested the opportunity to
submit additional evidence, the appeal
will be placed on the docket described
in § 20.800(a)(ii), and the parties will be
notified of their opportunity to submit
additional evidence within 90 days of
the date of such notice.
(Authority: 38 U.S.C. 7105A(b)(1))
*
*
*
*
(Authority: 38 U.S.C. 7105(b)(2), 7105A
(2016))
110. Amend newly redesignated
§ 20.502 by revising the section heading
and the authority citations following
paragraphs (a) through (c) to read as
follows:
■
§ 20.502 Rule 502. Time limits for filing
Notice of Disagreement, Substantive
Appeal, and response to Supplemental
Statement of the Case in simultaneously
contested claims.
(a) * * *
(Authority: 38 U.S.C. 7105A(b) (2016))
(b) * * *
(c) * * *
(Authority: 38 U.S.C. 38 U.S.C. 7105(d)(3),
7105A(b) (2016))
111. Amend newly redesignated
§ 20.503 by revising the section heading
and the authority citation at the end of
the section to read as follows:
■
Where a claim is contested, findings
favorable to either party, as described in
Rule 801 (§ 20.801), are no longer
binding on all agency of original
jurisdiction and Board of Veterans’
Appeals adjudicators during the
pendency of the contested appeal.
(Authority: 38 U.S.C. 7105A(b)(2))
§§ 20.404–20.499
[Reserved]
(Authority: 38 U.S.C. 7105A)
Subpart F—Legacy Appeal in
Simultaneously Contested Claims
§ 20.404 Rule 404. Time limit for response
to appeal by another contesting party in a
simultaneously contested claim.
■
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*
Notices in simultaneously contested
claims will be forwarded to the last
address of record of the parties
concerned and such action will
constitute sufficient evidence of notice.
Upon the filing of a Notice of
Disagreement in a simultaneously
contested claim, all interested parties
and their representatives will be
furnished a copy of the substance of the
Notice of Disagreement. The notice will
inform the contesting party or parties of
what type of review the appellant who
initially filed a Notice of Disagreement
selected under § 20.202(b), including
whether a hearing was requested.
16:05 Jan 17, 2019
§ 20.501 Rule 501. Who can file an appeal
in simultaneously contested claims.
(Authority: 38 U.S.C. 7105A(a) (2016))
§ 20.407 Rule 407. Favorable Findings are
not binding in Contested Claims.
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Rule 500. Applicability.
The provisions of this subpart apply
to legacy appeals, as defined in § 19.2 of
this chapter.
■ 109. Amend newly redesignated
§ 20.501 by:
■ a. Revising the section heading;
■ b. Removing the words ‘‘Rule 501
(§ 20.501 of this part)’’ and adding in
their place the words ‘‘Rule 502
(§ 20.502)’’; and
■ c. Revising the authority citation at
the end of the section.
The revisions read as follows:
§ 20.406 Rule 406. Notices sent to last
addresses of record in simultaneously
contested claims.
§ 20.403 Rule 403. Notice to contesting
parties on receipt of Notice of Disagreement
in simultaneously contested claims.
A party to a simultaneously contested
claim may file a brief, argument, or
request for a different type of review
under § 20.202(b) in answer to a Notice
of Disagreement filed by another
contesting party. Any such brief,
argument, or request must be filed with
the Board within 30 days from the date
§ 20.500
183
§ 20.503 Rule 503. Time limit for response
to appeal by another contesting party in a
simultaneously contested claim.
*
*
*
*
*
(Authority: 38 U.S.C. 7105A(b) (2016))
112. Amend newly redesignated
§ 20.504, and amend by revising the
section heading and the authority
citation at the end of the section to read
as follows:
■
106. Revise the subpart F heading to
read as set forth above.
§ 20.504 Rule 504. Extension of time for
filing a Substantive Appeal in
simultaneously contested claims.
§§ 20.500 through 20.504 [Redesignated as
§§ 20.501 through 20.505]
(Authority: 38 U.S.C. 7105A(b) (2016))
107. Redesignate §§ 20.500 through
20.504 as §§ 20.501 through 20.505.
■
108. Add new § 20.500 to read as
follows:
■
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*
*
*
*
*
113. Amend newly redesignated
§ 20.505, and amend by revising the
section heading and the authority
citation at the end of the section to read
as follows:
■
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Federal Register / Vol. 84, No. 13 / Friday, January 18, 2019 / Rules and Regulations
§ 20.505 Rule 505. Notices sent to last
addresses of record in simultaneously
contested claims.
*
*
*
*
*
(Authority: 38 U.S.C. 7105A(b) (2016))
Subpart G—Legacy Hearings on
Appeal
114. Revise the subpart G heading to
read as set forth above.
■
§ 20.600
[Redesignated as § 20.5]
115. Redesignate § 20.600 as § 20.5.
■ 116. Amend newly redesignated
§ 20.5 by revising the section heading to
read as follows:
■
§ 20.5
*
Rule 5. Right to representation.
*
§ 20.608
*
*
*
[Redesignated as § 20.6]
117. Redesignate § 20.608 as § 20.6
and revise it to read as follows:.
■
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§ 20.6 Rule 6. Withdrawal of services by a
representative.
(a)(1) Applicability. The restrictions
on a representative’s right to withdraw
contained in this paragraph apply only
to those cases in which the
representative has previously agreed to
act as representative in an appeal. In
addition to express agreement, orally or
in writing, such agreement shall be
presumed if the representative makes an
appearance in the case by acting on an
appellant’s behalf before the Board in
any way after the appellant has
designated the representative as such as
provided in ‘‘§ 14.630 or § 14.631 of this
chapter. The preceding sentence
notwithstanding, an appearance in an
appeal solely to notify the Board that a
designation of representation has not
been accepted will not be presumed to
constitute such consent.
(2) Procedures. Except as otherwise
provided in paragraph (b) of this
section, after an appeal to the Board of
Veterans’ Appeals has been filed, a
representative may not withdraw
services as representative in the appeal
unless good cause is shown on motion.
Good cause for such purposes is the
extended illness or incapacitation of an
agent admitted to practice before the
Department of Veterans Affairs, an
attorney-at-law, or other individual
representative; failure of the appellant
to cooperate with proper preparation
and presentation of the appeal; or other
factors which make the continuation of
representation impossible, impractical,
or unethical. 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
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fiduciary appointed to receive VA
benefits on an individual’s behalf), the
applicable Department of Veterans
Affairs file number, and the reason why
withdrawal should be permitted, and a
signed statement certifying that a copy
of the motion was sent by first-class
mail, postage prepaid, to the appellant,
setting forth the address to which the
copy was mailed. Such motions should
not contain information which would
violate privileged communications or
which would otherwise be unethical to
reveal. Such motions must be filed at
the following address: Board of
Veterans’ Appeals, P.O. Box 27063,
Washington, DC 20038. The appellant
may file a response to the motion with
the Board at the same address not later
than 30 days following receipt of the
copy of the motion and must include a
signed statement certifying that a copy
of the response was sent by first-class
mail, postage prepaid, to the
representative, setting forth the address
to which the copy was mailed.
(b) Withdrawal of services prior to
certification of a legacy appeal. A
representative may withdraw services as
representative in a legacy appeal at any
time prior to certification of the appeal
to the Board of Veterans’ Appeals by the
agency of original jurisdiction by
complying with the requirements of
§ 14.631 of this chapter.
(Approved by the Office of Management and
Budget under control number 2900–0085)
(Authority: 38 U.S.C. 5901–5904, 7105(a))
Subpart G—[Amended]
118. Remove the note to subpart G.
119. Add new § 20.600 to read as
follows:
■
■
§ 20.600
Rule 600. Applicability.
(a) The provisions in this subpart
apply to Board hearings conducted in
legacy appeals, as defined in § 19.2 of
this chapter.
(b) Except as otherwise provided,
Rules 700, 701, 704, 705, and 707–715
(§§ 20.700, 20.701, 20.704, 20.705, and
20.707–20.715) are also applicable to
Board hearings conducted in legacy
appeals.
§ 20.608
■
[Reserved]
120. Add reserved § 20.606.
Subpart H—Hearings on Appeal
121. Amend § 20.700 by revising
paragraphs (a) and (b) and removing
paragraphs (d) and (e).
The revisions read as follows:
■
§ 20.700
Rule 700. General.
(a) Right to a hearing. A hearing on
appeal will be granted if an appellant,
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or an appellant’s representative acting
on his or her behalf, expresses a desire
to testify before the Board. An appellant
is limited to one Board hearing
following the filing of a Notice of
Disagreement with a decision of the
agency of original jurisdiction. Requests
for additional Board hearings may be
granted for good cause shown.
(b) Purpose of hearing. The purpose of
a hearing is to receive argument and
testimony relevant and material to the
appellate issue or issues. It is
contemplated that the appellant and
witnesses, if any, will be present. A
hearing will not normally be scheduled
solely for the purpose of receiving
argument by a representative. Such
argument may be submitted in the form
of a written brief. Requests for
appearances by representatives alone to
personally present argument to
Members of the Board may be granted
if good cause is shown. Whether good
cause has been shown will be
determined by the presiding Member
assigned to conduct the hearing.
*
*
*
*
*
§ 20.704
[Redesignated as § 20.603]
122. Redesignate § 20.704 as § 20.603
and revise it to read as follows:
■
§ 20.603 Rule 603. Scheduling and notice
of hearings conducted by the Board of
Veterans’ Appeals at Department of
Veterans Affairs field facilities in a legacy
appeal.
(a) General. Hearings may be
conducted by a Member or Members of
the Board during prescheduled visits to
Department of Veterans Affairs facilities
having adequate physical resources and
personnel for the support of such
hearings. Subject to paragraph (f) of this
section, the hearings will be scheduled
for each area served by a regional office
in accordance with the place of each
case on the Board’s docket, established
under § 20.902, relative to other cases
for which hearings are scheduled to be
held within that area.
(b) Notification of hearing. When a
hearing at a Department of Veterans
Affairs field facility is scheduled, the
person requesting it will be notified of
its time and place, and of the fact that
the Government may not assume any
expense incurred by the appellant, the
representative, or witnesses attending
the hearing.
(c) Requests for changes in hearing
dates. Requests for a change in a hearing
date may be made at any time up to two
weeks prior to the scheduled date of the
hearing if good cause is shown. Such
requests must be in writing, must
explain why a new hearing date is
necessary, and must be filed with the
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Board. Examples of good cause include,
but are not limited to, illness of the
appellant and/or representative,
difficulty in obtaining necessary
records, and unavailability of a
necessary witness. If good cause is
shown, the hearing will be rescheduled
for the next available hearing date after
the appellant or his or her
representative gives notice that the
contingency which gave rise to the
request for postponement has been
removed. If good cause is not shown,
the appellant and his or her
representative will be promptly notified
and given an opportunity to appear at
the hearing as previously scheduled. If
the appellant elects not to appear at the
prescheduled date, the request for a
hearing will be considered to have been
withdrawn. In such cases, however, the
record will be submitted for review by
the Member who would have presided
over the hearing. If the presiding
Member determines that good cause has
been shown, the hearing will be
rescheduled for the next available
hearing date after the contingency
which gave rise to the request for
postponement has been removed.
(d) Failure to appear for a scheduled
hearing. If an appellant (or when a
hearing only for oral argument by a
representative has been authorized, the
representative) fails to appear for a
scheduled hearing and a request for
postponement has not been received
and granted, the case will be processed
as though the request for a hearing had
been withdrawn. No further request for
a hearing will be granted in the same
appeal unless such failure to appear was
with good cause and the cause for the
failure to appear arose under such
circumstances that a timely request for
postponement could not have been
submitted prior to the scheduled
hearing date. A motion for a new
hearing date following a failure to
appear for a scheduled hearing must be
in writing, must be filed within 15 days
of the originally scheduled hearing date,
and must explain why the appellant
failed to appear for the hearing and why
a timely request for a new hearing date
could not have been submitted. Such
motions must be filed with: Board of
Veterans’ Appeals, P.O. Box 27063,
Washington, DC 20038. Whether good
cause for such failure to appear and the
impossibility of timely requesting
postponement have been established
will be determined by the Member who
would have presided over the hearing.
If good cause and the impossibility of
timely requesting postponement are
shown, the hearing will be rescheduled
for the next available hearing date at the
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same facility after the appellant or his
or her representative gives notice that
the contingency which gave rise to the
failure to appear has been removed.
(e) Withdrawal of hearing requests. A
request for a hearing may be withdrawn
by an appellant at any time before the
date of the hearing. A request for a
hearing may not be withdrawn by an
appellant’s representative without the
consent of the appellant. Notices of
withdrawal must be submitted to the
Board.
(f) Advancement of the case on the
hearing docket. A hearing may be
scheduled at a time earlier than would
be provided for under paragraph (a) of
this section upon written motion of the
appellant or the representative. The
same grounds for granting relief, motion
filing procedures, and designation of
authority to rule on the motion specified
in Rule 902(c) (§ 20.902(c)) for
advancing a case on the Board’s docket
shall apply.
(Authority: 38 U.S.C. 7107; Sec. 102, Pub.
114–315; 130 Stat. 1536)
[Approved by the Office of Management and
Budget under control number 2900–0085]
§ 20.702
■
[Redesignated as § 20.704]
123. Redesignate § 20.702 as § 20.704.
124. Amend newly redesignated
§ 20.704 by revising the section heading
and paragraphs (a) and (c) through (e)
and by adding paragraph (f) to read as
follows:
■
§ 20.704 Rule 704. Scheduling and notice
of hearings conducted by the Board of
Veterans’ Appeals.
(a)(1) General. To the extent that
officials scheduling hearings for the
Board determine that necessary physical
resources and qualified personnel are
available, hearings will be scheduled at
the convenience of appellants and their
representatives, with consideration of
the travel distance involved. Subject to
paragraph (f) of this section, electronic
hearings will be scheduled for each area
served by a regional office in accordance
with the place of each case on the
Board’s docket, established under Rule
801 (§ 20.801) for appeals and under
Rule 902 (§ 20.902) for legacy appeals,
relative to other cases for which
hearings are scheduled to be held
within that area.
(2) Special provisions for legacy
appeals. The procedures for scheduling
and providing notice of Board hearings
in legacy appeals conducted at a
Department of Veterans Affairs facility
having adequate physical resources and
personnel for the support of such
hearings under paragraph (a)(3) of Rule
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185
601 (§ 20.601(a)(3)) are contained in
Rule 603 (§ 20.603).
*
*
*
*
*
(c) Requests for changes in hearing
dates. Requests for a change in a hearing
date may be made at any time up to two
weeks prior to the scheduled date of the
hearing if good cause is shown. Such
requests must be in writing, must
explain why a new hearing date is
necessary, and must be filed with the
Board. Examples of good cause include,
but are not limited to, illness of the
appellant and/or representative,
difficulty in obtaining necessary
records, and unavailability of a
necessary witness. If good cause is
shown, the hearing will be rescheduled
for the next available hearing date after
the appellant or his or her
representative gives notice that the
contingency which gave rise to the
request for postponement has been
removed. If good cause is not shown,
the appellant and his or her
representative will be promptly notified
and given an opportunity to appear at
the hearing as previously scheduled. If
the appellant elects not to appear at the
prescheduled date, the request for a
hearing will be considered to have been
withdrawn. In such cases, however, the
record will be submitted for review by
the Member who would have presided
over the hearing. If the presiding
Member determines that good cause has
been shown, the hearing will be
rescheduled for the next available
hearing date after the contingency
which gave rise to the request for
postponement has been removed.
(d) Failure to appear for a scheduled
hearing. If an appellant (or when a
hearing only for oral argument by a
representative has been authorized, the
representative) fails to appear for a
scheduled hearing and a request for
postponement has not been received
and granted, the case will be processed
as though the request for a hearing had
been withdrawn. No further request for
a hearing will be granted in the same
appeal unless such failure to appear was
with good cause and the cause for the
failure to appear arose under such
circumstances that a timely request for
postponement could not have been
submitted prior to the scheduled
hearing date. A motion for a new
hearing date following a failure to
appear for a scheduled hearing must be
in writing, must be filed within 15 days
of the originally scheduled hearing date,
and must explain why the appellant
failed to appear for the hearing and why
a timely request for a new hearing date
could not have been submitted. Such
motions must be filed with: Board of
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Veterans’ Appeals, P.O. Box 27063,
Washington, DC 20038. Whether good
cause for such failure to appear and the
impossibility of timely requesting
postponement have been established
will be determined by the Member who
would have presided over the hearing.
If good cause and the impossibility of
timely requesting postponement are
shown, the hearing will be rescheduled
for the next available hearing date at the
same facility after the appellant or his
or her representative gives notice that
the contingency which gave rise to the
failure to appear has been removed.
(e) Withdrawal of hearing requests. A
request for a hearing may be withdrawn
by an appellant at any time before the
date of the hearing. A request for a
hearing may not be withdrawn by an
appellant’s representative without the
consent of the appellant. Notices of
withdrawal must be submitted to the
Board.
(f) Advancement of the case on the
hearing docket. A hearing may be
scheduled at a time earlier than would
be provided for under paragraph (a) of
this section upon written motion of the
appellant or the representative. The
same grounds for granting relief, motion
filing procedures, and designation of
authority to rule on the motion specified
in Rule 902(c) (§ 20.902(c)) for
advancing a case on the Board’s docket
shall apply.
(Authority: 38 U.S.C. 7107)
[Approved by the Office of Management and
Budget under control number 2900–0085]
125. Add new § 20.702 to read as
follows:
■
§ 20.702 Rule 702. Methods by which
hearings are conducted.
A hearing on appeal before the Board
may be held by one of the following
methods:
(a) In person at the Board’s principal
location in Washington, DC, or
(b) By electronic hearing, through
picture and voice transmission, with the
appellant appearing at a Department of
Veterans Affairs facility.
(Authority: 38 U.S.C. 7102, 7105(a), 7107)
§ 20.703
[Redesignated as § 20.602]
126. Redesignate § 20.703 as § 20.602
and revise it to read as follows:
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■
§ 20.602 Rule 602. When a hearing before
the Board of Veterans’ Appeals may be
requested in a legacy appeal; procedure for
requesting a change in method of hearing.
(a) How to request a hearing. An
appellant, or an appellant’s
representative, may request a hearing
before the Board when submitting the
substantive appeal (VA Form 9) or
anytime thereafter, subject to the
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restrictions in Rule 1305 (§ 20.1305).
Requests for such hearings before a
substantive appeal has been filed will be
rejected.
(b) Board’s determination of method
of hearing. Following the receipt of a
request for a hearing, the Board shall
determine, for purposes of scheduling
the hearing for the earliest practical
date, whether a hearing before the Board
will be held at its principal location or
at a facility of the Department or other
appropriate Federal facility located
within the area served by a regional
office of the Department. The Board
shall also determine whether the
hearing will occur by means of an
electronic hearing or by the appellant
personally appearing before a Board
member or panel. An electronic hearing
will be in lieu of a hearing held by
personally appearing before a Member
or panel of Members of the Board and
shall be conducted in the same manner
as, and considered the equivalent of,
such a hearing.
(c) Notification of method of hearing.
The Board will notify the appellant and
his or her representative of the method
of a hearing before the Board.
(d) How to request a change in
method of hearing. Upon notification of
the method of the hearing requested
pursuant to paragraph (c) of this section,
an appellant may make one request for
a different method of the requested
hearing. If the appellant makes such a
request, the Board shall grant the
request and notify the appellant of the
change in method of the hearing.
(e) Notification of scheduling of
hearing. The Board will notify the
appellant and his or her representative
of the scheduled time and location for
the requested hearing not less than 30
days prior to the hearing date. This time
limitation does not apply to hearings
which have been rescheduled due to a
postponement requested by an
appellant, or on his or her behalf, or due
to the prior failure of an appellant to
appear at a scheduled hearing before the
Board with good cause. The right to
notice at least 30 days in advance will
be deemed to have been waived if an
appellant accepts an earlier hearing date
due to the cancellation of another
previously scheduled hearing.
(Authority: Sec. 102, Pub. L. 114–315; 130
Stat. 1536)
representative, may request a hearing
before the Board when submitting the
Notice of Disagreement, or when
requesting to modify the Notice of
Disagreement, as provided in Rule 202
(§ 20.202). Requests for such hearings at
any other time will be rejected.
(b) Board’s determination of method
of hearing. Following the receipt of a
request for a hearing, the Board shall
determine, for purposes of scheduling
the hearing for the earliest practical
date, whether a hearing before the Board
will be held at its principal location or
by picture and voice transmission at a
facility of the Department located
within the area served by a regional
office of the Department.
(c) Notification of method of hearing.
The Board will notify the appellant and
his or her representative of the method
of a hearing before the Board.
(d) How to request a change in
method of hearing. If an appellant
declines to participate in the method of
hearing selected by the Board, the
appellant’s opportunity to participate in
a hearing before the Board shall not be
affected. Upon notification of the
method of the hearing requested
pursuant to paragraph (c) of this section,
an appellant may make one request for
a different method of the requested
hearing. If the appellant makes such a
request, the Board shall grant the
request and notify the appellant of the
change in method of the hearing.
(e) Notification of scheduling of
hearing. The Board will notify the
appellant and his or her representative
of the scheduled time and location for
the requested hearing not less than 30
days prior to the hearing date. This time
limitation does not apply to hearings
which have been rescheduled due to a
postponement requested by an
appellant, or on his or her behalf, or due
to the prior failure of an appellant to
appear at a scheduled hearing before the
Board of Veterans’ Appeals with good
cause. The right to notice at least 30
days in advance will be deemed to have
been waived if an appellant accepts an
earlier hearing date due to the
cancellation of another previously
scheduled hearing.
(Authority: 38 U.S.C. 7105(a), 7107)
§ 20.705
[Redesignated as § 20.601]
128. Redesignate § 20.705 as § 20.601
and revise it to read as follows:
■
127. Add new § 20.703 to read as
follows:
■
§ 20.703 Rule 703. When a hearing before
the Board of Veterans’ Appeals may be
requested; procedure for requesting a
change in method of hearing.
§ 20.601 Rule 601. Methods by which
hearings in legacy appeals are conducted;
scheduling and notice provisions for such
hearings.
(a) How to request a hearing. An
appellant, or an appellant’s
(a) Methods by which hearings in
legacy appeals are conducted. A hearing
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on appeal before the Board may be held
by one of the following methods:
(1) In person at the Board’s principal
location in Washington, DC;
(2) By electronic hearing, through
voice transmission or through picture
and voice transmission, with the
appellant appearing at a Department of
Veterans Affairs facility or appropriate
Federal facility; or
(3) At a Department of Veterans
Affairs facility having adequate physical
resources and personnel for the support
of such hearings.
(b) Electronic hearings. An
appropriate Federal facility consists of a
Federal facility having adequate
physical resources and personnel for the
support of such hearings.
(c) Provisions for scheduling and
providing notice of hearings in legacy
appeals.
(1) The procedures for scheduling and
providing notice of Board hearings in
legacy appeals conducted by the
methods described in paragraphs (a)(1)
and (a)(2) of this section are contained
in Rule 704 (§ 20.704).
(2) The procedures for scheduling and
providing notice of Board hearings in
legacy appeals conducted at a
Department of Veterans Affairs facility
having adequate physical resources and
personnel for the support of such
hearings under (a)(3) are contained in
Rule 603 (§ 20.603).
(Authority: 38 U.S.C. 7107; Sec. 102, Pub. L.
114–315; 130 Stat. 1536)
§ 20.706
[Redesignated as § 20.705]
129. Redesignate § 20.706 as § 20.705
and revise it to read as follows:
■
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§ 20.705 Rule 705. Functions of the
presiding Member.
(a) General. The presiding Member is
responsible for the conduct of a Board
hearing in accordance with the
provisions of subparts G and H of this
part.
(b) Duties. The duties of the presiding
Member include, but are not limited to,
any of the following:
(1) Conducting a prehearing
conference, pursuant to § 20.707;
(2) Ruling on questions of procedure;
(3) Administering the oath or
affirmation;
(4) Ensuring that the course of the
Board hearing remains relevant to the
issue or issues on appeal;
(5) Setting reasonable time limits for
the presentation of argument;
(6) Prohibiting cross-examination of
the appellant and any witnesses;
(7) Determining whether documentary
evidence, testimony, and/or argument is
relevant or material to the issue or
issues being considered and not unduly
repetitious;
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(8) Terminating a Board hearing or
directing that an offending party,
representative, witness, or observer
leave the hearing if that party persists or
engages in disruptive or threatening
behavior;
(9) Disallowing or halting the use of
personal recording equipment being
used by an appellant or representative if
it becomes disruptive to the hearing;
and
(10) Taking any other steps necessary
to maintain good order and decorum.
(c) Ruling on motions. The presiding
Member has the authority to rule on any
Board hearing-related motion.
(Authority: 38 U.S.C. 501)
130. Add new § 20.706 to read as
follows:
■
§ 20.706 Rule 706. Designation of Member
or Members to conduct the hearing.
Hearings will be conducted by a
Member or panel of Members of the
Board. Where a proceeding has been
assigned to a panel, the Chairman, or
the Chairman’s designee, shall designate
one of the Members as the presiding
Member.
(Authority: 38 U.S.C. 7102, 7107)
§ 20.707
[Redesignated as § 20.604]
§ 20.709
§ 20.605 Rule 605. Procurement of
additional evidence following a hearing in a
legacy appeal.
*
*
§ 20.710
§ 20.708
*
*
§ 20.711
[Redesignated as § 20.707]
133. Redesignate § 20.708 as § 20.707.
■ 134. Amend newly redesignated
§ 20.707 and amend by:
■ a. Revisng the section heading;
■ b. Removing the second sentence; and
■ c. Adding an authority citation to the
end of the section.
The revision and addtions read as
follows:
■
§ 20.707
*
*
Rule 707. Prehearing conference.
*
*
*
(Authority: 38 U.S.C. 7102, 7107)
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*
*
*
[Redesignated as § 20.709]
139. Redesignate § 20.711 as § 20.709.
140. Amend newly redesignated
§ 20.709:
■ a. By revising the section heading; and
■ b. In paragraph (c), by removing the
words ‘‘Director, Office of Management,
Planning and Analysis (014),’’.
The revision reads as follows:
§ 20.713
§ 20.708
Rule 708. Witness at hearings.
■
§ 20.604 Rule 604. Designation of Member
or Members to conduct the hearing in a
legacy appeal.
*
[Redesignated as § 20.708]
■
*
*
*
137. Redesignate § 20.710 as § 20.708.
■ 138. Amend newly redesignated
20.708 by revising the section heading
to read as follows:
§ 20.709
*
*
■
131. Redesignate § 20.707 as § 20.604.
132. Amend newly redesignated
§ 20.604 and amend by:
■ a. Revising the section heading;
■ c. Removing the words ‘‘§ 19.3 of this
part’’ and add in their place the words
‘‘Rule 106 (§ 20.106)’’;
■ d. Removing the words ‘‘§ 19.11(c) of
this part’’ and add in their place the
words ‘‘Rule 1004 (§ 20.1004)’’; and
■ e. Adding an authority citation to the
end of the setion.
The revision and addition read as
follows:
*
*
(Authority: 38 U.S.C. 7102; 38 U.S.C. 7105,
7101 (2016))
■
(Authority: 38 U.S.C. 7102; 38 U.S.C. 7101
(2016))
[Redesignated as § 20.605]
135. Redesignate § 20.709 as § 20.605.
■ 136. Amend newly redesignated
§ 20.605 by revising the section heading
and adding an authority citation to the
end of the section to read as follows:
■
■
*
187
*
§ 20.712
Rule 709, Subpoenas.
*
*
*
[Redesignated as § 20.710]
141. Redesignate § 20.712 as § 20.710.
■ 142. Amend newly redesignated
20.710 by revising the section heading
to read as follows:
■
§ 20.710 Rule 710. Expenses of appellants,
representatives, and witnesses incident to
hearings not reimbursable by the
Government.
*
*
*
*
*
[Redesignated as § 20.711]
143. Redesignate § 20.713 as § 20.711.
■ 144. Amend newly redesignated
§ 20.711 by revising paragraph (b) to
read as follows:
■
§ 20.711 Rule 711. Hearings in
simultaneously contested claims.
*
*
*
*
*
(b) Requests for changes in hearing
dates. (1) General. Except as described
in paragraphs (b)(2) and (3) of this
section, any party to a simultaneously
contested claim may request a change in
a hearing date in accordance with the
provisions of Rule 704, paragraph (c)
(§ 20.704(c)).
(2)(i) A request under Rule 704,
paragraph (c) must be made within 60
days from the date of the letter of
notification of the time and place of the
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hearing, or not later than two weeks
prior to the scheduled hearing date,
whichever is earlier.
(ii) In order to obtain a new hearing
date under the provisions of Rule 704,
paragraph (c) (§ 20.704(c)), the consent
of all other interested parties must be
obtained and submitted with the request
for a new hearing date. If such consent
is not obtained, the date of the hearing
will become fixed. After a hearing date
has become fixed, an extension of time
for appearance at a hearing will be
granted only for good cause, with due
consideration of the interests of other
parties. Examples of good cause include,
but are not limited to, illness of the
appellant and/or representative,
difficulty in obtaining necessary
records, and unavailability of a
necessary witness. The motion for a new
hearing date must be in writing and
must explain why a new hearing date is
necessary. If good cause is shown, the
hearing will be rescheduled for the next
available hearing date after the
appellant or his or her representative
gives notice that the contingency which
gave rise to the request for
postponement has been removed.
Ordinarily, however, hearings will not
be postponed more than 30 days.
Whether good cause for establishing a
new hearing date has been shown will
be determined by the presiding Member
assigned to conduct the hearing.
(3) A copy of any motion for a new
hearing date required by these rules
must be mailed to all other interested
parties by certified mail, return receipt
requested. The receipts, which must
bear the signatures of the other
interested parties, and a letter
explaining that they relate to the motion
for a new hearing date and containing
the applicable Department of Veterans
Affairs file number must be filed at the
same address where the motion was
filed as proof of service of the motion.
Each interested party will be allowed a
period of 10 days from the date that the
copy of the motion was received by that
party to file written argument in
response to the motion.
§ 20.715
[Redesignated as § 20.713]
146. Redesignate § 20.715 as § 20.713.
■ 147. Amend newly redesignated
§ 20.713 by:
■ a. Revising the section heading;
■ b. Revising the fourth sentence
■ c. Removing the fifth sentence; and
■ d. Revising the authority citation at
the end of the section.
The revisions read as follows:
■
§ 20.713 Rule 713. Recording of hearing by
appellant or representative.
* * * In all such situations, advance
arrangements must be made with the
Board of Veterans’ Appeals, P.O. Box
27063, Washington, DC 20038.
(Authority: 38 U.S.C. 7102, 7107)
§ 20.716
[Redesignated as § 20.714]
148. Redesignate § 20.716 as § 20.714
and revise it to read as follows:
■
§ 20.714 Rule 714. Correction of hearing
transcripts.
If an appellant wishes to seek
correction of perceived errors in a
hearing transcript, the appellant or his
or her representative should move for
correction of the hearing transcript
within 30 days after the date that the
transcript is mailed to the appellant.
The motion must be in writing and must
specify the error, or errors, in the
transcript and the correct wording to be
substituted. The motion must be filed
with the Board of Veterans’ Appeals,
P.O. Box 27063, Washington, DC 20038.
The ruling on the motion will be made
by the presiding Member of the hearing.
(Authority: 38 U.S.C. 7105A)
(Authority: 38 U.S.C. 7102, 7107)
§ 20.714
§ 20.717
[Redesignated as § 20.712]
[Redesignated as § 20.715]
145. Redesignate § 20.714 as § 20.712
and revise it to read as follows:
■
§ 20.712
§ 20.715 Rule 715. Loss of hearing
recordings or transcripts—request for new
hearing.
■
khammond on DSK30JT082PROD with RULES2
prepared by the appellant or
representative.
(b) Hearing recording. The recording
of the Board hearing will be retained for
a period of 12 months following the date
of the Board hearing as a duplicate
record of the proceeding.
(c) Copy of written transcript. If the
appellant or representative requests a
copy of the written transcript in
accordance with § 1.577 of this chapter,
the Board will furnish one copy to the
appellant or representative.
Rule 712. Record of hearing.
(a) General. All Board hearings will be
recorded. The Board will prepare a
written transcript for each Board
hearing conducted. The transcript will
be the official record of the hearing and
will be incorporated as a part of the
record on appeal. The Board will not
accept alternate transcript versions
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149. Redesignate § 20.717 as § 20.715
and revise it to read as follows:
(a) Notification. (1) The Board must
notify the appellant and his or her
representative in writing in the event
the Board discovers that a Board hearing
has not been recorded in whole or in
part due to equipment failure or other
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cause, or the official transcript of the
hearing is lost or destroyed and the
recording upon which it was based is no
longer available. The notice must
provide the appellant with a choice of
either of the following options:
(i) Appear at a new Board hearing,
pursuant to Rules 703 and 704
(§§ 20.703 and 20.704) for appeals or
Rules 602 and 603 (§§ 20.602 and
20.603) for legacy appeals, as defined in
§ 19.2 of this chapter; or
(ii) Have the Board proceed to
appellate review of the appeal based on
the evidence of record.
(2) The notice will inform the
appellant that he or she has a period of
30 days to respond to the notice. If the
appellant does not respond by
requesting a new hearing within 30 days
from the date of the mailing of the
notice, then the Board will decide the
appeal on the basis of the evidence of
record. A request for a new Board
hearing will not be accepted once the
Board has issued a decision on the
appeal.
(b) Board decision issued prior to a
loss of the recording or transcript. The
Board will not accept a request for a
new Board hearing under this section if
a Board decision was issued on an
appeal prior to the loss of the recording
or transcript of a Board hearing, and the
Board decision considered testimony
provided at that Board hearing.
(Authority: 38 U.S.C. 7102, 7105(a), 7107)
§§ 20.716 and 20.717
[Reserved]
150. Add reserved §§ 20.716 and
20.717.
■
§ 20.901
■
151. Redesignate § 20.901 as § 20.906.
§ 20.902
■
[Redesignated as § 20.906]
[Redesignated as § 20.907]
152. Redesignate § 20.902 as § 20.907.
§ 20.800
[Redesignated as § 20.901]
153. Redesignate § 20.800 as
§ 20.901.153.
■ 154. Revise the subpart I heading and
add new § 20.800 and §§ 20.801 through
20.804 to read as follows:
■
Subpart I—Appeals Processing
20.800 Rule 800. Order of consideration of
appeals.
20.801 Rule 801. The decision.
20.802 Rule 802. Remand for correction of
error.
20.803 Rule 803. Content of Board decision,
remand, or order in simultaneously
contested claims.
20.804 Rule 804. Opinions of the General
Counsel.
*
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§ 20.800 Rule 800. Order of consideration
of appeals.
(a) Docketing of appeals. (1)
Applications for review on appeal are
docketed in the order in which they are
received on the following dockets:
(i) A docket for appeals in which an
appellant does not request a hearing or
an opportunity to submit additional
evidence on the Notice of Disagreement;
(ii) A docket for appeals in which the
appellant does not request a hearing but
does request an opportunity to submit
additional evidence on the Notice of
Disagreement; and
(iii) A docket for appeals in which the
appellant requests a hearing on the
Notice of Disagreement.
(2) An appeal may be moved from one
docket to another only when the Notice
of Disagreement has been modified
pursuant to Rule 202, paragraph (c)(3)
(§ 20.202(c)(3)). The request to modify
the Notice of Disagreement must reflect
that the appellant requests the option
listed in § 20.202(b) that corresponds to
the docket to which the appeal will be
moved. An appeal that is moved from
one docket to another will retain its
original docket date.
(b) Except as otherwise provided,
each appeal will be decided in the order
in which it is entered on the docket to
which it is assigned.
(c) Advancement on the docket—(1)
Grounds for advancement. A case may
be advanced on the docket to which it
is assigned on the motion of the
Chairman, the Vice Chairman, a party to
the case before the Board, or such
party’s representative. Such a motion
may be granted only if the case involves
interpretation of law of general
application affecting other claims, if the
appellant is seriously ill or is under
severe financial hardship, or if other
sufficient cause is shown. ‘‘Other
sufficient cause’’ shall include, but is
not limited to, administrative error
resulting in a significant delay in
docketing the case, administrative
necessity, or the advanced age of the
appellant. For purposes of this Rule,
‘‘advanced age’’ is defined as 75 or more
years of age. This paragraph does not
require the Board to advance a case on
the docket in the absence of a motion of
a party to the case or the party’s
representative.
(2) Requirements for motions. Motions
for advancement on the docket must be
in writing and must identify the specific
reason(s) why advancement on the
docket is sought, the name of the
veteran, the name of the appellant if
other than the veteran (e.g., a veteran’s
survivor, a guardian, a substitute
appellant, or a fiduciary appointed to
receive VA benefits on an individual’s
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behalf), and the applicable Department
of Veterans Affairs file number. The
motion must be filed with the Board of
Veterans’ Appeals, P.O. Box 27063,
Washington, DC 20038.
(3) Disposition of motions. If a motion
is received prior to the assignment of
the case to an individual member or
panel of members, the ruling on the
motion will be by the Vice Chairman,
who may delegate such authority to a
Deputy Vice Chairman. If a motion to
advance a case on the docket is denied,
the appellant and his or her
representative will be immediately
notified. If the motion to advance a case
on the docket is granted, that fact will
be noted in the Board’s decision when
rendered.
(d) Consideration of appeals
remanded by the United States Court of
Appeals for Veterans Claims. A case
remanded by the United States Court of
Appeals for Veterans Claims for
appropriate action will be treated
expeditiously by the Board without
regard to its place on the Board’s docket.
(Authority: 38 U.S.C. 7112; Sec. 302,103–446;
108 Stat. 4645)
(e) Case remanded to correct duty to
assist error and new Notice of
Disagreement filed after readjudication.
A case will not be returned to the Board
following the agency of original
jurisdiction’s readjudication of an
appeal previously remanded by the
Board pursuant to Rule 803, paragraph
(c) (§ 20.802(c)), unless the claimant
files a new Notice of Disagreement.
Such cases will be docketed in the order
in which the most recent Notice of
Disagreement was received.
(f) Cases involving substitution. A
case returned to the Board following the
grant of a substitution request or
pursuant to an appeal of a denial of a
substitution request assumes the same
place on the docket held by the
deceased appellant at the time of his or
her death. If the deceased appellant’s
case was advanced on the docket prior
to his or her death pursuant to
paragraph (c) of this section, the
substitute will receive the benefit of the
advanced placement.
(Authority: 38 U.S.C. 5121A)
(g) Postponement to provide hearing.
Any other provision of this Rule
notwithstanding, a case may be
postponed for later consideration and
determination if such postponement is
necessary to afford the appellant a
hearing.
(Authority: 38 U.S.C. 7105, 7107)
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§ 20.801
189
Rule 801. The decision.
(a) General. Decisions of the Board
will be based on a de novo review of the
evidence of record at the time of the
agency of original jurisdiction decision
on the issue or issues on appeal, and
any additional evidence submitted
pursuant to Rules 302 and 303
(§§ 20.302 and 20.303). Any findings
favorable to the claimant as identified
by the agency of original jurisdiction in
notification of a decision or in a prior
Board decision on an issue on appeal
are binding on all agency of original
jurisdiction and Board of Veterans’
Appeals adjudicators, unless rebutted
by evidence that identifies a clear and
unmistakable error in the favorable
finding. For purposes of this section,
findings means conclusions on
questions of fact and application of law
to facts made by an adjudicator
concerning the issue under review.
(b) Content. The decision of the Board
will be in writing and will set forth
specifically the issue or issues under
appellate consideration. Except with
respect to appeals which are dismissed
because an appellant seeking
nonmonetary benefits has died while
the appeal was pending, the decision
will also include:
(1) Findings of fact and conclusions of
law on all material issues of fact and
law presented on the record;
(2) The reasons or bases for those
findings and conclusions;
(3) A general statement reflecting
whether any evidence was received at a
time when not permitted under subpart
D, and informing the appellant that any
such evidence was not considered by
the Board and of the options available
to have that evidence reviewed by the
Department of Veterans Affairs; and
(4) An order granting or denying the
benefit or benefits sought on appeal,
dismissing the appeal, or remanding the
issue or issues as described in Rule 802
(§ 20.802).
(c) Panel decision. A decision by a
panel of Members will be by a majority
vote of the panel Members.
(Authority: 38 U.S.C. 7104(d))
§ 20.802 Rule 802. Remand for correction
of error.
(a) Remand. Unless the issue or issues
can be granted in full, the Board shall
remand the appeal to the agency of
original jurisdiction for correction of an
error on the part of the agency of
original jurisdiction to satisfy its duties
under 38 U.S.C. 5103A, if the error
occurred prior to the date of the agency
of original jurisdiction decision on
appeal. The Board may remand for
correction of any other error by the
agency of original jurisdiction in
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satisfying a regulatory or statutory duty,
if correction of the error would have a
reasonable possibility of aiding in
substantiating the appellant’s claim. The
remand must specify the action to be
taken by the agency of original
jurisdiction.
(b) Advisory Medical Opinion. If the
Board determines that an error as
described in paragraph (a) of this
section may only be corrected by
obtaining an advisory medical opinion
from a medical expert who is not an
employee of the Department of Veterans
Affairs, the Board shall remand the case
to the agency of original jurisdiction to
obtain such an opinion, specifying the
questions to be posed to the
independent medical expert providing
the advisory medical opinion.
(c) Action by agency of original
jurisdiction after receipt of remand.
After correction of any error identified
in the Board’s remand, the agency of
original jurisdiction must readjudicate
the claim and provide notice of the
decision under 38 U.S.C. 5104, to
include notice under 38 U.S.C. 5104C of
a claimant’s options for further review
of the agency of original jurisdiction’s
decision. The agency of original
jurisdiction must provide for the
expeditious treatment of any claim that
is remanded by the Board.
(Authority: 38 U.S.C. 5107(a), 7102(c),
7104(a), 7104(c))
Subpart J—Action by the Board in
Legacy Appeals
(Authority: 38 U.S.C. 5103A, 5109, 5109B,
7102, 7104(a), 7105)
§ 20.803 Rule 803. Content of Board
decision, remand, or order in
simultaneously contested claims.
155. Revise the subpart J heading to
read as set forth above.
■
The content of the Board’s decision,
remand, or order in appeals involving a
simultaneously contested claim will be
limited to information that directly
affects the issues involved in the
contested claim. Appellate issues that
do not involve all of the contesting
parties will be addressed in one or more
separate written decisions, remands, or
orders that will be furnished only to the
appellants concerned and their
representatives, if any.
§ 20.900
(Authority: 5 U.S.C. 552a(b), 38 U.S.C.
5701(a))
■
§ 20.804 Rule 804. Opinions of the General
Counsel.
khammond on DSK30JT082PROD with RULES2
a complex or controversial legal issue
involved in the appeal which warrants
such an opinion.
(c) Notification of evidence to be
considered by the Board and
opportunity for response. If the Board
requests an opinion pursuant to this
section, it will notify the appellant and
his or her representative, if any. When
the Board receives the opinion, it will
furnish a copy of the opinion to the
appellant, subject to the limitations
provided in 38 U.S.C. 5701(b)(1), and to
the appellant’s representative, if any. A
period of 60 days from the date the
Board furnishes a copy of the opinion
will be allowed for response, which may
include the submission of relevant
evidence or argument. The date the
Board furnishes a copy will be
presumed to be the same as the date of
the letter or memorandum that
accompanies the copy of the opinion for
purposes of determining whether a
response was timely filed.
(d) For purposes of this section, the
term ‘‘the Board’’ includes the
Chairman, the Vice Chairman, any
Deputy Vice Chairman, and any
Member of the Board before whom a
case is pending.
(a) The Board may obtain an opinion
from the General Counsel of the
Department of Veterans Affairs on legal
questions involved in the consideration
of an appeal.
(b) Filing of requests for the
procurement of opinions. The appellant
or representative may request that the
Board obtain an opinion under this
section. Such request must be in writing
and will be granted upon a showing of
good cause, such as the identification of
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[Redesignated as § 20.902]
156. Redesignate § 20.900 as § 20.902.
157. Add new § 20.900 to read as
follows:
■
■
§ 20.900
(Authority: Sec. 2,115–55; 131 Stat. 1105)
158. Amend newly redesignated
§ 20.901 by revising the section heading
and the authority citation at the end of
the section to read as follows:
§ 20.901 Rule 901. Submission of
additional evidence after initiation of
appeal.
*
*
*
*
(Authority: 38 U.S.C. 5902, 5903, 5904; 38
U.S.C. 5904, 7105(d)(1) (2016))
159. Amend newly redesignated
§ 20.902:
■ a. By revising the section heading;
■ b. By revising the third sentence in
paragraph (c)(1);
■
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§ 20.902 Rule 902. Order of consideration
of appeals.
*
*
*
*
*
(c) * * *
(1) * * * ‘‘Other sufficient cause’’
shall include, but is not limited to,
administrative error resulting in a
significant delay in docketing the case,
administrative necessity, or the
advanced age of the appellant. * * *
*
*
*
*
*
(d) * * *
(Authority: Sec. 302, Pub. L. 103–446; 108
Stat. 4645)
*
*
*
*
*
(Authority: 38 U.S.C. 5121A, 7107; 38 U.S.C.
7107 (2016))
§ 20.1002
■
[Removed]
160. Remove § 20.1002.
§§ 20.1000 and 20.1001 [Redesignated as
§§ 20.1001 and 20.1002]
161. Redesignate §§ 20.1000 and
20.1001 as §§ 20.1001 and 20.1002,
respectively.
■ 162. Amend newly redesignated
§ 20.906:
■ a. By revising the section heading; and
■ b. In paragraph (b), by removing the
words ‘‘Armed Forces Institute of
Pathology’’ and adding in its place the
words ‘‘Joint Pathology Center’’ both
places it appears.
The revision reads as follows:
■
§ 20.906 Rule 906. Medical opinions and
opinions of the General Counsel.
*
Rule 900. Applicability.
The provisions in this subpart apply
to Board decisions and remands
rendered in legacy appeals, as defined
in § 19.2 of this chapter.
*
c. In paragraph (c)(2), by removing the
words ‘‘Director, Office of Management,
Planning and Analysis (014),’’; and
■ d. Revising the authority citations at
the end of paragraph (d) and at the end
of the section.
The revisions read as follows:
■
*
*
*
*
163. Amend newly redesignate
§ 20.907 by:
■ a. Revising the section heading; and
■ b. Removing the words ‘‘Rule 901
(§ 20.901 of this part)’’ and adding in its
place the words ‘‘Rule 906 (§ 20.906)’’.
The revision reads as follows:
■
§ 20.907 Rule 907. Filing of requests for
the procurement of opinions.
*
*
*
*
*
164. Amend newly redesignated
§ 20.908:
■ a. By revising the section heading;
■ b. In paragraph (a), by removing the
words ‘‘Rule 901 (§ 20.901 of this part)’’
and adding in its place the words ‘‘Rule
906 (§ 20.906)’’; and
■ c. In paragraph (b)(1), by removing the
words ‘‘§ 19.9(d)(5) of this chapter’’ and
adding in its place the words ‘‘Rule
904(d)(5) (§ 20.904(d)(5))’’.
The revision reads as follows:
■
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§ 20.908 Rule 908. Notification of evidence
to be considered by the Board and
opportunity for response.
*
*
*
*
*
165. Revise the subpart K heading to
read as set forth above.
■ 166. Amend newly redesignated
§ 20.1000 by revising the section
heading and paragraphs (a)(2) and (3) to
read as follows:
A determination on a claim by the
agency of original jurisdiction of which
the claimant is properly notified is final
if an appeal is not perfected as
prescribed in § 19.52 of this chapter. If
no Notice of Disagreement is filed as
prescribed in subpart C of this part, the
claim shall not thereafter be
readjudicated or allowed, except as
provided by 38 U.S.C. 5104B or 5108, or
by regulation.
■ 171. Revise § 20.1105 to read as
follows:
Rule 1000. Vacating a decision.
*
*
*
*
*
(a) * * *
(1) * * *
(2) When there was a prejudicial
failure to afford the appellant a personal
hearing. (Where there was a failure to
honor a request for a hearing and a
hearing is subsequently scheduled, but
the appellant fails to appear, the
decision will not be vacated.), and
(3) For a legacy app7al, as defined in
§ 19.2 of this chapter, when a Statement
of the Case or required Supplemental
Statement of the Case was not provided.
*
*
*
*
*
■ 167. Amend newly redesignated
§ 20.1001 and amend by:
■ a. Revising the section; and
■ b. Removing the words ‘‘and material’’
from paragraph (b).
The revision reads as follows:
§ 20.1001 Rule 1001. When
reconsideration is accorded.
*
*
*
*
*
168. Amend newly redesignated
§ 20.1002 and amend by:
■ a. Revising the section heading;
■ b. Removing the words ‘‘Director,
Office of Management, Planning and
Analysis (014),’’ in paragraph (b); and
■ c. Removing the words ‘‘§ 19.11 of this
chapter’’ and adding in its place the
words ‘‘Rule 1004 (§ 20.1004)’’ in
paragraph (c)(2).
The revision reads as follows:
■
§ 20.1105 Rule 1105. Supplemental claim
after promulgation of appellate decision.
(a) After an appellate decision has
been promulgated on a claim, a claimant
may file a supplemental claim with the
agency of original jurisdiction by
submitting the prescribed form with
new and relevant evidence related to the
previously adjudicated claim as set forth
in § 3.2601 of this chapter, except in
cases involving simultaneously
contested claims under Subpart E of this
part.
(Authority: 38 U.S.C. 5108, 7104)
(b) Legacy appeals pending on the
effective date. For legacy appeals as
defined in § 19.2 of this chapter, where
prior to the effective date described in
Rule 4 (§ 20.4), an appellant requested
that a claim be reopened after an
appellate decision has been
promulgated and submitted evidence in
support thereof, a determination as to
whether such evidence is new and
material must be made and, if it is, as
to whether it provides a basis for
allowing the claim. An adverse
determination as to either question is
appealable.
(Authority: 38 U.S.C. 5108, 7104 (2016))
§ 20.1002 Rule 1002. Filing and disposition
of motion for reconsideration.
Subpart M—Privacy Act
*
§ 20.1201
*
*
*
*
■ 169. Amend § 20.1003 by revising the
first sentence and removing the fifth
sentence.
The revision reads as follows:
khammond on DSK30JT082PROD with RULES2
170. Revise § 20.1103 to read as
follows:
■
§ 20.1103 Rule 1103. Finality of
determinations of the agency of original
jurisdiction where issue is not appealed.
§ 20.1000
§ 20.1003 Rule 1003. Hearing on
reconsideration.
After a motion for reconsideration has
been allowed, a hearing will be granted
if the issue under reconsideration was
considered on a docket for cases that
may include a hearing, and an appellant
requests a hearing before the
Board. * * *
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[Amended]
172. Amend § 20.1201 by removing
the words ‘‘Rules 1000 through 1003
(§§ 20.1000–20.1003 of this part)’’ and
adding in its place the words ‘‘Rules
1001 through 1004 (§§ 20.1001–
20.1004)’’ both places it appears.
■
Subpart N—Miscellaneous
173. Amend § 20.1301:
a. By revising paragraph (a);
b. By redesignating paragraph (b) as
paragraph (c);
■ c. By adding new paragraph (b);
■
■
■
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Fmt 4701
d. By removing the text ‘‘the internet
at https://www.index.va.gov/search/va/
bva.html’’ and adding in its place the
text ‘‘the Board’s website’’ in newly
redesignated paragraph (c)(1); and
■ c. In newly redesignated paragraph
(c)(2) by:
■ i. Removing the words ‘‘at the
Research Center’’ from the second
sentence;
■ ii. Removing the words ‘‘Board’s
Research Center’’ and adding in its
place the words ‘‘Board’’ from the third
sentence;
■ iii. Removing the word ‘‘paper’’ from
the ninth sentence; and
■ iv. Removing the words ‘‘Research
Center (01C1),’’ from the last sentence.
The revisions and additions read as
follows:
■
Subpart L—Finality
Subpart K—Vacatur and
Reconsideration
■
191
Sfmt 4700
§ 20.1301 Rule 1301. Disclosure of
information.
(a) Policy. It is the policy of the Board
for the full text of appellate decisions to
be disclosed to appellants. In those
situations where disclosing certain
information directly to the appellant
would not be in conformance with 38
U.S.C. 5701, that information will be
removed from the decision and the
remaining text will be furnished to the
appellant. A full-text appellate decision
will be disclosed to the designated
representative, however, unless the
relationship between the appellant and
representative is such (for example, a
parent or spouse) that disclosure to the
representative would be as harmful as if
made to the appellant.
(b) Legacy appeals. For legacy appeals
as defined in § 19.2 of this chapter, the
policy described in paragraph (a) of this
section is also applicable to Statements
of the Case and supplemental
Statements of the Case.
(Authority: 38 U.S.C. 7105(d)(2))
*
*
§ 20.1302
*
*
*
[Amended]
174. Amend § 20.1302 in paragraph
(a) by removing the words ‘‘Rule 900
(§ 20.900(a)(2)’’ and adding in its place
the words ‘‘Rule 800, paragraph (f)
(§ 20.800(f)) or, for legacy appeals, Rule
902, paragraph (a)(2) (§ 20.902(a)(2))’’
both places it appears.
■
§ 20.1304
[Redesignated as § 20.1305]
175. Redesignate § 20.1304 as
§ 20.1305.
■ 176. Add new § 20.1304 to read as
follows:
■
§ 20.1304 Rule 1304. Request for a change
in representation.
(a) Request for a change in
representation within 90 days following
Notice of Disagreement. An appellant
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and his or her representative, if any,
will be granted a period of 90 days
following receipt of a Notice of
Disagreement, or up to and including
the date the appellate decision is
promulgated by the Board, whichever
comes first, during which they may
submit a request for a change in
representation.
(b) Subsequent request for a change in
representation. Following the expiration
of the period described in paragraph (a)
of this section, the Board will not accept
a request for a change in representation
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; and withdrawal of an
individual representative. 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
could not be accomplished in a timely
manner. Such motions must be filed at
the following address: Board of
Veterans’ Appeals, P.O. Box 27063,
Washington, DC 20038. Depending
upon the ruling on the motion, action
will be taken as follows:
(1) Good cause not shown. If good
cause is not shown, the request for a
change in representation will be referred
to the agency of original jurisdiction for
association with the appellant’s file for
any pending or subsequently received
claims upon completion of the Board’s
action on the pending appeal without
action by the Board concerning the
request.
(2) Good cause shown. If good cause
is shown, the request for a change in
representation will be honored.
khammond on DSK30JT082PROD with RULES2
(Authority: 38 U.S.C. 5902, 5903, 5904, 7105,
7105A)
177. Amend newly redesignated
§ 20.1305:
■ a. By revising the section heading and
paragraph (a);
■ b. In paragraph (b)(1) introductory
text, by removing the words ‘‘Director,
Office of Management, Planning and
Analysis (014),’’;
■
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Jkt 247001
c. In paragraph (b)(2), by removing the
words ‘‘§ 20.903 of this chapter’’ and
adding in their place ‘‘§ 20.908’’; and
■ d. In paragraph (c), by removing the
words ‘‘§ 20.903’’ and adding in their
place the words ‘‘§ 20.908’’;
■ e. Revising the authority citation at
the end of the section.
The revisions read as follows:
■
§ 20.1305 Rule 1305. Procedures for
legacy appellants to request a change in
representation, personal hearing, or
submission of additional evidence following
certification of an appeal to the Board of
Veterans’ Appeals.
§§ 20.1306–20.1399
[Reserved]
178. Add reserved §§ 20.1306 through
20.1399.
■
Subpart O—Revision of Decisions on
Grounds of Clear and Unmistakable
Error
§ 20.1401
[Amended]
179. Amend § 20.1401 by removing
the words ‘‘, but does not include
officials authorized to file
administrative appeals pursuant to
§ 19.51 of this title’’ in the last sentence
of paragraph (b).
■ 180. Amend § 20.1403 by revising
paragraph (b)(2) to read as follows:
■
(a) Request for a change in
representation, request for a personal
hearing, or submission of additional
evidence within 90 days following
notification of certification and transfer
of records. An appellant in a legacy
appeal, as defined in § 19.2 of this
chapter, and his or her representative, if
any, will be granted a period of 90 days
following the mailing of notice to them
that an appeal has been certified to the
Board for appellate review and that the
appellate record has been transferred to
the Board, or up to and including the
date the appellate decision is
promulgated by the Board, whichever
comes first, during which they may
submit a request for a personal hearing,
additional evidence, or a request for a
change in representation. Any such
request or additional evidence should
be submitted directly to the Board and
not to the agency of original
jurisdiction. If any such request or
additional evidence is submitted to the
agency of original jurisdiction instead of
to the Board, the agency of original
jurisdiction must forward it to the Board
in accordance with § 19.37(b) of this
chapter. The date of mailing of the letter
of notification will be presumed to be
the same as the date of that letter for
purposes of determining whether the
request was timely made or the
evidence was timely submitted. Any
evidence which is submitted at a
hearing on appeal which was requested
during such period will be considered
to have been received during such
period, even though the hearing may be
held following the expiration of the
period. Any pertinent evidence
submitted by the appellant or
representative is subject to the
requirements of paragraph (d) of this
section if a simultaneously contested
claim is involved.
*
*
*
*
*
§ 20.1403 Rule 1403. What constitutes
clear and unmistakable error; what does
not.
(Authority: 38 U.S.C. 5121A, 5902, 5903; 38
U.S.C. 5904, 7104, 7105, 7105A (2016))
§ 20.1405
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*
*
*
*
*
(b) * * *
(2) Special rule for Board decisions on
legacy appeals issued on or after July
21, 1992. For a Board decision on a
legacy appeal as defined in § 19.2 of this
chapter issued on or after July 21, 1992,
the record that existed when that
decision was made includes relevant
documents possessed by the Department
of Veterans Affairs not later than 90
days before such record was transferred
to the Board for review in reaching that
decision, provided that the documents
could reasonably be expected to be part
of the record.
*
*
*
*
*
§ 20.1404
[Amended]
181. Amend § 20.1404 in paragraph
(c) by removing ‘‘Director, Office of
Management, Planning and Analysis
(014),’’.
■ 182. Amend § 20.1405:
■ a. In paragraph (a)(1), by removing the
words ‘‘§ 19.3 of this title’’ and adding
in their place ‘‘§ 20.106’’;
■ b. In paragraph (a)(2), by removing the
words ‘‘Rule 900(c) (§ 20.900(c) of this
part)’’ and adding in their place the
words ‘‘Rule 800, paragraph (c)
(§ 20.800(c)) or, for legacy appeals, Rule
902, paragraph (c) (§ 20.902(c))’’;
■ c. In paragraph (c)(2), by removing the
words ‘‘Director, Office of Management,
Planning and Analysis (014),’’;
■ d. By removing paragraph (d);
■ e. By redesignating paragraph (e) as
paragraph (d);
■ f. By redesignating paragraph (f) as
paragraph (e);
■ g. By redesignating paragraph (g) as
paragraph (f); and
■ h. By revising the first sentence of the
newly redesignated paragraph (f).
The revision reads as follows:
■
*
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*
Rule 1405. Disposition.
*
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*
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(f) * * * The decision of the Board on
a motion under this subpart will be in
writing. * * *
*
*
*
*
*
§ 21.184
§ 20.1408
§ 21.188
[Amended]
■
§ 20.1409
■
184. Amend § 20.1409 in paragraph
(b) by removing the words ‘‘Rule
1405(e)’’ and adding in its place the
words ‘‘Rule 1405, paragraph (d)
(§ 20.1405(d) of this part)’’.
■ 185. Amend § 20.1411 by revising
paragraphs (b) and (d) to read as
follows:
§ 21.192
§ 20.1411
statutes.
§ 21.194
■
Rule 1411. Relationship to other
[Reserved]
186. Add reserved §§ 20.1412 through
20.1499.
■
Subpart P—[Removed and Reserved]
Subpart A—Vocational Rehabilitation
and Employment Under 38 U.S.C.
Chapter 31
189. The authority citation for part 21,
subpart A, continues to read as follows:
■
§ 21.98
■
[Removed]
190. Remove § 21.59.
[Removed]
191. Remove § 21.98.
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Jkt 247001
§ 21.282
[Amended]
197. Amend § 21.282 in paragraph
(c)(4) by removing ‘‘21.98’’ and adding
in its place ‘‘21.96’’.
■
§ 21.412
[Amended]
198. Amend § 21.412 in paragraph
(a)(2) by removing the words ‘‘(See
§§ 19.153, 19.154, and 19.155’’.
■ 199. Amend § 21.414:
■ a. In paragraph (e), by removing the
period following ‘‘§ 3.105(e)’’ and
adding in its place a semicolon;
■ b. By adding paragraph (f); and
■ c. Revising the authority citation at
the end of the section.
The addition and revision read as
follows:
■
Revision of decision.
*
*
*
*
(f) Review of decisions, § 21.416.
200. Add § 21.416 before the
undesignated center heading ‘‘Informing
the Veteran’’ to read as follows:
■
PART 21—VOCATIONAL
REHABILITATION AND EMPLOYMENT
§ 21.59
196. Amend § 21.194 in paragraph (b)
by removing the words ‘‘§ 21.94 and
21.98’’ and adding in their place the
words ‘‘and § 21.94’’.
(Authority: 38 U.S.C. 5104B, 5108, and 5112)
188. Remove appendix A to part 20.
Authority: 38 U.S.C. 501(a), chs. 18, 31,
and as noted in specific sections.
[Amended]
■
*
Appendix A to Part 20 [Removed]
of a decision on an issue contained
within a claim, a claimant may elect one
of the following administrative review
options:
(1) Supplemental Claim. The nature
of this review will accord with § 3.2501
of this chapter, except that a complete
application in writing on a form
prescribed by the Secretary will not be
required and a hearing will not be
provided.
(2) Appeal to the Board of Veterans’
Appeals. See 38 CFR part 20.
(3) Higher-level Review. The nature of
this review will accord with § 3.2601.
(c) Notice requirements. Notice of a
decision made under paragraph (b)(1) or
(3) of this section will include all of the
elements described in § 21.420(b).
(Authority: 38 U.S.C. 5104B, 5108, 5109A,
and 7105)
201. Amend § 21.420 by revising
paragraphs (b) and (d), adding
paragraph (e), and revising the authority
citation at the end of the section to read
as follows:
■
§ 21.414
187. Remove and reserve subpart P,
consisting of §§ 20.1500–20.1510.
■
■
[Amended]
195. Amend § 21.192 in paragraph (b)
by removing the words ‘‘§ 21.96, or
§ 21.98’’ and adding in their place the
words ‘‘or § 21.96’’.
*
*
*
*
(b) For legacy appeals as defined in
§ 19.2 of this chapter, a motion under
this subpart is not a claim subject to
reopening under 38 U.S.C. 5108 (prior
to the effective date described in Rule 4,
paragraph (a) (§ 20.4(a) of this part)
(relating to reopening claims on the
grounds of new and material evidence).
*
*
*
*
*
(d) A motion under this subpart is not
a claim for benefits subject to the
requirements and duties associated with
38 U.S.C. 5103A (imposing a duty to
assist).
*
*
*
*
*
■
[Amended]
■
*
khammond on DSK30JT082PROD with RULES2
§ 21.190
194. Amend § 21.190 in paragraph (b)
by removing the words ‘‘§ 21.96, or
§ 21.98’’ and adding in their place the
words ‘‘or § 21.96’’.
[Amended]
§§ 20.1412—20.1499
[Amended]
193. Amend § 21.188 in paragraph (b)
by removing the words ‘‘§ 21.96, or
§ 21.98’’ and adding in their place the
words ‘‘or § 21.96’’.
183. Amend § 20.1408 by removing
the words ‘‘Rule 3(o) (§ 20.3(o) of this
part)’’ and adding in its place the words
‘‘Rule 3(l) (§ 20.3(l) of this part)’’ from
the first sentence.
■
[Amended]
192. Amend § 21.184 by removing the
CROSS REFERENCE paragraph from the
end of the section.
■
193
§ 21.416
Review of decisions.
(a) Applicability. This section applies
where notice of a decision under this
subpart or subpart M of this part was
provided to a claimant or his/her
representative on or after the effective
date of the modernized review system as
provided in § 19.2(a) of this chapter, or
where a claimant has elected review of
a legacy claim under the modernized
review system as provided in § 3.2400(c)
of this chapter.
(b) Reviews available. Within one year
from the date on which VA issues notice
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§ 21.420
Informing the veteran.
*
*
*
*
*
(b) Notification: Each notification
should include the following:
(1) Identification of the issues
adjudicated.
(2) A summary of the evidence
considered by the Secretary.
(3) A summary of the applicable laws
and regulations relevant to the decision.
(4) Identification of findings favorable
to the veteran.
(5) In the case of a denial of a claim,
identification of elements not satisfied
leading to the denial.
(6) An explanation of how to obtain
or access evidence used in making the
decision.
(7) A summary of the applicable
review options available for the veteran
to seek further review of the decision.
*
*
*
*
*
(d) Prior notification of adverse
action. VA shall give the veteran a
period of at least 30 days to review,
prior to its promulgation, an adverse
action other than one which arises as a
consequence of a change in training
time or other such alteration in
circumstances. During that period, the
veteran shall be given the opportunity
to:
(1) Meet informally with a
representative of VA;
(2) Review the basis for VA decision,
including any relevant written
documents or material; and
(3) Submit to VA any material which
he or she may have relevant to the
decision.
(e) Favorable findings. Any finding
favorable to the veteran is binding on all
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Federal Register / Vol. 84, No. 13 / Friday, January 18, 2019 / Rules and Regulations
subsequent agency of original
jurisdiction and Board of Veterans’
Appeals adjudicators, unless rebutted
by evidence that identifies a clear and
unmistakable error in the favorable
finding.
(Authority: 38 U.S.C. 3102, 5104, 5104A, and
7105)
§ 21.430
[Amended]
202. Amend § 21.430 in paragraph (b)
by removing ‘‘21.98’’ and adding in its
place ‘‘21.96’’.
■
Subpart B—Claims and Applications
for Educational Assistance
203. The authority citation for part 21,
subpart B is revised to read as follows:
■
Authority: 38 U.S.C. 501(a).
§ 21.1033
(Authority: 38 U.S.C. 501, 5104B)
[Amended]
■
204. Amend § 21.1033 in paragraph
(f)(2) by removing the text ‘‘§§ 20.302
and 20.305’’ and adding in its place the
text ‘‘§§ 20.203 and 20.110’’.
■ 205. Revise § 21.1034 to read as
follows:
■
khammond on DSK30JT082PROD with RULES2
§ 21.1034
Review of decisions.
(a) Decisions. A claimant may request
a review of a decision on eligibility or
entitlement to educational assistance
under title 38, United States Code. A
claimant may request review of a
decision on entitlement to educational
assistance under 10 U.S.C. 510, and 10
U.S.C. chapters 106a, 1606, and 1607. A
claimant may not request review of a
decision on eligibility under 10 U.S.C.
510, and 10 U.S.C. chapters 106a, 1606,
and 1607 or for supplemental or
increased educational assistance under
10 U.S.C. 16131(i) or 38 U.S.C. 3015(d),
3021, or 3316 to VA as the Department
of Defense solely determines eligibility
to supplemental and increased
educational assistance under these
sections.
(b) Reviews available. Except as
provided in paragraph (d) of this
section, within one year from the date
on which the agency of original
jurisdiction issues notice of a decision
described in paragraph (a) of this
section as subject to a request for
review, a claimant may elect one of the
following administrative review
options:
(1) Supplemental Claim Review. See
§ 3.2501 of this chapter.
(2) Higher-level Review. See § 3.2601
of this chapter.
(3) Board of Veterans’ Appeals
Review. See 38 CFR part 20.
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(c) Part 3 provisions. See § 3.2500(b)–
(d) of this chapter for principles that
generally apply to a veteran’s election of
review of a decision described in
paragraph (a) of this section as subject
to a request for review.
(d) Contested claims. See subpart E of
part 20 of this title for the timeline
pertaining to contested claims.
(e) Applicability. This section applies
where notice of a decision described in
paragraph (a) of this section was
provided to a veteran on or after the
effective date of the modernized review
system as provided in § 19.2(a) of this
chapter, or where a veteran has elected
review of a legacy claim under the
modernized review system as provided
in § 3.2400(c) of this chapter.
Jkt 247001
206. Add § 21.1035 to read as follows:
§ 21.1035 Legacy review of benefit claims
decisions.
(a) A claimant who has filed a Notice
of Disagreement with a decision
described in § 21.1034(a) that does not
meet the criteria of § 21.1034(e) of this
chapter has a right to a review under
this section. The review will be
conducted by the Educational Officer of
the Regional Processing Officer, at VA’s
discretion. An individual who did not
participate in the decision being
reviewed will conduct this review. Only
a decision that has not yet become final
(by appellate decision or failure to
timely appeal) may be reviewed. Review
under this section will encompass only
decisions with which the claimant has
expressed disagreement in the Notice of
Disagreement. The reviewer will
consider all evidence of record and
applicable law, and will give no
deference to the decision being
reviewed.
(b) Unless the claimant has requested
review under this section with his or
her Notice of Disagreement, VA will,
upon receipt of the Notice of
Disagreement, notify the claimant in
writing of his or her right to a review
under this section. To obtain such a
review, the claimant must request it not
later than 60 days after the date VA
mails the notice. This 60-day time limit
may not be extended. If the claimant
fails to request review under this section
not later than 60 days after the date VA
mails the notice, VA will proceed with
the legacy appeal process by issuing a
Statement of the Case. A claimant may
not have more than one review under
this section of the same decision.
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(c) The reviewer may conduct
whatever development he or she
considers necessary to resolve any
disagreements in the Notice of
Disagreement, consistent with
applicable law. This may include an
attempt to obtain additional evidence or
the holding of an informal conference
with the claimant. Upon the request of
the claimant, the reviewer will conduct
a hearing under the version of § 3.103(c)
of this chapter predating Public Law
115–55.
(d) A review decision made under this
section will include a summary of the
evidence, a citation to pertinent laws, a
discussion of how those laws affect the
decision, and a summary of the reasons
for the decision.
(e) The reviewer may grant a benefit
sought in the claim, notwithstanding
§ 3.105(b) of this chapter. The reviewer
may not revise the decision in a manner
that is less advantageous to the claimant
than the decision under review, except
that the reviewer may reverse or revise
(even if disadvantageous to the
claimant) prior decisions of an agency of
original jurisdiction (including the
decision being reviewed or any prior
decision that has become final due to
failure to timely appeal) on the grounds
of clear and unmistakable error (see
§ 3.105(a) of this chapter).
(f) Review under this section does not
limit the appeal rights of a claimant.
Unless a claimant withdraws his or her
Notice of Disagreement as a result of
this review process, VA will proceed
with the legacy appeal process by
issuing a Statement of the Case.
(Authority: 38 U.S.C. 5109A and 7105(d))
Subpart I—Temporary Program of
Vocational Training for Certain New
Pension Recipients
§ 21.6058
[Amended]
207. Amend § 21.6058(b) by removing
‘‘21.59’’ and adding in its place
‘‘21.416’’.
■
§ 21.6080
[Amended]
208. Amend § 21.6080:
a. In paragraph (a), by removing the
text ‘‘21.96 and 21.98’’ and adding its
place the text ‘‘and 21.96’’.
■ b. In paragraph (d)(3), by removing
‘‘21.98’’ and adding in its place
‘‘21.416’’.
■
■
[FR Doc. 2018–28350 Filed 1–17–19; 8:45 am]
BILLING CODE 8320–01–P
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Agencies
[Federal Register Volume 84, Number 13 (Friday, January 18, 2019)]
[Rules and Regulations]
[Pages 138-194]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-28350]
[[Page 137]]
Vol. 84
Friday,
No. 13
January 18, 2019
Part II
Department of Veterans Affairs
-----------------------------------------------------------------------
38 CFR Parts 3, 8, 14, et al.
VA Claims and Appeals Modernization; Final Rule
Federal Register / Vol. 84 , No. 13 / Friday, January 18, 2019 /
Rules and Regulations
[[Page 138]]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
38 CFR Parts 3, 8, 14, 19, 20, and 21
RIN 2900-AQ26
VA Claims and Appeals Modernization
AGENCY: Department of Veterans Affairs.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) amends its claims
adjudication, appeals, and Rules of Practice of the Board of Veterans'
Appeals (Board) regulations. In addition, this rule revises VA's
regulations with respect to accreditation of attorneys, agents, and
Veterans Service Organization (VSO) representatives; the standards of
conduct for persons practicing before VA; and the rules governing fees
for representation. This rulemaking implements the Veterans Appeals
Improvement and Modernization Act of 2017 (AMA), which amended the
procedures applicable to administrative review and appeal of VA
decisions on claims for benefits, creating a new, modernized review
system. Unless otherwise specified in this final rule, VA amends its
regulations applicable to all claims processed under the new review
system, which generally applies where an initial VA decision on a claim
is provided on or after the effective date or where a claimant has
elected to opt into the new review system under established procedures.
For the reasons set forth in the proposed rule and in this final rule,
VA is adopting the proposed rule as final, with minor changes, as
explained below.
DATES: This final rule is effective February 19, 2019.
FOR FURTHER INFORMATION CONTACT: Veterans Benefits Administration
information, parts 3, 8, and 21: Jennifer Williams, Senior Management
and Program Analyst, Appeals Management Office, Department of Veterans
Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202) 530-9124
(this is not a toll-free number). Regulation of legal representatives'
information, parts 19 and 20: Rachel Sauter, Counsel for Legislation,
Regulations, and Policy, Board of Veterans' Appeals. Department of
Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202)
632-5555 (this is not a toll-free number).
SUPPLEMENTARY INFORMATION: On August 10, 2018, VA published in the
Federal Register (83 FR 39818) a proposed rule to implement Public Law
(Pub. L.) 115-55, the AMA. The AMA and these implementing regulations
provide much-needed comprehensive reform for the legacy administrative
appeals process, to help ensure that claimants receive a timely
decision on review where they disagree with a VA claims adjudication.
The AMA review procedures and these regulations replace the current VA
appeals process with a new review process that makes sense for
veterans, their advocates, VA, and stakeholders.
The statutory requirements, which VA implements in these
regulations, provide a claimant who is not fully satisfied with the
result of any review lane additional options to seek further review
while preserving an effective date for benefits based upon the original
filing date of the claim. For example, a claimant could go straight
from an initial agency of original jurisdiction decision on a claim to
an appeal to the Board. If the Board decision was not favorable, the
claimant has two further options. If the Board's decision helped the
claimant understand the evidence needed to support the claim, then the
claimant would have one year to submit new and relevant evidence to the
agency of original jurisdiction in a supplemental claim. A claimant in
this situation could instead appeal within 120 days of the Board
decision to the Court of Appeals for Veterans Claims (CAVC) in
accordance with CAVC rules and deadlines. Alternatively, a claimant
could seek review of the initial decision by filing a supplemental
claim or requesting a higher-level review in the agency of original
jurisdiction, again, without any impact on the potential effective date
for payment of benefits.
The differentiated lane framework required by statute and
implemented in these regulations has many advantages. It provides a
streamlined process that allows for early resolution of a claimant's
appeal and the lane options allow claimants to tailor the process to
meet their individual needs and control their VA experience. It also
enhances claimants' rights by preserving the earliest possible
effective date for an award of benefits, regardless of the option(s)
they choose, as long as the claimant pursues review of a claim in any
of the lanes within the established timeframes. By having a higher-
level review lane within the claims process and a lane at the Board,
both providing for review on only the record considered by the initial
claims adjudicator, the new process provides a feedback mechanism for
targeted training and improved quality in the agency of original
jurisdiction.
To ensure that as many claimants as possible benefit from the
streamlined features of the new process, the AMA and these regulations
provide opportunities for claimants and appellants in the legacy system
to take advantage of the new system. Some claimants who received a
decision prior to the effective date of the law and thus had a legacy
appeal pending, were able to participate in the new system by way of
VA's Rapid Appeals Modernization Program (RAMP). Claimants who receive
a Statement of the Case (SOC) or Supplemental Statement of the Case
(SSOC) as part of a legacy appeal after the effective date of the law
will also have an opportunity to opt-in to the new system.
Most of the regulatory amendments prescribed in this final rule are
mandatory to comply with the law. Through careful collaboration with
VA, VSOs, and other stakeholders, in enacting the AMA, Congress
provided a highly detailed statutory framework for claims and appeals
processing. VA is unable to alter amendments that directly implement
mandatory statutory provisions. In addition to implementing mandatory
requirements, VA prescribes a few interpretive or gap-filling
amendments to the regulations, which are not specifically mandated by
the AMA, but that VA believes are in line with the law's goals to
streamline and modernize the claims and appeals process. These
amendments reduce unnecessary regulations, modernize processes, and
improve services for claimants.
Interested persons were invited to submit comments to the proposed
rule on or before October 9, 2018, and 29 comments were received. Those
comments have been addressed according to topic in the discussion
below. This final rule contains amendments to parts 3, 8, 14, 19, 20,
and 21, as described in detail below.
Part 3--Adjudication
VA amends the regulations in 38 CFR part 3 as described in the
section-by-section supplementary information below. These regulations
govern the adjudication of claims for VA monetary benefits (e.g.,
compensation, pension, dependency and indemnity compensation, and
burial benefits), which are administered by the VBA. These amendments
apply to claims processed in the modernized review system as described
in Sec. 3.2400.
A. Comments Concerning Sec. 3.1--Definitions
Public Law 115-55, section 2(a), defines ``supplemental claim'' as
``a claim for benefits under laws administered by the Secretary filed
by a
[[Page 139]]
claimant who had previously filed a claim for the same or similar
benefits on the same or similar basis.'' Although it is possible to
read this language as implicating both claims filed as a disagreement
with a prior decision, and claims submitted due to a worsening of a
condition, this dual interpretation would not be consistent with other
sections of the statute. Namely, Public Law 115-55 also revised 38
U.S.C. 5108, which requires the Secretary to ``readjudicate'' a claim
where ``new and relevant evidence is presented or secured with respect
to a supplemental claim.'' When both sections are read together, it
becomes clear that the intent of the law was to make supplemental
claims only applicable to situations where a claimant disagrees with a
previous VA decision and seeks review and readjudication. Accordingly,
as noted in VA's proposed regulation, VA proposed to clarify in
regulation the definition of supplemental claim. VA added to the
definition of ``claim'' in Sec. 3.1(p) of the proposed rule
definitions of ``supplemental claim,'' ``initial claim,'' and ``claim
for increase.''
VA received six comments regarding definitions listed in Sec.
3.1(p). Concerns centered around the definitions of initial claim
(Sec. 3.1(p)(1)), claim for increase (Sec. 3.1(p)(1)(iii)), claim
(Sec. 3.1(p)(2)), and supplemental claim (Sec. 3.1(p)(2)). Several
comments addressed concerns regarding the use of the term ``written
communication'' in some definitions while other areas of the proposed
rule referenced ``written or electronic'' communication. VA agrees with
the need for clarification regarding electronic communication and
revises Sec. 3.1(p) to reflect a claim as both a written or electronic
communication properly submitted on an application form prescribed by
the Secretary.
Several comments raised concerns that a claim for increase was
included as a type of initial claim and argued it is more appropriately
considered a supplemental claim. VA includes claim for increase in the
definition of an initial claim to clarify to claimants that a claim for
increase is based on a change or worsening in condition or circumstance
since a prior VA decision and not based on disagreement with that
decision. Accordingly, VA revises proposed Sec. 3.1(p)(1)(iii) to
reflect a claim for increase as a change or worsening in condition or
circumstance since a prior VA decision. One comment also expressed
concern that ``the VA may sometimes be overbroad in requiring
supplemental claims where a veteran has not had a decision on a
specific issue or disability previously.'' VA agrees there may be
confusion regarding the definition of a supplemental claim and revised
Sec. 3.2501 to clarify that a supplemental claim is based upon a
disagreement with a prior VA decision.
VA revises the definition of ``initial claim'' in Sec. 3.1(p)(1),
to provide clarity concerning the term ``original claim'' in response
to comments. Commenters expressed confusion between the terms
``original'' and ``initial'' based on dictionary definitions, which
treat them interchangeably. VA's revisions to Sec. 3.1(p)(1) explain
that an original claim is the first initial claim.
One commenter expressed a belief that the terms ``issue'' and
``claim'' are used interchangeably in sections of the proposed rule but
defined differently. It is clear from Sec. 3.151(c) that the term
``issue'' refers to a distinct determination of entitlement to a
benefit, such as a determination of entitlement to service-connected
disability compensation for a particular disability. A claim is a
request for review of one or more issues. If a claim includes only one
issue then the terms may appear to be used interchangeably.
Accordingly, VA revises Sec. 3.1(p) to include a reference to Sec.
3.151(c), which defines issues within a claim.
B. Comments Concerning Sec. 3.103--Procedural Due Process and Other
Rights
VA received eleven comments regarding procedural due process
concerns as referenced in Sec. 3.103.
Two commenters expressed concern that the use of the phrase ``when
applicable'' in Sec. 3.103(b)(1) is too broad and open to
interpretation. VA agrees that the term is vague and revises Sec.
3.103(b)(1) to refer the reader to subsection (d), which explains the
availability of a hearing.
Another commenter expressed concern with the removal of language in
Sec. 3.103(c)(2) regarding visual examinations during hearings. These
types of visual examinations are obsolete as veterans and VA can now
utilize several other methods to add visual examination findings into
the record. Claimants may use Disability Benefits Questionnaires (DBQs)
that any physician may complete to document visual findings. VA may
also assist claimants through the scheduling of contract examinations
which support VA's disability evaluation process and make obtaining
examinations easier and more efficient by bypassing the requirement to
formally schedule one with a VA provider. Accordingly, VA does not make
any changes to Sec. 3.103(c)(2) based upon the comment.
Several comments raised concerns regarding Sec. 3.103(c)(2),
Treatment of evidence received after notice of a decision. The concerns
centered around the desire for VA to notify claimants in writing each
time VA does not consider evidence received after notice of a decision,
when the record is closed. The commenters are correct that VA does not
intend to notify a claimant every time the claimant submits evidence
during a period when the record is closed. Rather, the initial notice
of decision provided to the claimant will explain the review options,
the associated evidentiary rules, and the procedures to follow to
obtain VA consideration of new evidence. In addition, VA will, in
accordance with the AMA and Sec. 3.103(f), provide information to the
claimant in the initial decision as to evidence that was considered,
and any subsequent review decision, based on a closed record, will
inform the claimant generally if VA received evidence that was not
considered. Finally, decision notices will provide to claimants
instructions for how to obtain or access the actual evidence used in
making the decision (the complete record on which the decision was
based).
VA takes seriously its obligation to administer its process in a
claimant-friendly way, and accordingly provides multiple means for
claimants to obtain information on what evidence VA has received and
the date of receipt to determine if it was submitted when the
evidentiary record was open or closed. Most fundamentally, claimants
are able to request a copy of their own claims files. Additionally,
accredited representatives are eligible to receive access to the
Veterans Benefits Management System, which enables them to see what is
in the file at any time. And a claimant can visit the VBA Regional
Office to view their claims file in a reading room.
Accordingly, to the extent a claimant is unsure whether a given
piece of evidence was considered the claimant can check the review
decision to see whether it indicates whether there was any evidence
that was not considered. If so, the claimant can check the summary of
evidence in the initial decision notice. VA expects this to resolve the
matter in most instances. However, to the extent that the claimant
needs access to the entire record on which a decision is based, the
decision notice will describe that procedure. Finally, whenever the
claimant is uncertain, the claimant can submit the evidence in question
again as part of a supplemental claim. If this is done within one year,
there will be no loss of effective date. If
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the evidence was not considered in the prior claim and is relevant, it
would be considered in adjudicating the supplemental claim. (As
explained in the proposed rule, even if the claimant did not submit
with the supplemental claim relevant evidence previously submitted out
of time, VA would be obligated to consider it.) The law does not
require VA to list evidence not considered because it was received
after notice of a decision, or during some other period when the
evidentiary record was closed. Before the AMA, 38 U.S.C. 5104 required
VA to provide certain information only in cases where VA denied a
benefit sought: (1) A statement of reasons for the decision; and (2) a
summary of the evidence considered by the Secretary. 38 U.S.C. 5104(b)
(2016). In the AMA, Congress directly addressed the information
requirements for decision notices in a high level of detail. All
decision notices, regardless of whether or not they deny a benefit
sought, must now include seven specified data elements. 38 U.S.C.
5104(b)(1)-(7). This includes ``a summary of the evidence considered by
the Secretary[.]'' 38 U.S.C. 5104(b)(2). This extensive list of
required data elements does not include identification of evidence not
considered. It is clear that Congress directly considered the
requirements for decision notices, altered the applicable legal
requirements in ways generally favorable to claimants, and declined to
add a requirement to identify and discuss evidence not considered.
Beyond the fact that the law does not require VA to provide notice
of evidence not considered, VA declines to discretionarily impose such
a requirement through regulation. From VA's perspective, the closing of
the evidentiary record is one of the foundational features of the AMA,
and one of its most valuable in terms of enabling VA, over time, to
process claims and appeals more efficiently. Requiring VA to notify
claimants each time evidence is submitted out of time or list or
summarize such evidence individually in review decisions would dilute
much of the administrative value of having a closed record following
the initial decision. Providing this notice would require VA personnel
to review and identify or summarize (if, for example, the evidence is
not dated) late-flowing evidence when preparing the decision notice.
Such a procedure would unavoidably require ``by hand'' review and
processing of evidence by VBA adjudicators, similar to the review
required for simply considering the evidence for decisional purposes.
In this scenario, VA would be spending its limited adjudicative
resources reading and processing documents that are not part of the
record and cannot be the basis for a decision.
Apart from the work of reading and summarizing extra-record
evidence, imposing this requirement would also carry a significant cost
in terms of generating procedural complexity. A regulatory requirement
that VA identify or summarize certain evidence would, of necessity,
need to be enforceable on appeal in order to be meaningful. (Such a
notice requirement would technically be distinct from the argument on
appeal that certain evidence was excluded from the record in error,
which is an appellate argument that is certainly possible under this
final rule.) Accordingly, the argument that VA failed to provide
legally adequate notice or description of what evidence was not
considered would become a feature of the appellate system. This would
be problematic for two reasons. First, it invites appellate activity
centered on procedure rather than the substance of veterans' claims.
Second, and worse, it creates the specter of argument over the proper
discussion of non-record evidence. Evidence that is nominally not part
of the record of the decision on appeal would necessarily become
central to such an appellate argument. At that point, the evidence
would, for all intents and purposes, be part of the record, even though
the premise of the argument would necessarily be that the evidence was
validly excluded.
We acknowledge that proposed Sec. 20.801(b)(3), which we here
confirm as final, will require the Board to provide ``[a] general
statement'' that evidence received while the record was closed was not
considered. This provision, governing Board practice, is consonant with
VA's decision not to impose a requirement on VBA to list or summarize
untimely evidence. This provision is necessary to comply with 38 U.S.C.
7104(d)(2), which is specific to Board decisions. That provision only
requires a broad statement that untimely evidence was received and not
considered, rather than any meaningful engagement with that evidence,
such as a listing or summary.
VA recognizes that some individual claimants might prefer that VA
either provide notification each time it receives evidence submitted
out of time or list such evidence specifically in decision notices.
However, in balancing efficiency considerations in line with the
expressed goal of Congress to reduce VA backlogs and processing times,
VA has chosen the alternative procedures discussed above to provide
claimants with information they need to effectively prosecute their
claims without prejudice to their ability to have all relevant evidence
considered prior to a final adjudication. Accordingly, VA does not make
any changes to Sec. 3.103(c)(2) based upon these comments. As the
precise procedures for providing such notice may change based on
technological systems, as well as other resources, VA will continue to
address this matter through internal procedural guidance consistent
with the law and regulations.
Multiple commenters recommended that additional information be
included in decision notices beyond what is required in Sec. 3.103(f).
Suggestions include the compensation rating decision codesheet,
information on expected improvement in disability, and full
identification of specific evidence not considered (which we discuss
above). Current VA procedures require the inclusion of any expected
reexaminations due to expected improvement or worsening of a disability
consistent with current Sec. 3.327 and, in many instances, allow for
the inclusion of the codesheet with compensation rating decision
notices. VA has a requirement under Sec. 3.103(f)(7) to explain how to
obtain or access evidence used in making the decision. One method
authorized representatives may use to access evidence is to request
access to the claimant's electronic claims folder. Accordingly, VA does
not make any changes to Sec. 3.103(f) based upon these comments.
A commenter noted that the ``new Sec. 3.103 does not require VA to
describe evidence in its possession that it did not review'', raising a
hypothetical situation in which a claimant was treated for conditions
at a VA facility the day prior to the decision being rendered on their
higher-level review. This is a constructive receipt argument that VA
was in possession of the records from the day prior and therefore
cannot appropriately adjudicate a higher-level review without those
records, while at the same time arguing this is not ``new evidence''
used in support of a supplemental claim because the records were in
general custody of VA at the time.
VA makes minor adjustments to the rule as proposed to clarify the
parameters in this area. 38 CFR 3.103(c)(2), Treatment of evidence
received after notice of a decision, now clearly explains what may be
included in the record for adjudication. It states, ``The evidentiary
record for a claim before the agency of original jurisdiction closes
when VA issues notice of a
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decision on the claim. The agency of original jurisdiction will not
consider, or take any other action on evidence submitted by a claimant,
associated with the claims file, or constructively received by VA as
described in Sec. 3.103(c)(2)(iii), after notice of decision on a
claim, and such evidence will not be considered part of the record at
the time of any decision by the agency of original jurisdiction,
except'' in two specific circumstances relating to the submission of a
supplemental or initial claim or identification of a duty to assist
error.
Additionally, Sec. 3.103(f)(2) identifies the requirement to
provide a summary of the evidence considered in notification of
decisions. This provides the claimant a clear understanding of what was
considered and is consistent with the definitions of evidence
reviewable under a higher-level review or supplemental claim. Under
these definitions, the evidence raised in the hypothetical situation
would be considered new evidence available to be used by the claimant
in a supplemental claim. To the extent the commenter means that
evidence created by VA shortly before the record closes but not
associated with the claims record or identified to adjudicators in any
way should be treated as constructively part of the record pursuant to
Bell v. Derwinski, 2 Vet. App. 611 (1992), we note that documents
created while the record is closed do not become part of the record by
virtue of the doctrine of constructive receipt. At the same time, if a
document created while the record was open is identified on direct
appeal as having been constructively received at a time when the record
was open (e.g., the Board or a higher-level reviewer become aware of a
document within the scope of Bell), the record can be corrected,
including in similar fashion to a duty to assist error. However, in
order for a Bell error to cause the record to be augmented in this way,
the document in question must actually satisfy the law of constructive
receipt in the VA context. Case law construing Bell makes clear that
the mere existence of a record is not sufficient to establish
constructive receipt for adjudicative purposes. Rather, VBA
adjudicators must have sufficient indication that a given record exists
and sufficient information to locate it, even though they do not have
actual custody of it, in order to trigger the doctrine of constructive
receipt in the VA claims adjudication context. See Turner v. Shulkin,
29 Vet. App. 207, 217-219 (2018). We have explicitly incorporated this
concept into the final rule at 38 CFR 3.103(c)(2)(iii). In terms of the
level of VBA awareness necessary to trigger Bell in this context, we
import a familiar standard from the duty to assist context, which is
referenced in Turner. Turner noted that 38 U.S.C. 5103A(c)(1)(B)
requires VA to obtain records of relevant medical treatment or
examination of the claimant at VA health care facilities or at VA
expense, ``if the claimant furnishes information sufficient to locate
those records.'' Turner, 29 Vet. App. at 218. There is no reason why
the doctrine of constructive receipt should be broader than VA's duty
to obtain records for the claim. While the duty to assist does not
apply following the closure of the record, it does apply during the
initial claim process when any document that could be the basis of a
constructive receipt issue would have to be created. Accordingly, we
provide in Sec. 3.103(c)(2)(iii) that VBA must have had knowledge of
the document in question ``through information furnished by the
claimant sufficient to locate those records.'' Further, we note that to
the extent a document potentially within the scope of that provision is
discovered after a claim stream has lapsed, the fact that a document
was arguably constructively part of the record before adjudicators in
the prior decision would not preclude that document as the basis for a
supplemental claim if it was not, in fact, considered. A Bell error on
the part of VA is not a basis to deprive the veteran of his or her
right to file a supplemental claim. Accordingly, Bell and the ongoing
creation of medical treatment records is not a mechanism for preventing
the adjudicative record from closing to the extent the law permits and
requires it to do so, but at the same time, does not preclude the
filing of supplemental claims. These definitions provide a clearer
delineation of what is and is not part of the evidentiary record of a
particular claim, as compared to the continuous open record of the
legacy system. Further, through the decision notice on the initial
claim, the claimant is provided a summary of pertinent evidence that
was developed as part of VA's duty to assist. When submitting a request
for ahigher-level review, the claimant has notice that the evidentiary
record will consist of the same information identified in the initial
claim decision. Any additional evidence the claimant wishes to be
considered would warrant their submission of a supplemental claim
request.
C. Comments Concerning Sec. 3.104--Binding Nature of Decisions
VA received eight comments regarding the binding nature of
favorable findings. The AMA added a new section, 38 U.S.C. 5104A,
providing that any findings favorable to the claimant will be binding
on all subsequent adjudicators within VA, unless ``clear and convincing
evidence'' is shown to the contrary to rebut the favorable findings.
These comments expressed concern over the lack of definition of ``clear
and convincing,'' as well as the evidentiary standard specified in the
law being a lower evidentiary standard than currently exists and less
favorable to claimants.
The CAVC in Fagan v. West, 13 Vet. App. 48, 55 (1999), clarified
that the ``clear and convincing'' evidentiary standard of proof is an
intermediate standard between preponderance of the evidence and beyond
a reasonable doubt. VA notes that the clear and convincing evidence
standard is a lesser standard than that required for a Veteran or
claimant to correct a VA error that was not in their favor, which
requires evidence of a clear and unmistakable error (CUE) (see 38
U.S.C. 5109A(a) and 7111(a)). While 38 U.S.C. 5104A states that VA must
meet a ``clear and convincing'' evidentiary standard prior to
overturning a favorable finding, nothing in the statute prohibits VA
from administratively adopting a higher evidentiary standard to protect
favorable findings on a claimant's behalf.
VA agrees with the commenters, as a matter of policy, regarding the
wisdom of setting a higher standard applicable to overturning favorable
findings as it is claimant-friendly and will reduce the number of cases
where claimants feel VA is adopting an adversarial approach to their
claim because VA has overturned a favorable finding. Accordingly, VA
revises Sec. 3.104(c) to require clear and unmistakable evidence to
rebut a favorable finding. The clear and unmistakable standard
applicable to rebuttal is similar to the definition of CUE found in
Sec. 3.105(a)(1)(i) and 38 CFR 20.1403(a) that applies to finally
adjudicated issues. However, application of the clear and unmistakable
standard for rebuttal of a favorable finding is legally distinct
because, for instance, it is limited to the scope of the favorable
finding itself and does not require a further determination that the
outcome of the benefit adjudication would undebatably change. The clear
and unmistakable rebuttal standard may be satisfied by a finding that
the evidentiary record as a
[[Page 142]]
whole completely lacks any plausible support for the favorable finding.
VA discussed in the proposed rule that no changes are necessary to
Sec. 3.105(c) through (h), which govern severance of service
connection and reduction in evaluations, and that the standards and
procedures set forth in those paragraphs will continue to apply without
change. VA received no comments on this issue, and VA's position in
this regard has not changed as a result of the choice in the final rule
to apply the higher CUE standard to rebuttal of favorable findings.
D. Comments Concerning Sec. 3.105--Revision of Decisions
Two comments expressed concern with the language in proposed Sec.
3.105(a)(1)(iv), entitled Change in interpretation, providing that a
clear and unmistakable error does not include the otherwise correct
application of a statute or regulation where, subsequent to the
decision being challenged, there has been a change in the
interpretation of the statute or regulation. As explained in the
preamble to the proposed rule, this revision to Sec. 3.105(a) is for
the purpose of conforming the regulations applicable to CUE in finally
adjudicated decisions of the agency of original jurisdiction with
existing regulations applicable to CUE in finally adjudicated Board
decisions. Accordingly, Sec. 3.105(a)(1)(iv) tracks the language in
existing 38 CFR 20.1403(e).
VA does not agree with the commenters' assertion that these
provisions are contrary to established caselaw. The Federal Circuit
explicitly rejected the premise of retroactive application of judicial
interpretations of law in the CUE context in Jordan v. Nicholson, 401
F.3d 1296 (Fed. Cir. 2005), and Disabled Am. Veterans (DAV) v. Gober,
234 F.3d 682, 698 (Fed. Cir. 2000). In DAV, the Federal Circuit
specifically upheld 38 CFR 20.1403(e). Id. In Jordan, the court
explained that ``[t]he Supreme Court has repeatedly denied attempts to
reopen final decisions in the face of new judicial pronouncements or
decisions.'' Jordan, 401 F.3d at 1299; see Reynoldsville Casket Co. v.
Hyde, 514 U.S. 749, 758 (1995) (``New legal principles, even when
applied retroactively, do not apply to cases already closed.'').
VA does not agree with the argument by commenters that these cases
were overruled by Patrick v. Shinseki, 668 F.3d 1325 (Fed. Cir. 2011),
which was a decision regarding whether a prior position of the
government was substantially justified in assessing whether an award of
attorney fees was due. Further, to the extent there is any
irreconcilable tension between DAV and Jordan on the one hand and
Patrick on the other, it is well-established that the earlier decisions
control for precedential purposes. Newell Companies, Inc. v. Kenney
Mfg. Co., 864 F.2d 757, 765 (Fed. Cir. 1988) (``Where there is a direct
conflict the precedential decision is the first.''). Similarly, it is
not possible for one panel of the Federal Circuit Court to have
directly overruled a prior panel. Sacco v. Dep't of Justice, 317 F.3d
1384, 1386 (Fed. Cir. 2003) (``[a] panel of [the Federal Circuit] is
bound by prior precedential decisions unless and until overturned en
banc.''). VA therefore makes no change to the regulation based on the
comments.
One of these commenters recommends the creation of a form
specifically for use in applying for review of a CUE. VA agrees there
is merit in this recommendation, will review possible options, and may
decide to implement a form for this specific use, consistent with the
Paperwork Reduction Act. However, the current process for claiming and
contesting a CUE should be followed in the absence of such a form.
Should VA determine such a form is not necessary, the current process
will remain in place.
E. Comments Concerning Sec. 3.151--Claims for Disability Benefits
The AMA added 38 U.S.C. 5104C, which outlines the available review
options following a decision by the agency of original jurisdiction. VA
proposed to add Sec. 3.2500 and revise Sec. 3.151 consistent with the
statute to provide that a claimant may request one of the three review
options under Sec. 3.2500 (higher-level review, supplemental claim, or
appeal to the Board) for each issue decided by VA, consistent with 38
U.S.C. 5104C. A claimant would not be limited to choosing the same
review option for each issue for a decision that adjudicated multiple
issues.
One commenter believed that the terms ``issue'' and ``claim'' are
used interchangeably in sections of the proposed rule but defined
differently. It is clear from Sec. 3.151(c) that the term ``issue''
refers to a distinct determination of entitlement to a benefit, such as
a determination of entitlement to service-connected disability
compensation for a particular disability. A ``claim'' is a request for
review of one or more issues. If a claim includes only one issue then
the terms may appear to be used interchangeably. VA agrees with the
commenter's suggestion that clarification is necessary and revised
Sec. 3.1(p) to include a reference to Sec. 3.151(c), which defines
issues within a claim.
F. Comments Concerning Sec. 3.155--How To File a Claim
While the AMA does not specifically address how to file a claim, or
the concept of intent to file as it relates to supplemental claims, it
is necessary for VA to create a framework for this process. Currently,
38 U.S.C. 501(a) and 5104C(a)(2)(D) place the authority to develop
policy in this area on the Secretary.
One comment expressed concern that Sec. 3.155(b), Intent to file,
does not apply to supplemental claims and recommends recision of this
limitation. However, 38 U.S.C. 5110 of the new statutory framework
provides that a claimant can maintain the potential effective date of a
potential benefits award by submitting a request for review under any
of the three new lanes within one year of the date of the decision with
which the claimant disagrees. Consistent with this requirement, the
intent to file provisions of Sec. 3.155(b) do not apply to
supplemental claims because the statute prescribes a one-year filing
period in order to protect the effective date for payment of benefits.
The commenters recommendation would allow for the submission of a
supplemental claim beyond the one-year period. For these reasons, VA
will not make any changes to Sec. 3.155 based on the commenter's
recommendation.
G. Comments Concerning Sec. 3.156--New Evidence
One commenter expressed concern with the definition of new evidence
meaning evidence not yet ``submitted to'' VA and recommended
clarification that new evidence is evidence not yet ``considered by''
VA. The commenter suggested this change to ensure that evidence
qualifies as ``new'' for purposes of a supplemental claim, where that
evidence was associated with the claims file when the record was closed
and therefore was not previously considered by a VA adjudicator. VA
agrees that clarification along these lines is necessary but has
revised the regulatory language in different manner. Instead of the
change recommended by the commentator, VA has replaced ``not previously
submitted to agency adjudicators'' in the definition of new evidence
with ``not previously part of the actual record before agency
adjudicators.'' This change will accomplish the same goal, with the
additional benefit, through use of the phrase ``actual record,'' of
clarifying that new evidence may include evidence
[[Page 143]]
deemed constructively received as of a date falling within a period
when the record was open, if that evidence had never been part of the
record on which a prior adjudication of the issue in question was
based.
Other commenters disagreed with the change in title for Sec.
3.156(b), from ``Pending claim'' to ``Pending legacy claims not under
the modernized review system,'' resulting in the non-applicability of
current Sec. 3.156(b) in the modernized system. The commenter asserted
that VA had not provided a sufficient explanation for this choice.
Section 3.156(b) provides generally that new and material evidence
received while a claim is pending before VA must be considered as filed
in connection with the pending claim, including evidence received after
an initial decision is rendered and during the period available to file
an appeal. One practical effect of this provision is that qualifying
evidence received during the appeal period automatically requires VA to
readjudicate the claim and issue a new decision. Such a requirement
would be inconsistent with the structure of the new system. First, new
38 U.S.C. 5104B(d) and revised 38 U.S.C. 7113 mandate specific periods
when the record is closed to new evidence, including during the period
following an initial VA decision. Second, new 38 U.S.C. 5104C and
revised 38 U.S.C. 5108 require a claimant who seeks VA readjudication
based on new and relevant evidence to either file a supplemental claim
with the agency of original jurisdiction or file a Notice of
Disagreement and select a Board docket allowing the submission of new
evidence. Defining and limiting the avenues available to a claimant for
submission of new evidence during the claim stream is a primary feature
of the AMA, which was designed, in part, to ``streamline VA's appeal
process'' and ``help ensure that the process is both timely and fair.''
H. Rep. No. 115-135 at 5 (2017). Third, new 38 U.S.C. 5104C provides
claimants with a choice of review options following receipt of an
adverse initial VA decision--file for a higher-level review within the
Veterans Benefits Administration (VBA), file a supplemental claim with
new and relevant evidence for readjudication by the VBA, or file a
notice of appeal to the Board. If VA were to automatically place the
claim on a track for readjudication by the VBA upon receipt of new
evidence, that action would effectively preempt the claimant's choice.
Therefore, because Sec. 3.156(b) requires automatic readjudication
upon the receipt of new evidence during the one-year appeal period, it
is clearly inconsistent with the statutory design of the new system.
Nevertheless, excluding Sec. 3.156(b) from the regulations governing
new system claims does not adversely impact a claimant's right to
obtain a VA readjudication on new and relevant evidence. It simply
means that claimants must submit such evidence though the channels
established by the AMA. Furthermore, automatic readjudication of claims
is not mandated by 38 U.S.C. 5103, even though the implementing
regulation for that provision, Sec. 3.159(b), provides for automatic
readjudication of legacy claims upon VA receipt during the appeal
period of new evidence substantiating the claim. 38 U.S.C. 5103(a)(1)
requires VA to provide claimants, prior to an initial decision, with
notice of information and evidence necessary to substantiate a claim.
Section 5103(b)(1) requires the claimant to provide such evidence
within one year of the date of the notice, but states in paragraph
(b)(3) that VA is not prohibited from making the initial decision on a
claim prior to the expiration of the one year. Consistent with these
provisions, VA's implementing regulations for legacy claims provide
that if a claimant does not respond to the notice within 30 days, VA
may decide the claim prior to the expiration of the one-year period.
See 38 CFR 3.159(b)(1). If VA does so and the claimant subsequently
provides information or evidence substantiating the claim before the
end of the one-year period, the regulations provide that ``VA must
readjudicate the claim.'' Id.
However, the regulatory procedure of automatically readjudicating
the claim in these circumstances was not required by section 5103.
Rather, when the key features of current 38 U.S.C. 5103 were enacted in
2000 and 2003 (in the Veterans Claims Assistance Act of 2000 (VCAA) and
the Veterans Benefts Improvement Act of 2003 (VBIA of 2003), VA had a
long-standing practice, as set forth in Sec. 3.156(b), of
automatically readjudicating a claim upon the receipt of additional
evidence from a claimant--not just within the year following issuance
of the 5103(a) notice, but within the longer one-year period beginning
with the issuance of the initial decision. Following enactment of the
VCAA, VA indicated that it would simply chose to maintain this
practice. 66 FR 45,620, 45623 (Aug. 29, 2001) (final rule). VA viewed
the essence of 5103(b) not as requiring automatic readjudication, but
as ``essentially an effective date provision governing the earliest
date from which benefits may be paid if a claimant submits requested
information and evidence.'' Id.
VA recognized that the longer period for submission of new evidence
provided in Sec. 3.156(b) might be in tension with the bar to awarding
benefits in section 5103(b)(1) where supporting evidence was not
received within a year of the VA notice, id., but that bar was removed
in the VBIA of 2003 and Congress substituted the requirement that the
substantiating evidence ``must be received by the Secretary within one
year of the notice date.'' 149 Cong Rec H 11,705, (Nov. 20, 2003). At
the same time, Congress added section 5103(b)(3), providing that VA is
not prohibited from adjudicating a claim prior to the expiration of the
one-year period following section 5103 notice. Congress explained,
consistent with the view that section 5103(b) was essentially an
effective date preservation provision, that the statutory changes were
designed to promote the streamlined adjudication of claims, while
ensuring that claimants had two essential rights: (1) The opportunity,
following an initial decision, to submit substantiating information or
evidence for VA readjudication within the one-year period, and (2) in
such cases, maintenance of the effective date associated with the
filing of the claim. 108 S. Rpt. 169 at 15 (``In such cases, the one-
year time period would still enable a claimant to submit the requested
information or evidence and if benefits are granted on readjudication,
assign an effective date of award as if VA had not made the initial
decision.''); see also 149 Cong Rec H 11,705, 11,720 (Nov. 20, 2003)
(Explanatory Statement of the House and Senate Committees, indicating
that the House accepted the provisions from the Senate Bill in this
regard).
The new system under the AMA affords claimants these essential
rights, as claimants are entitled to a VA readjudication based on new
and relevant evidence submitted within the one-year appeal period,
while their effective date is protected. Rather than providing for an
automatic readjudication, however, claimants must submit the new
evidence in connection with a choice of review options. The claimant
may file either a supplemental claim pursuant to Sec. 3.2501 or a
Notice of Disagreement with the Board indicating selection of a docket
allowing for the submission of additional evidence. If either filing is
completed within the one-year period under the AMA to maintain
continuous pursuit of the claim (generally one year from the date of
issuance of the initial decision), the claimant will not lose the
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effective date associated with the filing of the claim. The
availability of readjudication based on new evidence under the AMA
therefore fulfils the essential purpose of section 5103(b) as an
effective date provision governing the earliest date from which
benefits may be paid if a claimant submits requested information and
evidence following an initial adjudication.
Nothing in 38 U.S.C. 5103 or caselaw interpreting it requires VA to
automatically readjudicate a claim or precludes orderly procedural
requirements for the submission of new evidence following an initial
decision. Similarly, there is no indication in the relevant legislative
history that Congress understood itself to be creating such a
requirement. Therefore, the AMA is not inconsistent with section
5103(b) and section 5103 does not require VA to create a special
exception to the claim processing rules set forth in the new law.
To the extent that section 5103(b) could be viewed as potentially
conflicting with the AMA by providing an unrestricted right to submit
evidence and receive readjudication for up to one year following the
VCAA notice, notwithstanding the timing of any intervening VA decision,
it would be VA's duty to resolve the conflict for operational purposes.
Therefore, regardless of whether one adopts the view that section
5103(b) provides such a right, VA interprets section 5103(b) and the
AMA together to provide that evidence may be submitted in the one-year
period established by section 5103(b), including following a VA
decision, but must be submitted through the channels provided in the
AMA when VA has issued an initial decision. VA believes that allowing
submission of new evidence only through the channels provided in the
AMA gives the maximum possible effect to both statutory provisions
bearing on the issue and safeguards a claimant's essential statutory
rights. Further, as a matter of policy, creating a year-long exception
to the structure of the AMA would introduce complexity and confusion to
the new claims processing rules, both for VA adjudicators and
claimants, and would substantially undermine the goal of the AMA to
streamline the VA appeals system and allow VA to resolve appeals more
quickly.
Consistent with this discussion, VA eliminates Sec. 3.156(b) for
modernized system claims and makes conforming amendments to Sec.
3.159, as discussed below, to require that new and relevant evidence,
to the extent that it is submitted following a VA decision but within
the year established in section 5103(b), must be submitted to VA
through the channels established by the new law.
H. Comments Concerning Sec. 3.159--Department of Veterans Affairs
Assistance in Developing Claims
The definition of a substantially complete application in 3.159 has
been amended to add the requirement that a supplemental claim
application include or identify potentially new evidence and that a
higher-level review request identify the date of the decision for which
review is sought. VA's duty to assist is reinstated when a
substantially complete initial claim or supplemental claim is filed or
when a claim is returned to correct a ``duty to assist'' error in a
prior decision as required by 38 U.S.C 5103A(f), as amended by the AMA.
One commenter is concerned with the term ``potentially new
evidence'' as used in Sec. Sec. 3.159(a)(3)(vii) and in 3.160(a)(6).
In this context, ``potentially new evidence'' references evidence that
may be new and relevant to the claim, thereby providing some potential
basis for a supplemental claim. As adjudicated in the supplemental
claim process, evidence submitted or identified by a claimant may be
found to be duplicative, not relevant, or otherwise not new. If this is
the case, the adjudicator then must issue a decision indicating that
there is not sufficient evidence to readjudicate the claim. If the
evidence is found to be new and relevant, the claim must be
readjudicated. This identification of ``potentially new evidence'' is
consistent with Sec. 3.2501. For the above reasons, VA make no changes
to Sec. 3.159 based upon the comment.
However, VA is making technical amendments to Sec. 3.159 in the
final rule necessary to conform with the procedural requirements of the
AMA. Specifically, paragraph (b)(4) is added and paragraph (b)(1) is
amended to clarify, consistent with new section 5104C, that submission
of new evidence following an initial VA decision must be accomplished
either by filing a supplemental claim on a form prescribed by the
Secretary or by filing a Notice of Disagreement with the Board on a
form prescribed by the Secretary and selecting a review option allowing
for the submission of new evidence. As explained above in the prior
section, VA views these amendments as consistent with section 5103.
I. Comments Concerning Sec. 3.160--Status of Claims
While the AMA does not specifically address status of claims, the
law did, however, replace ``a claim for reopening a prior decision on a
claim, or a claim for increase of benefits'' with ``supplemental
claim'' in section 5103(a). Further, section 5104C(a)(2)(D) places the
authority to develop policy in this area on the Secretary.
Claimants may request review of VA's decision by submitting a
supplemental claim after a decision by the agency of original
jurisdiction, the Board, or the CAVC. VA proposed revising Sec.
3.160(e) to reflect the requirement that as of the applicability date
of the new law, VA will no longer accept requests to ``reopen'' claims
and a claimant must file a supplemental claim under Sec. 3.2501 to
seek review of a finally adjudicated claim for a previously disallowed
benefit.
One commenter contends that those who have filed their claims in
the legacy system have the right to have those claims adjudicated in
the legacy system and VA cannot force them into the modernized system
outside of the statutorily prescribed opt-in periods citing that the
courts have held a claimant has the right to demand the benefit of the
laws in existence at the time the claim was filed and any new laws that
come into existence during that claim's pendency that are more
favorable to the claimant, absent a specific indication that the change
in law was intended to be retroactive. VA agrees with the commenter in
part; however, VA did not propose to apply a new law that is less
advantageous to the claimant. By requiring the filing of a supplemental
claim, VA will no longer require claimants to identify new and material
evidence to reopen a finally adjudicated claim. VA will now allow the
submission of evidence that is ``new and relevant'', which Congress has
indicated is a lesser standard and reduces the claimant's burden. In
addition, this change in filing requirement does not change VA's review
of the claim and application of the laws in effect at the time the
claim was originally decided when readjudicating the claim. What VA
intends, by allowing claimants with legacy claims to file under the
supplemental claim framework, is to reduce claimants' filing burden
while still maintaining all requirements for review of the decision
based on all applicable laws and regulations whether in existence at
the time of prior decision or now. For these reasons, no changes are
made based on this comment.
J. Comments Concerning Sec. 3.328--Independent Medical Opinions
The AMA repealed 38 U.S.C. 7109, which authorized the Board to
obtain
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independent medical opinions (IMOs). This repeal removed the ability
for the Board to request IMOs. Under 38 U.S.C. 5103A(f)(2) and 5109(d),
as added by the AMA, the Board will, when deemed necessary, direct the
agency of original jurisdiction to obtain an IMO. VA proposed to amend
Sec. 3.328 to include a requirement that VBA process IMO instructions
received from the Board.
One commenter requested clarification on the definition of
``director of the Service'' in Sec. 3.328(c). Previous language
referenced approval to be ``granted only upon a determination by the
Compensation Service or the Pension and Fiduciary Service''. The change
to ``director of the Service'' in Sec. 3.328(c)(1)(i) is necessary
because the modernized system affects all VA administrations and is not
limited to the Veterans Benefits Administration's Compensation Service
and Pension and Fiduciary Service. To address the commenter's concern,
VA is adding language to clarify the meaning of ``director of the
Service''.
Another commenter requested clarity on the use of the word
``obscurity'' and the phrase ``such controversy in the medical
community at large'' in proposed Sec. 3.328(c)(1)(i) and recommended a
revision to reflect the language of the statute. VA agrees that the
regulation should track the language of the statute and revised Sec.
3.328(c)(1)(i) accordingly.
K. Comments Concerning Sec. 3.2400--Applicability of Modernized Review
System
The AMA provides direction on the applicability of the modernized
review system. Accordingly, Sec. 3.2400 defines which claims are
processed under the modernized review system and which clams are
processed under the legacy appeals system. Sec. 3.2400 also clarifies
that the new review system will generally apply to initial decisions
provided on or after the effective date denying requests to revise a
decision by the agency of original jurisdiction based on CUE.
One commenter interpreted proposed Sec. 3.2400, specifically the
provision proscribing supplemental claims based upon CUE, as somehow
limiting CUE claims generally. However, Sec. 3.2400 clarifies that the
new review system will generally apply to initial decisions issued on
or after the effective date of this final rule, to include decisions
denying requests to revise a decision by the agency of original
jurisdiction based upon CUE. Although such requests are not ``claims''
subject to the AMA because the requester is not pursuing a claim for
benefits pursuant to part II or III of Title 38 of the U.S. Code,
Livesay v. Principi, 15 Vet. App. 165, 178-179 (2001), it is VA's
policy to allow the requestor to elect review of such decisions in the
higher-level review lane or through an appeal to the Board. Revision of
a decision based upon CUE cannot be requested in a supplemental claim
because CUE must be based upon the facts and law that existed at the
time of the prior decision, not new and relevant evidence. For these
reasons, VA does not make any changes based upon the comment.
Another comment expressed concern that character of discharge
determinations are not expressly addressed in Sec. 3.2400. While
character of discharge determinations could be reviewed under the
modernized review process, the AMA does not specifically implicate or
change any existing law regarding character of discharge
determinations. Accordingly, no changes are made based on this comment.
L. Comments Concerning Sec. 3.2500--Review of Decisions
In the legacy appeals process, claimants who are dissatisfied with
the initial decision on their claim are given only one avenue to seek
review of that decision. The new system created by the AMA allows
claimants to choose from several different review options. Congress
added 38 U.S.C. 5104C to provide claimants with streamlined, early
resolution options within the agency of original jurisdiction or in an
appeal directly to the Board. VA proposed to add Sec. 3.2500 to
implement the new decision review options and set forth the rules that
apply to those options under section 5104C. In line with the statutory
requirements, VA proposed to allow a claimant to file for one of the
three review options upon receipt of a decision by the agency of
original jurisdiction on an initial claim. Under Sec. 3.2500(b), a
claimant will be able to elect a different review option for each issue
adjudicated in the decision. It is clear from Sec. 3.151(c) that the
term ``issue'' refers to a distinct determination of entitlement to a
benefit, such as a determination of entitlement to service-connected
disability compensation for a particular disability. An ``issue'' is
distinct from a ``claim'' in that a claim may contain one or more
issues.
Several commenters expressed concern over Sec. 3.2500(b), which
provides that a claimant may not elect to have the same issue reviewed
concurrently under different review options, consistent with section
5104C(a)(2)(A). Some of these comments were specific to the concurrent
election of a different review lane while an appeal is simultaneously
being reviewed by a federal court. In general, it is inefficient and
raises potential conflicts for the same issue to be reviewed
concurrently by two different processes (e.g., concurrent review in
multiple review lanes or in a review lane and at a court). These
different review lanes may come to different conclusions. This final
rule establishes a process for a potentially different conclusion in a
lane than in a previous lane. It is inefficient and confusing for those
conclusions to be reached separate from each other without the benefit
of the other review's conclusions. The appropriate method for a
claimant to seek a different conclusion is to allow for a decision to
be made, then seek another appropriate review option to address any
additional evidence, difference of opinion, or perceived error in the
prior conclusion. VA also notes that concurrent review of a matter by a
lower level review lane and a federal court is prevented as a matter of
law, due to VA's lack of jurisdiction to review a matter pending before
a higher-level authority. Accordingly, no changes are made to Sec.
3.2500(b) based on these comments.
One commenter expressed a belief that the proposed rule limits the
options for a claimant to appeal downstream issues to reviewing them
all in a single lane. The example offered by the commenter was a case
in which the Board grants service connection for a left knee condition,
but the claimant disagrees with the effective date and percentage of
disability assigned by the Board, and the claimant must choose one lane
for adjudication for each of these issues, even though the effective
date issue might be better resolved in a higher-level review and the
evaluation might be better resolved in a supplemental claim. The
proposed rule did not specifically address downstream issues, which are
those that necessarily arise from a decision on one element of a claim.
Ratings and effective dates, using the commenter's example, are
separate issues that may arise from a Board grant of service
connection.
VA recognizes that a claimant might sometimes want to seek review
of each downstream issue in a different lane. However, as VA discussed
in the preamble to the proposed rule, allowing a claim to be splintered
into several pieces for review, each potentially subject to different
evidentiary rules and timelines, would render the new review system
administratively unworkable, risk self-contradictory decision-making by
VA, and undermine Congressional
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intent to streamline the review process and reduce adjudication times.
Although problems would not necessarily arise in every instance, from
the standpoint of administering an entire system that produces timely
adjudications for all claimants, VA must attempt to achieve a balance
between more flexibility for individual claimants and administrative
efficiency that benefits all veterans. Based on extensive experience
administering a claims adjudication system, and considering that one of
the express goals of the AMA is to improve the effciency of VA claims
and appeals processing and reduce overall wait times, VA will not allow
claimants to choose different review lanes for downstream issues.
Rather, each separate benefit entitlement sought by a claimant is
considered an issue as defined in Sec. 3.351(c) and cannot be split
into different review lanes for purposes of admistrative review. VA
makes no regulatory changes based on the comment.
Some commenters suggested that the regulatory provision indicating
review options following a Board decision should include reference to
the option to file a notice of appeal with the U.S. Court of Appeals
for Veterans Claims (CAVC). VA agrees and revises Sec. 3.2500(c)(3)
accordingly. Other commenters suggested that proposed Sec.
3.2500(c)(4) should track the statutory language providing that the
one-year period for continuous pursuit begins upon issuance of a CAVC
decision, rather than a CAVC judgment. VA agrees and revises the
language in Sec. 3.2500(c)(4) accordingly.
Proposed Sec. 3.2500(d) implements section 5104C(a)(2), providing
that the Secretary may, as the Secretary considers appropriate,
implement a policy for claimants to switch between the different review
options. A claimant or the claimant's duly appointed representative
may, for example, wish to withdraw a request for higher-level review or
a supplemental claim at any time prior to VA issuing notice of
decision. VA proposed in Sec. 3.2500(d) that a claimant may, if the
withdrawal takes place within the one-year period following notice of
the decision being reviewed, timely elect another review option to
continuously pursue the claim and preserve the potential effective date
for payment of benefits.
Two commenters expressed concern that section 5104C(a)(2) does not
impose a time limit on selecting additional review options upon
withdrawal. However, section 5104C(a)(2)(D) places the discretion to
develop policy in this area with the Secretary of Veterans Affairs.
Under the AMA (sections 5104B, 5104C, 5110, and 7105), and in order to
ensure efficiency, consistency, and timeliness, option election periods
are consistently one year from the date of the decision with which the
claimant disagrees. A withdrawal and election of a new option must
necessarily also be based on the date of that decision. For example, a
claimant receives an unfavorable decision and requests a higher-level
review. Sometime during the year following the claim decision, but
before the higher-level review request has been adjudicated, the
claimant decides to change to the supplemental claim lane. The
supplemental claim must be filed within that same year from the last
decision date. As long as a claimant submits a supplemental claim
within the same one-year period that follows the relevant decision, VA
will consider this to be a continuously pursued claim and continue to
base the effective date of an award of benefits on the filing date of
the initial claim. This benefits the claimant by ensuring there are
clearer periods of time associated with processing an action and
definitive decision points in the process on which to better determine
if further action is desired while protecting the effective date.
Accordingly, no changes are made to Sec. 3.2500 based on these
comments.
Concern was expressed regarding lane changes after the one-year
period described above, but before a decision review request has been
adjudicated. VA understands the concern regarding withdrawing from one
lane in favor of another, particularly if the one-year period has
expired. Accordingly, VA will consider requests to extend the one-year
period for claimants in one review lane to switch to the supplemental
claim lane through the above-described procedure without loss of the
current effective date. Such requests will be considered on a case-by-
case basis for good cause shown under Sec. 3.109(b). Section 3.109(b)
generally allows for requests to extend time limits within which
claimants are required to act based on good cause, and allows such
requests to be made after the relevant time period has expired subject
to specified procedural requirements. The only lane into which a
claimant may switch after the one-year period has expired is the
supplemental claim lane based on new and relevant evidence, regardless
of whether a good cause exception is allowed for purposes of
maintaining continuous pursuit of the claim.
VA makes changes in Sec. 3.2500(e) in accordance with the above
discussion in response to the comment.
VA also makes technical changes to Sec. 3.2500(d), including
adding the requirement that withdrawal of a supplemental claim or a
request for a higher-level review must be in writing or through
electronic submission in a manner prescribed by the Secretary and must
be filed with the agency of original jurisdiction. These changes are
required for orderly administrative processing and to provide useful
information to claimants.
M. Comments Concerning Sec. 3.2501--Supplemental Claims
VA received multiple comments requesting clarification about
electronic submissions in Sec. 3.2501. These comments correctly
identify that Sec. 3.2501 states that applications may be made ``in
writing'' and says nothing about electronic submissions. VA agrees on
the need for clarification regarding electronic submissions.
Accordingly, VA revises Sec. 3.2501 to clarify that a claimant or
their authorized representative may submit supplemental claims in
writing or electronically, consistent with Sec. 3.160(a).
Additionally, clarity is added regarding new and relevant evidence that
may be in custody of the VA when reasonably identified by the claimant
consistent with revisions in Sec. 3.103(c)(2). The definition of new
and relevant evidence in Sec. 3.2501(a)(1) is revised in a similar
manner to the revision of Sec. 3.156 regarding evidence not previously
``considered by'' agency adjudicators.
N. Comments Concerning Sec. 3.2502--Returns by Higher-Level
Adjudicator or Remand by the Board of Veterans' Appeals
Several commenters expressed confusion over the inclusion of the
term ``adjudication activity.'' VA agrees that our use of this term in
the proposed rule was confusing. Accordingly, VA revises Sec. 3.2502
to use the term ``agency of original jurisdiction'' throughout the
final rule. Similarly, commenters requested further clarity on what it
means to ``take immediate action to expedite readjudication.'' The AMA
amended 38 U.S.C. 5109B to state, ``The Secretary shall take such
actions as may be necessary to provide for the expeditious treatment by
the Veterans Benefits Administration of any claim that is returned by a
higher-level adjudicator under section 5104B of this title or remanded
by the Board of Veterans' Appeals.'' VA agrees that clarification is
necessary and revises Sec. 3.2502 to more closely mirror the statutory
language. The statute does not further define what is meant by
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``expeditious,'' leaving timely treatment of claims to the Secretary.
Clearly, Congress intended that VA would process these claims as
expeditiously as possible depending upon available resources. VA will
similarly not further define ``expeditious'' in the rule to provide the
Secretary the discretion to direct expeditious processing of actions
through allocation of available resources, appropriate prioritization
of workload, and issuance of procedures.
O. Comments Concerning Sec. 3.2601--Higher-Level Review
The higher-level review consists of a closed evidentiary record and
does not allow for the submission of new evidence or a hearing. While
the closed evidentiary record does not allow for submission of new
evidence, VA proposes to provide claimants and/or their representatives
with an opportunity to point out any specific errors in the case as
part of the higher-level review. The sole purpose of an informal
conference is to provide a claimant or his or her representative with
an opportunity to talk with the higher-level adjudicator so that the
claimant and/or his or her authorized representative can identify
errors of fact or law in the prior decision. To comply with the
statutory requirement of a closed evidentiary record, VA would not
allow claimants or representatives to supplement the evidentiary record
during the informal conference through the submission of new evidence
or introduction of facts not present at the time of the prior decision.
Several commenters expressed concern over the term ``good cause''
in Sec. 3.2601(e) as it relates to VA's ability to conduct the higher-
level review at the office which rendered the initial decision when
desired by the claimant. VA agrees that clarity is needed. Accordingly,
language is added for clarification regarding situations in which the
VA may not be able to conduct the higher-level review at the office
which rendered the initial decision.
P. Comments Concerning General Timeliness
VA received several comments recommending timelines and goals
related to timeliness be included in the rule. VA is committed to the
purpose of appeals modernization, which is to provide fair, efficient,
and more timely resolution of cases in which a claimant disagrees with
a VA decision. Though VA intends to maintain a 125-day average goal for
completion of higher-level reviews and supplemental claims, the statute
does not require a specific goal and the Secretary must retain the
authority and responsibility to monitor and prioritize workload,
allocate resources appropriately, and establish appropriate procedures
to best meet priorities established by any given change in
administration or policy. Regulating a specific goal eliminates the
judgement and decision-making authority of the Secretary and reduces
the ability to adapt to change appropriately. Goals and timelines for
timely completion of VA processes will be established and monitored
through VA procedures and policy. For these reasons, no changes are
made based on these comments.
Q. Comments Outside the Scope of the Rule
One commenter suggested using non-VA staff, physicians, or case
managers at non-VA facilities to be trained in the claims and appeals
process in order to fulfill the duty to assist responsibility, stating
this would shorten the claims and appeals process. This comment is
outside the scope of the proposed rule because it relates to the
specific methods in which VA accomplishes the training and management
of the law and regulations. Therefore, no change is made based on this
comment.
Another comment concerned denial rates under the Rapid Appeals
Modernization Program (RAMP). This comment is outside the scope of the
proposed rule, therefore, no change is made based on this comment.
Part 8--National Life Insurance Program
Based on comments received relative to part 3, language in Sec.
8.30 is adjusted to be standardized with the language used in Part 3 in
reference to favorable findings, supplemental claims, and higher-level
reviews.
Part 14--Legal Services, General Counsel, and Miscellaneous Claims
For the reasons set forth in the proposed rule and in this final
rule, VA is adopting the proposed amendments to 38 CFR part 14 as
final, with minor changes, as explained in the section-by-section
supplementary information below. These regulations govern recognition
of veterans service organizations (VSO); accreditation of attorneys,
agents, and VSO representatives; representation of claimants before VA,
including the rules of conduct applicable while providing claims
assistance; and fees charged by attorneys and agents for
representation.
R. Comment Concerning Sec. 14.631--Powers of Attorney; Disclosure of
Claimant Information
VA proposed only one change to current Sec. 14.631, to update a
reference in paragraph (c) from 38 CFR 20.608 to 38 CFR 20.6 to reflect
proposed revisions to the Board of Veterans' Appeals' (Board) Rules of
Practice. Nevertheless, VA received one comment, from a VA-recognized
VSO, asking VA to clarify how claimants may change representation and
what their ``continuing obligations'' might be, and specifically asking
for clarification as to how a claimant would change representation from
an attorney to a veterans service organization. Although the commenter
asked this question in regard to the organization's clients, the
comment pertains to other scenarios as well, including when a claimant
changes representation from one attorney or agent to another attorney
or agent or from an attorney or agent to proceeding without
representation.
As a starting point, unless an appeal is before the Board, the
claimant may discharge the attorney or agent at any time and for any
reason. A claimant may do so by informing VA of the revocation or by
filing a new power of attorney. Attorneys, agents, and VSOs are also
permitted to withdraw from representation while the case is before the
agency of original jurisdiction (AOJ) so long as the withdrawal would
not adversely impact the claimant's interests or if there is good cause
for the withdrawal such as if the claimant pursues a course of action
that the representative believes to be fraudulent and is being
furthered through the representative's representation on the claim.
Current Sec. 14.631 identifies the effect of withdrawal from
representation and the effect of a revocation of a power of attorney.
Withdrawal before the Board, proposed Sec. 20.6, sets forth a
different procedure and, in some circumstances, a higher standard that
must be met before a representative is permitted to withdraw. Upon
withdrawing from representation, the representative must generally
return all of the claimant's property to the claimant.
Under Sec. 14.631(f)(1), receipt of a new power of attorney by VA
generally revokes existing powers of attorney. Under Sec.
14.631(f)(2), however, an agent or attorney may limit the scope of his
or her representation to a particular claim by describing the
limitation on VA Form 21-22a. If a VA Form 21-22a, which limits the
scope of representation to a particular claim, is submitted, after a VA
Form 21-22 or VA Form 21-22a
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that did not, then the, organization or individual with a prior
unlimited power of attorney would retain representation for all claims
before VA with the exception of the particular claim indicated on the
new VA Form 21-22a with the limited scope. Conversely, under Sec.
14.631(f)(1), if VA receives a new VA Form 21-22 or VA Form 21-22a,
which contains no limitations in scope, it would revoke an existing
power of attorney even if the initial VA Form 21-22a indicated that it
was limited in its scope to a particular claim. VA will make no further
changes to Sec. 14.631 based on this comment.
As to the claimant's continuing obligations to the attorney or
agent pertaining to fees, this aspect of the comment will be discussed
further below with regard to Sec. 14.636.
S. Comment Concerning Sec. 14.632--Standards of Conduct for Persons
Providing Representation Before the Department
In Sec. 14.632(c)(6), VA proposed to amend the current regulation
which provides, ``An individual providing representation on a
particular claim under Sec. 14.630, representative, agent, or attorney
shall not . . . [s]olicit, receive, or enter into agreements for gifts
related to representation provided before an agency of original
jurisdiction has issued a decision on a claim or claims and a Notice of
Disagreement has been filed with respect to that decision.'' (Emphasis
added.) VA proposed new language that would state, ``An individual
providing representation on a particular claim under Sec. 14.630,
representative, agent, or attorney shall not . . . [s]olicit, receive,
or enter into agreements for gifts related to services for which a fee
could not lawfully be charged.'' (Emphasis added.) One commenter
supported the premise of the provision because it would discourage
unethical charging of fees disguised as gifts, but the commenter urged
VA to clarify that VA does not intend to include de minimis gifts
within the prohibition. The commenter noted that veterans or their
families may want to send small tokens of gratitude to advocates.
VA has not changed the language from the proposed rule. Section
14.632(c)(6), as well as other provisions such as current Sec.
14.628(d)(2)(i) (essentially prohibiting recognized organizations and
their accredited representatives from charging or accepting a ``fee or
gratuity for service to a claimant''), implement statutory prohibitions
or limitations on the charging of fees, such as those contained in 38
U.S.C. 5902(b)(1)(A) and 5904(c)(1). VA appreciates the commenter's
support for preventing unethical behavior and recognizes that most
accredited practitioners would not attempt to circumvent statutory or
regulatory prohibitions on charging fees through the acceptance of
gifts. But, unfortunately, based on VA's experience monitoring the
conduct of accredited individuals and addressing complaints received
regarding the receipt of gifts and donations, VA does not believe that
exceptions to the rule should be recognized because doing so could open
the door to potential abuses. Indeed, to be clear, VA believes that, in
circumstances in which a fee would be unlawful, a prudent practitioner
would return any gift to the donor to avoid the appearance of a
violation of the standards of conduct in Sec. 14.632. VA declines to
alter the proposed language or otherwise offer the clarification or
exception for de minimis gifts requested by the commenter. To assuage
the commenter's concerns, VA notes that the prohibition in Sec.
14.632(c)(6) does not extend to accepting de minimis gifts under
circumstances where a fee could be charged by the agent or attorney,
but cautions that if the gift is determined not to be de minimis it
could prevent the attorney or agent from directly collecting a fee from
VA out of the claimant's past-due benefits (where a fee may be charged
but must be contingent on whether the matter is resolved in a manner
favorable to the claimant and may not exceed 20 percent of the total
amount of the past-due benefits awarded). Acceptance of such a ``gift''
in addition to the amount to be paid directly from past due benefits
could cause the fee charged to exceed 20 percent of past due benefits.
VA notes that in many jurisdictions the appropriateness of accepting of
a gift under circumstances when a fee could be charged would still be
governed by a version of Rule 1.8(c) of the American Bar Association's
Model Rules of Professional Conduct--which generally prohibits
attorneys from soliciting substantial gifts from clients--and by
extension, current Sec. 14.632(d), which provides that an accredited
attorney is bound by ``the rules of professional conduct of any
jurisdiction in which the attorney is licensed to practice law.''
T. Comments Concerning Sec. 14.636--Payment of Fees for Representation
by Agents and Attorneys in Proceedings Before Agencies of Original
Jurisdiction and Before the Board of Veterans' Appeals
VA proposed multiple changes to Sec. 14.636. VA did not receive
comments on all the proposed changes and will only address here those
pertinent to the comments. One commenter objected to language in
proposed Sec. 14.636 that was proposed to reflect how Public Law 115-
55 changes the starting point at which fees for representation may be
charged. The commenter specifically objected to the phrase ``if notice
of the decision on a claim or claims was issued on or after the
effective date of the modernized review system as provided in Sec.
19.2(a)'' in proposed Sec. 14.636(c)(1)(ii) and the phrase ``a Notice
of Disagreement has been filed with respect to that decision on or
after June 20, 2007'' in both proposed Sec. 14.636(c)(2)(i) and
(c)(2)(ii). The commenter also objected to all of proposed Sec.
14.636(c)(3), which states the limitations on whether an attorney or
agent can charge a fee in cases in which a Notice of Disagreement was
filed on or before June 19, 2007.
As VA explained in the preamble to the proposed rule, current 38
U.S.C. 5904(c)(1) directs that agents and attorneys may be paid for
services provided after a Notice of Disagreement is filed in a case. VA
proposed language in Sec. 14.636(c) to implement the change in section
2(n) of Public Law 115-55 that fees may be charged upon VA's issuance
of notice of an initial decision on a claim. The commenter correctly
recognizes that the proposed regulation describes ``multi-level
predicates'' for when it is permissible for attorneys and agents to
charge fees. The basis for this structure is the fact that Congress has
shifted the delimiting event for when fees may be charged by agents and
attorneys three times, most recently with the passage of Public Law
115-55. When Congress has done so, VA has structured Sec. 14.636 and
its predecessor, former 38 CFR 20.609, to reflect the statutory
amendments to 38 U.S.C. 5904 and its predecessor, former 38 U.S.C.
3404, using the effective dates of the Public Laws. VA's structure of
proposed Sec. 14.636 only continues this structure. This is best
reflected by proposed Sec. 14.636(c)(3), which is identical in
language to current Sec. 14.636(c)(2), having been renumbered from
(c)(2) to (c)(3) because proposed subparagraph (c)(1) has been added to
the regulation address fees under the modernized appeal system.
But the commenter asserts that such a structure for the regulation
is ``not supported by the plain language of the statute.'' The
commenter explains that 38 U.S.C. 5904(c)(1), as amended by Public Law
115-55, will state, in pertinent part, the limit on fees as, ``a fee
may not be charged, allowed, or paid for services of agents and
attorneys with respect to services provided before the
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date on which a claimant is provided notice of the agency of original
jurisdiction's initial decision under section 5104 of this title with
respect to the case.'' So, the commenter reasons, the only limitation
supported by the plain language of the amended statutory section is
that the claimant has been provided notice of the AOJ's initial
decision under 38 U.S.C. 5104 regardless of when it was issued or if a
Notice of Disagreement or Board decision followed.
The commenter urges a reading of Public Law 115-55--essentially as
a retroactive repeal of prior versions of sec. 5904(c)(1) rather than a
prospective amendment--which would impermissibly ignore part of the
statute. Although VA referred specifically to section 2(n) of Public
Law 115-55 in the preamble to explain the basis for proposed Sec.
14.636, the structure provided in the regulation also encompasses
section 2(x) of Public Law 115-55, which states that the amendments
made by the public law only apply to claims for which a notice of
decision is provided by the AOJ on or after the effective date of the
new review system. In addition to ignoring sec. 2(x), the expansion of
the language in sec. 2(n) urged by the commenter is unrelated to the
primary aim of Public Law 115-55--to amend, going forward, the
procedures applicable to administrative review and appeal of VA
decisions on claims for benefits in order to create a new, modernized
review system. Accordingly, VA declines to change the structure of the
proposed rule based on this comment. However, in reviewing the proposed
rule in light of the comment, VA did discover a gap between the
language for proposed paragraphs 14.636(c)(1)(ii) and (c)(2)(ii),
regarding when agents and attorneys may charge fees for representation
provided with respect to a request for revision of a decision of an AOJ
under 38 U.S.C. 5109A or the Board under 38 U.S.C. 7111 based on clear
and unmistakable error.
This gap was created by VA's mistaken reference, in proposed Sec.
14.636(c)(2)(ii), to the notice of the decision on the request for
revision rather than the notice of the decision that is being
challenged based on clear and unmistakable error. By requiring the
notice of decision on the request for revision to be issued before the
effective date of the modernized review system, it created a gap
involving circumstances in which the request for revision of a prior
decision based on clear and unmistakable error is filed after the
effective date of the modernized review system but challenges the
decision that was issued prior to the modernized review system and for
which a Notice of Disagreement had been filed after June 20, 2007. The
proposed language would have meant that agents and attorneys could not
charge fees under these circumstances until after VA had issued a
decision on the request for revision. Despite the proposed language
indicating otherwise, VA had intended to permit agents and attorneys to
charge fees for representation provided with respect to a request for
revision of a decision of an agency of original jurisdiction under 38
U.S.C. 5109A or the Board of Veterans' Appeals under 38 U.S.C. 7111
based on clear and unmistakable error if notice of the challenged
decision was issued before the effective date of the modernized review
system; a Notice of Disagreement was filed with respect to the
challenged decision on or after June 20, 2007; and the agent or
attorney has complied with the power of attorney requirements in Sec.
14.631 and the fee agreement requirements in Sec. 14.636(g). VA has
revised the amendatory language to address this unintended gap so that
an attorney or agent may charge a fee in these circumstances regardless
of whether VA has already issued a decision on the request for
revision.
Further, VA has also revised Sec. 14.636(c)(1)(ii) to clarify that
an attorney or agent may charge a fee for representation provided on a
request to revise a decision based on clear and unmistakable error if
the notice of the decision being challenged based on clear and
unmistakable error was issued after the modernized review system.
Additionally, VA has added language in Sec. 14.636(c)(1)(i) to clarify
that, in requests for revision based on clear and unmistakable error
that are not otherwise addressed in Sec. 14.636(c)(1)(ii) or
(c)(2)(ii) (e.g., requests challenging decisions issued before June 20,
2007), a decision on the request for revision will be considered the
initial decision for purposes of allowing fees to be charged for
representation.
The same commenter recommended that VA define the term ``case'' as
used in 38 U.S.C. 5904(c)(1), as amended by Public Law 115-55, to
include all requests by a specific individual for a specific monetary
benefit (e.g., compensation, pension, or dependency or indemnity
compensation) within a single case. Under the interpretation suggested
by the commenter, once an individual receives an initial decision with
respect to a specific type of benefit, fees could be charged for any
subsequent services provided with respect to the same type of
``benefit,'' even if the services related to a claim with an entirely
different basis (e.g., an initial decision with respect to compensation
for hearing loss would permit fees to be charged with respect to the
veteran's subsequent application for compensation based on service
connection for a mental disorder). VA disagrees with commenter because
such a rule would untie the term ``case'' from the initial decision by
the AOJ. The commenter's proposal would have the effect of permitting
agents and attorneys to charge fees to file claims, except the very
first claim filed under a specific benefit program. If Congress had
intended such a result, it could have accomplished it by repealing or
replacing the ``with respect to the case'' language in its entirety.
Congress did not, and, therefore, VA will not interpret the amended
statute in a manner that would essentially achieve that result in the
absence of any indication that this was Congress' intent.
As to the more general aspect of the commenter's suggestion that VA
should expressly define the term ``case,'' at this time, VA does not
believe that it is necessary to expressly define the term in regulation
to explain under what circumstances an agent or attorney may charge
fees. Rather, in proposed Sec. 14.636(c), VA continues to explain the
term for the purpose of fees in the context of a ``claim'' and
maintains the general position that VA must be allowed to decide a
matter before paid representation is available. See 73 FR 29852, 29868
(May 22, 2008) (the final rule shifting, pursuant to Public Law 109-
461, the delimiting point for the restriction of fees to the Notice of
Disagreement with respect to the case). VA recognizes that the term
``claim'' has different meanings in different contexts other than
attorney's fees, so to clarify the application of the rule VA has
provided guidance in proposed Sec. 14.636(c) on three of the more
nuanced circumstances relating to fees: Supplemental claims, claims for
increase in a rate of disability, and requests for revision of a prior
decision based on clear and unmistakable error. VA believes that the
proposed Sec. 14.636(c) provided sufficient guidance as to when, and
under what circumstances, a fee may be charged, but has opted to revise
the language to clarify VA's current position.
In a similar regard, three commenters objected to language in
proposed Sec. 14.636(c)(1) that specifies the circumstances in which
an AOJ's decision adjudicating a supplemental claim will be considered
the initial decision on a claim. Specifically, VA had proposed adding a
sentence to Sec. 14.636(c) stating, ``For purposes of this
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paragraph (c)(1)(i), a decision by an AOJ adjudicating a supplemental
claim will be considered the initial decision on a claim unless that
decision was made while the claimant continuously pursued the claim by
filing any of the following, either alone or in succession: A request
for higher-level review, on or before one year after the date on which
the AOJ issued a decision; a supplemental claim, on or before one year
after the date on which the AOJ issued a decision; a Notice of
Disagreement, on or before one year after the date on which the AOJ
issued a decision; a supplemental claim, on or before one year after
the date on which the Board issued a decision; or a supplemental claim,
on or before one year after the date on which the Court of Appeals for
Veterans Claims issued a decision.'' The commenters advocated for an
interpretation that would allow for agents and attorneys to receive
fees for representation on all supplemental claims regardless of
whether they are being continuously pursued by the claimant. One
commenter expressed a belief that, based on information conveyed to the
commenter by a director of a VSO, the non-inclusion of all supplemental
claims within the case restriction in the proposed regulation is
contrary to the negotiations between VA and its stakeholders.
Ultimately, he characterizes the proposed language as ``a[n
impermissible] denial of professional services to veterans.''
It is VA's position that the regulatory text is consistent with the
language of the amended statute, and to explain VA's interpretation of
the statute it is helpful to consider the legislative history of the
statutory restrictions on attorney's fees. Since 1988, Congress has
restricted fees on VA appeals by: (1) Prohibiting fees prior to a
specific event in the appeal proceeding, and (2) permitting reasonable
fees thereafter. VA views the language proposed in Sec. 14.636(c) as
being consistent with that scheme. Originally, in 1988, under Public
Law 100-687, the Veterans Judicial Review Act, the delimiting point was
a decision by the Board, which was the decision that was appealable to
the Veterans Court. Then, under Public Law 109-461, the Veterans
Benefits, Health Care, and Information Technology Act of 2006, Congress
shifted the delimiting point to the Notice of Disagreement, the
threshold requirement to receiving a Board decision. Under Public Law
115-55, the delimiting point will shift again, from the Notice of
Disagreement to the notice of the initial decision by an AOJ.
As to how VA views Public Law 115-55 in relation to the prior
scheme, VA interprets the amendment of section 5904(c) by sec. 2(n) of
Public Law 115-55 as merely a means to allow paid representation with
respect to the claimant's expanded options for seeking review of an
initial decision on a claim. As noted above, prior to Public Law 115-
55, to obtain direct review of an AOJ decision, a claimant had to file
a Notice of Disagreement. Thus, the filing a Notice of Disagreement was
the logical entry point for ensuring that paid representation was
available with respect to review of AOJ decisions. However, pursuant to
Public Law 115-55, direct review of an AOJ decision may be obtained
without filing a Notice of Disagreement. It may be obtained by choosing
from three differentiated lanes--filing a Notice of Disagreement,
filing a request for higher-level review, and filing a supplemental
claim. As a result, to permit paid representation regardless of the
form of review, Congress necessarily had to shift the entry point for
paid representation to the AOJ decision itself. VA does not view the
amendment as altering the general premise that ``VA must have an
opportunity to decide a matter before paid representation is
available.'' See 73 FR 29852, 29868 (May 22, 2008) (the final rule
shifting, pursuant to Public Law 109-461, the delimiting point for the
restriction of fees). To the extent that there is any variation from
this general rule when it comes to evidence submitted shortly after the
AOJ's decision, it is explained below.
VA has set forth in Sec. 14.636(c)(1)(i) the circumstances when an
attorney or agent may charge a claimant for services in response to an
adverse AOJ decision--after the initial decision on the claim. The
proposed language referring to when ``an agency of original
jurisdiction adjudicating a supplemental claim will be considered the
initial decision'' was intended to distinguish an initial decision by
an AOJ from review actions made by the same entity while the claimant
continuously pursued the matter. VA carefully chose the ``continuously
pursued'' language included in the proposed rule. Pursuant to Public
Law 115-55, Congress shifted from a single-option appellate system to a
multi-option appellate system involving the following three options: a
supplemental claim, higher level review by the AOJ, and appeal to the
Board. In addition to alternatives for pursuing appeals, the new system
allows claimants to pursue appellate options in succession, each
relating back to the same AOJ decision for effective date purposes.
VA acknowledges that this approach treats supplemental claims
differently based on whether they were filed within one year of a prior
decision. If a supplemental claim is filed within one year of a prior
decision, the supplemental claim relates back to the claim that gave
rise to the earlier claim. As a result, the relevant time period with
respect to the supplemental claim overlaps the time period considered
in the earlier decision and is considered a continuation of that claim.
A supplemental claim filed more than one year after a prior decision,
on the other hand, is distinct from the prior decision because it does
not overlap with the timeframe considered in the prior decision, and,
thus, is the beginning of a new claim for the purposes of assigning an
effective date and a new claim--or a new case--for the purpose of
determining when attorney fees may be charged. The distinction between
the submission of evidence on an AOJ decision for which the review has
not expired and the submission of evidence after a AOJ decision has
been finally adjudicated, is not a new concept. Pursuant to current 38
CFR 3.156(b), new and material evidence received after an AOJ decision
but prior to the expiration date of the appeal period, or prior to the
appellate decision if a timely appeal was filed, has long since been
considered to have been filed in connection with the initial claims
proceeding. In contrast, pursuant to 38 CFR 3.156(a), a finally
adjudicated claim could be reopened but the new proceeding would not be
treated as a continuation of the prior claim.
Furthermore, unlike supplemental claims that are filed more than
one year after an AOJ decision or a Board decision, VA does not have a
duty to notify the claimant who files a supplemental claim while
continuously pursuing the matter of the information or evidence
necessary to substantiate the claim in accordance with 38 U.S.C. 5103.
See Public Law 115-55, section 2(b). The exclusion of this pro-claimant
obligation also favors treating a continuously pursued supplemental
claim as part of the matter stemming from the AOJ's initial decision.
In contrast, the fact that VA still does have this obligation with
respect to supplemental claims filed when the claimant has not
continuously pursued the matter only bolsters the conclusion that VA
should again be permitted to decide the matter prior to the need for
paid representation.
VA has revised proposed Sec. 14.636(c) to clarify VA's position
regarding supplemental claims, claims for increase in a rate of
disability and requests for revision based on clear and unmistakable
error, but has not made
[[Page 151]]
any substantive changes to VA's position.
Finally, turning back to the commenter who asked VA about a
claimant's ``continuing obligations'' to a former attorney or agent, VA
is amending Sec. 14.636(e) and (f) based on this comment to help
clarify a claimant's continuing obligations with regard to fees. Simply
because a claimant has discharged an attorney or agent, or the attorney
or agent has withdrawn from representation does not eliminate the
attorney or agent's right to compensation. But the standard for
evaluating a reasonable fee does change. In the typical case, in which
an attorney or agent has a contingent fee agreement that does not
exceed 20-percent and provides continuous representation from the date
of the agreement through the date of the decision awarding benefits,
the fee called for in the fee agreement is presumed to be reasonable in
the absence of clear and convincing evidence to the contrary. 38 U.S.C.
5904(a)(5); 38 CFR 14.636(f); see also Scates v. Principi, 282 F.3d
1362, 1365 (Fed. Cir. 2002) (explaining that even if a fee agreement
provides for a fee of 20 percent of past-due benefits awarded, implicit
in that arrangement is the understanding that the attorney or agent's
right to receive the full fee called for in the fee agreement only
arises if the attorney or agent continues as the veteran's
representative until the case is successfully completed). In contrast,
if the attorney or agent's representation of the claimant ends before
the date of the decision awarding benefits, the attorney or agent may
still be eligible to receive a fee, but the full amount of the fee
stated in the agreement generally does not represent a reasonable fee
for that attorney or agent. Rather a reasonable fee for a discharged
agent or attorney would be limited to the amount of the ``fee that
fairly and accurately reflects [the attorney or agent's] contribution
to and responsibility for the benefits awarded.'' Scates, 282 F.3d at
1366.
Accordingly, VA is amending paragraph (f) of Sec. 14.636 by
revising the caption to ``Presumptions and discharge,'' amending the
current language to specify that the presumption that a fee of 20
percent of any past-due benefits awarded is reasonable applies ``if the
agent or attorney provided representation that continued through the
date of the decision awarding benefits,'' and adding a new paragraph
(f)(2). Paragraph (f)(2) will explain that a reasonable fee for an
agent or attorney who is discharged by the claimant or withdraws from
representation before the date of the decision awarding benefits is one
that fairly and accurately reflects his or her contribution to and
responsibility for the benefits awarded and that the amount of the fee
is informed by an examination of the factors in Sec. 14.636(e). VA has
also amended paragraph (e) of Sec. 14.636, which lists factors
considered in determining whether a fee is reasonable, to add as a
factor, when applicable, ``the reasons why an agent or attorney was
discharged or withdrew from representation before the date of the
decision awarding benefits.'' See Scates, 282 F.3d at 1368.
Beyond these regulatory changes, it is important to remember that
VA's Office of General Counsel does not initiate review of the
reasonableness of fees in every case. However, this does not mean that
a claimant who is unhappy with the representation provided by his or
her agent or attorney, or former agent or attorney, is without
protection and/or potential recourse. First, pursuant to VA's standards
of conduct in 38 CFR 14.632, attorneys and agents are prohibited from
charging, soliciting, or receiving fees that are clearly unreasonable,
and, if an attorney or agent who is found to have violated this
standard of conduct, the attorney or agent would risk losing his or her
accreditation to represent claimants before VA. Second, if a claimant
believes that the total amount of the fee charged, solicited or
received by the attorney or agent was not earned, the claimant may
initiate his or her own motion for VA's Office of General Counsel to
review of the fee. See 38 CFR 14.636(i) (explaining how a claimant
initiates a motion requesting a reasonableness review).
Parts 19 and 20--Board of Veterans' Appeals
VA amends the regulations in 38 CFR parts 19 and 20 as described in
the section-by-section supplementary information below. These
regulations govern appeals and rules of practice for the Board of
Veterans' Appeals.
A. Comments Concerning Sec. 19.2--Appellant's Election for Review of a
Legacy Appeal in the Modernized System
Proposed 38 CFR 19.2(d) discussed the manners in which appellants
with claims or appeals pending in the legacy system may elect to have
their claims or appeals adjudicated in the modernized review system.
One commenter requested clarification regarding the effect of the
phrase ``pursuant to the Secretary's authorization to participate in a
test program'' in 38 CFR 19.2(d)(3), given that 38 CFR 19.2(d)(1) also
addresses election into a test program; specifically, the Rapid Appeals
Modernization Program (RAMP). The commenter did not suggest any
changes.
Section 4(a) of the AMA of 2017 authorizes VA to conduct test
programs to evaluate the assumptions used to develop a plan for
processing legacy appeals and supporting the new appeals system.
Although RAMP is one such program, CFR 19.2(d)(3) acknowledges the more
general authority to conduct test programs that was granted by Section
4(a) of the Appeals Modernization Act. That authority was used to
conduct the Board's Early Applicability of Appeals Modernization
(BEAAM), a small-scale research program conducted to assess preliminary
data about veterans' choices and experiences in the modernized review
system. VA makes no changes based on this comment.
B. Comments Concerning Sec. 19.30--Furnishing the Statement of the
Case and Instructions for Filing a Substantive Appeal; and Sec.
19.31--Supplemental Statement of the Case
One commenter expressed concern regarding the notice provided to
claimants in statements of the case. The commenter remarked that VA
should provide adequate notice to enable a veteran to make a fully
informed decision as to which review option is most appropriate.
However, the commenter did not suggest a specific regulatory change. As
an initial matter, VA notes that statements of the case and
supplemental statements of the case are not contemplated under the
Appeals Modernization Act framework, but will be provided in legacy
claims. To that end, VA agrees that the notice provided with statements
of the case and supplemental statements of the case must contain
adequate information as to the claimant's opportunity to opt into the
new system pursuant to section 2, paragraph (x)(5) of the AMA. In order
to clarify this procedure, VA has amended 38 CFR 3.2400(c)(2) and
19.2(d)(2) to provide that elections to opt into the new system must be
made on a form prescribed by the Secretary.
C. Comments Concerning Sec. 19.35--Certification of Appeals
One commenter noted that while proposing to remove the requirement
for VA Form 8 contained in Sec. 19.35, VA indicated in the preamble
that certification for legacy appeals will be accomplished ``by other
means.'' This commenter asked for clarification of what these other
means will entail. VA is not changing the process by which appeals are
certified to the Board, VA is merely no longer requiring the
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prescribed use of the VA Form 8. Veterans and representatives will
still receive a letter indicating their appeal has been transferred to
the Board and will still be able to determine the status of their
appeal by checking their claims file.
Another commenter expressed concern that the administrative delay
of certification may impact the evidentiary timelines under the Appeals
Modernization Act. Under the Appeals Modernization Act, an appeal is
under the Board's jurisdiction once a valid Notice of Disagreement is
filed. Therefore, it is the filing of the Notice of Disagreement, not
certification, that will determine the evidentiary timeline.
Certification is not consistent with the design of the Appeals
Modernization Act. VA makes no changes based on these comments.
D. Comments Concerning Sec. 20.3--Definitions
A commenter expressed concern that the elimination of the phrase
``argument and/or'' from the definition contained in 38 CFR 20.3(h)
could be interpreted as a means to limit or eliminate arguments from
accredited representatives at a Board hearing. VA directs the commenter
to Sec. 20.700(b), which states, ``The purpose of a hearing is to
receive argument and testimony relevant and material to the appellate
issue or issues.'' VA assures the commenter that the change to Sec.
20.3(h) does not, and was not intended to, limit arguments from
representatives. Rather, the change was merely to eliminate redundant
language that is already contained in Sec. 20.700(b). VA will continue
to accept argument from accredited representatives at a Board hearing.
VA makes no changes based on this comment.
E. Comments Concerning Former Sec. 20.102--Delegations of Authority--
Rules of Practice; Sec. 20.108--Delegation of Authority to Chairman
and Vice Chairman, Board of Veterans' Appeals; and Sec. 20.109--
Delegation of Authority to Vice Chairman, Deputy Vice Chairmen, or
Members of the Board
Two commenters expressed concern that the proposed deletion of
Sec. 20.102 means the delegation of authority rule of practice is
being removed from the Board of Veterans' Appeals. VA assures these
commenters that the delegation of authority described remains in
Sec. Sec. 20.108 and 20.109. The proposed deletion of Sec. 20.102 is
merely to eliminate redundant language. Therefore, VA makes no changes
based on this comment.
F. Comments Concerning Sec. 20.104--Jurisdiction of the Board
A commenter expressed concern that VA proposed deleting the
following language from Sec. 20.104, ``In its decisions, the Board is
bound by applicable statutes, the regulations of the Department of
Veterans Affairs and precedent opinions of the General Counsel of the
Department of Veterans Affairs.'' This commenter felt the removal of
this language suggested the Board would no longer be bound by
precedential opinions of the General Counsel. VA assures the commenter
that the change to Sec. 20.104 does not, and was not intended to,
suggest the Board is not bound by precedential opinions of the General
Counsel. Rather, this change was merely to eliminate redundant language
that is already contained in Sec. 20.105. VA makes no changes based on
this comment.
G. Comments Concerning Sec. 20.105--Criteria Governing Disposition of
Appeals
A commenter suggested VA take this rulemaking to modify 38 CFR
20.105 to clarify the precedential or persuasive value of manual
provisions. As explained in Sec. 20.105, ``The Board is not bound by
Department manuals, circulars, or similar administrative issues.'' VA
makes no changes based on this comment.
H. Comments Concerning Sec. 20.202--Notice of Disagreement
VA received serveral comments concerning Sec. 20.202, and will
therefore address these comments by topic, as follows.
1. Comments Concerning Sec. 20.202(a)--``Specific Determination''
Commenters remarked that the term ``specific determination'' as
used in Sec. 20.202(a) should be defined. An additional commenter also
asked if a veteran could indicate they were appealing ``all issues.''
The language ``specific determination'' was included in the statute.
However, VA agrees that it would be useful to further define this term
in the regulation. VA therefore amends Sec. 20.202(a) to require
identification of the decision and the specific issue or issues therein
with which the claimant disagrees. The amended language references the
definition of issue in 38 CFR 3.151(c). This change will better inform
claimants of the scope of the identification requirement and aligns it
with other AMA implementation definitions.
The Notice of Disagreement needs to contain sufficient information
for VA to determine the issue and adjudication with which the veteran
disagrees. The design of the new Notice of Disagreement form prompts
the veteran to provide the issue and the date of decision with which
the veteran is disagreeing. Additionally, Sec. 20.202 notes that
``[t]he Board will construe such arguments in a liberal manner for
purposes of determining whether they raise issues on appeal.'' This
language protects the rights of a veteran who, for example, incorrectly
identifies the date of the agency of original jurisdiction decision,
but does provide enough information that VA is able to identify the
issue and decision on appeal. Determination of whether an adequate
Notice of Disagreement was filed falls within the Board's jurisdiction.
38 U.S.C. 7105(b)(1)(C). As the proposed rule makes clear, the Board
will construe Notices of Disagreement in a liberal manner for purposes
of determining whether they raise issues on appeal. Finally, if the
Board receives an unclear Notice of Disagreement on the form prescribed
by the Secretary and the Board cannot identify which denied issue or
issues the claimant wants to appeal, or which option the claimant
intends to select, the Board will seek clarification of the Notice of
Disagreement before dismissing the appeal. Therefore, VA makes no
changes based on this comment.
2. Comments Concerning Sec. 20.202(b)(3)--Submission of Evidence in
Conjunction With Notice of Disagreement
Two commenters noted that 38 CFR 20.202 provides time limits on the
veteran's opportunity to submit additional evidence or modify the
Notice of Disagreement to elect a different evidentiary lane, starting
from the date that the Board receives the Notice of Disagreement. The
commenters expressed concern that VA does not provide adequate notice
as to when it received the Notice of Disagreement and therefore the
veteran will not be able to calculate the relevant deadlines. VA has
carefully considered this comment and has determined that no changes to
the regulatory amendments are required. It is currently the Board's
practice to notify veterans and representatives when an appeal has been
received and docketed at the Board. As the precise procedures for
providing such notice may change based on technological systems, as
well as other resources, VA will continue to address this matter
through internal procedural guidance consistent with the law and
regulations. VA makes no changes based on this comment.
[[Page 153]]
3. Comments Concerning Sec. 20.202(c)--Policies on Modifying the
Notice of Disagreement and Changing Dockets
Several commenters expressed concern with the policies on modifying
the Notice of Disagreement and switching dockets in Sec. Sec.
20.202(c) and 20.800(a)(2). Under Sec. 20.202(c), a veteran may
request a different evidentiary docket than the one selected on the
Notice of Disagreement, as long as the request is made within one year
of the notice of the agency of original jurisdiction decision, or
within 30 days of receipt of the Notice of Disagreement, whichever is
later. This policy accounts for the common situation in which a veteran
files the Notice of Disagreement at the end of the one-year period, and
does not retain representation until after the Notice of Disagreement
is filed. The policy reflected in the proposed rule provided an
additional 30 days after the filing of the Notice of Disagreement so
that the representative has an opportunity to recommend that the
veteran modify the initial choice of an evidentiary record. However, if
a veteran has already submitted evidence or testified at a Board
hearing, the request will be denied. If a veteran requests to switch
into the docket allowing submission of additional evidence, he or she
will have 90 days to submit additional evidence. The 90-day window will
begin on the day that VA issues a letter notifying the veteran that the
request to switch dockets has been granted. Veterans who request to
switch dockets will retain their original docket date, based upon VA's
receipt of the Notice of Disagreement. Therefore, there is no
``penalty'' for switching dockets.
Two commenters asserted that the one-year period referenced in
Sec. 20.202(c) is not authorized by statute and recommended a more
liberal policy. VA does not agree with the statement that the policy
developed by VA is not authorized by the statute. The amendments to 38
U.S.C. 7107(e) authorize the Secretary to ``develop and implement a
policy allowing an appellant to move the appellant's case from one
docket to another docket.'' The statute places no restrictions on the
agency's discretion to impose a time limitation in such policy.
Congress acknowledged this fact in H. Rept. 115-135, noting that,
``H.R. 2288 does not mandate that VA allow veterans to switch from one
option to another. It is expected that the Secretary will use their
discretion to develop policies that are in the best interest of
veterans.''
Turning to a commenter's suggestion that veterans should have
unlimited time in which to switch dockets, VA does not view this policy
as consistent with the design of the new system. Allowing the veteran
unlimited time to modify their Notice of Disagreement would create an
unfair result for other veterans. VA has established a 365-day average
processing time goal for appeals in the direct review docket. VA may
not be able to meet this commitment if some veterans are able to enter
the direct docket ahead of other veterans who have been waiting on that
docket. VA is also committed to transparency, including providing
veterans with accurate data about average processing time on all three
dockets. In the new system, veterans have many choices to tailor their
experience to best suit their individual needs, and this data will
inform their choices. Allowing some veterans to switch dockets at any
time in the process will make it difficult for VA to provide accurate
data to all veterans, effectively taking away their ability to choose
the best path. Moreover, the primary goal of the Appeals Modernization
Act is to create a better, more efficient claims and appeals system
that works for veterans. In the current legacy system, appellants may
add evidence, request a hearing, or withdraw a hearing request at any
time. Allowing appellants to switch lanes at any time would mimic this
feature of the legacy system and preclude the efficiencies built into
the new system, and would thus be contrary to Congress' intent.
To that end, the Congressional Budget Office (CBO) determined that
section 2 of the AMA, directing VA to implement the new process to
handle appeals of claims for veterans' benefits, would be cost neutral.
CBO noted that, ``the current system allows for repeated revisions and
resubmissions of claims . . .'' resulting in wait times of three to six
years and a backlog of approximately 470,000 claims. CBO further noted
that the ``proposed changes are intended to significantly streamline
the appeal process, which would allow appeals to be finalized in a
shorter period of time and require the efforts of fewer employees . . .
[E]fficiencies of the new system would allow the agency to continue
processing legacy appeals under the current system, very gradually
reducing the existing backlog, without the need for additional
employees.''
Several commenters have suggested that the policy deprives veterans
of some of the options available in the new appeals system, because
they may not understand the ramifications of their initial review lane
choice. In particular, one commenter suggested that a veteran who has
been waiting for a long time in the hearing docket should be able to
move to the direct docket. Another commenter expressed concern with the
policy disallowing a change in dockets if the veteran had already
submitted evidence with the Notice of Disagreement. The commenter
suggested that VA should consider allowing veterans who had already
submitted evidence to subsequently request a hearing. The commenter
expressed that this change would not provide an unfair advantage to the
veteran, but would allow a veteran whose circumstances had changed to
request a hearing before the Board.
The Appeals Modernization Act provides several new choices for
veterans seeking review of a VA decision. VA encourages veterans to
seek the advice of their authorized representative, if any, as soon as
possible when determining which option best suits their individual
circumstances and to consider published average wait times associated
with each option. VA understands that circumstances may change to the
extent that a different option is preferable to the one initially
chosen. As noted above, however, VA has carefully balanced the needs of
a veteran wishing to switch dockets against the needs of all the other
veterans waiting for the Board to decide their appeals. The proposed
policy provides an opportunity for a veteran to switch dockets without
creating an unfair disadvantage to other veterans who wish to continue
with their initial choice, but might experience longer wait times as a
result of others switching dockets.
Nevertheless, VA recognizes that exceptional circumstances may
sometimes warrant extensions of the time period to switch dockets on an
individual basis. Accordingly, VA amends Sec. 20.203 to add paragraph
(c), which provides that the time limit for filing a Notice of
Disagreement or a request to modify a Notice of Disagreement may be
extended if the Board grants the appellant's motion for good cause.
Examples of good cause may include serious illness or injury of the
appellant or representative, or the appellant's inability to access
mail services due to homelessness, overseas deployment, or other
reasons. Examples that would not constitute good cause include change
in representation, change in preference of a review option at the
agency of original jurisdiction or among the Board review options,
difficulty in obtaining evidence, or discovery of new evidence during a
period in which the duty to assist does not apply.
[[Page 154]]
In addition to the above, another commenter stated that knowing
wait time predictions (which is linked with timeliness goals) is
important at the time the initial rating decisions are made under the
new system so that claimants can make an informed decision about which
Board docket to choose in a Notice of Disagreement. VA will be
publishing wait times pursuant to the law, but this is not a reason for
any regulation change.
VA does make a change to Sec. 20.202(c) in response to comments on
a related Federal Register notice. Because the Notice of Disagreement
form is not a new information collection, but a revised information
collection under OMB control number 2900-0674, it was not published
with the proposed rulemaking. Rather, notice of the proposed changes to
2900-0674 was published in the Federal Register on August 23, 2018,
pursuant to the Paperwork Reduction Act. 83 FR 42769. One commenter
suggested changes to the Notice of Disagreement for the purpose of
clarifying the procedures for modifying the Notice of Disagreement. The
commenter recommended that VA use a standard form for Notice of
Disagreement modifications. VA agrees with the commenter, and in order
to address the commenter's concerns, VA has amended the procedures
described in Sec. 20.202(c) to state that requests to modify a Notice
of Disagreement for the purpose of selecting a different review option
must be made by filing a new Notice of Disagreement form.
Several commenters remarked that the policy does not provide enough
time to change the initial election in the event that the veteran does
not retain representation until after the Notice of Disagreement is
filed. This concern was originally addressed in the policy by providing
an additional 30 days following receipt of the Notice of Disagreement.
Moreover, the Appeals Modernization Act has shifted important decision
points for veterans seeking review of a VA decision to earlier in the
process. Under the new system, the expert advice of representatives
will, in many cases, be beneficial to veterans as soon as possible
following VA's initial decision on their claim. Veterans may wish to
rely on a representative to assist them in choosing the review option
that best suits their needs. However, VA acknowledges that some
veterans will not retain representation until after they file a request
for review. In light of the commenter's concerns, VA has amended the
policy in Sec. 20.202(c)(2) to provide an additional 60 days following
receipt of the Notice of Disagreement, instead of 30. VA hopes that
this additional time will assist veterans' representatives in better
serving their clients.
4. Comments Concerning Sec. 20.202(d) and (e)--Use of Non-Standard
Form
Under proposed Sec. 20.202(d), the Board will not accept a Notice
of Disagreement ``submitted in any format other than the form
prescribed by the Secretary, including on a different VA form.''
Section 20.202(e) provides that the filing of an alternate form or
other communication will not extend, toll, or otherwise delay the time
limit for filing a Notice of Disagreement, as provided in Sec.
20.203(b). Several commenters requested that the Board provide notice
if it rejects a communication under the circumstances described in
Sec. 20.202(d) and (e). As an initial matter, the statute requires
that Notices of Disagreement are filed on a standard form. VA
implemented standardized forms procedures in 2014. See Standard Claims
and Appeals Forms, 79 FR 57660 (Sept. 25, 2014). This 2014 rule amended
VA's adjudication and appeal regulations to require that all claims and
appeals originate on standard VA forms. Therefore, claimants should be
aware that VA will not accept Notices of Disagreement submitted in any
format other than the form prescribed by the Secretary. VA is
developing procedures for notifying claimants when a communication
cannot be accepted as a Notice of Disagreement. As the precise
procedures for providing such notice may change based on technological
systems, as well as other resources, VA will continue to address this
matter through internal procedural guidance consistent with the law and
regulations. Moreover, VA has a longstanding practice of providing the
status of an appeal or communication upon request. VA makes no changes
based on this comment.
5. Comments Concerning Sec. 20.202(f) and (g)--Clarification of Notice
of Disagreement
One commenter remarked that a Notice of Disagreement could be
rejected by the Board after the Board requested clarification because
the clarification was received one year after the agency of original
jurisdiction decision. This concern is addressed in Sec. Sec.
20.202(f) and 20.202(g). If within one year after mailing an adverse
decision (or 60 days for simultaneously contested claims), the Board
receives an unclear Notice of Disagreement completed on the form
prescribed by the Secretary, then the Board will contact the claimant
to request clarification of the claimant's intent. The claimant must
respond to the Board's request for clarification on or before the later
of 60 days after the date of the Board's clarification request or one
year after the date of mailing of notice of the adverse decision being
appealed (60 days for simultaneously contested claims). VA will follow
the provisions of Sec. Sec. 20.202(f) and 20.202(g), as well as the
statute, 38 U.S.C. 7105(b)(1)(C), which provides that questions as to
timeliness or adequacy of the Notice of Disagreement shall be decided
by the Board.
An additional commenter requested that VA provide a period longer
than 60 days for clarification of a Notice of Disagreement and provide
good cause exception to the rule. The proposed rule providing 60 days
for clarification is based on the current regulation Sec. 19.26, which
provides 60 days for clarification of an unclear Notice of Disagreement
received under the current system. We are not aware of hardship
resulting from the current rule. Therefore, VA makes no changes based
on these comments.
The same commenter wanted to know how the Board will contact
veterans to request clarification. VA will contact veterans via oral,
written, or other means. The commenter did not put forth a specific
recommendation; therefore, VA makes no changes based on this comment.
I. Comments Concerning Sec. 20.203--Place and Time Filing Notice of
Disagreement
One commenter suggested that, when a veteran selects either the
Supplemental Claim or Higher-Level Review options, the one-year time
limit to file a Notice of Disagreement must be tolled. The commenter is
mistaken as to this aspect of the new system framework. Pursuant to the
AMA, a veteran may choose to file a Notice of Disagreement within the
one-year period following an initial agency of original jurisdiction
decision on a claim, a decision on a Supplemental Claim, or a decision
on a Higher-Level Review. Such filing will protect the effective date
for any granted benefit. VA makes no changes based on this comment.
Commenters remarked that Sec. 20.203(b) uses the term
``determination'' as it relates to the requirement of filing a Notice
of Disagreement whereas the term ``decision'' is used in section
Sec. Sec. 3.103, 3.104, and 3.2500. VA proposed the term
``determination'' in Sec. 20.203(b) as this is the term used in the
Appeals Modernization Act to describe the determination with which the
claimant disagrees. However, VA agrees with the commenters' concerns
that use of ``determination'' will lead to confusion,
[[Page 155]]
and therefore amends Sec. 20.203(b) to instead use the term
``decision''. This change does not alter the requirement in Sec.
20.202(a) to identify to specific decision and issue or issues therein
with which the claimant disagrees.
A commenter questioned whether Notices of Disagreement or other
communications can be digitally submitted to the Board through Direct
Mail Upload or electronically submitted through a VA Regional Office
and still be considered as received by the Board. The commenter
expressed concern that these provisions encourage the use of the paper
mail versus the use of electronic/digital submissions. Additionally,
the commenter suggested that the Board's mailing address should be
reflected on standard forms but not the regulations.
Pursuant to 38 U.S.C. 7105(b)(2)(C), notices of disagreement shall
be filed with the Board. Therefore, notices of disagreement may not be
filed with a VA Regional Office. As to the commenter's suggestion that
the Board's mailing address should not be contained in regulation, the
Board is statutorily required to receive notices of disagreement and
motions directly from parties. It has been VA's longstanding policy to
inform the public and settle in law the mailing address to which those
submissions must be sent. VA makes no changes based on this comment.
A commenter expressed concern regarding VA's procedures for mailing
notice to representatives, and in particular the provisions of proposed
38 CFR 20.203(b), regarding timeliness of a Notice of Disagreement. The
commenter asserted that the 90-day evidence window for cases described
in Sec. 20.302 should begin on the date that the appellant is notified
of VA's receipt of the Notice of Disagreement, rather than on the date
of VA's receipt of the Notice of Disagreement. Pursuant to 38 U.S.C.
7113(c)(2), however, the evidentiary record for such cases shall
include evidence submitted ``within 90 days following receipt of the
Notice of Disagreement.'' Accordingly, VA will follow the statute and
will make no changes based on this comment.
The same commenter disagreed with the agency's presumption,
pursuant to Sec. 20.203(b), that notice of a VA decision was mailed on
the date of the letter. The commenter contended that VA correspondence
to representatives is often postmarked after the date of the letter.
The commenter submitted several letters and postmarked envelopes from
VA to individual veterans in support of this argument. Pursuant to 38
U.S.C. 7105(b)(1)(C), questions as to timeliness or adequacy of the
Notice of Disagreement shall be decided by the Board, which is
consistent with the fact that the presumption of regularity is
rebuttable. We further note that the possibility that the presumption
might be rebutted in a non-trivial number of cases does not establish
that it is inappropriate in a system the size of VA's claims system,
which receives and sends millions and millions of pieces of mail each
year. Finally, operational issues of the type mentioned by the
commenter are more appropriately addressed at the sub-regulatory policy
level.
Commenters raised concerns that VA would not extend the filing
deadline for requests for review of a decision. Accordingly, VA amends
Sec. 20.203 to add paragraph (c), which provides that the time limit
for filing a Notice of Disagreement or a request to modify a Notice of
Disagreement may be extended if the Board grants the appellant's motion
for good cause. Examples of good cause may include serious illness or
injury of the appellant or representative, or the appellant's inability
to access mail services due to homelessness, overseas deployment, or
other reasons. Examples that would not constitute good cause include
change in representation, change in preference of a review option at
the agency of original jurisdiction or among the Board review options,
difficulty in obtaining evidence, or discovery of new evidence during a
period in which the duty to assist does not apply.
Additionally, VA corrects a technical error in the title of Sec.
20.203, amending ``Place and time filing Notice of Disagreement'' to
read Place and time of filing Notice of Disagreement''.
J. Comments Concerning Sec. 20.205--Withdrawal of Appeal
One commenter remarked that VA should include clarifying language
regarding withdrawal of appeals to ensure that VA only withdraws claims
when that is the veteran's intention. Initially, VA notes that this is
outside the scope of the Appeals Modernization Act. However, VA is
still bound by the caselaw governing adequate withdrawals of claims and
appeals. Nothing in the Appeals Modernization Act limits this governing
caselaw. VA makes no changes based on this comment.
One commenter remarked that Sec. 20.205(c) is outside the scope of
the Appeals Modernization Act. Section 20.205(c) provides that the
withdrawal of an appeal does not preclude the filing of a new Notice of
Disagreement, a request for higher-level review, or a supplemental
claim as to any issue withdrawn provided such filing would be timely if
the withdrawn appeal had never been filed. The commenter states that
there is no justification for VA to require the refiling to be done
within the initial one year period once a timely Notice of Disagreement
has been submitted. The Appeals Modernization Act also provides the
Secretary the authority to develop and implement a policy for claimants
who wish to withdraw their Notice of Disagreement. The Appeals
Modernization Act clearly provides the claimant one year to seek review
of the agency of original jurisdiction determination. Therefore, this
time period is incorporated into Sec. 20.205(c). Accordingly, Sec.
20.205(c) is not outside the scope of the Appeals Modernization Act,
and VA makes no changes based on this comment.
Commenters suggest that VA should allow a claimant to withdraw an
appeal at the Board in order to file a supplemental claim with VBA
prior to receiving a Board decision. The Appeals Modernization Act
specifically states that for ``purposes of determining the effective
date of an award . . . the date of application shall be considered the
date of the filing of the initial application for a benefit if the
claim is continuously pursued by filing . . . A supplemental claim . .
. on or before the date that is one year after the date on which the
Board of Veterans' Appeals issues a decision'' 38 U.S.C. 5110(a)(2)(D)
(emphasis added). Accordingly, the preservation of the effective date
provisions of the Appeals Modernization Act generally would not apply
to a claimant who withdraws an appeal at the Board and files a
supplemental claim with VBA prior to receiving a Board decision if more
than one year has passed since the agency of original jurisdiction
determination. However, the agency of original jurisdiction may
consider a request for extension of the one-year period in which to
file a supplemental claim in these circumstances while maintaining
continuous pursuit of the claim (see, e.g., Sec. 3.2500(e)(2)).
Accordingly, VA makes no changes to this section based on these
comments.
K. Comments Concerning Part 20, Subpart D--Evidentiary Record
One commenter requested clarification regarding how VA will
adjudicate increased rating claims. The evidentiary record before the
Board is defined by the Appeals Modernization Act. The Appeals
Modernization Act did not change the substantive case law governing
increased rating claims. Accordingly, VA makes no change to the
regulations based on this comment.
[[Page 156]]
One commenter suggested that evidence submitted to (or
constructively received by) the agency of original jurisdiction after a
supplemental claim is adjudicated should be later reviewable by the
Board when an Notice of Disagreement is filed, even if the veteran
selects the Board lane precluding submission of new evidence. This is
contrary to the statutory design of the system. Statutory section 7113
provides that the record before the Board consists of the record before
the agency of original jurisdiction at the time that the supplemental
claim was adjudicated. This rule is clearly mirrored in Sec. 20.301.
If a veteran wants to have VA consider evidence not received by VA
when the record before the agency of original jurisdiction was open,
the available options are to (a) file another supplemental claim with
new and relevant evidence or (b) file a Notice of Disagreement, select
a Board lane allowing submission of new evidence, and submit the
evidence during the applicable 90-day window as provided in Sec. Sec.
20.302 and 20.303. Therefore, VA makes no changes based on these
comments.
The regulations as proposed require the Board to notify a veteran
in a Board decision if the Board did not consider evidence that had
been submitted outside the allowed time period. One commenter asserted
that the regulations should require the Board to additionally notify
the veteran at the time such evidence is received by the Board. The
commenter asserted that waiting to provide such notice until issuance
of the Board decision creates needless confusion and delay. As we
discuss above in the context of VBA decisions, VA does not have
resources available to quickly identify evidence submissions as
untimely and provide notice to the veteran. VA must prioritize
processes which increase efficiency and reduce average processing
times, so that the new system as a whole will be successful. As the
Federal Circuit has stated, ``VA possesses a duty not only to
individual claimants, but to the effective functioning of the veterans
compensation system as a whole. Moreover, because the VA possesses
limited resources, these dual obligations may sometimes compel it to
make necessary tradeoffs.'' Veterans Justice Grp, LLC v. Sec'y of
Veterans Affairs, 818 F.3d 1336, 1351, 1352, 1354 (Fed. Cir. 2016).
However, VA will take the comment under consideration, and will explore
the possibility of developing additional procedures for identification
of untimely evidence in the future to the extent technological and
other resources lessen the associated administrative burden. VA further
notes that there are already procedures in place to inform veterans of
the applicable evidence submission periods and the consequences of
untimely evidence submission. When veterans receive notice of their
initial decisions, they are informed of their available review options
and the periods during which they may submit evidence based on the
options they select. Furthermore, as the commenter acknowledged, if
evidence is received untimely from a veteran, he or she is informed of
that fact when a Board decision is issued, pursuant to proposed 38 CFR
20.801(b)(3). A veteran may resubmit the evidence with a supplemental
claim within one year of the Board's decision and preserve the
effective date associated with his or her appeal to the Board. VA makes
no changes based on this comment.
Under 38 CFR 20.302(a), when a Board hearing is requested in the
Notice of Disagreement, the Board's decision will include consideration
of testimony and evidence submitted by the appellant or his or her
representative at the hearing and within 90 days following the hearing.
Under 38 CFR 20.303(b), when a Board hearing is not requested, but the
veteran elects to submit additional evidence, the Board's decision will
include consideration of evidence submitted with the Notice of
Disagreement and within 90 days following receipt of the Notice of
Disagreement. Several commenters expressed concern or confusion
regarding these proposed evidence submission periods.
Specifically, one commenter expressed concern that veterans who
submit evidence prior to a hearing will not be notified that such
evidence may not be considered by the Board unless it is resubmitted
during the 90-day period following the hearing. The commenter suggested
that the Board advise the appellant on the types of actions available
and that the evidence needs to be presented at the hearing to be
considered by the Board. Additionally, the commenter expressed
appreciation for the discretionary provisions contained in Sec.
20.302(b) and (c), which allows for a 90-day evidence submission period
even when a hearing request is withdrawn or the appellant does not
appear for a scheduled hearing.
When veterans receive notice of their initial decisions, they are
informed of their available review options and the periods during which
they may submit evidence based on the options they select. Pursuant to
Sec. 20.705(b), a Veterans Law Judge presiding over a hearing may find
it appropriate to discuss applicable evidence submission rules and how
those rules apply to an individual veteran's circumstances.
Furthermore, if evidence is received untimely from a veteran, he or she
will be informed of that fact (and the options available to have that
evidence reviewed) when a Board decision is issued, pursuant to section
7104(d)(2) as implemented in proposed 38 CFR 20.801(b)(3). In light of
the statutory direction to provide notice in the Board decision and the
procedures already in place in the proposed regulations to inform
veterans of the applicable evidence submission periods and consequences
of untimely evidence submission, VA makes no changes based on this
comment.
One commenter asserted generally that limiting veterans' ability to
submit evidence to certain time periods represented a shortcoming in
the new system. Another commenter stated that the 90-day evidence
submission window was concerning regarding FOIA requests, specifically,
since FOIA procedures take time to complete. Finally, another commenter
suggested that representatives do not have an opportunity to review the
claims file, compile relevant evidence, and submit argument in support
of the veteran's appeal prior to issuance of a Board direct review
decision, and that a reasonable time period for submission of a written
statement addressing relevant evidence and argument must be written
into the regulations. Although the modernized review system confines
evidence submission to certain periods, the statute and proposed
regulations do not--apart from creating a faster review process--
restrict a representative's ability to submit argument. The design of
the system favors advocacy early in the appeals process because this is
the most efficient way to reach a comprehensive and speedy decision. VA
is confident that veterans' advocates will be able to meet this
expectation. VA made no changes based on these comments.
Another commenter, in addressing proposed 38 CFR 20.302 and 20.303,
expressed concern that those regulations created a timeframe, between
the agency of original jurisdiction's initial decision and the Board
hearing, or the agency of original jurisdiction's initial decision and
submission of a Notice of Disagreement, during which a veteran could
introduce evidence into the record that would not be considered by the
Board. The commenter recommended that VA include provisions allowing
for submission of evidence during those periods, in part because the
commenter interpreted the
[[Page 157]]
provisions for evidence submission in 38 CFR 20.302 and 20.303 as
inconsistent with each other.
The proposed time periods for evidence submission included in 38
CFR 20.302 and 20.303 are not inconsistent with each other. Rather,
they represent two separate review options defined by the statute. For
each option, the statute clearly specifies what evidence is included in
the record before the Board based on when the evidence is submitted.
Because the proposed regulations track the plain language of the
statute, no changes will be made in response to the comment. VA notes
that, should a veteran submit evidence untimely, he or she generally
may resubmit the evidence with a supplemental claim within one year of
the Board's decision and preserve the effective date associated with
the appeal to the Board. VA makes no changes based on these comments.
Finally, two commenters' discussions reflected general confusion
regarding the timeline for submitting additional evidence under 38 CFR
20.303(b), where the veteran elects in the Notice of Disagreement to
submit additional evidence without a Board hearing. One commenter asked
if a veteran had a total of 150 days to submit additional evidence
following the initial decision--60 days after the initial decision and
90 days after submission of the Notice of Disagreement. Another
commenter remarked that claimants only have 60 days to appeal to the
Board, which is not enough time to compile relevant evidence. VA
initially notes that the commenters are mistaken that veterans only
have 60 days to appeal to the Board--this deadline only applies to
simultaneously contested claims. In other cases, the veteran has one
year from the date of notice of a VA decision to appeal to the Board.
However, if the evidence submission option is chosen (but no hearing),
the veteran may submit evidence with the Notice of Disagreement and
then has a total of 90 days, starting on the day the Notice of
Disagreement is received, to submit additional evidence for
consideration by the Board. Evidence submitted before or after this 90-
day window will not be considered by the Board. The commenters did not
suggest specific amendments; therefore, VA makes no changes based on
these comments.
L. Comments Concerning Sec. 20.600--Applicability
One commenter stated that the regulations concerning hearings on
appeal did not clearly identify which rules pertain to legacy appeals
and referenced the applicability provision at Sec. 20.600(b). The
commenter suggested generally that, to avoid confusion, VA provide more
clarity in this area. The commenter did not make a specific suggestion
for change. VA has attempted in the regulation to be as clear as
possible regarding which regulations apply to legacy claims and which
apply to claims in the modernized review system. For this reason, and
because the commenter did not make a specific suggestion for change, VA
made no changes based on the comment.
M. Comments Concerning Sec. 20.602--When a Hearing Before the Board of
Veterans' Appeals May Be Requested in a Legacy Appeal; Procedure for
Requesting a Change in Method of Hearing; and Sec. 20.703--When a
Hearing Before the Board of Veterans' Appeals May Be Requested;
Procedure for Requesting a Change in Method of Hearing
Proposed 38 CFR 20.602 and 20.703 describe how the Board will
determine the method of a requested hearing in the legacy and
modernized review systems, respectively. One commenter asserted that
the Board should continue to allow veterans to select from among
available hearing options, rather than the Board making the initial
selection based on the earliest practical date and allowing the veteran
one request for a change in hearing method. Amendments to hearing
regulations for legacy and new system appeals are necessary in light of
the Jeff Miller and Richard Blumenthal Veterans Health Care and
Benefits Improvement Act of 2016, Public Law 114-315. Section 102 of
Public Law 114-315, by amending 38 U.S.C. 7107, directs the Board, upon
request for a hearing, to determine what type of hearing it will
provide an appellant, while affording the appellant the opportunity to
request an alternative type of hearing once the Board makes its initial
determination. Proposed 38 CFR 20.602 and 20.703 are necessary to
comply with Public Law 114-315; therefore, VA makes no changes to the
regulations based on this comment.
Another commenter asserted that the hearing method determinations
proposed in 38 CFR 20.602 and 20.703 would only be effective if the
veteran could choose his or her preferred method. The commenter
requested an explanation as to how the Board planned to determine the
method of hearing after such a preference was expressed. In accordance
with revised section 7107 and the regulations as proposed, if a veteran
requests a different hearing method than the one initially assigned by
VA, the veteran's request will be honored. However, VA will only honor
one such request. As the commenter did not suggest an amendment, VA
makes no changes based on this comment.
N. Comments Concerning 20.700--General
One commenter suggested VA retain the option for veterans to submit
electronic records of oral argument to the Board of Veterans' Appeals
in lieu of participating in a formal hearing. The commenter stated that
submitting oral argument would be easier for some veterans, including
those who live in a rural area, since it may be difficult for those
veterans to travel to the nearest VA facility for a formal hearing. VA
proposed removing the provisions to allow for submission of oral
recording in light of the benefits of in-person testimony, as well as
the ability to submit argument through other means when testifying at
an in-person hearing is not practical or desired. Veterans are able to
request a video hearing before a Veterans Law Judge, which benefits
rural veterans. Veterans are also able to submit photographs and other
visual evidence during an appropriate evidentiary window. Finally,
veterans and their representatives are able to submit written argument,
including an informal hearing presentation.
Section 504 of the Rehabilitation Act requires Federal agencies to
provide individuals with disabilities meaningful access to programs,
activities and facilities. Section 794(a) of title 29, United States
Code, states that ``[n]o otherwise qualified individual with a
disability in the United States . . . shall, solely by reason of her or
his disability, be excluded from participation in, be denied the
benefits of, or be subjected to discrimination under any program or
activity conducted by any Executive agency.'' VA regulations
implementing the Rehabilitation Act are found at 38 CFR part 15. VA is
prohibited from ``[d]eny[ing] a qualified individual with handicaps an
opportunity to participate in or benefit from the aid, benefit, or
service.'' 38 CFR 15.130(b)(1)(i). Also, VA is required to ``furnish
appropriate auxiliary aids where necessary to afford an individual with
handicaps an equal opportunity to participate in, and enjoy the
benefits of, a program or activity conducted by the agency.'' 38 CFR
15.160(a)(1). The term ``[a]uxiliary aids means services or devices
that enable persons with impaired sensory, manual or speaking skills to
have an equal opportunity to participate in, and enjoy the benefits of,
programs for activities conducted by the agency.'' 38 CFR 15.103.
[[Page 158]]
VA's proposed amendments to 38 CFR 20.700 do not indicate any
intent by the Department to forego its obligations under the
Rehabilitation Act and implementing regulations. VA did not propose any
amendments to 38 CFR part 15. Rather, as required by the Rehabilitation
Act and implementing regulations, if an individual has a disability
that prevents or limits his or her ability to submit a written argument
to the Board or attend a hearing at a VA facility and informs the Board
that he or she needs an accommodation that will enable submission of an
argument, the Board will make every effort to meet that need, including
accepting an oral argument on audio cassette. However, given the fact
that 38 CFR part 15 governs Department efforts to ensure that
individuals with disabilities can participate in all VA programs and
that no one has submitted an oral argument on audio cassette to the
Board in recent years, we do not believe it is necessary to maintain
the reference to submission of oral argument on outdated technology in
the new rule. VA notes that, prior to the changes 38 CFR 20.700 that we
proposed and here confirm as final, paragraph (d) of that section made
submission of argument by audio cassette available whenever an
appellant ``cannot, or does not wish to'' appear. That provision made
submission of argument by audio cassette much more broadly available
than is necessary to comply with the Rehabilitation Act. Accordingly,
the elimination of this provision does not create any tension with VA's
continued compliance with its regulations implementing the
Rehabilitation Act.
The commenter also states that VA should consider the efficiencies
to the adjudication process of submission of recordings in lieu of
formal hearings. VA strongly disagrees. Any such efficiencies are
greatly outweighed by the benefits of an in-person hearing, the purpose
of which is to elicit relevant and material testimony, assess the
credibility of witnesses, resolve disputed issues of fact, and pose
follow-up questions to witnesses and representatives. 38 CFR 20.700(b).
As for the suggestion that argument submitted on an audio cassette
would be ``attractive to the schedules'' of clinics and their clients,
VA points out that, under Sec. 20.704(a)(1) and (c), Board hearings
are ``scheduled at the convenience of appellants and their
representatives with consideration of the travel distance involved,''
and a written request to reschedule a hearing ``may be made at any time
up to two weeks prior to the scheduled date of the hearing if good
cause is shown.''
VA therefore makes no changes based on these comments.
O. Comments Concerning Sec. 20.705--Functions of the Presiding Member
Three commenters stated that Sec. 20.705(b)(7), allowing Veterans
Law Judges to reject evidence presented during a hearing on the basis
of irrelevance, contradicts the pro-veteran nature of Veterans' law.
The commenter requested that it be removed, asserting that veterans
should be permitted to submit whatever evidence they wish into the
record and that the Judge would be free to assess the evidence's
probative value. Paragraph (b)(7) states that it is the duty of the
presiding member to exclude documentary evidence, testimony, and/or
argument which is not relevant or material to the issue or issues being
considered or which is unduly repetitious. Paragraph (b)(7) may not be
used to exclude evidence that is relevant to the issue or issues on
appeal. The commenter is correct that veterans may submit evidence and/
or testimony into the record, and that the function of the presiding
Member is to assess the evidence's probative value. Rather, the purpose
of paragraph (b)(7) is to allow the presiding Member to focus hearing
testimony on the issue or issues on appeal.
Another commenter expressed concern that VA is seeking to abrogate
Bryant v. Shinseki, 23 Vet.App. 488 (2010) by including paragraph
(b)(7). These regulations do not and do not intend to limit the holding
of Bryant. This regulation will assist in providing a focused, directed
hearing which will be as assistive as possible to the veteran in
substantiating the claim consistent with Bryant. However, based on the
commenters' concerns, VA will amend Sec. 20.705(b)(7) to state that
the duties of the presiding Member include ``determining whether
documentary evidence, testimony, and/or argument is relevant or
material to the issue or issues being considered and not unduly
repetitious''. This amendment makes clear that VA will not exclude any
evidence, but rather, will assist the veteran in focusing on evidence
that helps to establish the elements of the claim. For example, if the
VA decision on appeal contained a binding favorable finding as to the
veteran's current diagnosis, the presiding Member may instruct the
veteran that no further testimony or other evidence is needed as to the
current diagnosis, as that element of the claim has already been
established.
P. Comments Concerning Sec. 20.714--Correction of Hearing Transcipts
A commenter addressed 38 CFR 20.714, which requires a veteran to
seek correction of the hearing transcript within 30 days ``after the
date that the transcript is mailed'' to the appellant. The commenter
explains that this requirement is not accompanied with an assurance
that a copy of the transcript will be provided to the veteran (unless
requested) and points out that the veteran will not know to ask for the
transcript or seek correction within such a limited timeframe unless
the Board notifies him or her. Under Sec. 20.712, if the appellant or
representative requests a copy of the written transcript in accordance
with Sec. 1.577, the Board will furnish one copy to the appellant or
representative. It would be unnecessary and wasteful to provide written
transcripts where they are not requested; instead the veteran is given
the choice to request a transcript. As stated, upon request, the
transcript will be provided. VA has made no changes based on these
comments.
Q. Comments Concerning Sec. 20.715--Loss of Hearing Tapes Or
Transcripts--Motion for New Hearing
In proposing Sec. 20.715, the title read: ``Loss of hearing
recordings or transcripts--motion for new hearing.'' The inclusion of
the word ``motion'' in the title was an error. Motions are no longer
required, as the content of the rule makes clear. This final rule
revises ``motion'' to read ``request''.
In regard to Sec. 20.715(a)(2), one commenter stated that a
veteran would be unfairly disadvantaged in the event that a recording
is lost through no fault of his or her own, and suggested that
affording the opportunity to submit argument and evidence within 60
days would be more equitable than only giving the veteran 30 days to
respond to a letter asking whether a new hearing was requested.
This rule eliminates the prior requirement that a motion for a new
hearing be made by the veteran prior to VA offering a new hearing. This
formality proved unnecessary in practice because VA often offered a new
hearing without a motion. VA has proposed limiting the time period to
30 days in the interest of expediting the case. It is intuitive that a
veteran who had recently appeared for a hearing would be responsive to
an offered choice. Giving the veteran a choice in the face of a lost or
destroyed recording is consistent with the general theme of the Appeals
Modernization Act. Regarding the commenter's suggestion
[[Page 159]]
that VA offer a third option--an additional 60 days to submit evidence
or argument in lieu of a new hearing, this is not necessary as this
option already exists. The veteran has 90 days following the Board
hearing in which to submit evidence and may submit argument at any time
prior to the Board decision. Accordingly, the veteran would have
already had an opportunity to submit evidence and argument. VA has made
no changes in response to this comment.
R. Comments Concerning Sec. 20.800--Order of Consideration of Appeals
One commenter expressed concern that the proposed 38 CFR 20.800
removes the authority of the Chairman of the Board of Veterans' Appeals
to expedite (advance on docket) cases on his or her own motion. The
commenter is mistaken, as Sec. 20.800 maintains the authority of the
Chairman to advance cases on the docket on the Chairman's own motion.
(``A case may be advanced on the docket to which it is assigned on the
motion of the Chairman . . .'')
Several commenters raised concerns regarding claims in which the
veteran chooses to appeal to the Board again following a Board remand
and readjudication by the agency of original jurisdiction. Commenters
suggested that such appeals must be automatically returned to the Board
after the readjudication, and the original docket date restored.
Automatically returning appeals to the Board without the veteran's
affirmative election would be inconsistent with the AMA. This facet of
the current regulatory system means that veterans seeking further
review are forced to return to the Board by default, regardless of
whether this is their choice, or the most advantageous option. At the
same time, the Board is compelled to expend limited resources on cases
where the claimant may no longer disagree with VA's decision, delaying
adjudication of new appeals.
In contrast, the AMA provides veterans with review choices whenever
a VA decision is issued, without regard to whether the decision follows
a remand from the Board. A veteran whose case is returned by the Board
for readjudication has the same options as a veteran seeking review for
the first time. In many instances, one of the agency of original
jurisdiction lanes will be a better review option for a veteran whose
case is adjudicated following remand, rather than an appeal to the
Board. VA makes no changes based on this comment.
S. Comments Concerning Sec. 20.801--The Decision
Multiple commenters asserted that the general statement required
under proposed 38 CFR 20.801(b)(3) will not adequately inform veterans
of the evidence that was not considered in a Board decision due to
untimely submission. The commenters recommended that the Board decision
include a more detailed description of the evidence that was not
considered, to include noting the date unconsidered evidence was
submitted. One of those commenters also asserted that the proposed
regulations did not create an avenue for informing a veteran what
recourse he or she has when evidence is not considered by VA. The law
requires that each decision will contain a general statement indicating
whether evidence submitted while the record was closed was not
considered, and notice of the options available to have such evidence
considered. See AMA section 2(w)(2)(C). The information in the decision
should be the avenue for the pertinent information the veteran requires
to prevail on the claim. As the precise procedures for providing more
detailed notice may change based on technological systems, as well as
other resources, VA will continue to address this matter through
internal procedural guidance consistent with the law and regulations.
VA made no changes based on these comments.
T. Comments Concerning Sec. 20.802--Remand for Correction of Error
Several commenters suggested that the Board should expedite claims
in which the veteran chooses to appeal to the Board again following a
Board remand and readjudication by the agency of original jurisdiction.
One commenter specifically stated that Sec. 20.800(e), providing that
a new Notice of Disagreement filed after a reajudication by the agency
of original jurisdiction will be docketed according to the date of the
new Notice of Disagreement, was in conflict with Sec. 20.802(c), which
provides that the agency of original jurisdiction must provide for the
expeditious treatment of any claim that is remanded by the Board.
VA disagrees that the rules are in conflict. Section 20.802(c)
requires that the agency of original jurisdiction treat remands from
the Board expeditiously; it does not require expeditious treatment by
the Board. This section is consistent with revised 38 U.S.C. 5109,
which provides: ``The Secretary shall take such actions as may be
necessary to provide for the expeditious treatment, by the Veterans
Benefits Administration, of any claim that is returned by a higher-
level adjudicator under section 5104B of this title or remanded by the
Board of Veterans' Appeals.'' This provision does not apply to the
Board. Accordingly, 20.800(e) is consistent with the statute and there
is no conflict between Sec. Sec. 20.800(e) and 20.802(c).
In amending 38 U.S.C. 5104B, Congress chose not to include a
requirement that the Board expedite cases re-appealed to the Board
following remand. If the Board were to expedite new appeals following
remand, adjudication of other appeals at the Board would be delayed. In
addition, as discussed above, under the new system the veteran must
file a new Notice of Disagreement following the decision on remand to
elect review by the Board. The Notice of Disagreement initiates a new
appeal at the Board that may challenge the adjudication below on an
entirely new basis on a new evidentiary record. Given these factors and
Congress' choice to limit the scope of section 5104B, prioritizing
adjudication according to the date the Notice of Disagreement is
received (within the evidentiary lane selected) achieves a reasonable
balance among the interests at stake. VA makes no changes based on
these comments.
A commenter questioned how appeals returned from CAVC would be
docketed. The AMA did not change the procedures at the Board for
expediting cases returned from CAVC. Consistent with 38 U.S.C. 7112,
the Board will continue to expedite the adjudication required by a CAVC
remand. Notably, CAVC remands require the Board to readjudicate the
appeal based upon the same record previously before the Board;
accordingly, such appeals would be placed on the same docket that the
veteran was on previously. VA makes no changes based on this comment.
A commenter expressed general concerns as to how advisory medical
opinions will be implemented pursuant to Sec. 20.802(b). The commenter
stated, ``[w]hile 38 [CFR] 20.802(c)(1)(ii) allows thorough
consideration of the issues presented in the claim by experienced Board
personnel and gives the Board broad authority to request IMOs in
remands, we are concerned that this important tool may be buried under
the clunky procedures in the regulation.'' The commenter did not offer
any specific suggestions or recommendations for this rulemaking, but
did suggest that the new procedures placed a greater burden on the
veteran to request an advisory medical opinion at the claim stage. The
AMA eliminated
[[Page 160]]
the statutory provision which previously authorized the Board to
independently request medical opinions, and created a new process by
which the Board orders such opinions through remands. 38 U.S.C.
5103A(f)(2)(B). Section 20.802(b) implements the statutory amendments
to this process. Therefore, VA makes no changes based on this comment.
A commenter expressed concern that because remanded cases are no
longer returned to the Board per the proposed rule, the Board will not
be able to ensure that the agency of original jurisdiction complied
with all remand directives, consistent with Stegall v. West, 11 Vet.
App. 268, 271 (1999). The commenter urged VA to develop and implement a
dedicated quality review methodology for Board remands. The design of
the new system provides ample protections to ensure that subsequent
adjudicators comply with the Board's remand directives. The AMA
requires that any pre-decisional duty to assist error discovered by an
adjudicator be cured and that the decision be readjudicated by the
agency of original jurisdiction. Following readjudication, the veteran
may again request Higher-Level Review, file a Supplemental Claim, or
appeal to the Board. If such action is taken within one year, the
original effective date will be preserved.
Regarding the commenter's recommendation for dedicated quality
review, the Direct Review docket, described in proposed Sec. 20.301,
captures quality feedback from appeals in which no additional evidence
is added to the record. This allows VA to identify areas in which the
claims process can be improved and will allow VA to develop targeted
training. VA makes no changes based on these comments.
U. Comments Concerning Sec. 20.1003--Hearing on Reconsideration
A commenter contended that the provision of Sec. 20.1003
precluding a hearing on allowed Motions for Reconsideration unless the
veteran had requested a hearing on the underlying Notice of
Disagreement violates due process. The commenter remarked that a Motion
for Reconsideration is solely based on the Board's decision and
therefore should not be affected by the Notice of Disagreement, which
was filed prior to the Board's decision. As laid out in Sec. 20.1003,
hearings are only provided if a motion for reconsideration has been
allowed. Once allowed, the Chairman will assign a panel to adjudicate
the underlying issues that were before the Board. This means the
reconsideration panel continues to adjudicate pursuant to the Notice of
Disagreement which led to the prior Board decision. Under the Appeals
Modernization Act, the Notice of Disagreement indicates the claimant's
selection of a Board review option. For consistency purposes and
because reconsideration is an adjudication pursuant to the Notice of
Disagreement, VA makes no changes based on this comment.
V. Comments Concerning Sec. 20.1103--Finality of Determinations of the
Agency of Original Jurisdiction Where Issue Is Not Appealed
Two commenters were concerned that Sec. 20.1103 did not make clear
the continued applicability of Sec. Sec. 3.105 and 3.156(c) to all
claims. Additional commenters recommended adding a reference to CUE and
38 CFR 3.105 in proposed Sec. 20.1103. VA agrees that prior to the
initial decision on the claim VA must consider VA records as explained
in Bell v. Derwinski, 2 Vet. App. 611 (1992). The Bell doctrine of
constructive possession will continue to apply, unchanged, while the
duty to assist applies. This means that until the veteran receives the
notice of decision of his claim or supplemental claim, all treatment
records in the agency's possession are deemed associated with the
veteran's file. The other commenter wanted VA to include a reference to
Sec. 3.156(c) in proposed regulation Sec. 20.1103; this is
unnecessary because Sec. 3.156(c) was untouched by the Appeals
Modernization Act. Neither inclusion is necessary, and VA makes no
changes based on these comments.
W. Comments Concerning Sec. 20.1302--Death of Appellant During
Pendency of Appeal Before the Board
A commenter suggested that VA should modify 38 CFR 20.1302 to
provide that a substituted appellant will have similar timeframes to
those the veteran would have had in the modernized appeal system. The
language of 38 CFR 20.1302 already provides this policy. The amended
rule provides that a substituted appellant will assume the veteran's
appeal in its original place on the docket. That means, the substituted
appellant will maintain the same evidentiary timeframes of the docket
the veteran selected. Furthermore, the substituted appellant will be
free to submit argument in support of their appeal. VA makes no changes
based on this comment.
X. Comments Concerning Sec. 20.1304--Request for a Change in
Representation
A commenter suggested that the timeframe for changing
representation should mirror the timeline for submitting evidence, so
that if the record is closed the veteran is no longer able to switch
representation. This commenter explained once the record is closed,
representation is ``seriously constrained as to the strategy of the
appeal at that stage.'' VA proposed to maintain the 90-day window to
change representation once an appeal is at the Board in Sec. 20.1304
so that it mirrors the policy in place under the legacy system.
Representatives maintain the ability to decline representation if they
determine they cannot adequately support the veteran's appeal.
Furthermore, representatives maintain the ability to submit argument on
the veteran's appeal. VA makes no changes based on this comment.
Y. Comments Concerning Sec. 20.1305--Procedures for Legacy Appellants
To Request a Change in Representation, Personal Hearing, or Submission
of Additional Evidence Following Certification of an Appeal to the
Board of Veterans' Appeals
Another commenter asked VA to add language to proposed 38 CFR
20.1305 acknowledging the possibility of multiple 90-day notices and
the opportunity for multiple Board hearings in a legacy system claim.
In support of that request, the commenter asserted that multiple Board
hearings are provided for in continuously pursued claims in the modern
review system, provided a veteran had filed a supplemental claim
between the hearings. However, the commenter is conflating the concept
of continuous pursuit for the purposes of preserving an effective date
and the concept of a continuous claim for the purposes of providing
development such as a Board hearing. The modernized review system does
not specifically provide for multiple Board hearings during processing
of a single claim. Thus, the commenter's assertion that the legacy
system regulation should mirror the provisions applicable to Board
hearings in the modernized system is misplaced. VA makes no changes
based on this comment.
One commenter objected to the option in the new system for a
veteran who receives an adverse Board decision to file a supplemental
claim based on new and relevant evidence, asserting that this option
may operate to prevent finality and judicial review. The commenter was
concerned that a
[[Page 161]]
veteran in receipt of an adverse Board decision might be tempted to
exercise the option to file a supplemental claim, causing the veteran
to return to the first step of the adjudication process and thereby
prolonging resolution of the claim. Because the option to file a
supplemental claim following a Board decision is a feature of the
statute, VA does not have discretion to adopt a different procedure. In
any event, filing a supplemental claim following a Board decision is
optional, and the veteran may instead choose to file an appeal with the
U.S. Court of Appeals for Veterans Claims or, alternatively, file a
request with the Board for revision based on clear and unmistakable
error once the judicial appeal period has expired. To the extent that
the commenter suggests that VA adjudicators will be predisposed to deny
supplemental claims, any such predisposition is against VA policy.
Adjudicators are required to review a supplemental claim objectively
and fairly based on its merits under applicable law. VA makes no
changes based on this comment.
Z. Comments Concerning Sec. 20.1403--What Constitutes Clear and
Unmistakable Error; What Does Not
One commenter questioned why VA inserted a time limitation on the
evidence in Sec. 20.1403 that would affect legacy appellants. However,
this final rule does not amend the 90-day time period already mentioned
in Sec. 20.1403; there is no new time limitation.
Another commenter expressed concern that the proposed regulations
newly restrict evidence that may be submitted in support of a motion
for revision of a prior Board decision based on CUE or, at the least,
do not seem to accommodate the possibility, under the modernized
system, of submitting additional evidence to support a CUE motion via a
supplemental claim. However, the outcome of CUE continues to be based
on the evidence of record before the Board at the time of the prior
Board decision. That underlying consideration is unchanged by the
Appeals Modernization Act. To the extent that the description of CUE in
Sec. 3.105(a) has been expanded in the proposed regulations, that
expansion merely incorporates longstanding caselaw. As the outcome of a
CUE motion continues to depend upon whether the correct facts, as they
were known at the time of the decision, were before the adjudicator,
and whether the statutory and regulatory provisions extant at the time
were correctly applied, VA makes no changes based on this comment.
AA. General Comments
Several commenters encouraged VA to create timeliness goals
regarding the processing of legacy and Appeals Modernization Act cases.
One commenter suggested that the regulations should include a provision
requiring that representatives have access to online tools that provide
wait time predictions and appeal status. VA has carefully considered
this comment, and has determined that no changes to the regulatory
amendments are required. The issue raised by the commenter concerns a
sub-regulatory policy determination within the agency's discretion. VA
will address this matter through internal procedural guidance
consistent with the law and regulations.
One commenter stated that VA should amend the regulations to
specify the time period when the claimant and representative may submit
a written argument when the claimant files a Notice of Disagreement and
requests direct review without the opportunity for a hearing or to
submit additional evidence. The proposed regulations did not limit the
period when written argument can be submitted to the Board between the
filing of an NOD and issuance of the Board decision. We do not believe
that imposition of a time period for submission of argument would
appreciably speed up the appellate process, and it could deprive the
veteran of an opportunity to argue in favor of his or her claim. VA
makes no changes based on this comment.
One commenter remarked that VA should define the term ``timely'' in
regulation, and that failure to do so would be unlawful. The AMA did
not amend 38 U.S.C. 7101 which already provides that the Board must
have sufficient resources to ``conduct hearings and dispose of appeals
properly before the Board in a timely manner.'' However, VA may not
determine future resource levels without Congressional authorization.
Defining the term ``timely'' in regulation would be improper as it
would infringe on the appropriations process. Only Congress may
determine whether VA requires additional resources. Therefore, VA makes
no changes based on this comment.
Several commenters expressed concern that the new system will be
too complicated and will disadvantage pro se claimants. The fundamental
features of the framework are required by law; however, VA acknowledges
the commenter's concern and remains committed to the non-adversarial
process.
One commenter asked whether, if a veteran has an appeal in the
legacy system that becomes inextricably intertwined with an issue in
the modernized appeal system, the veteran will be given the choice to
remain in the legacy system or have both issues proceed in the
modernized system. VA has carefully considered this comment and has
determined that no changes to the regulatory amendments are required.
The issue raised by the commenter may be dealt with as a sub-regulatory
policy determination within the agency's discretion. VA makes no
regulatory changes based on this comment, but will address this matter
through internal procedural guidance consistent with the law and
regulations.
One commenter remarked that the ability to select different review
options for different claims will cause confusion and asked if claims
can be rejoined once the claimant selects different review options. VA
will respect the veteran's choice to select different review options
for different issues. A claimant may choose to modify the Notice of
Disagreement, as provided in Sec. 20.202(c), if he or she wishes to
change review options. Thus, it is possible for a claimant to
``rejoin'' claims as described by the commenter. However, VA will not
automatically rejoin claims for administrative efficiency purposes or
any other reason unless the claimant specifically requests this under
Sec. 20.202(c). The fundamental features of the framework are required
by law, and VA encourages claimants to discuss their review options
with their representatives, if they have one. Claimants have one year
from the date of notification of the rating decision on appeal to
modify their review option. VA makes no changes based on this comment.
One commenter suggested that VA does not need to create a third
docket at the Board for Veterans' Appeals for veterans who wish to
submit new evidence without holding a hearing, since the Appeals
Modernization Act only required a minimum of at least two dockets. This
commenter suggests veterans who submit additional evidence within 90
days of the Notice of Disagreement should be maintained on the same
docket as the closed record review. VA has considered this comment, but
determined that combining the direct review and evidence only dockets
would be contrary to the spirit of the Appeals Modernization Act. One
key advantage of maintaining a separate docket that does not allow for
a hearing or submission of additional evidence is that the Board
reviews the same record
[[Page 162]]
that was before the agency of original jurisdiction. This review
provides VA with a quality feedback loop, in which VA is able to
identify trends and areas for correction in the adjudications by the
agencies of original jurisdiction. This quality feedback loop will
provide for more targeted training of VA staff to ensure accurate
adjudication of claims. If additional evidence was added to appeals in
this lane, then the Board's determination may be based on the changed
record and would no longer provide the same direct quality review
feedback. VA makes no changes based on this comment.
A commenter suggested that if a veteran who has an appeal pending
with the Board submits evidence, this new evidence should automatically
be considered as a supplemental claim. This suggestion is contrary to
the framework established in the Appeals Modernization Act.
Specifically, the Appeals Modernization Act explicitly provides that
once a veteran chooses a review option he/she may not pursue another
review option until a decision is received or the veteran affirmatively
withdraws the initial review option. 38 U.S.C. 5104C(a)(2)(A).
Accordingly, VA makes no changes based on this comment.
One commenter remarked that VA should provide a formal application
for a motion for CUE. The purpose of this rulemaking is to amend VA's
claims adjudication, appeals, and Rules of Practice of the Board of
Veterans' Appeals regulations as required to implement the AMA.
Nevertheless, VA will take the commenter's suggestion under advisement.
Additional commenters suggested that VA create a standardized form
for Veterans to use in withdrawing appeals before the Board. The
purpose of this rulemaking is to amend VA's claims adjudication,
appeals, and Rules of Practice of the Board of Veterans' Appeals
regulations as required to implement the AMA. Nevertheless, VA will
take the commenters' suggestion under advisement.
BB. Comments Concerning VA Form 10182--Notice of Disagreement
One commenter raised concern that the required forms referred to in
the regulations were not published as part of the rulemaking proposal.
Because the Notice of Disagreement is not a new information collection,
but a revised information collection under OMB control number 2900-
0674, it was not published with the proposed rulemaking. Rather, notice
of the proposed changes to 2900-0674 was published in the Federal
Register on August 23, 2018, pursuant to the Paperwork Reduction Act.
83 FR 42769. The fact of separate publication was noted at the proposed
rule stage and publication of the notice closely followed publication
of the rulemaking proposal. As noted in the notice, a copy of the draft
form will be provided upon request. VA makes no change based on this
comment.
One commenter expressed concern that VA forms are too long and
suggested the information could instead be found on a web page. VA
wants to ensure all Veterans have access to the important information,
including those Veterans without access to the internet. Therefore, VA
will continue to include this information on the forms. However, VA has
worked to streamline the design of these forms and the accompanying
information. VA makes no change based on this comment.
CC. Comments of Scope
Two commenters inquired about VA's plan regarding staffing,
personnel issues, and training. These comments are outside the scope of
the rulemaking.
Part 21--Vocational Rehabilitation and Education
VA received two comments specifically related to Vocational
Rehabilitation and Education (VR&E). One comment concerned VR&E's lack
of automation and how that may impact timely processing of payments to
facilities. The comment stated ``VR&E is antiquated and may need
updates. For example, it is not automized, at least for certifying
officials, which means some certifications may fall into a `black
hole'. Schools often wait up to 6 months to receive payment.'' This
comment is not related to appeals processing and does not affect the
rule. Therefore, VA makes no changes to the rule based on this comment.
The second comment stated ``VR&E is also significantly
understaffed. How would current staffing accommodate the new lanes of
appeals? For example, one of the proposed ``lanes'' would enable a
claimant to get a second opinion on VA's claims decision. If VR&E
employees are busy giving second opinions, what type of further backlog
would this create for newly submitted claims? Or would the newly-
required second opinion in appeals fall by the wayside?'' VR&E
currently has a process in place for ``second opinions'', which VA
refers to as administrative reviews. Administrative reviews are very
similar to a higher-level review in the new appeals process. Under
VR&E's current processes, administrative reviews are completed by
management level personnel at the regional office, and in some very
specific situations, at the Central Office level. Under the new appeals
process, management level personnel, as well as supervisory personnel
who are not currently permitted to perform administrative reviews, will
be tasked with completing higher-level reviews. As such, VR&E will have
more employees available to perform higher-level reviews than it does
under the current system for administrative reviews. VR&E does not
anticipate an increase in the number of requests for a ``second
opinion'', or higher-level review, under the new appeals process than
it receives under the current administrative review process. In
addition, it is important to note that newly submitted claims are
processed by non-management level VR&E staff, Vocational Rehabilitation
Counselors (VRC). VRCs will not be performing higher-level reviews.
Lastly, and unrelated to the new appeals process, VR&E is currently in
the process of hiring an additional 169 VRCs across the nation. These
VRCs manage all aspects of the claims process, including newly
submitted claims. Therefore, based on these many factors, staffing
issues are not an identified area of concern for VR&E under the new
appeals process; as such, VA makes no changes to the rule based on this
comment.
One commenter expressed concern about the impact implementation of
the AMA may have on the implementation of the Forever GI Bill. VA does
not expect implementation of the AMA to impact ongoing benefits or the
implementation of the Forever GI Bill.
Finally, several commenters urged consistent use of terms,
definitions, and descriptions. Based on comments received relative to
Part 3, redundant language in Sec. 21.416 is adjusted to refer back to
part 3, specifically Sec. 3.2601, in order to avoid potential
confusion. Additionally, references to timeliness goals in Sec. 21.416
have been removed for reasons discussed.
Paperwork Reduction Act
The Paperwork Reduction Act of 1995 (44 U.S.C. 3507(d)) requires
that VA consider the impact of paperwork and other information
collection burdens imposed on the public. According to the 1995
amendments to the Paperwork Reduction Act (5 CFR 1320.8(b)(2)(vi)), an
agency may not collect or sponsor the collection of information, nor
may it impose an information collection requirement unless it displays
a currently valid Office of Management and Budget (OMB) control number.
This rule includes provisions constituting
[[Page 163]]
new collections of information under the Paperwork Reduction Act of
1995 that require approval by the OMB. Accordingly, under 44 U.S.C.
3507(d), VA has submitted a copy of this rulemaking action to OMB for
review.
OMB assigns control numbers to collections of information it
approves. VA may not conduct or sponsor, and a person is not required
to respond to, a collection of information unless it displays a
currently valid OMB control number. 38 CFR 3.160(c), 3.2501, 3.2601,
8.30, 20.202, and 21.1034 contain collections of information under the
Paperwork Reduction Act of 1995. If OMB does not approve the
collections of information as requested, VA will immediately remove the
provisions containing a collection of information or take such other
action as is directed by the OMB.
The collections of information contained in 38 CFR 3.160(c),
3.2501, 3.2601, 8.30, 20.202, 21.416, and 21.1034 are described
immediately following this paragraph. VA intends to revise OMB Control
No. 2900-0674 so that it will contain all appeals-related information
collections for the legacy and new systems, including the four claims
and appeals related information collections previously approved under
OMB Control No. 2900-0085. OMB Control No. 2900-0085 will be
discontinued upon approval of the request to renew 2900-0674. As
discussed in the regulatory impact analysis, VA believes that the net
impact of the reorganization of the collections of information is
likely to be deregulatory.
For each of the collections of information below, VBA used general
wage data from the Bureau of Labor Statistics (BLS) to estimate the
respondents' costs associated with completing the information
collection. According to the latest available BLS data, the mean hourly
wage of full-time wage and salary workers was $24.34 based on the BLS
wage code--``00-0000 All Occupations.'' This information was taken from
the following website: https://www.bls.gov/oes/current/oes_nat.htm (May
2017).
Title: Decision Review Request: Supplemental Claim (VA Form 20-
0995).
OMB Control No.: 2900-XXXX (NEW).
CFR Provisions: 38 CFR 3.160(a), 3.2501, 8.30, 21.416, and 21.1034.
Summary of collection of information: VA administers an integrated
program of benefits and services, established by law, for veterans,
service personnel, and their dependents and/or beneficiaries. Title 38
U.S.C. 5101(a) provides that a specific claim in the form provided by
the Secretary must be filed in order for benefits to be paid to any
individual under the laws administered by the Secretary. VA is
proposing a new information collection in this regulatory action under
38 CFR 3.160(c), 3.2501, 8.30, 21.416, and 21.1034 for supplemental
claims in accordance with Public Law 115-55. Public Law 115-55 includes
a new review option for Veterans or claimants who disagree with a VA
claims decision known as a ``supplemental claim'' that is conducted
within the agency of original jurisdiction. This review option is
designed to allow submission of new and relevant evidence in connection
with a previously decided claim. The new collection of information in
38 CFR 3.160(c), 3.2501, and 8.30 would require claimants to submit VA
Form 20-0995 in either paper or electronic submission, where
applicable, in order to initiate a supplemental claim for VA disability
benefits.
Description of need for information and proposed use of
information: The collection of information is necessary to determine
the issue(s) upon which a claimant is dissatisfied and seeks to
initiate a supplemental claim for VA disability benefits. VA will use
this information to initiate or determine the claimant's eligibility
under the supplemental claim in accordance with the AMA.
Description of likely respondents: Veterans or claimants who
indicate dissatisfaction with a decision issued by a VA agency of
original jurisdiction and would like review of new and relevant
evidence in support of their claim for disability benefits. VA cannot
make further assumptions about the population of respondents because of
the variability of factors such as the educational background and wage
potential of respondents. Therefore, VBA used general wage data to
estimate the respondents' costs associated with completing the
information collection.
Estimated number of respondents per month/year: 80,000 annually.
Estimated frequency of responses per month/year: One time for most
Veterans or other claimants; however, the frequency of responses is
also dependent on the number of claims submitted on this form by the
claimant as VA does not limit the number of claims that a claimant can
submit.
Estimated average burden per response: 15 minutes.
Estimated total annual reporting and recordkeeping burden: 20,000
hours.
Estimated cost to respondents per year: VBA estimates the total
cost to all respondents to be $486,800 per year (20,000 burden hours x
$24.34 per hour). Legally, respondents may not pay a person or business
for assistance in completing the information collection. Therefore,
there are no expected overhead costs for completing the information
collection.
Title: Decision Review Request: Higher-Level Review (VA Form 20-
0996).
OMB Control No.: 2900-XXXX (NEW).
CFR Provisions: 38 CFR 3.2601, 8.30, 21.416, and 21.1034.
Summary of collection of information: VA administers an integrated
program of benefits and services, established by law, for veterans,
service personnel, and their dependents and/or beneficiaries. Title 38
U.S.C. 5101(a) provides that a specific claim in the form provided by
the Secretary must be filed in order for benefits to be paid to any
individual under the laws administered by the Secretary. The new
collection of information in 38 CFR 3.2601, 8.30, 21.416, and 21.1034
would require claimants to submit VA prescribed applications in either
paper or electronic submission of responses, where applicable, in order
to request a higher-level review of a VA decision on a claim for
benefits.
Description of need for information and proposed use of
information: The collection of information is necessary to determine
the issue(s) upon which a claimant is dissatisfied and seeks higher-
level review by VA. VA will use this information to initiate a higher-
level review by an agency adjudicator in accordance with the AMA.
Description of likely respondents: Veterans or other claimants who
indicate dissatisfaction with a decision issued by a VA office agency
of original jurisdiction.
Estimated number of respondents per month/year: 35,000 annually.
Estimated frequency of responses per month/year: One response
total.
Estimated average burden per response: 15 minutes.
Estimated total annual reporting and recordkeeping burden: 8,750
hours.
Estimated cost to respondents per year: As above, VBA used May 2017
general wage data to estimate the respondents' costs associated with
completing the information collection. VBA estimates the total cost to
all respondents to be $212,975 per year (8,750 burden hours x $24.34
per hour). Legally, respondents may not pay a person or business for
assistance in completing the information collection. Therefore, there
are no expected
[[Page 164]]
overhead costs for completing the information collection.
Title: Decision Review Request: Board Appeal (Notice of
Disagreement) (VA Form 10182).
OMB Control No.: 2900-0674.
CFR Provisions: 38 CFR 20.202.
Summary of collection of information: 38 CFR 20.202 would require
that in order for a claimant to appeal one or more previously decided
issues to the Board, that claimant must file a Notice of Disagreement
in the form prescribed by VA. In order to promote efficiency in the
adjudication process while ensuring that the process is simple and
reliable for claimants, VA will require the use of a specific form for
this purpose. VA Form 10182 will be titled Decision Review Request:
Board Appeal (Notice of Disagreement). To be accepted by the Board, a
complete Notice of Disagreement will be required to identify the
specific determination with which the claimant disagrees and must
indicate if the claimant requests to have a hearing before the Board,
an opportunity to submit additional evidence, or neither. 38 U.S.C.
7105(b)(3). Additionally, in order to permit appellants and their
representatives to exercise their appeal-related rights, the
information collected will include withdrawals of services by
representatives (38 CFR 20.6), requests by appellants for changes in
hearing dates or methods (38 CFR 20.703), and motions for
reconsideration of Board decisions (38 CFR 20.1002).
Description of need for information and proposed use of
information: This collection of information is necessary to permit
claimants to appeal to the Board, to identify their request for a
hearing and selection of the evidentiary record on appeal, to request
new times or methods for hearings, to seek reconsideration of Board
decisions, and so that representatives may effectively move to withdraw
their representation of a claimant.
Description of likely respondents: Veterans or other claimants who
indicate dissatisfaction with a decision issued by a VA agency of
original jurisdiction, and who are appealing one more issues in that
decision to the Board.
Estimated number of respondents per month/year: 43,000 annually.
Estimated frequency of responses per month/year: One response per
respondent accounted for above.
Estimated average burden per response: An average of 30 minutes.
Estimated total annual reporting and recordkeeping burden: 21,500
hours annually.
Estimated cost to respondents per year: The respondent population
for this information collection is composed of individual appellants or
their representatives. In this regard, VA notes that the earning
capacity of individual appellants spans an extremely wide spectrum.
Additionally, an appellant's representative may be an employee of a
recognized Veterans' Service Organization who provides appellate
services as part of their overall free services to Veterans, or may be
an attorney-at-law or accredited agent that charges a fee. VA cannot
make further assumptions about the population of respondents because of
the variability of factors such as the educational background and wage
potential of respondents. Therefore, VBA used the BLS general wage data
from May 2017 to estimate the respondents' costs associated with
completing the information collection. VA seeks comment as to whether
use of the general wage data is appropriate in light of this wide
spectrum of earning capacity in individual respondents. VA estimates
the total cost to respondents using VA Form 10182 in the new appeals
system to be $523,310 per year (21,500 burden hours x $24.34 per hour).
The total costs of these information collections to respondents is
estimated to be $8.4 million over a five-year period (FY2019-FY2023).
Although it is difficult to predict the percentage of respondents that
will be able to take advantage of the new system forms each year
beginning in February 2019, VA estimates that the incremental
information collection costs for respondents will be $1,092,258 in
FY2019. VA has also determined there will be incremental information
collection savings of $6,258,423 over a five-year period, once the
legacy forms are no longer in use. This equates to approximately $1.25
million per year or $1.77 million per year on an ongoing basis
discounted at 7 percent relative to year 2016, over a perpetual time
horizon. This final rule is considered an E.O. 13771 deregulatory
action.
Regulatory Flexibility Act
The Secretary hereby certifies that these regulatory amendments
will not have a significant economic impact on a substantial number of
small entities as they are defined in the Regulatory Flexibility Act, 5
U.S.C. 601-612. These amendments will not directly affect any small
entities. Only VA beneficiaries and their survivors would be directly
affected. Therefore, pursuant to 5 U.S.C. 605(b), these amendments are
exempt from the initial and final regulatory flexibility analysis
requirements of sections 603 and 604.
Executive Orders 12866, 13563, 13771
Executive Orders 12866 and 13563 direct agencies to assess the
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 effects, and other advantages; distributive impacts;
and equity). Executive Order 13563 (Improving Regulation and Regulatory
Review) emphasizes the importance of quantifying both costs and
benefits, reducing costs, harmonizing rules, and promoting flexibility.
Executive Order 12866 (Regulatory Planning and Review) defines a
``significant regulatory action,'' which requires review by 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 this Executive
Order.''
The economic, interagency, budgetary, legal, and policy
implications of this rule have been examined, and it has been
determined that this is an economically significant regulatory action
under Executive Order 12866. As discussed in the Paperwork Reduction
Act section of this final rule, we estimate that this final rule will
lead to paperwork cost savings of approximately $1.77 million This rule
is expected to be an E.O. 13771 deregulatory action. Details on the
estimated cost savings of this rule can be found in the rule's economic
analysis. VA's impact analysis can be found as a supporting document at
https://www.regulations.gov, usually within 48 hours after the
rulemaking document is published. Additionally, a copy of the
rulemaking and its impact analysis are available on VA's website at
https://www.va.gov/orpm by following the link for VA Regulations
Published from FY 2004 Through Fiscal Year to Date.
[[Page 165]]
Unfunded Mandates
The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C.
1532, that agencies prepare an assessment of anticipated costs and
benefits before issuing any rule that may result in an expenditure by
State, local, and tribal governments, in the aggregate, or by the
private sector of $100 million or more (adjusted annually for
inflation) in any given year. This rule will have no such effect on
State, local, and tribal governments, or on the private sector.
Congressional Review Act
The Secretary of Veterans Affairs finds that there is good cause
under the provisions of 5 U.S.C. 808(2) to publish this final rule
without prior Congressional review and to make the rule effective on
February 19, 2019.
This final rule meets the ``impracticable'' and ``public interest''
exceptions in 5 U.S.C. 808(2) because any delay in implementing the
rule would have a severe detrimental impact on Veterans seeking
benefits. VA's legacy appeals process is overly complex and can take
many years for claimants to receive resolution on their claims. Under
the legacy appeals process, Veterans wait an average of 3 years for a
final decision if they choose to appeal, and an average of 7 years if
they continue their appeal to the Board. The Veterans Appeals
Improvement and Modernization Act authorizes a streamlined process that
provides Veterans and other claimants with choices when seeking review
of a VA decision and much faster resolution. This rule is necessary to
implement the Act, and provides much-needed comprehensive reform for
the legacy appeals process. VA estimates that under this rule the
average time to complete an appeal will be approximately 2 years less
than under the legacy appeals process. However, Congress required
within the Act that VA have the `resources, personnel, office space,
procedures, and information technology required' to implement the new
system. VA cannot implement the Act as planned without final
regulations allowing claimants to participate in the new system.
Delaying the effective date of this final rule will prolong the
existence, and result in an increased number of legacy process appeals,
thus increasing the number of appeals that are subject to, and will
themselves add to, severe delays in appeals processing and a prolonged
inability for Veterans to timely receive their earned benefits.
While the severity of the impact on Veterans seeking benefits
constitutes good cause to implement these presumptions with an earlier
effective date, there is an additional basis for the Secretary's
decision that good cause exists. Although the rule is a major rule
under the Congressional Review Act, VA believes that this rule will not
result in any new or increased benefit payments (transfers) to
claimants. Furthermore, the transfers associated with this rulemaking
($100 million or more in any given year), which would already be due to
Veterans, would be the same with or without this rule. The difference
is simply because VA believes that the rule will lead to claimants
receiving a decision earlier than they would under the legacy appeals
process, causing a shift in the timing of benefits paid to Veterans and
other beneficiaries to earlier fiscal years.
Lastly, VA would be obligated to pay these transfers regardless of
timing and the amount of transfers awarded to veterans would not be a
result of this rulemaking. Since the rule will reduce the time it takes
to review or adjudicate an appeal, the benefits will be paid much
quicker than under the legacy appeals process. VA believes that total
benefits paid to an individual beneficiary granted a positive appeal
decision would be the same under both this rule and the legacy appeals
process; only the timing of these payments would differ. The provisions
of this rule do not go beyond the intent or structure of the Act, which
was enacted after the Congress received a cost-neutral assessment from
the Congressional Budget Office. Therefore, because Congress itself has
already committed to the structure that is causing the timing of the
benefits payments to be ``pulled forward'' in time and is aware of the
impact of the law as enacted, it would be unnecessary and contrary to
the public interest to delay the effective date of the final rule to
allow for the congressional review contemplated by the Congressional
Review Act. Accordingly, the Secretary has determined that there is
good cause under 5 U.S.C. 808(2) to publish this final rule with a
February 19, 2019 effective date.
VA received 29 comments in response to the proposed rule. The
comments received were generally requests for clarification or
recommendations for substantive changes. In turn, the majority of
changes made in response to comments were clarifying in nature,
conformed the regulations more closely to the statutory requirements,
or, where substantive, were of a pro-claimant nature. The comments
received and subsequent changes made were not controversial. For
example, based on commenter suggestions, VA provided additional clarity
on the definitions of ``claim,'' ``issue,'' and ``new evidence.'' VA
made changes to the evidentiary standard used to overturn favorable
findings that provided greater protection to claimants, made
improvements to the notice provided to claimants regarding
opportunities to opt into the new system, and extended the amount of
time appellants have to modify their Notice of Disagreement.
Additionally, parts 8 and 21 were updated in several areas to more
closely align with the language of the Act.
As noted, the comments received, and changes made in response,
generally only addressed marginal aspects of the rule, and did not
oppose the underlying substance of the rule, which mainly implemented
mandatory requirements imposed by Congress in the Act. This
demonstrates that a delay of the effective date of the rule for an
additional period of congressional review for an assessment of the
burden on the public would be unnecessary.
Accordingly, the Secretary finds there is good cause to dispense
with the opportunity for prior Congressional review and to publish this
final rule with an effective date on February 19, 2019.
Catalog of Federal Domestic Assistance Numbers and Titles
The Catalog of Federal Domestic Assistance program numbers and
titles for this rule are 64.100, Automobiles and Adaptive Equipment for
Certain Disabled Veterans and Members of the Armed Forces; 64.101,
Burial Expenses Allowance for Veterans; 64.102, Compensation for
Service-Connected Deaths for Veterans' Dependents; 64.103, Life
Insurance for Veterans; 64.104, Pension for Non-Service-Connected
Disability for Veterans; 64.105, Pension to Veterans Surviving Spouses,
and Children; 64.106, Specially Adapted Housing for Disabled Veterans;
64.109, Veterans Compensation for Service-Connected Disability; 64.110,
Veterans Dependency and Indemnity Compensation for Service-Connected
Death; 64.114, Veterans Housing--Guaranteed and Insured Loans; 64.115,
Veterans Information and Assistance; 64.116,Vocational Rehabilitation
for Disabled Veterans; 64.117, Survivors and Dependents Educational
Assistance; 64.118, Veterans Housing--Direct Loans for Certain Disabled
Veterans; 64.119, Veterans Housing--Manufactured Home Loans; 64.120,
Post-Vietnam Era Veterans' Educational Assistance; 64.124, All-
Volunteer Force Educational Assistance; 64.125, Vocational and
[[Page 166]]
Educational Counseling for Servicemembers and Veterans; 64.126, Native
American Veteran Direct Loan Program; 64.127, Monthly Allowance for
Children of Vietnam Veterans Born with Spina Bifida; and 64.128,
Vocational Training and Rehabilitation for Vietnam Veterans' Children
with Spina Bifida or Other Covered Birth Defects.
List of Subjects
38 CFR Part 3
Administrative practice and procedure, Claims, Disability benefits,
Health care, Pensions, Radioactive materials, Veterans.
38 CFR Part 8
Life insurance, Military personnel, Veterans.
38 CFR Part 14
Administrative practice and procedure, Claims, Courts, Foreign
relations, Government employees, Lawyers, Legal services, Organization
and functions (Government agencies), Reporting and recordkeeping
requirements, Surety bonds, Trusts and trustees, Veterans.
38 CFR Parts 19 and 20
Administrative practice and procedure, Claims, Veterans.
38 CFR Part 21
Administrative practice and procedure, Armed forces, Civil rights,
Claims, Colleges and universities, Conflict of interests, Defense
Department, Education, Employment, Grant programs--education, Grant
programs--veterans, Health care, Loan programs--education, Loan
programs--veterans, Manpower training programs, Reporting and
recordkeeping requirements, Schools, Travel and transportation
expenses, Veterans, Vocational education, Vocational rehabilitation.
Signing Authority
The Secretary of Veterans Affairs 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. Robert L.
Wilkie, Secretary, Department of Veterans Affairs, approved this
document on November 29, 2018, for publication.
Dated: December 21, 2018.
Consuela Benjamin,
Regulations Development Coordinator, Office of Regulation Policy &
Management, Office of the Secretary, Department of Veterans Affairs.
For the reasons set forth in the preamble, VA amends 38 CFR parts
3, 8, 14, 19, 20, and 21 as follows:
PART 3--ADJUDICATION
Subpart A--Pension, Compensation, and Dependency and Indemnity
Compensation
0
1. The authority citation for part 3, subpart A continues to read as
follows:
Authority: 38 U.S.C. 501(a), unless otherwise noted.
0
2. Amend Sec. 3.1 by revising paragraph (p) to read as follows:
Sec. 3.1 Definitions.
* * * * *
(p) Claim means a written or electronic communication requesting a
determination of entitlement or evidencing a belief in entitlement, to
a specific benefit under the laws administered by the Department of
Veterans Affairs submitted on an application form prescribed by the
Secretary. (See scope of claim, Sec. 3.155(d)(2); complete claim,
Sec. 3.160(a); issues within a claim, Sec. 3.151(c)).
(1) Initial claim. An initial claim is any complete claim, other
than a supplemental claim, for a benefit on a form prescribed by the
Secretary. The first initial claim for one or more benefits received by
VA is further defined as an original claim. (See original claim, Sec.
3.160(b)). Initial claims include:
(i) A new claim requesting service connection for a disability or
grant of a new benefit, and
(ii) A claim for increase in a disability evaluation rating or rate
of a benefit paid based on a change or worsening in condition or
circumstance since the last decision issued by VA for the benefit.
(2) Supplemental claim. A supplemental claim is any complete claim
for a VA benefit on an application form prescribed by the Secretary
where an initial or supplemental claim for the same or similar benefit
on the same or similar basis was previously decided. (See supplemental
claim; Sec. 3.2501.)
* * * * *
Sec. 3.31 [Amended]
0
3. In Sec. 3.31, remove the word ``reopened'' and add in its place the
word ``supplemental''.
0
4. Amend Sec. 3.103 by revising the section heading and paragraphs
(b)(1), (c), (d), and (f) to read as follows:
Sec. 3.103 Procedural due process and other rights.
* * * * *
(b) * * *
(1) General. Claimants and their representatives are entitled to
notice of any decision made by VA affecting the payment of benefits or
the granting of relief. Such notice will clearly set forth the elements
described under paragraph (f) of this section, the right to a hearing
on any issue involved in the claim as provided in paragraph (d) of this
section, the right of representation, and the right, as well as the
necessary procedures and time limits to initiate a higher-level review,
supplemental claim, or appeal to the Board of Veterans' Appeals.
* * * * *
(c) Submission of evidence--(1) General rule. VA will include in
the record, any evidence whether documentary, testimonial, or in other
form, submitted by the claimant in support of a pending claim and any
issue, contention, or argument a claimant may offer with respect to a
claim, except as prescribed in paragraph (c)(2) of this section and
Sec. 3.2601(f).
(2) Treatment of evidence received after notice of a decision. The
evidentiary record for a claim before the agency of original
jurisdiction closes when VA issues notice of a decision on the claim.
The agency of original jurisdiction will not consider, or take any
other action on evidence that is submitted by a claimant, associated
with the claims file, or constructively received by VA as described in
paragraph (c)(2)(iii) of this section, after notice of decision on a
claim, and such evidence will not be considered part of the record at
the time of any decision by the agency of original jurisdiction, except
as described in Sec. 3.156(c) and under the following circumstances:
(i) Receipt of a complete claim. The agency of original
jurisdiction subsequently receives a complete application for a
supplemental claim or initial claim; or
(ii) Board and higher-level review returns. A claim is pending
readjudication after identification of a duty to assist error (which
includes an error resulting from constructive receipt of evidence prior
to the notice of decision), during a higher-level review or appeal to
the Board of Veterans' Appeals. Those events reopen the record and any
evidence previously submitted to the agency of original jurisdiction or
associated with the
[[Page 167]]
claims file while the record was closed will become part of the
evidentiary record to be considered upon readjudication.
(iii) Constructive receipt of VA treatment records. Records within
the actual custody of the Veterans Health Administration are deemed
constructively received by the Veterans Benefits Administration at the
time when the Veterans Benefits Administration had knowledge of the
existence of said records through information furnished by the claimant
sufficient to locate those records (see 38 U.S.C. 5103A(c)).
(d) The right to a hearing. (1) Upon request, a claimant is
entitled to a hearing on any issue involved in a claim within the
purview of part 3 of this chapter before VA issues notice of a decision
on an initial or supplemental claim. A hearing is not available in
connection with a request for higher-level review under Sec. 3.2601.
VA will provide the place of hearing in the VA field office having
original jurisdiction over the claim, or at the VA office nearest the
claimant's home having adjudicative functions, or videoconference
capabilities, or, subject to available resources and solely at the
option of VA, at any other VA facility or federal building at which
suitable hearing facilities are available. VA will provide one or more
employees who have original determinative authority of such issues to
conduct the hearing and be responsible for establishment and
preservation of the hearing record. Upon request, a claimant is
entitled to a hearing in connection with proposed adverse actions
before one or more VA employees having original determinative authority
who did not participate in the proposed action. All expenses incurred
by the claimant in connection with the hearing are the responsibility
of the claimant.
(2) The purpose of a hearing is to permit the claimant to introduce
into the record, in person, any available evidence which he or she
considers relevant and any arguments or contentions with respect to the
facts and applicable law which he or she may consider pertinent. All
testimony will be under oath or affirmation. The claimant is entitled
to produce witnesses, but the claimant and witnesses must be present.
The agency of original jurisdiction will not normally schedule a
hearing for the sole purpose of receiving argument from a
representative. It is the responsibility of the VA employees conducting
the hearings to explain fully the issues and suggest the submission of
evidence which the claimant may have overlooked and which would be of
advantage to the claimant's position. To assure clarity and
completeness of the hearing record, questions which are directed to the
claimant and to witnesses are to be framed to explore fully the basis
for claimed entitlement rather than with an intent to refute evidence
or to discredit testimony.
* * * * *
(f) Notification of decisions. The claimant or beneficiary and his
or her representative will be notified in writing of decisions
affecting the payment of benefits or granting of relief. Written
notification must include in the notice letter or enclosures or a
combination thereof, all of the following elements:
(1) Identification of the issues adjudicated;
(2) A summary of the evidence considered;
(3) A summary of the laws and regulations applicable to the claim;
(4) A listing of any findings made by the adjudicator that are
favorable to the claimant under Sec. 3.104(c);
(5) For denied claims, identification of the element(s) required to
grant the claim(s) that were not met;
(6) If applicable, identification of the criteria required to grant
service connection or the next higher-level of compensation;
(7) An explanation of how to obtain or access evidence used in
making the decision; and
(8) A summary of the applicable review options under Sec. 3.2500
available for the claimant to seek further review of the decision.
* * * * *
0
5. Amend Sec. 3.104 as follows:
0
a. Revise the section heading;
0
b. Revise paragraph (a);
0
c. Add a heading to paragraph (b); and
0
d. Add paragraph (c).
The revisions and additions read as follows:
Sec. 3.104 Binding nature of decisions.
(a) Binding decisions. A decision of a VA rating agency is binding
on all VA field offices as to conclusions based on the evidence on file
at the time VA issues written notification in accordance with 38 U.S.C.
5104. A binding agency decision is not subject to revision except by
the Board of Veterans' Appeals, by Federal court order, or as provided
in Sec. Sec. 3.105, 3.2500, and 3.2600.
(b) Binding administrative determinations. * * *
(c) Favorable findings. Any finding favorable to the claimant made
by either a VA adjudicator, as described in Sec. 3.103(f)(4), or by
the Board of Veterans' Appeals, as described in Sec. 20.801(a) of this
chapter, is binding on all subsequent agency of original jurisdiction
and Board of Veterans' Appeals adjudicators, unless rebutted by
evidence that identifies a clear and unmistakable error in the
favorable finding. For purposes of this section, a finding means a
conclusion either on a question of fact or on an application of law to
facts made by an adjudicator concerning the issue(s) under review.
0
6. Amend Sec. 3.105 by revising paragraphs (a) and (b) and adding
paragraph (j) to read as follows:
Sec. 3.105 Revision of decisions.
* * * * *
(a)(1) Error in final decisions. Decisions are final when the
underlying claim is finally adjudicated as provided in Sec. 3.160(d).
Final decisions will be accepted by VA as correct with respect to the
evidentiary record and the law that existed at the time of the
decision, in the absence of clear and unmistakable error. At any time
after a decision is final, the claimant may request, or VA may
initiate, review of the decision to determine if there was a clear and
unmistakable error in the decision. Where evidence establishes such
error, the prior decision will be reversed or amended.
(i) Definition of clear and unmistakable error. A clear and
unmistakable error is a very specific and rare kind of error. It is the
kind of error, of fact or of law, that when called to the attention of
later reviewers compels the conclusion, to which reasonable minds could
not differ, that the result would have been manifestly different but
for the error. If it is not absolutely clear that a different result
would have ensued, the error complained of cannot be clear and
unmistakable. Generally, either the correct facts, as they were known
at the time, were not before VA, or the statutory and regulatory
provisions extant at the time were incorrectly applied.
(ii) Effective date of reversed or revised decisions. For the
purpose of authorizing benefits, the rating or other adjudicative
decision which constitutes a reversal or revision of a prior decision
on the grounds of clear and unmistakable error has the same effect as
if the corrected decision had been made on the date of the reversed
decision. Except as provided in paragraphs (d) and (e) of this section,
where an award is reduced or discontinued because of administrative
error or error in judgment, the provisions of Sec. 3.500(b)(2) will
apply.
(iii) Record to be reviewed. Review for clear and unmistakable
error in a prior final decision of an agency of original
[[Page 168]]
jurisdiction must be based on the evidentiary record and the law that
existed when that decision was made. The duty to assist in Sec. 3.159
does not apply to requests for revision based on clear and unmistakable
error.
(iv) Change in interpretation. Clear and unmistakable error does
not include the otherwise correct application of a statute or
regulation where, subsequent to the decision being challenged, there
has been a change in the interpretation of the statute or regulation.
(v) Limitation on Applicability. Decisions of an agency of original
jurisdiction on issues that have been decided on appeal by the Board or
a court of competent jurisdiction are not subject to revision under
this subsection.
(vi) Duty to assist not applicable. For examples of situations that
are not clear and unmistakable error see 38 CFR 20.1403(d).
(vii) Filing Requirements--(A) General. A request for revision of a
decision based on clear and unmistakable error must be in writing, and
must be signed by the requesting party or that party's authorized
representative. The request must include the name of the claimant; the
name of the requesting party if other than the claimant; the applicable
Department of Veterans Affairs file number; and the date of the
decision to which the request relates. If the applicable decision
involved more than one issue, the request must identify the specific
issue, or issues, to which the request pertains.
(B) Specific allegations required. The request must set forth
clearly and specifically the alleged clear and unmistakable error, or
errors, of fact or law in the prior decision, the legal or factual
basis for such allegations, and why the result would have been
manifestly different but for the alleged error. Non-specific
allegations of failure to follow regulations or failure to give due
process, or any other general, non-specific allegations of error, are
insufficient to satisfy the requirement of the previous sentence.
(2) Error in binding decisions prior to final adjudication. Prior
to the time that a claim is finally adjudicated, previous decisions
which are binding will be accepted as correct by the agency of original
jurisdiction, with respect to the evidentiary record and law existing
at the time of the decision, unless the decision is clearly erroneous,
after considering whether any favorable findings may be reversed as
provided in Sec. 3.104(c).
(b) Difference of opinion. Whenever an adjudicative agency is of
the opinion that a revision or an amendment of a previous decision is
warranted on the basis of the evidentiary record and law that existed
at the time of the decision, a difference of opinion being involved
rather than a clear and unmistakable error, the proposed revision will
be recommended to Central Office. However, a decision may be revised
under Sec. 3.2600 or Sec. 3.2601 without being recommended to Central
Office.
* * * * *
(j) Supplemental claims and higher-level review. VA may revise an
earlier decision denying benefits, if warranted, upon resolution of a
supplemental claim under Sec. 3.160(c) or higher-level review under
Sec. 3.2601.
* * * * *
Sec. 3.110 [Amended]
0
7. In Sec. 3.110, amend paragraph (b) by removing ``Sec. Sec. 20.302
and 20.305'' from the last sentence and adding in its place
``Sec. Sec. 19.52, 20.203, and 20.110''.
Sec. 3.114 [Amended]
0
8. In Sec. 3.110, remove the word ``reopened'' and add in its place
the word ``supplemental''
0
9. Amend Sec. 3.151 by revising paragraph (a) and adding paragraphs
(c) and (d) to read as follows:
Sec. 3.151 Claims for disability benefits.
(a) General. A specific claim in the form prescribed by the
Secretary must be filed in order for benefits to be paid to any
individual under the laws administered by VA. (38 U.S.C. 5101(a)). A
claim by a veteran for compensation may be considered to be a claim for
pension; and a claim by a veteran for pension may be considered to be a
claim for compensation. The greater benefit will be awarded, unless the
claimant specifically elects the lesser benefit. (See scope of claim,
Sec. 3.155(d)(2); complete claim, Sec. 3.160(a); supplemental claims,
Sec. 3.2501(b)).
* * * * *
(c) Issues within a claim. (1) To the extent that a complete claim
application encompasses a request for more than one determination of
entitlement, each specific entitlement will be adjudicated and is
considered a separate issue for purposes of the review options
prescribed in Sec. 3.2500. A single decision by an agency of original
jurisdiction may adjudicate multiple issues in this respect, whether
expressly claimed or determined by VA to be reasonably within the scope
of the application as prescribed in Sec. 3.155(d)(2). VA will issue a
decision that addresses each such identified issue within a claim. Upon
receipt of notice of a decision, a claimant may elect any of the
applicable review options prescribed in Sec. 3.2500 for each issue
adjudicated.
(2) With respect to service-connected disability compensation, an
issue for purposes of paragraph (c)(1) of this section is defined as
entitlement to compensation for a particular disability. For example,
if a decision adjudicates service-connected disability compensation for
both a knee condition and an ankle condition, compensation for each
condition is a separate entitlement or issue for which a different
review option may be elected. However, different review options may not
be selected for specific components of the knee disability claim, such
as ancillary benefits, whether a knee injury occurred in service, or
whether a current knee condition resulted from a service-connected
injury or condition.
(d) Evidentiary record. The evidentiary record before the agency of
original jurisdiction for an initial or supplemental claim includes all
evidence received by VA before VA issues notice of a decision on the
claim. Once the agency of original jurisdiction issues notice of a
decision on a claim, the evidentiary record closes as described in
Sec. 3.103(c)(2) and VA no longer has a duty to assist in gathering
evidence under Sec. 3.159. (See Sec. 3.155(b), submission of
evidence).
* * * * *
0
10. Amend Sec. 3.155 by revising the second sentence of the
introductory text and paragraph (d)(1) to read as follows:
Sec. 3.155 How to file a claim.
* * * The provisions of this section are applicable to all claims
governed by part 3, with the exception that paragraph (b) of this
section, regarding intent to file a claim, does not apply to
supplemental claims.
* * * * *
(d) * * *
(1) Requirement for complete claim and date of claim. A complete
claim is required for all types of claims, and will generally be
considered filed as of the date it was received by VA for an evaluation
or award of benefits under the laws administered by the Department of
Veterans Affairs.
(i) Supplemental claims. Upon receipt of a communication indicating
a belief in entitlement to benefits that is submitted in wiritng or
electronically on a supplemental claim form prescribed by the Secretary
that is not complete as defined in Sec. 3.160(a) of this section, the
Secretary shall notify the claimant and the claimant's representative,
if any, of the information necessary to complete the application form
prescribed by the
[[Page 169]]
Secretary. If VA receives a complete claim within 60 days of notice by
VA that an incomplete claim was filed, it will be considered filed as
of the date of receipt of the incomplete claim (see Sec. 3.2501).
(ii) For other types of claims. If VA receives a complete claim
within 1 year of the filing of an intent to file a claim that meets the
requirements of paragraph (b) of this section, it will be considered
filed as of the date of receipt of the intent to file a claim. Only one
complete claim for a benefit (e.g., compensation, pension) may be
associated with each intent to file a claim for that benefit, though
multiple issues may be contained within a complete claim. In the event
multiple complete claims for a benefit are filed within 1 year of an
intent to file a claim for that benefit, only the first claim filed
will be associated with the intent to file a claim. In the event that
VA receives both an intent to file a claim and an incomplete
application form before the complete claim as defined in Sec. 3.160(a)
is filed, the complete claim will be considered filed as of the date of
receipt of whichever was filed first provided it is perfected within
the necessary timeframe, but in no event, will the complete claim be
considered filed more than one year prior to the date of receipt of the
complete claim.
* * * * *
0
11. Amend Sec. 3.156 as follows:
0
a. Revise the section heading;
0
b. Add introductory text;
0
c. Revise paragraph (a);
0
d. Revise the paragraph (b) heading; and
0
e. Add paragraph (d);
The revisions and additions read as follows:
Sec. 3.156 New evidence.
(a) New and material evidence. For claims to reopen decided prior
to the effective date provided in Sec. 19.2(a), the following
standards apply. A claimant may reopen a finally adjudicated legacy
claim by submitting new and material evidence. New evidence means
evidence not previously considered by agency adjudicators. Material
evidence means existing evidence that, by itself or when considered
with previous evidence of record, relates to an unestablished fact
necessary to substantiate the claim. New and material evidence can be
neither cumulative nor redundant of the evidence of record at the time
of the last prior final denial of the claim sought to be reopened, and
must raise a reasonable possibility of substantiating the claim.
(Authority: 38 U.S.C. 501, 5103A(h), 5108)
(b) Pending legacy claims not under the modernized review system. *
* *
* * * * *
(d) New and relevant evidence. On or after the effective date
provided in Sec. 19.2(a), a claimant may file a supplemental claim as
prescribed in Sec. 3.2501. If new and relevant evidence, as defined in
Sec. 3.2501(a)(1), is presented or secured with respect to the
supplemental claim, the agency of original jurisdiction will
readjudicate the claim taking into consideration all of the evidence of
record.
* * * * *
0
12. Amend Sec. 3.158 by revising the first sentence of paragraph (a)
to read as follows:
Sec. 3.158 Abandoned claims.
(a) * * * Except as provided in Sec. 3.652, where evidence
requested in connection with an initial claim or supplemental claim or
for the purpose of determining continued entitlement is not furnished
within 1 year after the date of request, the claim will be considered
abandoned. * * *
* * * * *
0
13. Amend Sec. 3.159 as follows:
0
a. Revise paragraph (a)(3);
0
b. Revise the first and last sentence of paragraph (b)(1);
0
c. Revise paragraph (b)(3);
0
d. Add paragraph (b)(4);
0
e. Revise paragraph (c) introductory text;
0
f. Revise paragraph (c)(4)(iii);
0
g. Add paragraph (c)(4)(iv); and
0
h. In paragraph (d) introductory text, in the first sentence, remove
the text ``for a claim'' and add in its place ``for an initial or
supplemental claim''.
The revisions and additions read as follows:
Sec. 3.159 Department of Veterans Affairs assistance in developing
claims.
(a) * * *
(3) Substantially complete application means an application
containing:
(i) The claimant's name;
(ii) His or her relationship to the veteran, if applicable;
(iii) Sufficient service information for VA to verify the claimed
service, if applicable;
(iv) The benefit sought and any medical condition(s) on which it is
based;
(v) The claimant's signature; and
(vi) In claims for nonservice-connected disability or death pension
and parents' dependency and indemnity compensation, a statement of
income;
(vii) In supplemental claims, identification or inclusion of
potentially new evidence (see Sec. 3.2501);
(viii) For higher-level reviews, identification of the date of the
decision for which review is sought.
* * * * *
(b) * * * (1) Except as provided in paragraph (3) of this section,
when VA receives a complete or substantially complete initial or
supplemental claim, VA will notify the claimant of any information and
medical or lay evidence that is necessary to substantiate the claim
(hereafter in this paragraph referred to as the ``notice'') * * * If VA
does so, however, and the claimant subsequently provides the
information and evidence within one year of the date of the notice in
accordance with the requirements of paragraph (b)(4) of this section,
VA must readjudicate the claim.
* * * * *
(3) No duty to provide the notice described in paragraph (b)(1) of
this section arises:
(i) Upon receipt of a supplemental claim under Sec. 3.2501 within
one year of the date VA issues notice of a prior decision;
(ii) Upon receipt of a request for higher-level review under Sec.
3.2601;
(iii) Upon receipt of a Notice of Disagreement under Sec. 20.202
of this chapter; or
(iv) When, as a matter of law, entitlement to the benefit claimed
cannot be established.
(4) After VA has issued a notice of decision, submission of
information and evidence substantiating a claim must be accomplished
through the proper filing of a review option in accordance with Sec.
3.2500 on a form prescribed by the Secretary. New and relevant evidence
may be submitted in connection with either the filing of a supplemental
claim under Sec. 3.2501 or the filing of a Notice of Disagreement with
the Board under 38 CFR 20.202, on forms prescribed by the Secretary,
and election of a Board docket that permits the filing of new evidence
(see 38 CFR 20.302 and 20.303).
(c) VA's duty to assist claimants in obtaining evidence. VA has a
duty to assist claimants in obtaining evidence to substantiate all
substantially complete initial and supplemental claims, and when a
claim is returned for readjudication by a higher-level adjudicator or
the Board after identification of a duty to assist error on the part of
the agency of original jurisdiction, until the time VA issues notice of
a decision on a claim or returned claim. VA will make reasonable
efforts to help a claimant obtain evidence necessary to substantiate
the claim. VA will not pay
[[Page 170]]
any fees charged by a custodian to provide records requested. When a
claim is returned for readjudication by a higher-level adjudicator or
the Board after identification of a duty to assist error, the agency of
original jurisdiction has a duty to correct any other duty to assist
errors not identified by the higher-level adjudicator or the Board.
* * * * *
(4) * * *
(iii) For requests to reopen a finally adjudicated claim received
prior to the effective date provided in Sec. 19.2(a) of this chapter,
this paragraph (c)(4) applies only if new and material evidence is
presented or secured as prescribed in Sec. 3.156.
(iv) This paragraph (c)(4) applies to a supplemental claim only if
new and relevant evidence under Sec. 3.2501 is presented or secured.
* * * * *
0
14. Amend Sec. 3.160 by revising paragraphs (a), (d), and (e) and
removing paragraph (f).
The revisions read as follows:
Sec. 3.160 Status of claims.
(a) Complete claim. A submission of an application form prescribed
by the Secretary, whether paper or electronic, that meets the following
requirements:
(1) A complete claim must provide the name of the claimant; the
relationship to the veteran, if applicable; and sufficient information
for VA to verify the claimed service, if applicable.
(2) A complete claim must be signed by the claimant or a person
legally authorized to sign for the claimant.
(3) A complete claim must identify the benefit sought.
(4) A description of any symptom(s) or medical condition(s) on
which the benefit is based must be provided to the extent the form
prescribed by the Secretary so requires.
(5) For nonservice-connected disability or death pension and
parents' dependency and indemnity compensation claims, a statement of
income must be provided to the extent the form prescribed by the
Secretary so requires; and
(6) For supplemental claims, potentially new evidence must be
identified or included.
* * * * *
(d) Finally adjudicated claim. A claim that is adjudicated by the
Department of Veterans Affairs as either allowed or disallowed is
considered finally adjudicated when:
(1) For legacy claims not subject to the modernized review system,
whichever of the following occurs first:
(i) The expiration of the period in which to file a Notice of
Disagreement, pursuant to the provisions of Sec. 19.52(a) or Sec.
20.502(a) of this chapter, as applicable; or
(ii) Disposition on appellate review.
(2) For claims under the modernized review system, the expiration
of the period in which to file a review option available under Sec.
3.2500 or disposition on judicial review where no such review option is
available.
(e) Reopened claims prior to effective date of modernized review
system. An application for a benefit received prior to the effective
date provided in Sec. 19.2(a) of this chapter, after final
disallowance of an earlier claim that is subject to readjudication on
the merits based on receipt of new and material evidence related to the
finally adjudicated claim, or any claim based on additional evidence or
a request for a personal hearing submitted more than 90 days following
notification to the appellant of the certification of an appeal and
transfer of applicable records to the Board of Veterans' Appeals which
was not considered by the Board in its decision and was referred to the
agency of original jurisdiction for consideration as provided in Sec.
20.1304(b)(1) of this chapter. As of the effective date provided in
Sec. 19.2(a) of this chapter, claimants may no longer file to reopen a
claim, but may file a supplemental claim as prescribed in Sec. 3.2501
to apply for a previously disallowed benefit. A request to reopen a
finally decided claim that has not been adjudicated as of the effective
date will be processed as a supplemental claim subject to the
modernized review system.
(Authority: 38 U.S.C. 501, 5108)
Sec. 3.161 [Removed and Reserved]
0
15. Remove and reserve Sec. 3.161.
Sec. 3.321 [Amended]
0
16. In Sec. 3.321, remove the word ``reopened'' and add in its place
the word ``supplemental''.
Sec. 3.326 [Amended]
0
17. In Sec. 3.326, remove the word ``reopened'' and add in its place
the word ``supplemental''
0
18. Amend Sec. 3.328 in paragraph (b), in the first sentence, by
removing the text ``at the regional office level'' and add in its place
``before VA'' and by revising paragraph (c).
The revision reads as follows:
Sec. 3.328 lndependent medical opinions.
* * * * *
(c) Approval. (1) Requests for independent medical opinions shall
be approved when one of the following conditions is met:
(i) The director of each Service from which a benefit is sought, or
his or her designee, determines that the issue under consideration
poses a medical problem of such complexity or controversy as to justify
solicitation of an independent medical opinion; or
(ii) The independent medical opinion is required to fulfill the
instructions contained in a remand order from the Board of Veterans'
Appeals.
(2) A determination that an independent medical opinion is not
warranted may be contested only as part of an appeal to the Board of
Veterans' Appeals on the merits of the decision rendered on the primary
issue by VA.
(Authority: 38 U.S.C. 5109, 5701(b)(1); 5 U.S.C. 552a(f)(3))
* * * * *
Sec. 3.372 [Amended]
0
19. In Sec. 3.372, remove the word ``reopened'' and add in its place
the word ``supplemental''.
0
20. Amend Sec. 3.400 by revising the introductory text and paragraphs
(h)(1) through (3) and (z)(2) and adding paragraph (z)(3) to read as
follows:
Sec. 3.400 General.
Except as otherwise provided, the effective date of an evaluation
and award of pension, compensation, or dependency and indemnity
compensation based on an initial claim or supplemental claim will be
the date of receipt of the claim or the date entitlement arose,
whichever is later. For effective date provisions regarding revision of
a decision based on a supplemental claim or higher-level review, see
Sec. 3.2500.
* * * * *
(h) Difference of opinion (Sec. 3.105). (1) As to decisions not
finally adjudicated (see Sec. 3.160(d)) prior to timely receipt of an
application for higher-level review, or prior to readjudication on VA
initiative, the date from which benefits would have been payable if the
former decision had been favorable.
(2) As to decisions which have been finally adjudicated (see Sec.
3.160(d)), and notwithstanding other provisions of this section, the
date entitlement arose, but not earlier than the date of receipt of the
supplemental claim.
(3) As to decisions which have been finally adjudicated (see
3.160(d)) and readjudication is undertaken solely on VA initiative, the
date of Central Office approval authorizing a favorable decision or the
date of the favorable Board of Veterans' Appeals decision.
* * * * *
(z) * * *
[[Page 171]]
(2) Reopened claims received prior to the effective date provided
in Sec. 19.2(a) of this chapter: Latest of the following dates:
(i) November 23, 1977.
(ii) Date entitlement arose.
(iii) One year prior to date of receipt of reopened claim.
(3) Supplemental claims received more than one year after notice of
decision: Latest of the following dates:
(i) Date entitlement arose.
(ii) One year prior to date of receipt of a supplemental claim.
* * * * *
Sec. 3.401 [Amended]
0
21. In Sec. 3.401, remove the word ``reopened'' and add in its place
the word ``supplemental''.
Sec. 3.402 [Amended]
0
22. In Sec. 3.402, remove the word ``reopened'' and add in its place
the word ``supplemental''.
Sec. 3.404 [Amended]
0
23a. In Sec. 3.404, remove the word ``reopened'' and add in its place
the word ``supplemental''.
Sec. 3.655 [Amended]
0
23b. In Sec. 3.655, remove the word ``reopened'' and add in its place
the word ``supplemental''.
Sec. 3.814 [Amended]
0
24. Amend Sec. 3.814 in paragraph (e) introductory text by removing
the words ``original claim, a claim reopened after final disallowance,
or a claim for increase'' and adding in their place the words ``initial
claim or supplemental claim''.
Sec. 3.815 [Amended]
0
25. Amend Sec. 3.815 in paragraph (i) introductory text by removing
the words ``original claim, a claim reopened after final disallowance,
or a claim for increase,'' and adding in their place the words
``initial claim or supplemental claim''.
Subpart D--Universal Adjudication Rules That Apply to Benefit
Claims Governed by Part 3 of This Title
0
26. The authority citation for part 3, subpart D continues to read as
follows:
Authority: 38 U.S.C. 501(a), unless otherwise noted.
0
27. Add Sec. 3.2400 to read as follows:
Sec. 3.2400 Applicability of modernized review system.
(a) Applicability. The modernized review system defined in 38 CFR
19.2(b) applies to all claims, requests for reopening of finally
adjudicated claims, and requests for revision based on clear and
unmistakable error:
(1) For which VA issues notice of an initial decision on or after
the effective date of the modernized review system as provided in 38
CFR 19.2(a); or
(2) Where a claimant has elected review of a legacy claim under the
modernized review system as provided in paragraph (c) of this section.
(b) Legacy claims. A legacy claim is a claim, or request for
reopening or revision of a finally adjudicated claim, for which VA
provided notice of a decision prior to the effective date of the
modernized review system and the claimant has not elected to
participate in the modernized review system as provided in paragraph
(c) of this section.
(c) Election into the modernized review system. For claims governed
by this part, pursuant to election by a claimant, the modernized review
system applies where:
(1) Rapid appeals modernization program election. A claimant with a
legacy appeal elects to opt-in to the modernized review system on or
after November 1, 2017, as part of a program authorized by the
Secretary pursuant to section 4 of Public Law 115-55; or
(2) Election after receiving a statement of the case. A claimant
with a legacy appeal elects to opt-in to the modernized review system,
following issuance, on or after the effective date of the modernized
system, of a VA Statement of the Case or Supplemental Statement of the
Case, by filing for a review option under the new system in accordance
with Sec. 3.2500 on a form prescribed by the Secretary within the time
allowed for filing a substantive appeal under 38 CFR 19.52(b) and other
applicable provisions in part 19 of this chapter.
(d) Effect of election. Once an eligible claimant elects the
modernized review system with respect to a particular claim, the
provisions of 38 CFR parts 3, 19, and 20 applicable to legacy claims
and appeals no longer apply to that claim.
0
28. Add Sec. 3.2500 to read as follows:
Sec. 3.2500 Review of decisions.
(a) Reviews available. (1) Within one year from the date on which
the agency of original jurisdiction issues a notice of a decision on a
claim or issue as defined in Sec. 3.151(c), except as otherwise
provided in paragraphs (c), (e), and (f) of this section, a claimant
may elect one of the following administrative review options by timely
filing the appropriate form prescribed by the Secretary:
(i) A request for higher-level review under Sec. 3.2601 or
(ii) An appeal to the Board under Sec. 20.202 of this chapter.
(2) At any time after VA issues notice of a decision on an issue
within a claim, a claimant may file a supplemental claim under Sec.
3.2501.
(b) Concurrent election prohibited. With regard to the adjudication
of a claim or an issue as defined in Sec. 3.151(c), a claimant who has
filed for review under one of the options available under paragraph (a)
of this section may not, while that review is pending final
adjudication, file for review under a different available option While
the adjudication of a specific benefit is pending on appeal before a
federal court, a claimant may not file for administrative review of the
claim under any of options listed in paragraph (a) of this section.
(c) Continuously pursued issues. A claimant may continuously pursue
a claim or an issue by timely and properly filing one of the following
administrative review options, as specified (except as otherwise
provided in paragraphs (c), (e), and (f) of this section), after any
decision by the agency of original jurisdiction, Board of Veterans'
Appeals, or entry of judgment by the U.S. Court of Appeals for Veterans
Claims, provided that any appeal to the U.S. Court of Appeals for
Veterans Claims is timely filed as determined by the court:
(1) Following notice of a decision on an initial claim or a
supplemental claim, the claimant may file a supplemental claim, request
a higher-level review, or appeal to the Board of Veterans' Appeals.
(2) Following notice of a decision on a higher-level review, the
claimant may file a supplemental claim or appeal to the Board of
Veterans' Appeals. (See appeal to the Board, 38 CFR 20.202).
(3) Following notice of a decision on an appeal to the Board of
Veterans' Appeals, the claimant may file a supplemental claim or file a
notice of appeal to the Court of Appeals for Veterans Claims.
(4) Following a decision on an appeal to the Court of Appeals for
Veterans Claims, the claimant may file a supplemental claim.
(d) Voluntary withdrawal. A claimant may withdraw a supplemental
claim or a request for a higher-level review at any time before VA
renders a decision on the issue. A claimant must submit in writing or
through electronic submission in a manner prescribed by the Secretary
any notice of withdrawal of an issue under the selected review option
to the agency of original
[[Page 172]]
jurisdiction. The withdrawal will be effective the date VA receives it.
A claimant may withdraw an appeal to the Board of Veteran's Appeals as
prescribed in Sec. 20.205.
(e) Changing review options while a review is pending
adjudication--(1) Within one year of prior decision notice. A claimant
may change the review option selected by withdrawing the request as
prescribed in Sec. 3.2500(d) and filing the appropriate application
for the requested review option within one year from the date on which
VA issued notice of a decision on an issue.
(2) More than one year after notice of a decision. A claimant may
change the review option selected to a supplemental claim after
expiration of one-year following the date on which VA issued a notice
of decision on an issue by following the procedure specified in
paragraph (e)(1) of this section. Where VA receives the supplemental
claim application after expiration of the one-year period, continuous
pursuit of the claim will be broken and VA will apply the effective
date provisions under paragraph (h)(2) of this section, unless VA
grants an extension of the one-year period for good cause shown under
Sec. 3.109(b) and the supplemental claim application is received
within the extension period allowed.
(f) Applicability. This section applies to claims and requests
under the modernized review system as set forth in Sec. 3.2400, with
the exception that a supplemental claim may not be filed in connection
with a denial of a request to revise a final decision of the agency of
original jurisdiction based on clear and unmistakable error.
(g) Review of simultaneously contested claims. Notwithstanding
other provisions of this part, a party to a simultaneously contested
claim may only seek administrative review of a decision by the agency
of original jurisdiction on such claim by filing an appeal to the Board
as prescribed in Sec. 20.402 of this chapter within 60 days of the
date VA issues notice of the decision on the claim. (See contested
claims, 38 CFR 20.402).
(h) Effective dates--(1) Continuously pursued claims. Except as
otherwise provided by other provisions of this part, including Sec.
3.400, the effective date will be fixed in accordance with the date of
receipt of the initial claim or date entitlement arose, whichever is
later, if a claimant continuously pursues an issue by timely filing in
succession any of the available review options as specified in
paragraph (c) of this section within one year of the issuance of the
decision (or the time period specified in paragraph (f) of this
section, as applicable to simultaneously contested claims), provided
that any appeal to the U.S. Court of Appeals for Veterans Claims must
be accepted as timely by that court.
(2) Supplemental claims received more than one year after notice of
decision. Except as otherwise provided in this section, for
supplemental claims received more than one year after the date on which
the agency of original jurisdiction issues notice of a decision or the
Board of Veterans' Appeals issued notice of a decision, the effective
date will be fixed in accordance with the date entitlement arose, but
will not be earlier than the date of receipt of the supplemental claim.
0
29. Add Sec. 3.2501 to read as follows:
Sec. 3.2501 Supplemental claims.
Except as otherwise provided, a claimant or his or her authorized
representative, if any, who disagrees with a prior VA decision may file
a supplemental claim (see Sec. 3.1(p)(2)) by submitting in writing or
electronically a complete application (see Sec. 3.160(a)) on a form
prescribed by the Secretary any time after the agency of original
jurisdiction issues notice of a decision, regardless of whether the
claim is pending (see Sec. 3.160(c)) or has become finally adjudicated
(see Sec. 3.160(d)). If new and relevant evidence is presented or
secured with respect to the supplemental claim, the agency of original
jurisdiction will readjudicate the claim taking into consideration all
of the evidence of record. If new and relevant evidence is not
presented or secured, the agency of original jurisdiction will issue a
decision finding that there was insufficient evidence to readjudicate
the claim. In determining whether new and relevant evidence is
presented or secured, VA will consider any VA treatment records
reasonably identified by the claimant and any evidence received by VA
after VA issued notice of a decision on the claim and while the
evidentiary record was closed (see 3.103(c)).
(a) New and relevant evidence. The new and relevant standard will
not impose a higher evidentiary threshold than the previous new and
material evidence standard under Sec. 3.156(a).
(1) Definition. New evidence is evidence not previously part of the
actual record before agency adjudicators. Relevant evidence is
information that tends to prove or disprove a matter at issue in a
claim. Relevant evidence includes evidence that raises a theory of
entitlement that was not previously addressed.
(2) Receipt prior to notice of a decision. New and relevant
evidence received before VA issues its decision on a supplemental claim
will be considered as having been filed in connection with the claim.
(b) Evidentiary record. The evidentiary record for a supplemental
claim includes all evidence received by VA before VA issues notice of a
decision on the supplemental claim. For VA to readjudicate the claim,
the evidentiary record must include new and relevant evidence that was
not of record as of the date of notice of the prior decision.
(c) Duty to assist. Upon receipt of a substantially complete
supplemental claim, VA's duty to assist in the gathering of evidence
under Sec. 3.159 of this part is triggered and includes any such
assistance that may help secure new and relevant evidence as defined in
paragraph (a) of this section to complete the supplemental claim
application.
(d) Date of filing. The filing date of a supplemental claim is
determined according to Sec. 3.155, with the exception of the intent
to file rule found in Sec. 3.155(b) which applies to initial claims.
(Authority: 38 U.S.C. 501, 5103A(h), 5108)
0
30. Add Sec. 3.2502 to read as follows:
Sec. 3.2502 Return by higher-level adjudicator or remand by the
Board of Veterans' Appeals.
Upon receipt of a returned claim from a higher-level adjudicator or
remand by the Board of Veterans' Appeals, the agency of original
jurisdiction will expeditiously readjudicate the claim in accordance
with 38 U.S.C. 5109B. The agency of original jurisdiction retains
jurisdiction of the claim. In readjudicating the claim, the agency of
original jurisidction will correct all identified duty to assist
errors, complete a new decision and issue notice to the claimant and or
his or her legal representative in accordance with 3.103(f). The
effective date of any evaluation and award of pension, compensation or
dependency and indemnity compensation will be determined in accordance
with the date of receipt of the initial claim as prescribed under Sec.
3.2500(g).
0
31. Amend Sec. 3.2600 by revising the section heading, adding
introductory text, and removing paragraph (g).
The revisions and additions read as follows:
Sec. 3.2600 Legacy review of benefit claims decisions.
This section applies only to legacy claims as defined in Sec.
3.2400 in which a Notice of Disagreement is timely filed
[[Page 173]]
on or after June 1, 2001, under regulations applicable at the time of
filing.
* * * * *
0
32. Add Sec. 3.2601 to read as follows:
Sec. 3.2601 Higher-level review.
(a) Applicability. This section applies to all claims under the
modernized review system, with the exception of simultaneously
contested claims.
(b) Requirements for election. A claimant who is dissatisfied with
a decision by the agency of original jurisdiction may file a request
for higher-level review in accordance with Sec. 3.2500, by submitting
a complete request for review on a form prescribed by the Secretary.
(c) Complete request. A complete request for higher-level review is
a submission of a request on a form prescribed by the Secretary,
whether paper or electronic, that meets the following requirements:
(1) A complete request must provide the name of the claimant and
the relationship to the veteran, if applicable;
(2) A complete request must be signed by the claimant or a person
legally authorized to sign for the claimant; and
(3) A complete request must specify the date of the underlying
decision for which review is requested and specify the issues for which
review is requested.
(d) Filing period. A complete request for higher-level review must
be received by VA within one year of the date of VA's issuance of the
notice of the decision. If VA receives an incomplete request form, VA
will notify the claimant and the claimant's representative, if any, of
the information necessary to complete the request form prescribed by
the Secretary. If a complete request is submitted within 60 days of the
date of the VA notification of such incomplete request or prior to the
expiration of the one-year filing period, VA will consider it filed as
of the date VA received the incomplete application form that did not
meet the standards of a complete request.
(e) Who may conduct a higher-level review. Higher-level review will
be conducted by an experienced adjudicator who did not participate in
the prior decision. Selection of a higher-level adjudicator to conduct
a higher-level review is at VA's discretion. As a general rule, an
adjudicator in an office other than the office that rendered the prior
decision will conduct the higher-level review. An exception to this
rule applies for claims requiring specialized processing, such as where
there is only one office that handles adjudication of a particular type
of entitlement. A claimant may request that the office that rendered
the prior decision conduct the higher-level review, and VA will grant
the request in the absence of good cause to deny such as when
processing is centralized at one office within the agency of original
jurisdiction or when the office that rendered the prior decision does
not have higher-level review personnel available to conduct the review.
(f) Evidentiary record. The evidentiary record in a higher-level
review is limited to the evidence of record as of the date the agency
of original jurisdiction issued notice of the prior decision under
review and the higher-level adjudicator may not consider additional
evidence. The higher-level adjudicator may not order development of
additional evidence that may be relevant to the claim under review,
except as provided in paragraph (g) of this section.
(g) Duty to assist errors. The higher-level adjudicator will ensure
that VA complied with its statutory duty to assist (see Sec. 3.159) in
gathering evidence applicable prior to issuance of the decision being
reviewed. If the higher-level adjudicator both identifies a duty to
assist error that existed at the time of VA's decision on the claim
under review and cannot grant the maximum benefit for the claim, the
higher-level adjudicator must return the claim for correction of the
error and readjudication. Upon receipt, the agency of jurisdiction will
expeditiously readjudicate the claim in accordance with 38 U.S.C.
5109B.
(1) For disability evaluations, the maximum benefit means the
highest schedular evaluation allowed by law and regulation for the
issue under review.
(2) For ancillary benefits, the maximum benefit means the granting
of the benefit sought.
(3) For pension benefits or dependents indemnity compensation, the
maximum benefit means granting the highest benefit payable.
(h) Informal conferences. A claimant or his or her representative
may include a request for an informal conference with a request for
higher-level review. For purposes of this section, informal conference
means contact with a claimant's representative or, if not represented,
with the claimant, telephonically, or as otherwise determined by VA,
for the sole purpose of allowing the claimant or representative to
identify any errors of law or fact in a prior decision based on the
record at the time the decision was issued. If requested, VA will make
reasonable efforts to contact the claimant and/or the authorized
representative to conduct one informal conference during a higher-level
review, but if such reasonable efforts are not successful, a decision
may be issued in the absence of an informal conference. The higher-
level adjudicator with determinative authority over the issue will
conduct the informal conference, absent exceptional circumstances. VA
will not receive any new evidence or introduction of facts not present
at the time of the prior decision or apart of the evidentiary record in
support of the higher-level review during the informal conference in
accordance with paragraph (d) of this section. Any expenses incurred by
the claimant in connection with the informal conference are the
responsibility of the claimant.
(i) De novo review. The higher-level adjudicator will consider only
those decisions and claims for which the claimant has requested higher-
level review, and will conduct a de novo review giving no deference to
the prior decision, except as provided in Sec. 3.104(c).
(j) Difference of opinion. The higher-level adjudicator may grant a
benefit sought in the claim under review based on a difference of
opinion (see Sec. 3.105(b)). However, any finding favorable to the
claimant is binding except as provided in Sec. 3.104(c) of this part.
In addition, the higher-level adjudicator will not revise the outcome
in a manner that is less advantageous to the claimant based solely on a
difference of opinion. The higher-level adjudicator may reverse or
revise (even if disadvantageous to the claimant) prior decisions by VA
(including the decision being reviewed or any prior decision) on the
grounds of clear and unmistakable error under Sec. 3.105(a)(1) or
(a)(2), as applicable, depending on whether the prior decision is
finally adjudicated.
(k) Notice requirements. Notice of a decision made under this
section will include all of the elements described in Sec. 3.103(f), a
general statement indicating whether evidence submitted while the
record was closed was not considered, and notice of the options
available to have such evidence considered.
(Authority: 38 U.S.C. 5109A and 7105(d))
PART 8--NATIONAL SERVICE LIFE INSURANCE
0
33. The authority citation for part 8 continues to read as follows:
Authority: 38 U.S.C. 501, 1901-1929, 1981-1988, unless
otherwise noted.
0
34. Revise Sec. 8.30 to read as follows:
[[Page 174]]
Sec. 8.30 Review of Decisions and Appeal to Board of Veterans'
Appeals.
(a) Decisions. This section pertains to insurance decisions
involving questions arising under parts 6, 7, 8, and 8a of this
chapter, to include the denial of applications for insurance, total
disability income provision, or reinstatement; disallowance of claims
for insurance benefits; and decisions holding fraud or imposing
forfeiture. The applicant or claimant and his or her representative, if
any, will be notified in writing of such a decision, which must
include, in the notice letter or enclosures or a combination thereof,
all of the following elements:
(1) Identification of the issues adjudicated.
(2) A summary of the evidence considered.
(3) A summary of the applicable laws and regulations relevant to
the decision.
(4) Identification of findings that are favorable to the claimant.
(5) For denials, identification of the element(s) not satisfied
that led to the denial.
(6) An explanation of how to obtain or access the evidence used in
making the decision.
(7) A summary of the applicable review options available for the
claimant to seek further review of the decision.
(b) Favorable findings. Any finding favorable to the claimant or
applicant is binding on all subsequent agency of original jurisdiction
and Board of Veterans' Appeals adjudicators, unless rebutted by
evidence that identifies a clear and unmistakable error in the
favorable finding.
(c) Review of decisions. Within one year from the date on which the
agency of original jurisdiction issues notice of an insurance decision
as outlined in paragraph (a) of this section, applicants or claimants
may elect one of the following administrative review options by timely
filing the appropriate form prescribed by the Secretary:
(1) Supplemental claim review. The nature of this review will
accord with Sec. 3.2501 of this title to the extent the terms used
therein apply to insurance matters.
(2) Request for a higher-level review. The nature of this review
will accord with Sec. 3.2601 of this title to the extent the terms
used therein apply to insurance matters. Higher-level reviews will be
conducted by an experienced adjudicator who did not participate in the
prior decision. Selection of a higher-level adjudicator to conduct a
higher-level review is at VA's discretion.
(3) Appeal to Board of Veterans' Appeals. See 38 CFR part 20.
(d) Part 3 provisions. See Sec. 3.2500(b) through (d) of this
chapter for principles that generally apply to a veteran's election of
review of an insurance decision.
(e) Applicability. This section applies where notice of an
insurance decision was provided to an applicant or claimant on or after
the effective date of the modernized review system as provided in Sec.
19.2(a) of this chapter, or where an applicant or claimant has elected
review of a legacy claim under the modernized review system as provided
in Sec. 3.2400(c) of this title.
(f) Unpaid premiums. When a claimant or applicant elects a review
option under paragraph (c) of this section, any unpaid premiums,
normally due under the policy from effective date of issue or
reinstatement (as appropriate), will become an interest-bearing lien,
enforceable as a legal debt due the United States and subject to all
available collection procedures in the event of a favorable result for
the claimant or applicant.
(g) Premium payments. Despite a claimant's or applicant's election
of a review option under paragraph (c) of this section, where the
agency of original jurisdiction's decision involved a change in or
addition to insurance currently in force, premium payments must be
continued on the existing contract.
(h) Section 1984. Nothing in this section shall limit an
applicant's or claimant's right to pursue actions under 38 U.S.C. 1984.
(Authority: 38 U.S.C. 501, 1901-1929, 1981-1988)
PART 14--LEGAL SERVICES, GENERAL COUNSEL, AND MISCELLANEOUS CLAIMS
0
35. 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.
0
36. Amend Sec. 14.629:
0
a. By removing the introductory text;
0
b. In paragraph (b)(5), by removing the words ``General Counsel or his
or her designee'' and adding in their place the words ``Chief Counsel
with subject-matter jurisdiction''; and
0
c. Adding paragraph (d).
The additions reads as follows:
Sec. 14.629 Requirements for accreditation of service organization
representatives; agents; and attorneys.
* * * * *
(d) Decisions on applications for accreditation. The Chief Counsel
with subject-matter jurisdiction will conduct an inquiry and make an
initial determination regarding any question relating to the
qualifications of a prospective service organization representative,
agent, or attorney.
(1) If the Chief Counsel determines that the prospective service
organization representative, agent, or attorney meets the requirements
for accreditation in paragraph (a) or (b) of this section, notification
of accreditation will be issued by the Chief Counsel and will
constitute authority to prepare, present, and prosecute claims before
an agency of original jurisdiction or the Board of Veterans' Appeals.
(2)(i) If the Chief Counsel determines that the prospective
representative, agent, or attorney does not meet the requirements for
accreditation, notification will be issued by the Chief Counsel
concerning the reasons for disapproval, an opportunity to submit
additional information, and any restrictions on further application for
accreditation. If an applicant submits additional evidence, the Chief
Counsel will consider such evidence and provide further notice
concerning his or her final decision.
(ii) The determination of the Chief Counsel regarding the
qualifications of a prospective service organization representative,
agent, or attorney is a final adjudicative determination of an agency
of original jurisdiction that may only be appealed to the Board of
Veterans' Appeals.
* * * * *
0
37. In Sec. 14.631, in paragraph (c), revise the second sentence to
read as follows:
Sec. 14.631 Powers of attorney; disclosure of claimant information.
* * * * *
(c) * * * This section is applicable unless 38 CFR 20.6 governs
withdrawal from the representation. * * *
* * * * *
Sec. 14.632 [Amended]
0
38. In Sec. 14.632, in paragraph (c)(6), remove the words
``representation provided before an agency of original jurisdiction has
issued a decision on a claim or claims and a Notice of Disagreement has
been filed with respect to that decision'' and add in their place the
words ``services for which a fee could not lawfully be charged''.
0
39. Amend Sec. 14.633:
0
a. In paragraph (e)(2)(i), by adding the words ``before the Office of
the General Counsel'' after the words ``close the record'' in the last
sentence;
[[Page 175]]
0
b. In paragraph (e)(2)(ii), by adding the words ``before the Office of
the General Counsel'' after the words ``close the record'';
0
c. By revising paragraph (h);
0
d. In paragraph (i), by adding the words ``suspended or'' before the
word ``cancelled''; and
0
e. By adding paragraph (j).
The revision and addition read as follows:
Sec. 14.633 Termination of accreditation or authority to provide
representation under Sec. 14.630.
* * * * *
(h) The decision of the General Counsel is a final adjudicative
determination of an agency of original jurisdiction that may only be
appealed to the Board of Veterans' Appeals.
(1) Decisions issued before the effective date of the modernized
review system. Notwithstanding provisions in this section for closing
the record before the Office of the General Counsel at the end of the
30-day period for filing an answer or 10 days after a hearing, appeals
of decisions issued before the effective date of the modernized review
system as provided in Sec. 19.2(a) of this chapter shall be initiated
and processed using the procedures in 38 CFR parts 19 and 20 applicable
to legacy appeals. Nothing in this section shall be construed to limit
the Board's authority to remand a matter to which this paragraph (h)(1)
applies to the General Counsel under 38 CFR 20.904 for any action that
is essential for a proper appellate decision or the General Counsel's
ability to issue a Supplemental Statement of the Case under 38 CFR
19.31.
(2) Decisions issued on or after the effective date of the
modernized review system. Notwithstanding provisions in this section
for closing the record before the Office of the General Counsel at the
end of the 30-day period for filing an answer or 10 days after a
hearing, appeals of decisions issued on or after the effective date of
the modernized review system as provided in Sec. 19.2(a) of this
chapter shall be initiated and processed using the procedures in 38 CFR
part 20 applicable to appeals under the modernized system.
* * * * *
(j) The effective date for suspension or cancellation of
accreditation or authority to provide representation on a particular
claim shall be the date upon which the General Counsel's final decision
is rendered.
* * * * *
0
40. Amend Sec. 14.636:
0
a. Revising paragraph (c);
0
b. In paragraph (e)(7), by removing ``and'';
0
c. By revising paragraph (e)(8);
0
d. By adding paragraph (e)(9);
0
e. By revising paragraph (f);
0
f. By removing the references to ``reopened'' in paragraph (h)(3)
introductory text and in the first sentence in paragraph (h)(3)(i) and
adding in their place the word ``readjudicated''; and
0
g. By revising paragraphs (i)(3) and (k).
The revisions and addition read as follows:
Sec. 14.636 Payment of fees for representation by agents and
attorneys in proceedings before Agencies of Original Jurisdiction and
before the Board of Veterans' Appeals.
* * * * *
(c) Circumstances under which fees may be charged. Except as noted
in paragraph (d) of this section, agents and attorneys may only charge
fees as follows:
(1)(i) Agents and attorneys may charge claimants or appellants for
representation provided after an agency of original jurisdiction has
issued notice of an initial decision on the claim or claims if the
notice of the initial decision was issued on or after the effective
date of the modernized review system as provided in Sec. 19.2(a) of
this chapter, and the agent or attorney has complied with the power of
attorney requirements in Sec. 14.631 and the fee agreement
requirements in paragraph (g) of this section. For purposes of this
paragraph (c)(1)(i), an initial decision on a claim would include an
initial decision on an initial claim for an increase in rate of
benefit, an initial decision on a request to revise a prior decision
based on clear and unmistakable error (unless fees are permitted at an
earlier point pursuant to paragraph (c)(1)(ii) or paragraph (c)(2)(ii)
of this section), and an initial decision on a supplemental claim that
was presented after the final adjudication of an earlier claim.
However, a supplemental claim will be considered part of the earlier
claim if the claimant has continuously pursued the earlier claim by
filing any of the following, either alone or in succession: A request
for higher-level review, on or before one year after the date on which
the agency of original jurisdiction issued a decision; a supplemental
claim, on or before one year after the date on which the agency of
original jurisdiction issued a decision; a Notice of Disagreement, on
or before one year after the date on which the agency of original
jurisdiction issued a decision; a supplemental claim, on or before one
year after the date on which the Board of Veterans' Appeals issued a
decision; or a supplemental claim, on or before one year after the date
on which the Court of Appeals for Veterans Claims issued a decision.
(ii) Agents and attorneys may charge fees for representation
provided with respect to a request for revision of a decision of an
agency of original jurisdiction under 38 U.S.C. 5109A or the Board of
Veterans' Appeals under 38 U.S.C. 7111 based on clear and unmistakable
error if notice of the challenged decision on a claim or claims was
issued on or after the effective date of the modernized review system
as provided in Sec. 19.2(a), and the agent or attorney has complied
with the power of attorney requirements in Sec. 14.631 and the fee
agreement requirements in paragraph (g) of this section.
(2)(i) Agents and attorneys may charge claimants or appellants for
representation provided: After an agency of original jurisdiction has
issued a decision on a claim or claims, including any claim to reopen
under 38 CFR 3.156(a) or for an increase in rate of a benefit; the
agency of original jurisdiction issued notice of that decision before
the effective date of the modernized review system as provided in Sec.
19.2(a) of this chapter; a Notice of Disagreement has been filed with
respect to that decision on or after June 20, 2007; and the agent or
attorney has complied with the power of attorney requirements in Sec.
14.631 and the fee agreement requirements in paragraph (g) of this
section.
(ii) Agents and attorneys may charge fees for representation
provided with respect to a request for revision of a decision of an
agency of original jurisdiction under 38 U.S.C. 5109A or the Board of
Veterans' Appeals under 38 U.S.C. 7111 based on clear and unmistakable
error if notice of the challenged decision was issued before the
effective date of the modernized review system as provided in Sec.
19.2(a); a Notice of Disagreement was filed with respect to the
challenged decision on or after June 20, 2007; and the agent or
attorney has complied with the power of attorney requirements in Sec.
14.631 and the fee agreement requirements in paragraph (g) of this
section.
(3) In cases in which a Notice of Disagreement was filed on or
before June 19, 2007, agents and attorneys may charge fees only for
services provided after both of the following conditions have been met:
[[Page 176]]
(i) A final decision was promulgated by the Board with respect to
the issue, or issues, involved in the appeal; and
(ii) The agent or attorney was retained not later than 1 year
following the date that the decision by the Board was promulgated.
(This condition will be considered to have been met with respect to all
successor agents or attorneys acting in the continuous prosecution of
the same matter if a predecessor was retained within the required time
period.)
(4) Except as noted in paragraph (i) of this section and Sec.
14.637(d), the agency of original jurisdiction that issued the decision
referenced in paragraph (c)(1) or (2) of this section shall determine
whether an agent or attorney is eligible for fees under this section.
The agency of original jurisdiction's eligibility determination is a
final adjudicative action that may only be appealed to the Board.
* * * * *
(e) * * *
(8) Whether, and to what extent, the payment of fees is contingent
upon the results achieved; and
(9) If applicable, the reasons why an agent or attorney was
discharged or withdrew from representation before the date of the
decision awarding benefits.
(f) Presumptions and discharge. (1) Fees which do not exceed 20
percent of any past-due benefits awarded as defined in paragraph (h)(3)
of this section shall be presumed to be reasonable if the agent or
attorney provided representation that continued through the date of the
decision awarding benefits. Fees which exceed 33\1/3\ percent of any
past-due benefits awarded shall be presumed to be unreasonable. These
presumptions may be rebutted through an examination of the factors in
paragraph (e) of this section establishing that there is clear and
convincing evidence that a fee which does not exceed 20 percent of any
past-due benefits awarded is not reasonable or that a fee which exceeds
33\1/3\ percent is reasonable in a specific circumstance.
(2) With regard to a fee agreement in which the amount of the fee
is contingent on the claimant receiving an award of benefits, a
reasonable fee for an agent or attorney who is discharged by the
claimant or withdraws from representation before the date of the
decision awarding benefits is one that fairly and accurately reflects
his or her contribution to and responsibility for the benefits awarded.
The amount of the fee is informed by an examination of the factors in
paragraph (e) of this section.
* * * * *
(i) * * *
(3) The Office of the General Counsel shall close the record before
the Office of the General Counsel in proceedings to review fee
agreements 15 days after the date on which the agent or attorney served
a response on the claimant or appellant, or 30 days after the claimant,
appellant, or the Office of the General Counsel served the motion on
the agent or attorney if there is no response. The Deputy Chief Counsel
with subject-matter jurisdiction may, for a reasonable period upon a
showing of sufficient cause, extend the time for an agent or attorney
to serve an answer or for a claimant or appellant to serve a reply. The
Deputy Chief Counsel shall forward the record and a recommendation to
the General Counsel or his or her designee for a final decision. Unless
either party files a Notice of Disagreement, the agent or attorney must
refund any excess payment to the claimant or appellant not later than
the expiration of the time within which the Office of the General
Counsel's decision may be appealed to the Board of Veterans' Appeals.
* * * * *
(k)(1) Decisions issued before the effective date of the modernized
review system. Notwithstanding provisions in this section for closing
the record before the Office of the General Counsel at the end of the
30-day period for serving a response or 15 days after the date on which
the agent or attorney served a response, appeals of decisions issued
before the effective date of the modernized review system as provided
in Sec. 19.2(a) of this chapter, shall be initiated and processed
using the procedures in 38 CFR parts 19 and 20 applicable to legacy
appeals. Nothing in this section shall be construed to limit the
Board's authority to remand a matter to the General Counsel under 38
CFR 20.904 for any action that is essential for a proper appellate
decision or the General Counsel's ability to issue a Supplemental
Statement of the Case under 38 CFR 19.31.
(2) Decisions issued on or after the effective date of the
modernized review system. Notwithstanding provisions in this section
for closing the record before the Office of the General Counsel at the
end of the 30-day period for serving a response or 15 days after the
date on which the agent or attorney served a response, appeals of
decisions issued on or after the effective date of the modernized
review system as provided in Sec. 19.2(a) of this chapter, shall be
initiated and processed using the procedures in 38 CFR part 20
applicable to appeals under the modernized system.
* * * * *
0
41. Amend Sec. 14.637 by revising paragraphs (d)(3) and (f) to read as
follows:
Sec. 14.637 Payment of the expenses of agents and attorneys in
proceedings before Agencies of Original Jurisdiction and before the
Board of Veterans' Appeals.
* * * * *
(d) * * *
(3) The Office of the General Counsel shall close the record before
the Office of the General Counsel in proceedings to review expenses 15
days after the date on which the agent or attorney served a response on
the claimant or appellant, or 30 days after the claimant, appellant, or
the Office of the General Counsel served the motion on the agent or
attorney if there is no response. The Deputy Chief Counsel with
subject-matter jurisdiction may, for a reasonable period upon a showing
of sufficient cause, extend the time for an agent or attorney to serve
an answer or for a claimant or appellant to serve a reply. The Deputy
Chief Counsel shall forward the record and a recommendation to the
General Counsel or his or her designee for a final decision. Unless
either party files a Notice of Disagreement, the agent or attorney must
refund any excess payment to the claimant or appellant not later than
the expiration of the time within which the Office of the General
Counsel's decision may be appealed to the Board of Veterans' Appeals.
* * * * *
(f)(1) Decisions issued before the effective date of the modernized
review system. Notwithstanding provisions in this section for closing
the record before the Office of the General Counsel at the end of the
30-day period for serving a response or 15 days after the date on which
the agent or attorney served a response, appeals of decisions issued
before the effective date of the modernized review system as provided
in Sec. 19.2(a) of this chapter, shall be initiated and processed
using the procedures in 38 CFR parts 19 and 20 applicable to legacy
appeals. Nothing in this section shall be construed to limit the
Board's authority to remand a matter to the General Counsel under 38
CFR 20.904 for any action that is essential for a proper appellate
decision or the General Counsel's ability to issue a Supplemental
Statement of the Case under 38 CFR 19.31.
(2) Decisions issued on or after the effective date of the
modernized review system. Notwithstanding provisions in this section
for closing the record before the Office of the General Counsel at the
[[Page 177]]
end of the 30-day period for serving a response or 15 days after the
date on which the agent or attorney served a response, appeals of
decisions issued on or after the effective date of the modernized
review system as provided in Sec. 19.2(a) of this chapter, shall be
initiated and processed using the procedures in 38 CFR part 20
applicable to appeals under the modernized system.
* * * * *
PART 19--BOARD OF VETERANS' APPEALS: LEGACY APPEALS REGULATIONS
0
42. The authority citation for part 19 continues to read as follows:
Authority: 38 U.S.C. 501(a), unless otherwise noted.
PART 20--BOARD OF VETERANS' APPEALS: RULES OF PRACTICE
0
43. The authority citation for part 20 continues to read as follows:
Authority: 38 U.S.C. 501(a), unless otherwise noted in specific
sections.
PART 19--[AMENDED]
0
45. The heading for part 19 is revised as set forth above.
Subpart A--Applicability
0
46. The heading for subpart A is revised as set forth above.
PART 20--[AMENDED]
Sec. 20.102 [Removed]
0
47. Remove Sec. 20.102.
Sec. 20.100 [Redesignated as Sec. 20.102]
0
48. Redesignate Sec. 20.100 as Sec. 20.102.
Sec. 20.101 [Redesignated as Sec. 20.104]
0
49-50. Redesignate Sec. 20.101 as Sec. 20.104.
Sec. 20.903 [Redesignated as Sec. 20.908]
0
51. Redesignate Sec. 20.903 as Sec. 20.908.
Sec. 20.904 [Redesignated as Sec. 20.1000]
0
52. Redesignate Sec. 20.904 as Sec. 20.1000.
PARTS 19 AND 20--[AMENDED]
Sec. Sec. 19.1 through 19.5, 19.7 through 19.9, and 19.11 through
19.14 [Transferred to Part 20 and Redesignated as Sec. Sec. 20.100,
20.101, 201.106, 20.103, 20.105, 20.903, 20.905, 20.904, 20.1004,
20.107, 20.108, and 20.109]
0
53. As displayed in the following table, transfer and redesignate the
part 19 sections in the left column to the corresponding part 20
sections in the right column.
------------------------------------------------------------------------
Part 19 sections Part 20 sections
------------------------------------------------------------------------
19.1.............................. 20.100
19.2.............................. 20.101
19.3.............................. 20.106
19.4.............................. 20.103
19.5.............................. 20.105
19.7.............................. 20.903
19.8.............................. 20.905
19.9.............................. 20.904
19.11............................. 20.1004
19.12............................. 20.107
19.13............................. 20.108
19.14............................. 20.109
------------------------------------------------------------------------
PART 19--[AMENDED]
Sec. Sec. 19.50 through 19.53 [Removed]
0
54. Remove Sec. Sec. 19.50 through 19.53.
PARTS 19 AND 20--[AMENDED]
Sec. Sec. 20.200, 20.201, 20.202, 20.204, and 20.300 through
20.304 [Transferred to Part 19 and Redesignated as Sec. Sec. 19.20,
19.21, 19.22, 19.55, 19.51, 19.50, and 19.52 through 19.54]
0
55. As displayed in the following table, transfer and redesignate the
part 20 sections in the left column to the corresponding part 19
sections in the right column.
------------------------------------------------------------------------
Part 20 sections Part 19 sections
------------------------------------------------------------------------
20.200............................ 19.20 (in subpart B)
20.201............................ 19.21 (in subpart B)
20.202............................ 19.22 (in subpart B)
20.204............................ 19.55
20.300............................ 19.51
20.301............................ 19.50
20.302............................ 19.52
20.303............................ 19.53
------------------------------------------------------------------------
PART 19--[AMENDED]
0
56. Add new Sec. Sec. 19.1 and 19.2 to read as follows:
Sec. 19.1. Provisions applicable to legacy appeals.
Part 19 and subparts F, G, and J of part 20 apply only to the
processing and adjudication of legacy appeals, as defined in Sec.
19.2. Except as otherwise provided in specific sections, subparts A, B,
H, K, L, M, N, and O of part 20 apply to the processing and
adjudication of both appeals and legacy appeals. For applicability
provisions concerning appeals in the modernized review system, see
Sec. 20.4 of this chapter.
Sec. 19.2. Appellant's election for review of a legacy appeal in the
modernized system.
(a) Effective date. As used in this section, the effective date
means February 19, 2019.
(b) Modernized review system. The modernized review system refers
to the current statutory framework for claims and appeals processing,
set forth in Public Law 115-55, and any amendments thereto, applicable
on the effective date. The modernized review system applies to all
claims, requests for reopening of finally adjudicated claims, and
requests for revision based on clear and unmistakable error for which
VA issues notice of an initial decision on or after the effective date,
or as otherwise provided in paragraph (d) of this section.
(c) Legacy appeals. A legacy appeal is an appeal of a legacy claim,
as defined in 38 CFR 3.2400(b), where a claimant has not elected to
participate in the modernized review system as provided in paragraph
(d) of this section. A legacy appeal is initiated by the filing of a
Notice of Disagreement and is perfected to the Board with the filing of
a Substantive Appeal pursuant to applicable regulations in accordance
with 38 CFR parts 19 and 20.
(d) Election into the modernized review system. The modernized
review system applies to legacy claims and appeals where:
(1) A claimant with a legacy claim or appeal elects the modernized
review system pursuant to 38 CFR 3.2400(c)(1);
(2) A claimant with a legacy claim or appeal elects the modernized
review system, following issuance, on or after the effective date, of a
VA Statement of the Case or Supplemental Statement of the Case. The
election is made by filing, on a form prescribed by the Secretary, an
appeal in accordance with 38 CFR 20.202, or a review option in
accordance with 38 U.S.C. 5108 or 5104B, as implemented by 38 CFR
3.2500 and other applicable regulations. The election must be filed
within the time allowed for filing a substantive appeal under Sec.
19.52(b); or
(3) VA issued notice of a decision prior to the effective date,
and, pursuant to the Secretary's authorization to participate in a test
program, the claimant elects the modernized review system by filing an
appeal in accordance with 38 U.S.C. 7105, or a review option in
accordance with 38 U.S.C. 5108 or 5104B.
(Authority: Pub. L. 115-55; 131 Stat. 1105; 38 U.S.C. 5104B,
5104C(a); 5108; 38 U.S.C. 7105)
Sec. Sec. 19.3 through 19.5, 19.7 through 19.9, and 19.11 through
19.14 [Reserved]
0
57. Add reserved Sec. Sec. 19.3 through 19.5, 19.7 through 19.9, and
19.11 through 19.14 to subpart A.
[[Page 178]]
Subpart B--Legacy Appeals and Legacy Appeals Processing by Agency
of Original Jurisdiction
0
58. Revise the subpart B heading as set forth above.
0
59. Amend newly redesignated Sec. 19.20:
0
a. By revising the section heading;
0
b. In the introductory text, by removing the text ``Sec. 20.201'' and
adding in its place the text ``Sec. 19.21'', by removing the text
``Sec. 20.302(a)'' and adding in its place the text ``Sec.
19.52(a)'', and by adding the text ``of this chapter'' after the text
``of Sec. 20.501(a)''; and
0
c. Revising the authority citation at the end of the section.
The revisions read as follows:
Sec. 19.20 What constitutes an appeal.
* * * * *
(Authority: 38 U.S.C. 7105 (2016))
0
60. Amend newly redesignated Sec. 19.21:
0
a. By revising the section heading;
0
b. In paragraph (a)(5), by removing the text ``Sec. 20.302(a)'' and
adding in its place the text ``Sec. 19.52(a)'';
0
c. In paragraph (c), by removing the text ``Sec. Sec. 20.500 and
20.501'' and adding in its place the text ``Rules 500 and 501
(Sec. Sec. 20.500 and 20.501 of this chapter)''; and
0
d. Revising the authority citation at the end of the section.
The revisions to read as follows:
Sec. 19.21 Notice of Disagreement.
* * * * *
(Authority: 38 U.S.C. 7105 (2016))
0
61. Amend newly redesignated Sec. 19.22 by revising the section
heading and authority citation at the end of the section to read as
follows:
Sec. 19.22 Substantive Appeal.
* * * * *
(Authority: 38 U.S.C. 7105(d)(3)-(5) (2016))
Sec. 19.23 [Amended]
0
62. Amend Sec. 19.23:
0
a. In paragraph (a), by removing the words ``Sec. 20.201(a) of this
chapter'' and adding in their place the text ``Sec. 19.21(a)'' both
places they appear, and by removing the text ``, Sec. 19.27'';
0
b. In paragraph (b), by removing the words ``Sec. 20.201(b) of this
chapter'' and adding in their place the text ``Sec. 19.21(b)'', and by
removing the text ``, Sec. 19.27''.
Sec. 19.24 [Amended]
0
63. Amend Sec. 19.24 by:
0
a. In paragraph (a), by removing the text ``Sec. 20.201(a) of this
chapter'' and adding in its place the text ``Sec. 19.21(a)'';
0
b. In paragraph (b)(1), by removing the text ``paragraph (a) of Sec.
20.201 of this chapter'' and adding in its place the text ``Sec.
19.21(a)''; and
0
c. In paragraph (b)(3) introductory text, by removing the text ``Sec.
20.302(a) of this chapter'' and adding in its place the text ``Sec.
19.52(a)''.
0
64. Amend Sec. 19.25 by revising the authority citation at the end of
the section to read as follows:
Sec. 19.25 Notification by agency of original jurisdiction of right
to appeal.
* * * * *
(Authority: 38 U.S.C. 7105(a) (2016))
0
65. Amend Sec. 19.26 by revising the authority citation at the end of
the section to read as follows:
Sec. 19.26 Action by agency of original jurisdiction on Notice of
Disagreement.
* * * * *
(Authority: 38 U.S.C. 501; 38 U.S.C. 7105, 7105A (2016))
Sec. 19.27 [Removed and Reserved]
0
66. Remove and reserve Sec. 19.27.
0
67. Amend Sec. 19.28 by revising the authority citation at the end of
the section to read as follows:
Sec. 19.28 Determination that a Notice of Disagreement is inadequate
protested by claimant or representative.
* * * * *
(Authority: 38 U.S.C. 7105 (2016))
0
68. Amend Sec. 19.29 by revising the authority citation at the end of
the section to read as follows:
Sec. 19.29 Statement of the Case.
* * * * *
(Authority: 38 U.S.C. 7105(d)(1) (2016))
0
69. Amend Sec. 19.30 by revising paragraph (b) and the authority
citation at the end of the section to read as follows:
Sec. 19.30 Furnishing the Statement of the Case and instructions for
filing a Substantive Appeal.
* * * * *
(b) Information furnished with the Statement of the Case. With the
Statement of the Case, the appellant and the representative will be
furnished information on the right to file, and time limit for filing,
a substantive appeal; information on hearing and representation rights;
and a VA Form 9, ``Appeal to Board of Veterans' Appeals'', and a
statement describing the available review options if the appellant
elects review of the issue or issues on appeal in the modernized review
system.
(Authority: Sec. 2, Pub. L. 115-55; 131 Stat. 1105; 38 U.S.C. 7105
(2016))
0
70. Amend Sec. 19.31 by adding a second sentence to paragraph (a) and
revising the authority citation at the end of the section to read as
follows: ``
Sec. 19.31 Supplemental statement of the case.
(a) * * * The information furnished with the Supplemental Statement
of the Case shall include a statement describing the available review
options if the appellant elects review of the issue or issues on appeal
in the modernized system. * * *
* * * * *
(Authority: 38 U.S.C. 5902, 5903, 5904; 38 U.S.C. 7105(d) (2016))
0
71. Amend Sec. 19.32 by revising the authority citation at the end of
the section to read as follows:
Sec. 19.32 Closing of appeal for failure to respond to Statement of
the Case.
* * * * *
(Authority: 38 U.S.C. 7105(d)(3) (2016))
Sec. 19.33 [Removed and Reserved]
0
72. Remove and reserve Sec. 19.33.
0
73. Amend Sec. 19.34 by revising the authority citation at the end of
the section to read as follows:
Sec. 19.34 Determination that Notice of Disagreement or Substantive
Appeal was not timely filed protested by claimant or representative.
* * * * *
(Authority: 38 U.S.C. 7105 (2016))
0
74. Amend Sec. 19.35 by removing the second sentence and revising the
authority citation at the end of the section.
The revision reads as follows:
Sec. 19.35 Certification of appeals.
* * * * *
(Authority: 38 U.S.C. 7105 (2016))
0
75. Amend Sec. 19.36 by:
0
a. Removing the text ``Rule of Practice 1304 (Sec. 20.1304 of this
chapter)'' from the first sentence and adding in its place the text
``Rule 1305 (Sec. 20.1305 of this chapter)''; and by removing the text
``Sec. 20.1304'' from the second sentence and adding in its place the
text ``Sec. 20.1305''; and
0
b. Revising the authority citation at the end of the section.
The revision reads as follows:
Sec. 19.36 Notification of certification of appeal and transfer of
appellate record.
* * * * *
(Authority: 38 U.S.C. 5902, 5903; 38 U.S.C. 5904, 7105 (2016))
0
76. Amend Sec. 19.37 by revising the authority citation at the end of
the section to read as follows:
[[Page 179]]
Sec. 19.37 Consideration of additional evidence received by the
agency of original jurisdiction after an appeal has been initiated.
* * * * *
(Authority: 38 U.S.C. 5902, 5903, 5904; 38 U.S.C. 7105(d)(1) (2016))
0
77. Amend Sec. 19.38 by:
0
a. Removing the text ``Rule of Practice 302, paragraph (c) (Sec.
20.302(c) of this chapter)'' and adding in its place the text ``Sec.
19.52(c)''; and
0
b. Revising the authority citation at the end of the section.
The revision reads as follows:
Sec. 19.38 Action by agency of original jurisdiction when remand
received.
* * * * *
(Authority: 38 U.S.C. 7105(d)(1) (2016))
Subpart C--Claimant Action in a Legacy Appeal
0
78. Revise the subpart C heading to read as set forth above.
0
79. Amend newly redesignate Sec. 19.50 by revising the section heading
and the authority citation at the end of the section to read as
follows:
Sec. 19.50 Who can file an appeal.
* * * * *
(Authority: 38 U.S.C. 7105(b)(2) (2016))
0
80. Amend newly redesignate Sec. 19.52 by revising the section heading
and the authority citations to paragraphs (a) through (c) to read as
follows:
Sec. 19.52 Time limit for filing Notice of Disagreement, Substantive
Appeal, and response to Supplemental Statement of the Case.
(a) * * *
(Authority: 38 U.S.C. 7105(b)(1) (2016))
(b) * * *
(Authority: 38 U.S.C. 7105(b)(1), (d)(3) (2016))
(c) * * *
(Authority: 38 U.S.C. 7105(d)(3) (2016))
0
81. Amend newly redesignated Sec. 19.53 by revising the section
heading and the authority citation at the end of the section to read as
follows:
Sec. 19.53 Extension of time for filing Substantive Appeal and
response to Supplemental Statement of the Case.
* * * * *
(Authority: 38 U.S.C. 7105(d)(3) (2016))
0
82. Amend newly redesignated Sec. 19.54:
0
a. By revising the section heading;
0
b. In the introductory text, by removing the text ``Rule 302(b) (Sec.
20.302(b) of this part)'' and adding in its place the text ``Sec.
19.52(b)''; and
0
c. Revising the authority citation at the end of the section.
The revisions to read as follows:
Sec. 19.54 Filing additional evidence does not extend time limit for
appeal.
* * * * *
(Authority: 38 U.S.C. 7105 (2016))
0
83. Amend newly redesignated Sec. 19.55:
0
a. By revising the section heading;
0
b. By revising the paragraph (b)(1) subject heading to read
``Content'', by removing the first sentence, and by removing the word
``They'' from the second sentence and adding in its place the words
``Appeal withdrawals'';
0
c. In paragraph (b)(2), by revising the last sentence;
0
d. In paragraph (b)(3), by removing the word ``part'' and adding in its
place the word ``chapter'' in the second sentence; and
0
e. Revising the authority citation at the end of the section.
The revisions read as follows:
Sec. 19.55 Withdrawal of Appeal.
* * * * *
(b) * * *
(2) * * * Thereafter, file the withdrawal at the Board.
* * * * *
(Authority 38 U.S.C. 7105(b), (d) (2016))
Subpart D--[Removed and Reserved]
0
84. Remove and reserve subpart D, consisting of Sec. Sec. 19.75
through 19.99.
Subpart E--Simultaneously Contested Claims
0
85. Amend Sec. 19.100 by revising the authority citation at the end of
the section to read as follows:
Sec. 19.100 Notification of right to appeal in simultaneously
contested claims.
* * * * *
(Authority: 38 U.S.C. 7105A(a) (2016))
0
86. Amend Sec. 19.101 by revising the authority citation at the end of
the section to read as follows:
Sec. 19.101 Notice to contesting parties on receipt of Notice of
Disagreement in simultaneously contested claims.
* * * * *
(Authority: 38 U.S.C. 7105A(b) (2016))
0
88. Amend Sec. 19.102 by revising the authority citation at the end of
the section to read as follows:
Sec. 19.102 Notice of appeal to other contesting parties in
simultaneously contested claims.
* * * * *
(Authority: 38 U.S.C. 7105A(b) (2016))
Sec. Sec. 19.103-19.199 [Added and Reserved]
0
80. Add reserved Sec. Sec. 19.103 through 19.199 to subpart E.
Appendix A to Part 19 [Removed]
0
90. Remove appendix A to part 19.
PART 20--[AMENDED]
Subpart A--General
Sec. 20.1 [Amended]
0
91. Amend Sec. 20.1 in paragraph (a) by adding the text ``(Board)''
after the text ``Board of Veterans' Appeals''.
0
92. Amend Sec. 20.3 by:
0
a. Revising paragraphs (b), (c) and (f);
0
b. Removing paragraph (h);
0
c. Redesignating paragraph (i) as paragraph (h);
0
d. In newly redesignated paragraph (h), revising the subject heading
and removing the text ``argument and/or'';
0
d. Removing paragraphs (j) and (k);
0
e. Redesignating paragraph (l) as paragraph (i) and revising the second
sentence;
0
f. Removing paragraph (m);
0
g. Redesignating paragraph (n) as paragraph (j) and removing the word
``reopened'' and adding in its place the word ``readjudicated''.
0
h. Redesignating paragraph (o) as paragraph (k);
0
i. Redesignating paragraph (p) as paragraph (l);
0
j. Redesignating paragraph (q) as paragraph (m);
The revisions read as follows:
Sec. 20.3 Rule 3. Definitions.
* * * * *
(b) Agent means a person who has met the standards and
qualifications for accreditation outlined in Sec. 14.629(b) of this
chapter and who has been properly designated under the provisions of
Sec. 14.631 of this chapter. It does not include representatives
accredited under Sec. 14.629(a) of this chapter, attorneys accredited
under Sec. 14.629(b) of this chapter, or a person authorized to
represent a claimant for a particular claim under Sec. 14.630 of this
chapter.
(c) Appellant means a claimant who has filed an appeal to the Board
of Veterans' Appeals either as a legacy appeal or in the modernized
review system, as those terms are defined in Sec. 19.2 of this
chapter, and Rule 4 (Sec. 20.4 of this part), respectively.
* * * * *
(f) Claim means a written communication requesting a determination
of entitlement or evidencing a belief in entitlement, to a specific
benefit under the laws administered by the Department of Veterans
Affairs submitted on an application form prescribed by the Secretary.
* * * * *
[[Page 180]]
(h) Hearing on appeal or Board hearing * * *
(i) * * * For example, a request to correct a hearing transcript
(see Rule 714 (Sec. 20.714)) is raised by motion. * * *
* * * * *
0
93. Add Sec. 20.4 to read as follows:
Sec. 20.4 Rule 4. Appeal systems definitions and applicability
provisions.
(a) Appeal--(1) In general. An appeal consists of a Notice of
Disagreement timely filed to the Board on any issue or issues for which
VA provided notice of a decision under 38 U.S.C. 5104 on or after the
effective date, as defined in Sec. 19.2(a) of this chapter.
(2) Appellant's election for review of a legacy claim or appeal in
the modernized review system. The regulations applicable to appeals are
also applicable to legacy claims and appeals, as those terms are
defined in Sec. Sec. 3.2400(b) and 19.2(c) of this chapter, where the
claimant elects the modernized review system pursuant to Sec. 19.2(d)
of this chapter, and upon the timely filing to the Board of a Notice of
Disagreement.
(b) Applicability of parts 19 and 20--(1) Appeals. Subparts C, D,
E, and I of part 20 apply only to the processing and adjudication of
appeals in the modernized review system.
(2) Legacy claims and appeals. Part 19 and subparts F, G, and J of
part 20 apply only to the processing and adjudication of legacy claims
and appeals.
(3) Both appeals systems. Except as otherwise provided in specific
sections, subparts A, B, H, K, L, M, N, and O of part 20 apply to the
processing and adjudication of both appeals and legacy claims and
appeals.
(Authority: Sec. 2, Pub. L. 115-55; 131 Stat. 1105)
Subpart B--The Board
0
94. Amend newly redesignated Sec. 20.100 by revising the section
heading to read as follows:
Sec. 20.100 Rule 100. Establishment of the Board.
* * * * *
0
95. In newly redesignated Sec. 20.102, revise the section heading and
paragraph (c) to read as follows:
Sec. 20.102 Rule 102. Name, business hours, and mailing address of
the Board.
* * * * *
(c) Mailing address. The mailing address of the Board is: Board of
Veterans' Appeals, P.O. Box 27063, Washington, DC 20038. Mail to the
Board that is not related to an appeal must be addressed to: Board of
Veterans' Appeals, 810 Vermont Avenue NW, Washington, DC 20420.
* * * * *
0
96. Amend newly redesignated Sec. 20.104 by:
0
a. Removing the third sentence of paragraph (a);
0
b. Revising paragraphs (c) and (d);
0
c. Removing paragraph (e); and
0
d. Revising the authority citation at the end of the section.
The revisions read as follows:
Sec. 20.104 Rule 104. Jurisdiction of the Board.
* * * * *
(c) Authority to determine jurisdiction. The Board shall decide all
questions pertaining to its jurisdictional authority to review a
particular case. When the Board, on its own initiative, raises a
question as to a potential jurisdictional defect, all parties to the
proceeding and their representative(s), if any, will be given notice of
the potential jurisdictional defect(s) and granted a period of 60 days
following the date on which such notice is mailed to present written
argument and additional evidence relevant to jurisdiction and to
request a hearing to present oral argument on the jurisdictional
question(s). The date of mailing of the notice will be presumed to be
the same as the date stamped on the letter of notification. The Board
may dismiss any case over which it determines it does not have
jurisdiction.
(d)(1) Appeals as to jurisdiction in legacy claims and appeals. All
claimants in legacy appeals, as defined in Sec. 19.2 of this chapter,
have the right to appeal a determination made by the agency of original
jurisdiction that the Board does not have jurisdictional authority to
review a particular case. Jurisdictional questions which a claimant may
appeal, include, but are not limited to, questions relating to the
timely filing and adequacy of the Notice of Disagreement and the
Substantive Appeal.
(Authority: Sec. 2, Pub. L. 115-55; 131 Stat. 1105)
(2) Application of 20.904 and 20.1305. Section 20.904 of this part
shall not apply to proceedings to determine the Board's own
jurisdiction. However, the Board may remand a case to an agency of
original jurisdiction in order to obtain assistance in securing
evidence of jurisdictional facts. The time restrictions on requesting a
hearing and submitting additional evidence in Sec. 20.1305 of this
part do not apply to a hearing requested, or evidence submitted, under
paragraph (c) of this section.
(Authority: 38 U.S.C. 511(a), 7104, 7105, 7108)
0
97. Revise subpart C to read as follows:
Subpart C--Commencement and Filing of Appeals
Sec.
20.200 Rule 200. Notification by agency of original jurisdiction of
right to appeal.
20.201 Rule 201. What constitutes an appeal.
20.202 Rule 202. Notice of Disagreement.
20.203 Rule 203. Place and time of filing of Notice of Disagreement.
20.204 Rule 204. Who can file a Notice of Disagreement.
20.205 Rule 205. Withdrawal of appeal.
20.206-20.299 [Reserved]
Sec. 20.200 Rule 200. Notification by agency of original
jurisdiction of right to appeal.
The claimant and his or her representative, if any, will be
informed of appellate rights provided by 38 U.S.C. chapters 71 and 72,
including the right to a personal hearing and the right to
representation. The agency of original jurisdiction will provide this
information in each notification of a determination of entitlement or
nonentitlement to Department of Veterans Affairs benefits, pursuant to
38 U.S.C. 5104, 5104B, and 5108.
(Authority: 38 U.S.C. 7105(a))
Sec. 20.201 Rule 201. What constitutes an appeal.
An appeal of a decision by the agency of original jurisdiction
consists of a Notice of Disagreement submitted to the Board in
accordance with the provisions of Sec. Sec. 20.202-20.204.
(Authority: 38 U.S.C. 7105)
Sec. 20.202 Rule 202. Notice of Disagreement.
(a) In general. A Notice of Disagreement must be properly completed
on a form prescribed by the Secretary. If the agency of original
jurisdiction decision addressed several issues, the Notice of
Disagreement must identify the specific decision and issue or issues
therein with which the claimant disagrees. The term issue means an
adjudication of a specific entitlement as described in 38 CFR 3.151(c).
The Board will construe such arguments in a liberal manner for purposes
of determining whether they raise issues on appeal, but the Board may
dismiss any appeal which fails to identify the specific decision and
issue or issues therein with which the claimant disagrees.
[[Page 181]]
(b) Review options. Upon filing the Notice of Disagreement, a
claimant must indicate whether the claimant requests:
(1) Direct review by the Board of the record before the agency of
original jurisdiction at the time of its decision, without submission
of additional evidence or a Board hearing;
(2) A Board hearing, to include an opportunity to submit additional
evidence at the hearing and within 90 days following the hearing; or
(3) An opportunity to submit additional evidence without a Board
hearing with the Notice of Disagreement and within 90 days following
receipt of the Notice of Disagreement.
(c)(1) The information indicated by the claimant in paragraph (b)
of this section determines the evidentiary record before the Board as
described in subpart D of this part, and the docket on which the appeal
will be placed, as described in Rule 800 (Sec. 20.800). Except as
otherwise provided in paragraph (2) of this section, the Board will not
consider evidence as described in Rules 302 or 303 (Sec. Sec. 20.302
and 20.303) unless the claimant requests a Board hearing or an
opportunity to submit additional evidence on the Notice of
Disagreement.
(2) A claimant may modify the information identified in the Notice
of Disagreement for the purpose of selecting a different evidentiary
record option as described in paragraph (b) of this section. Requests
to modify a Notice of Disagreement must be made by completing a new
Notice of Disagreement on a form prescribed by the Secretary, and must
be received at the Board within one year from the date that the agency
of original jurisdiction mails notice of the decision on appeal, or
within 60 days of the date that the Board receives the Notice of
Disagreement, whichever is later. Requests to modify a Notice of
Disagreement will not be granted if the appellant has submitted
evidence or testimony as described in Sec. Sec. 20.302 and 20.303.
(d) Standard form required. The Board will not accept as a Notice
of Disagreement an expression of dissatisfaction or disagreement with
an adjudicative determination by the agency of original jurisdiction
and a desire to contest the result that is submitted in any format
other than the form prescribed by the Secretary, including on a
different VA form.
(e) Alternate form or other communication. The filing of an
alternate form or other communication will not extend, toll, or
otherwise delay the time limit for filing a Notice of Disagreement, as
provided in Sec. 20.203(b). In particular, returning the incorrect VA
form does not extend, toll, or otherwise delay the time limit for
filing the correct form.
(f) Unclear Notice of Disagreement. If within one year after
mailing an adverse decision (or 60 days for simultaneously contested
claims), the Board receives a Notice of Disagreement completed on the
form prescribed by the Secretary, but the Board cannot identify which
denied issue or issues the claimant wants to appeal or which option the
claimant intends to select under paragraph (b) of this section, then
the Board will contact the claimant to request clarification of the
claimant's intent.
(g) Response required from claimant--(1) Time to respond. The
claimant must respond to the Board's request for clarification on or
before the later of the following dates:
(i) 60 days after the date of the Board's clarification request; or
(ii) One year after the date of mailing of notice of the adverse
decision being appealed (60 days for simultaneously contested claims).
(2) Failure to respond. If the claimant fails to provide a timely
response, the previous communication from the claimant will not be
considered a Notice of Disagreement as to any claim for which
clarification was requested. The Board will not consider the claimant
to have appealed the decision(s) on any claim(s) as to which
clarification was requested and not received.
(h) Action following clarification. The unclear Notice of
Disagreement is properly completed, and thereby filed, under paragraph
(a) of this section when the Board receives the clarification.
(i) Representatives and fiduciaries. For the purpose of the
requirements in paragraphs (f) through (h) of this section, references
to the ``claimant'' include reference to the claimant or his or her
representative, if any, or to his or her fiduciary, if any, as
appropriate.
(Authority: 38 U.S.C. 7105)
[Approved by the Office of Management and Budget under control
number 2900-0674]
Sec. 20.203 Rule 203. Place and time of filing of Notice of
Disagreement.
(a) Place of filing. The Notice of Disagreement must be filed with
the Board of Veterans' Appeals, P.O. Box 27063, Washington, DC 20038.
(b) Time of filing. Except as provided in Sec. 20.402 for
simultaneously contested claims, a claimant, or his or her
representative, must file a properly completed Notice of Disagreement
with a decision by the agency of original jurisdiction within one year
from the date that the agency mails the notice of the decision. The
date of mailing the letter of notification of the decision will be
presumed to be the same as the date of that letter for purposes of
determining whether an appeal has been timely filed.
(c) Extension of time of filing. An extension of the period for
filing a Notice of Disagreement or a request to modify a Notice of
Disagreement may be granted for good cause. A request for such an
extension must be in writing and must be filed with the Board. Whether
good cause for an extension has been established will be determined by
the Board.
(Authority: 38 U.S.C. 7105)
Sec. 20.204 Rule 204. Who can file a Notice of Disagreement.
(a) Persons authorized. A Notice of Disagreement may be filed by a
claimant personally, or by his or her representative if a proper Power
of Attorney is on record or accompanies such Notice of Disagreement.
(b) Claimant rated incompetent by Department of Veterans Affairs or
under disability and unable to file. If an appeal is not filed by a
person listed in paragraph (a) of this section, and the claimant is
rated incompetent by the Department of Veterans Affairs or has a
physical, mental, or legal disability which prevents the filing of an
appeal on his or her own behalf, a Notice of Disagreement may be filed
by a fiduciary appointed to manage the claimant's affairs by the
Department of Veterans Affairs or a court, or by a person acting as
next friend if the appointed fiduciary fails to take needed action or
no fiduciary has been appointed.
(c) Claimant under disability and able to file. Notwithstanding the
fact that a fiduciary may have been appointed for a claimant, an appeal
filed by a claimant will be accepted.
(Authority: 38 U.S.C. 7105(b)(2)(A))
Sec. 20.205 Rule 205. Withdrawal of appeal.
(a) When and by whom filed. Only an appellant, or an appellant's
authorized representative, may withdraw an appeal. An appeal may be
withdrawn as to any or all issues involved in the appeal.
(b) Filing--(1) Content. Appeal withdrawals 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), the
applicable Department of Veterans Affairs file number, and a statement
that the appeal is withdrawn. If the appeal involves multiple issues,
the withdrawal must specify that the appeal
[[Page 182]]
is withdrawn in its entirety, or list the issue(s) withdrawn from the
appeal.
(2) Where to file. Appeal withdrawals should be filed with the
Board.
(3) When effective. An appeal withdrawal is effective when received
by the Board. A withdrawal received after the Board issues a final
decision under Rule 1100(a) (Sec. 20.1100(a)) will not be effective.
(c) Effect of filing. Withdrawal of an appeal will be deemed a
withdrawal of the Notice of Disagreement as to all issues to which the
withdrawal applies. Withdrawal does not preclude filing a new Notice of
Disagreement pursuant to this subpart, a request for higher-level
review under 38 U.S.C. 5104B, or a supplemental claim under 38 U.S.C.
5108, as to any issue withdrawn, provided such filing would be timely
under these rules if the withdrawn appeal had never been filed.
(Authority: 38 U.S.C. 7105)
Sec. Sec. 20.206-20.299 [Reserved]
Subpart D--Evidentiary Record
0
98. Revise the subpart D heading to read as set forth above.
Sec. 20.305 [Redesignated as Sec. 20.110]
0
99. Redesignate Sec. 20.305 as Sec. 20.110.
0
100. Amend newly redesignated Sec. 20.110 by revising the section
heading to read as follows:
Sec. 20.110 Rule 110. Computation of time limit for filing.
* * * * *
Sec. 20.306 [Redesignated as Sec. 20.111]
0
101. Redesignate Sec. 20.306 as Sec. 20.111.
0
102. Amend newly redesignated 20.111 by:
0
a. Revising the section heading; and
0
b. Removing the words ``Rule 305 (Sec. 20.305)'' and adding in their
place the words ``Rule 110 (Sec. 20.110)''.
The revision reads as follows:
Sec. 20.111 Rule 111. Legal holidays.
* * * * *
0
103. Add new Sec. Sec. 20.300 through 20.303 to read as follows:
Sec.
* * * * *
20.300 Rule 300. General.
20.301 Rule 301. Appeals with no request for a Board hearing and no
additional evidence.
20.302 Rule 302. Appeals with a request for a Board hearing.
20.303 Rule 303. Appeals with no request for a Board hearing, but
with a request for submission of additional evidence.
* * * * *
Sec. 20.300 Rule 300. General.
(a) Decisions of the Board will be based on a de novo review of the
evidence of record at the time of the agency of original jurisdiction
decision on the issue or issues on appeal, and any additional evidence
or testimony submitted pursuant to this subpart, as provided in Sec.
20.801.
(b) Waiver of appellant's right to submit evidence. For appeals
described in 20.302 and 20.303, an appellant has a right to submit
evidence during a period of 90 days, unless this right is waived by the
appellant or representative at any time prior to the expiration of the
applicable 90-day period. Such a waiver must be in writing or, if a
hearing on appeal is conducted pursuant to 20.302, the waiver must be
formally and clearly entered on the record orally at the time of the
hearing.
(Authority: 38 U.S.C. 7104)
Sec. 20.301 Rule 301. Appeals with no request for a Board hearing and
no additional evidence.
For appeals in which the appellant requested, on the Notice of
Disagreement, direct review by the Board without submission of
additional evidence and without a Board hearing, the Board's decision
will be based on a review of the evidence of record at the time of the
agency of original jurisdiction decision on the issue or issues on
appeal.
(Authority: 38 U.S.C. 7105, 7107, 7113(a))
Sec. 20.302 Rule 302. Appeals with a request for a Board hearing.
(a) Except as described in paragraphs (b) and (c) of this section,
for appeals in which the appellant requested, on the Notice of
Disagreement, a Board hearing, the Board's decision will be based on a
review of the following:
(1) Evidence of record at the time of the agency of original
jurisdiction's decision on the issue or issues on appeal;
(2) Evidence submitted by the appellant or his or her
representative at the hearing, to include testimony provided at the
hearing; and
(3) Evidence submitted by the appellant or his or her
representative within 90 days following the hearing.
(b) In the event that the hearing request is withdrawn pursuant to
Sec. 20.704(e), the Board's decision will be based on a review of
evidence described in paragraph (a)(1) of this section, and evidence
submitted by the appellant or his or her representative within 90 days
following receipt of the withdrawal.
(c) In the event that the appellant does not appear for a scheduled
hearing, and the hearing is not rescheduled subject to Sec. 20.704(d),
the Board's decision will be based on a review of evidence described in
paragraph (a)(1) of this section, and evidence submitted by the
appellant or his or her representative within 90 days following the
date of the scheduled hearing.
(Authority: 38 U.S.C. 7105, 7107, 7113(b))
Sec. 20.303 Rule 303. Appeals with no request for a Board hearing,
but with a request for submission of additional evidence.
For appeals in which the appellant requested, on the Notice of
Disagreement, an opportunity to submit additional evidence without a
Board hearing, the Board's decision will be based on a review of the
following:
(a) Evidence of record at the time of the agency of original
jurisdiction's decision on the issue or issues on appeal; and
(b) Evidence submitted by the appellant or his or her
representative:
(1) With the Notice of Disagreement or within 90 days following
receipt of the Notice of Disagreement; or,
(2) If the appellant did not request an opportunity to submit
additional evidence on the Notice of Disagreement, but subsequently
requested to submit additional evidence pursuant to Rule 202, (Sec.
20.202(c)(2)(ii)), within 90 days following VA's notice that the appeal
has been moved to the docket described in Sec. 20.800(a)(ii).
(Authority: 38 U.S.C. 7105, 7107, 7113(c))
Sec. Sec. 20.304 through 20.306 [Added and Reserved]
0
104. Add reserved Sec. Sec. 20.304 through 20.306.
0
105. Revise subpart E to read as follows:
Subpart E--Appeal in Simultaneously Contested Claims
Sec.
20.400 Rule 400. Notification of the right to appeal in a
simultaneously contested claim.
20.401 Rule 401. Who can file an appeal in simultaneously contested
claims.
20.402 Rule 402. Time limits for filing Notice of Disagreement in
simultaneously contested claims.
20.403 Rule 403. Notice to contesting parties on receipt of Notice
of Disagreement in simultaneously contested claims.
20.404 Rule 404. Time limit for response to appeal by another
contesting party in a simultaneously contested claim.
20.405 Rule 405. Docketing of simultaneously contested claims at the
Board.
20.406 Rule 406. Notices sent to last addresses of record in
simultaneously contested claims.
[[Page 183]]
20.407 Rule 407. Favorable Findings are not binding in Contested
Claims.
20.408-20.499 [Reserved]
Sec. 20.400 Rule 400. Notification of the right to appeal in a
simultaneously contested claim.
All interested parties will be specifically notified of the action
taken by the agency of original jurisdiction in a simultaneously
contested claim and of the right and time limit for submitting a Notice
of Disagreement to the Board, as well as hearing and representation
rights.
Sec. 20.401 Rule 401. Who can file an appeal in simultaneously
contested claims.
In simultaneously contested claims, any claimant or representative
of a claimant may file a Notice of Disagreement within the time limits
set out in Rule 402 (Sec. 20.402).
(Authority: 38 U.S.C. 7105(b)(2), 7105A)
Sec. 20.402 Rule 402. Time limits for filing Notice of Disagreement
in simultaneously contested claims.
In simultaneously contested claims, the Notice of Disagreement from
the person adversely affected must be filed within 60 days from the
date of mailing of the notification of the determination to him or her;
otherwise, that determination will become final. The date of mailing of
the letter of notification will be presumed to be the same as the date
of that letter for purposes of determining whether a Notice of
Disagreement has been timely filed.
(Authority: 38 U.S.C. 7105A)
Sec. 20.403 Rule 403. Notice to contesting parties on receipt of
Notice of Disagreement in simultaneously contested claims.
Upon the filing of a Notice of Disagreement in a simultaneously
contested claim, all interested parties and their representatives will
be furnished a copy of the substance of the Notice of Disagreement. The
notice will inform the contesting party or parties of what type of
review the appellant who initially filed a Notice of Disagreement
selected under Sec. 20.202(b), including whether a hearing was
requested.
(Authority: 38 U.S.C. 7105A)
Sec. 20.404 Rule 404. Time limit for response to appeal by another
contesting party in a simultaneously contested claim.
A party to a simultaneously contested claim may file a brief,
argument, or request for a different type of review under Sec.
20.202(b) in answer to a Notice of Disagreement filed by another
contesting party. Any such brief, argument, or request must be filed
with the Board within 30 days from the date the content of the Notice
of Disagreement is furnished as provided in Sec. 20.403. Such content
will be presumed to have been furnished on the date of the letter that
accompanies the content.
(Authority: 38 U.S.C. 7105A(b)(1))
Sec. 20.405 Rule 405. Docketing of simultaneously contested claims
at the Board.
After expiration of the 30 day period for response in Sec. 20.404,
the Board will place all parties of the simultaneously contested claim
on the docket for the type of review requested under Sec. 20.202(b).
In the event the parties request different types of review, if any
party requests a hearing the appeal will be placed on the docket
described in Sec. 20.800(a)(iii), and VA will notify the parties that
a hearing will be scheduled. If no party requested a hearing, but any
party requested the opportunity to submit additional evidence, the
appeal will be placed on the docket described in Sec. 20.800(a)(ii),
and the parties will be notified of their opportunity to submit
additional evidence within 90 days of the date of such notice.
(Authority: 38 U.S.C. 7105A(b)(1))
Sec. 20.406 Rule 406. Notices sent to last addresses of record in
simultaneously contested claims.
Notices in simultaneously contested claims will be forwarded to the
last address of record of the parties concerned and such action will
constitute sufficient evidence of notice.
Sec. 20.407 Rule 407. Favorable Findings are not binding in Contested
Claims.
Where a claim is contested, findings favorable to either party, as
described in Rule 801 (Sec. 20.801), are no longer binding on all
agency of original jurisdiction and Board of Veterans' Appeals
adjudicators during the pendency of the contested appeal.
(Authority: 38 U.S.C. 7105A(b)(2))
Sec. Sec. 20.404-20.499 [Reserved]
Subpart F--Legacy Appeal in Simultaneously Contested Claims
0
106. Revise the subpart F heading to read as set forth above.
Sec. Sec. 20.500 through 20.504 [Redesignated as Sec. Sec. 20.501
through 20.505]
0
107. Redesignate Sec. Sec. 20.500 through 20.504 as Sec. Sec. 20.501
through 20.505.
0
108. Add new Sec. 20.500 to read as follows:
Sec. 20.500 Rule 500. Applicability.
The provisions of this subpart apply to legacy appeals, as defined
in Sec. 19.2 of this chapter.
0
109. Amend newly redesignated Sec. 20.501 by:
0
a. Revising the section heading;
0
b. Removing the words ``Rule 501 (Sec. 20.501 of this part)'' and
adding in their place the words ``Rule 502 (Sec. 20.502)''; and
0
c. Revising the authority citation at the end of the section.
The revisions read as follows:
Sec. 20.501 Rule 501. Who can file an appeal in simultaneously
contested claims.
* * * * *
(Authority: 38 U.S.C. 7105(b)(2), 7105A (2016))
0
110. Amend newly redesignated Sec. 20.502 by revising the section
heading and the authority citations following paragraphs (a) through
(c) to read as follows:
Sec. 20.502 Rule 502. Time limits for filing Notice of Disagreement,
Substantive Appeal, and response to Supplemental Statement of the Case
in simultaneously contested claims.
(a) * * *
(Authority: 38 U.S.C. 7105A(a) (2016))
(b) * * *
(Authority: 38 U.S.C. 7105A(b) (2016))
(c) * * *
(Authority: 38 U.S.C. 38 U.S.C. 7105(d)(3), 7105A(b) (2016))
0
111. Amend newly redesignated Sec. 20.503 by revising the section
heading and the authority citation at the end of the section to read as
follows:
Sec. 20.503 Rule 503. Time limit for response to appeal by another
contesting party in a simultaneously contested claim.
* * * * *
(Authority: 38 U.S.C. 7105A(b) (2016))
0
112. Amend newly redesignated Sec. 20.504, and amend by revising the
section heading and the authority citation at the end of the section to
read as follows:
Sec. 20.504 Rule 504. Extension of time for filing a Substantive
Appeal in simultaneously contested claims.
* * * * *
(Authority: 38 U.S.C. 7105A(b) (2016))
0
113. Amend newly redesignated Sec. 20.505, and amend by revising the
section heading and the authority citation at the end of the section to
read as follows:
[[Page 184]]
Sec. 20.505 Rule 505. Notices sent to last addresses of record in
simultaneously contested claims.
* * * * *
(Authority: 38 U.S.C. 7105A(b) (2016))
Subpart G--Legacy Hearings on Appeal
0
114. Revise the subpart G heading to read as set forth above.
Sec. 20.600 [Redesignated as Sec. 20.5]
0
115. Redesignate Sec. 20.600 as Sec. 20.5.
0
116. Amend newly redesignated Sec. 20.5 by revising the section
heading to read as follows:
Sec. 20.5 Rule 5. Right to representation.
* * * * *
Sec. 20.608 [Redesignated as Sec. 20.6]
0
117. Redesignate Sec. 20.608 as Sec. 20.6 and revise it to read as
follows:.
Sec. 20.6 Rule 6. Withdrawal of services by a representative.
(a)(1) Applicability. The restrictions on a representative's right
to withdraw contained in this paragraph apply only to those cases in
which the representative has previously agreed to act as representative
in an appeal. In addition to express agreement, orally or in writing,
such agreement shall be presumed if the representative makes an
appearance in the case by acting on an appellant's behalf before the
Board in any way after the appellant has designated the representative
as such as provided in ``Sec. 14.630 or Sec. 14.631 of this chapter.
The preceding sentence notwithstanding, an appearance in an appeal
solely to notify the Board that a designation of representation has not
been accepted will not be presumed to constitute such consent.
(2) Procedures. Except as otherwise provided in paragraph (b) of
this section, after an appeal to the Board of Veterans' Appeals has
been filed, a representative may not withdraw services as
representative in the appeal unless good cause is shown on motion. Good
cause for such purposes is the extended illness or incapacitation of an
agent admitted to practice before the Department of Veterans Affairs,
an attorney-at-law, or other individual representative; failure of the
appellant to cooperate with proper preparation and presentation of the
appeal; or other factors which make the continuation of representation
impossible, impractical, or unethical. 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), the applicable Department of Veterans Affairs
file number, and the reason why withdrawal should be permitted, and a
signed statement certifying that a copy of the motion was sent by
first-class mail, postage prepaid, to the appellant, setting forth the
address to which the copy was mailed. Such motions should not contain
information which would violate privileged communications or which
would otherwise be unethical to reveal. Such motions must be filed at
the following address: Board of Veterans' Appeals, P.O. Box 27063,
Washington, DC 20038. The appellant may file a response to the motion
with the Board at the same address not later than 30 days following
receipt of the copy of the motion and must include a signed statement
certifying that a copy of the response was sent by first-class mail,
postage prepaid, to the representative, setting forth the address to
which the copy was mailed.
(b) Withdrawal of services prior to certification of a legacy
appeal. A representative may withdraw services as representative in a
legacy appeal at any time prior to certification of the appeal to the
Board of Veterans' Appeals by the agency of original jurisdiction by
complying with the requirements of Sec. 14.631 of this chapter.
(Approved by the Office of Management and Budget under control
number 2900-0085)
(Authority: 38 U.S.C. 5901-5904, 7105(a))
Subpart G--[Amended]
0
118. Remove the note to subpart G.
0
119. Add new Sec. 20.600 to read as follows:
Sec. 20.600 Rule 600. Applicability.
(a) The provisions in this subpart apply to Board hearings
conducted in legacy appeals, as defined in Sec. 19.2 of this chapter.
(b) Except as otherwise provided, Rules 700, 701, 704, 705, and
707-715 (Sec. Sec. 20.700, 20.701, 20.704, 20.705, and 20.707-20.715)
are also applicable to Board hearings conducted in legacy appeals.
Sec. 20.608 [Reserved]
0
120. Add reserved Sec. 20.606.
Subpart H--Hearings on Appeal
0
121. Amend Sec. 20.700 by revising paragraphs (a) and (b) and removing
paragraphs (d) and (e).
The revisions read as follows:
Sec. 20.700 Rule 700. General.
(a) Right to a hearing. A hearing on appeal will be granted if an
appellant, or an appellant's representative acting on his or her
behalf, expresses a desire to testify before the Board. An appellant is
limited to one Board hearing following the filing of a Notice of
Disagreement with a decision of the agency of original jurisdiction.
Requests for additional Board hearings may be granted for good cause
shown.
(b) Purpose of hearing. The purpose of a hearing is to receive
argument and testimony relevant and material to the appellate issue or
issues. It is contemplated that the appellant and witnesses, if any,
will be present. A hearing will not normally be scheduled solely for
the purpose of receiving argument by a representative. Such argument
may be submitted in the form of a written brief. Requests for
appearances by representatives alone to personally present argument to
Members of the Board may be granted if good cause is shown. Whether
good cause has been shown will be determined by the presiding Member
assigned to conduct the hearing.
* * * * *
Sec. 20.704 [Redesignated as Sec. 20.603]
0
122. Redesignate Sec. 20.704 as Sec. 20.603 and revise it to read as
follows:
Sec. 20.603 Rule 603. Scheduling and notice of hearings conducted by
the Board of Veterans' Appeals at Department of Veterans Affairs field
facilities in a legacy appeal.
(a) General. Hearings may be conducted by a Member or Members of
the Board during prescheduled visits to Department of Veterans Affairs
facilities having adequate physical resources and personnel for the
support of such hearings. Subject to paragraph (f) of this section, the
hearings will be scheduled for each area served by a regional office in
accordance with the place of each case on the Board's docket,
established under Sec. 20.902, relative to other cases for which
hearings are scheduled to be held within that area.
(b) Notification of hearing. When a hearing at a Department of
Veterans Affairs field facility is scheduled, the person requesting it
will be notified of its time and place, and of the fact that the
Government may not assume any expense incurred by the appellant, the
representative, or witnesses attending the hearing.
(c) Requests for changes in hearing dates. Requests for a change in
a hearing date may be made at any time up to two weeks prior to the
scheduled date of the hearing if good cause is shown. Such requests
must be in writing, must explain why a new hearing date is necessary,
and must be filed with the
[[Page 185]]
Board. Examples of good cause include, but are not limited to, illness
of the appellant and/or representative, difficulty in obtaining
necessary records, and unavailability of a necessary witness. If good
cause is shown, the hearing will be rescheduled for the next available
hearing date after the appellant or his or her representative gives
notice that the contingency which gave rise to the request for
postponement has been removed. If good cause is not shown, the
appellant and his or her representative will be promptly notified and
given an opportunity to appear at the hearing as previously scheduled.
If the appellant elects not to appear at the prescheduled date, the
request for a hearing will be considered to have been withdrawn. In
such cases, however, the record will be submitted for review by the
Member who would have presided over the hearing. If the presiding
Member determines that good cause has been shown, the hearing will be
rescheduled for the next available hearing date after the contingency
which gave rise to the request for postponement has been removed.
(d) Failure to appear for a scheduled hearing. If an appellant (or
when a hearing only for oral argument by a representative has been
authorized, the representative) fails to appear for a scheduled hearing
and a request for postponement has not been received and granted, the
case will be processed as though the request for a hearing had been
withdrawn. No further request for a hearing will be granted in the same
appeal unless such failure to appear was with good cause and the cause
for the failure to appear arose under such circumstances that a timely
request for postponement could not have been submitted prior to the
scheduled hearing date. A motion for a new hearing date following a
failure to appear for a scheduled hearing must be in writing, must be
filed within 15 days of the originally scheduled hearing date, and must
explain why the appellant failed to appear for the hearing and why a
timely request for a new hearing date could not have been submitted.
Such motions must be filed with: Board of Veterans' Appeals, P.O. Box
27063, Washington, DC 20038. Whether good cause for such failure to
appear and the impossibility of timely requesting postponement have
been established will be determined by the Member who would have
presided over the hearing. If good cause and the impossibility of
timely requesting postponement are shown, the hearing will be
rescheduled for the next available hearing date at the same facility
after the appellant or his or her representative gives notice that the
contingency which gave rise to the failure to appear has been removed.
(e) Withdrawal of hearing requests. A request for a hearing may be
withdrawn by an appellant at any time before the date of the hearing. A
request for a hearing may not be withdrawn by an appellant's
representative without the consent of the appellant. Notices of
withdrawal must be submitted to the Board.
(f) Advancement of the case on the hearing docket. A hearing may be
scheduled at a time earlier than would be provided for under paragraph
(a) of this section upon written motion of the appellant or the
representative. The same grounds for granting relief, motion filing
procedures, and designation of authority to rule on the motion
specified in Rule 902(c) (Sec. 20.902(c)) for advancing a case on the
Board's docket shall apply.
(Authority: 38 U.S.C. 7107; Sec. 102, Pub. 114-315; 130 Stat. 1536)
[Approved by the Office of Management and Budget under control
number 2900-0085]
Sec. 20.702 [Redesignated as Sec. 20.704]
0
123. Redesignate Sec. 20.702 as Sec. 20.704.
0
124. Amend newly redesignated Sec. 20.704 by revising the section
heading and paragraphs (a) and (c) through (e) and by adding paragraph
(f) to read as follows:
Sec. 20.704 Rule 704. Scheduling and notice of hearings conducted by
the Board of Veterans' Appeals.
(a)(1) General. To the extent that officials scheduling hearings
for the Board determine that necessary physical resources and qualified
personnel are available, hearings will be scheduled at the convenience
of appellants and their representatives, with consideration of the
travel distance involved. Subject to paragraph (f) of this section,
electronic hearings will be scheduled for each area served by a
regional office in accordance with the place of each case on the
Board's docket, established under Rule 801 (Sec. 20.801) for appeals
and under Rule 902 (Sec. 20.902) for legacy appeals, relative to other
cases for which hearings are scheduled to be held within that area.
(2) Special provisions for legacy appeals. The procedures for
scheduling and providing notice of Board hearings in legacy appeals
conducted at a Department of Veterans Affairs facility having adequate
physical resources and personnel for the support of such hearings under
paragraph (a)(3) of Rule 601 (Sec. 20.601(a)(3)) are contained in Rule
603 (Sec. 20.603).
* * * * *
(c) Requests for changes in hearing dates. Requests for a change in
a hearing date may be made at any time up to two weeks prior to the
scheduled date of the hearing if good cause is shown. Such requests
must be in writing, must explain why a new hearing date is necessary,
and must be filed with the Board. Examples of good cause include, but
are not limited to, illness of the appellant and/or representative,
difficulty in obtaining necessary records, and unavailability of a
necessary witness. If good cause is shown, the hearing will be
rescheduled for the next available hearing date after the appellant or
his or her representative gives notice that the contingency which gave
rise to the request for postponement has been removed. If good cause is
not shown, the appellant and his or her representative will be promptly
notified and given an opportunity to appear at the hearing as
previously scheduled. If the appellant elects not to appear at the
prescheduled date, the request for a hearing will be considered to have
been withdrawn. In such cases, however, the record will be submitted
for review by the Member who would have presided over the hearing. If
the presiding Member determines that good cause has been shown, the
hearing will be rescheduled for the next available hearing date after
the contingency which gave rise to the request for postponement has
been removed.
(d) Failure to appear for a scheduled hearing. If an appellant (or
when a hearing only for oral argument by a representative has been
authorized, the representative) fails to appear for a scheduled hearing
and a request for postponement has not been received and granted, the
case will be processed as though the request for a hearing had been
withdrawn. No further request for a hearing will be granted in the same
appeal unless such failure to appear was with good cause and the cause
for the failure to appear arose under such circumstances that a timely
request for postponement could not have been submitted prior to the
scheduled hearing date. A motion for a new hearing date following a
failure to appear for a scheduled hearing must be in writing, must be
filed within 15 days of the originally scheduled hearing date, and must
explain why the appellant failed to appear for the hearing and why a
timely request for a new hearing date could not have been submitted.
Such motions must be filed with: Board of
[[Page 186]]
Veterans' Appeals, P.O. Box 27063, Washington, DC 20038. Whether good
cause for such failure to appear and the impossibility of timely
requesting postponement have been established will be determined by the
Member who would have presided over the hearing. If good cause and the
impossibility of timely requesting postponement are shown, the hearing
will be rescheduled for the next available hearing date at the same
facility after the appellant or his or her representative gives notice
that the contingency which gave rise to the failure to appear has been
removed.
(e) Withdrawal of hearing requests. A request for a hearing may be
withdrawn by an appellant at any time before the date of the hearing. A
request for a hearing may not be withdrawn by an appellant's
representative without the consent of the appellant. Notices of
withdrawal must be submitted to the Board.
(f) Advancement of the case on the hearing docket. A hearing may be
scheduled at a time earlier than would be provided for under paragraph
(a) of this section upon written motion of the appellant or the
representative. The same grounds for granting relief, motion filing
procedures, and designation of authority to rule on the motion
specified in Rule 902(c) (Sec. 20.902(c)) for advancing a case on the
Board's docket shall apply.
(Authority: 38 U.S.C. 7107)
[Approved by the Office of Management and Budget under control
number 2900-0085]
0
125. Add new Sec. 20.702 to read as follows:
Sec. 20.702 Rule 702. Methods by which hearings are conducted.
A hearing on appeal before the Board may be held by one of the
following methods:
(a) In person at the Board's principal location in Washington, DC,
or
(b) By electronic hearing, through picture and voice transmission,
with the appellant appearing at a Department of Veterans Affairs
facility.
(Authority: 38 U.S.C. 7102, 7105(a), 7107)
Sec. 20.703 [Redesignated as Sec. 20.602]
0
126. Redesignate Sec. 20.703 as Sec. 20.602 and revise it to read as
follows:
Sec. 20.602 Rule 602. When a hearing before the Board of Veterans'
Appeals may be requested in a legacy appeal; procedure for requesting a
change in method of hearing.
(a) How to request a hearing. An appellant, or an appellant's
representative, may request a hearing before the Board when submitting
the substantive appeal (VA Form 9) or anytime thereafter, subject to
the restrictions in Rule 1305 (Sec. 20.1305). Requests for such
hearings before a substantive appeal has been filed will be rejected.
(b) Board's determination of method of hearing. Following the
receipt of a request for a hearing, the Board shall determine, for
purposes of scheduling the hearing for the earliest practical date,
whether a hearing before the Board will be held at its principal
location or at a facility of the Department or other appropriate
Federal facility located within the area served by a regional office of
the Department. The Board shall also determine whether the hearing will
occur by means of an electronic hearing or by the appellant personally
appearing before a Board member or panel. An electronic hearing will be
in lieu of a hearing held by personally appearing before a Member or
panel of Members of the Board and shall be conducted in the same manner
as, and considered the equivalent of, such a hearing.
(c) Notification of method of hearing. The Board will notify the
appellant and his or her representative of the method of a hearing
before the Board.
(d) How to request a change in method of hearing. Upon notification
of the method of the hearing requested pursuant to paragraph (c) of
this section, an appellant may make one request for a different method
of the requested hearing. If the appellant makes such a request, the
Board shall grant the request and notify the appellant of the change in
method of the hearing.
(e) Notification of scheduling of hearing. The Board will notify
the appellant and his or her representative of the scheduled time and
location for the requested hearing not less than 30 days prior to the
hearing date. This time limitation does not apply to hearings which
have been rescheduled due to a postponement requested by an appellant,
or on his or her behalf, or due to the prior failure of an appellant to
appear at a scheduled hearing before the Board with good cause. The
right to notice at least 30 days in advance will be deemed to have been
waived if an appellant accepts an earlier hearing date due to the
cancellation of another previously scheduled hearing.
(Authority: Sec. 102, Pub. L. 114-315; 130 Stat. 1536)
0
127. Add new Sec. 20.703 to read as follows:
Sec. 20.703 Rule 703. When a hearing before the Board of Veterans'
Appeals may be requested; procedure for requesting a change in method
of hearing.
(a) How to request a hearing. An appellant, or an appellant's
representative, may request a hearing before the Board when submitting
the Notice of Disagreement, or when requesting to modify the Notice of
Disagreement, as provided in Rule 202 (Sec. 20.202). Requests for such
hearings at any other time will be rejected.
(b) Board's determination of method of hearing. Following the
receipt of a request for a hearing, the Board shall determine, for
purposes of scheduling the hearing for the earliest practical date,
whether a hearing before the Board will be held at its principal
location or by picture and voice transmission at a facility of the
Department located within the area served by a regional office of the
Department.
(c) Notification of method of hearing. The Board will notify the
appellant and his or her representative of the method of a hearing
before the Board.
(d) How to request a change in method of hearing. If an appellant
declines to participate in the method of hearing selected by the Board,
the appellant's opportunity to participate in a hearing before the
Board shall not be affected. Upon notification of the method of the
hearing requested pursuant to paragraph (c) of this section, an
appellant may make one request for a different method of the requested
hearing. If the appellant makes such a request, the Board shall grant
the request and notify the appellant of the change in method of the
hearing.
(e) Notification of scheduling of hearing. The Board will notify
the appellant and his or her representative of the scheduled time and
location for the requested hearing not less than 30 days prior to the
hearing date. This time limitation does not apply to hearings which
have been rescheduled due to a postponement requested by an appellant,
or on his or her behalf, or due to the prior failure of an appellant to
appear at a scheduled hearing before the Board of Veterans' Appeals
with good cause. The right to notice at least 30 days in advance will
be deemed to have been waived if an appellant accepts an earlier
hearing date due to the cancellation of another previously scheduled
hearing.
(Authority: 38 U.S.C. 7105(a), 7107)
Sec. 20.705 [Redesignated as Sec. 20.601]
0
128. Redesignate Sec. 20.705 as Sec. 20.601 and revise it to read as
follows:
Sec. 20.601 Rule 601. Methods by which hearings in legacy appeals
are conducted; scheduling and notice provisions for such hearings.
(a) Methods by which hearings in legacy appeals are conducted. A
hearing
[[Page 187]]
on appeal before the Board may be held by one of the following methods:
(1) In person at the Board's principal location in Washington, DC;
(2) By electronic hearing, through voice transmission or through
picture and voice transmission, with the appellant appearing at a
Department of Veterans Affairs facility or appropriate Federal
facility; or
(3) At a Department of Veterans Affairs facility having adequate
physical resources and personnel for the support of such hearings.
(b) Electronic hearings. An appropriate Federal facility consists
of a Federal facility having adequate physical resources and personnel
for the support of such hearings.
(c) Provisions for scheduling and providing notice of hearings in
legacy appeals.
(1) The procedures for scheduling and providing notice of Board
hearings in legacy appeals conducted by the methods described in
paragraphs (a)(1) and (a)(2) of this section are contained in Rule 704
(Sec. 20.704).
(2) The procedures for scheduling and providing notice of Board
hearings in legacy appeals conducted at a Department of Veterans
Affairs facility having adequate physical resources and personnel for
the support of such hearings under (a)(3) are contained in Rule 603
(Sec. 20.603).
(Authority: 38 U.S.C. 7107; Sec. 102, Pub. L. 114-315; 130 Stat.
1536)
Sec. 20.706 [Redesignated as Sec. 20.705]
0
129. Redesignate Sec. 20.706 as Sec. 20.705 and revise it to read as
follows:
Sec. 20.705 Rule 705. Functions of the presiding Member.
(a) General. The presiding Member is responsible for the conduct of
a Board hearing in accordance with the provisions of subparts G and H
of this part.
(b) Duties. The duties of the presiding Member include, but are not
limited to, any of the following:
(1) Conducting a prehearing conference, pursuant to Sec. 20.707;
(2) Ruling on questions of procedure;
(3) Administering the oath or affirmation;
(4) Ensuring that the course of the Board hearing remains relevant
to the issue or issues on appeal;
(5) Setting reasonable time limits for the presentation of
argument;
(6) Prohibiting cross-examination of the appellant and any
witnesses;
(7) Determining whether documentary evidence, testimony, and/or
argument is relevant or material to the issue or issues being
considered and not unduly repetitious;
(8) Terminating a Board hearing or directing that an offending
party, representative, witness, or observer leave the hearing if that
party persists or engages in disruptive or threatening behavior;
(9) Disallowing or halting the use of personal recording equipment
being used by an appellant or representative if it becomes disruptive
to the hearing; and
(10) Taking any other steps necessary to maintain good order and
decorum.
(c) Ruling on motions. The presiding Member has the authority to
rule on any Board hearing-related motion.
(Authority: 38 U.S.C. 501)
0
130. Add new Sec. 20.706 to read as follows:
Sec. 20.706 Rule 706. Designation of Member or Members to conduct the
hearing.
Hearings will be conducted by a Member or panel of Members of the
Board. Where a proceeding has been assigned to a panel, the Chairman,
or the Chairman's designee, shall designate one of the Members as the
presiding Member.
(Authority: 38 U.S.C. 7102, 7107)
Sec. 20.707 [Redesignated as Sec. 20.604]
0
131. Redesignate Sec. 20.707 as Sec. 20.604.
0
132. Amend newly redesignated Sec. 20.604 and amend by:
0
a. Revising the section heading;
0
c. Removing the words ``Sec. 19.3 of this part'' and add in their
place the words ``Rule 106 (Sec. 20.106)'';
0
d. Removing the words ``Sec. 19.11(c) of this part'' and add in their
place the words ``Rule 1004 (Sec. 20.1004)''; and
0
e. Adding an authority citation to the end of the setion.
The revision and addition read as follows:
Sec. 20.604 Rule 604. Designation of Member or Members to conduct the
hearing in a legacy appeal.
* * * * *
(Authority: 38 U.S.C. 7102; 38 U.S.C. 7101 (2016))
Sec. 20.708 [Redesignated as Sec. 20.707]
0
133. Redesignate Sec. 20.708 as Sec. 20.707.
0
134. Amend newly redesignated Sec. 20.707 and amend by:
0
a. Revisng the section heading;
0
b. Removing the second sentence; and
0
c. Adding an authority citation to the end of the section.
The revision and addtions read as follows:
Sec. 20.707 Rule 707. Prehearing conference.
* * * * *
(Authority: 38 U.S.C. 7102, 7107)
Sec. 20.709 [Redesignated as Sec. 20.605]
0
135. Redesignate Sec. 20.709 as Sec. 20.605.
0
136. Amend newly redesignated Sec. 20.605 by revising the section
heading and adding an authority citation to the end of the section to
read as follows:
Sec. 20.605 Rule 605. Procurement of additional evidence following a
hearing in a legacy appeal.
* * * * *
(Authority: 38 U.S.C. 7102; 38 U.S.C. 7105, 7101 (2016))
Sec. 20.710 [Redesignated as Sec. 20.708]
0
137. Redesignate Sec. 20.710 as Sec. 20.708.
0
138. Amend newly redesignated 20.708 by revising the section heading to
read as follows:
Sec. 20.708 Rule 708. Witness at hearings.
* * * * *
Sec. 20.711 [Redesignated as Sec. 20.709]
0
139. Redesignate Sec. 20.711 as Sec. 20.709.
0
140. Amend newly redesignated Sec. 20.709:
0
a. By revising the section heading; and
0
b. In paragraph (c), by removing the words ``Director, Office of
Management, Planning and Analysis (014),''.
The revision reads as follows:
Sec. 20.709 Rule 709, Subpoenas.
* * * * *
Sec. 20.712 [Redesignated as Sec. 20.710]
0
141. Redesignate Sec. 20.712 as Sec. 20.710.
0
142. Amend newly redesignated 20.710 by revising the section heading to
read as follows:
Sec. 20.710 Rule 710. Expenses of appellants, representatives, and
witnesses incident to hearings not reimbursable by the Government.
* * * * *
Sec. 20.713 [Redesignated as Sec. 20.711]
0
143. Redesignate Sec. 20.713 as Sec. 20.711.
0
144. Amend newly redesignated Sec. 20.711 by revising paragraph (b) to
read as follows:
Sec. 20.711 Rule 711. Hearings in simultaneously contested claims.
* * * * *
(b) Requests for changes in hearing dates. (1) General. Except as
described in paragraphs (b)(2) and (3) of this section, any party to a
simultaneously contested claim may request a change in a hearing date
in accordance with the provisions of Rule 704, paragraph (c) (Sec.
20.704(c)).
(2)(i) A request under Rule 704, paragraph (c) must be made within
60 days from the date of the letter of notification of the time and
place of the
[[Page 188]]
hearing, or not later than two weeks prior to the scheduled hearing
date, whichever is earlier.
(ii) In order to obtain a new hearing date under the provisions of
Rule 704, paragraph (c) (Sec. 20.704(c)), the consent of all other
interested parties must be obtained and submitted with the request for
a new hearing date. If such consent is not obtained, the date of the
hearing will become fixed. After a hearing date has become fixed, an
extension of time for appearance at a hearing will be granted only for
good cause, with due consideration of the interests of other parties.
Examples of good cause include, but are not limited to, illness of the
appellant and/or representative, difficulty in obtaining necessary
records, and unavailability of a necessary witness. The motion for a
new hearing date must be in writing and must explain why a new hearing
date is necessary. If good cause is shown, the hearing will be
rescheduled for the next available hearing date after the appellant or
his or her representative gives notice that the contingency which gave
rise to the request for postponement has been removed. Ordinarily,
however, hearings will not be postponed more than 30 days. Whether good
cause for establishing a new hearing date has been shown will be
determined by the presiding Member assigned to conduct the hearing.
(3) A copy of any motion for a new hearing date required by these
rules must be mailed to all other interested parties by certified mail,
return receipt requested. The receipts, which must bear the signatures
of the other interested parties, and a letter explaining that they
relate to the motion for a new hearing date and containing the
applicable Department of Veterans Affairs file number must be filed at
the same address where the motion was filed as proof of service of the
motion. Each interested party will be allowed a period of 10 days from
the date that the copy of the motion was received by that party to file
written argument in response to the motion.
(Authority: 38 U.S.C. 7105A)
Sec. 20.714 [Redesignated as Sec. 20.712]
0
145. Redesignate Sec. 20.714 as Sec. 20.712 and revise it to read as
follows:
Sec. 20.712 Rule 712. Record of hearing.
(a) General. All Board hearings will be recorded. The Board will
prepare a written transcript for each Board hearing conducted. The
transcript will be the official record of the hearing and will be
incorporated as a part of the record on appeal. The Board will not
accept alternate transcript versions prepared by the appellant or
representative.
(b) Hearing recording. The recording of the Board hearing will be
retained for a period of 12 months following the date of the Board
hearing as a duplicate record of the proceeding.
(c) Copy of written transcript. If the appellant or representative
requests a copy of the written transcript in accordance with Sec.
1.577 of this chapter, the Board will furnish one copy to the appellant
or representative.
Sec. 20.715 [Redesignated as Sec. 20.713]
0
146. Redesignate Sec. 20.715 as Sec. 20.713.
0
147. Amend newly redesignated Sec. 20.713 by:
0
a. Revising the section heading;
0
b. Revising the fourth sentence
0
c. Removing the fifth sentence; and
0
d. Revising the authority citation at the end of the section.
The revisions read as follows:
Sec. 20.713 Rule 713. Recording of hearing by appellant or
representative.
* * * In all such situations, advance arrangements must be made
with the Board of Veterans' Appeals, P.O. Box 27063, Washington, DC
20038.
(Authority: 38 U.S.C. 7102, 7107)
Sec. 20.716 [Redesignated as Sec. 20.714]
0
148. Redesignate Sec. 20.716 as Sec. 20.714 and revise it to read as
follows:
Sec. 20.714 Rule 714. Correction of hearing transcripts.
If an appellant wishes to seek correction of perceived errors in a
hearing transcript, the appellant or his or her representative should
move for correction of the hearing transcript within 30 days after the
date that the transcript is mailed to the appellant. The motion must be
in writing and must specify the error, or errors, in the transcript and
the correct wording to be substituted. The motion must be filed with
the Board of Veterans' Appeals, P.O. Box 27063, Washington, DC 20038.
The ruling on the motion will be made by the presiding Member of the
hearing.
(Authority: 38 U.S.C. 7102, 7107)
Sec. 20.717 [Redesignated as Sec. 20.715]
0
149. Redesignate Sec. 20.717 as Sec. 20.715 and revise it to read as
follows:
Sec. 20.715 Rule 715. Loss of hearing recordings or transcripts--
request for new hearing.
(a) Notification. (1) The Board must notify the appellant and his
or her representative in writing in the event the Board discovers that
a Board hearing has not been recorded in whole or in part due to
equipment failure or other cause, or the official transcript of the
hearing is lost or destroyed and the recording upon which it was based
is no longer available. The notice must provide the appellant with a
choice of either of the following options:
(i) Appear at a new Board hearing, pursuant to Rules 703 and 704
(Sec. Sec. 20.703 and 20.704) for appeals or Rules 602 and 603
(Sec. Sec. 20.602 and 20.603) for legacy appeals, as defined in Sec.
19.2 of this chapter; or
(ii) Have the Board proceed to appellate review of the appeal based
on the evidence of record.
(2) The notice will inform the appellant that he or she has a
period of 30 days to respond to the notice. If the appellant does not
respond by requesting a new hearing within 30 days from the date of the
mailing of the notice, then the Board will decide the appeal on the
basis of the evidence of record. A request for a new Board hearing will
not be accepted once the Board has issued a decision on the appeal.
(b) Board decision issued prior to a loss of the recording or
transcript. The Board will not accept a request for a new Board hearing
under this section if a Board decision was issued on an appeal prior to
the loss of the recording or transcript of a Board hearing, and the
Board decision considered testimony provided at that Board hearing.
(Authority: 38 U.S.C. 7102, 7105(a), 7107)
Sec. Sec. 20.716 and 20.717 [Reserved]
0
150. Add reserved Sec. Sec. 20.716 and 20.717.
Sec. 20.901 [Redesignated as Sec. 20.906]
0
151. Redesignate Sec. 20.901 as Sec. 20.906.
Sec. 20.902 [Redesignated as Sec. 20.907]
0
152. Redesignate Sec. 20.902 as Sec. 20.907.
Sec. 20.800 [Redesignated as Sec. 20.901]
0
153. Redesignate Sec. 20.800 as Sec. 20.901.153.
0
154. Revise the subpart I heading and add new Sec. 20.800 and
Sec. Sec. 20.801 through 20.804 to read as follows:
Subpart I--Appeals Processing
20.800 Rule 800. Order of consideration of appeals.
20.801 Rule 801. The decision.
20.802 Rule 802. Remand for correction of error.
20.803 Rule 803. Content of Board decision, remand, or order in
simultaneously contested claims.
20.804 Rule 804. Opinions of the General Counsel.
* * * * *
[[Page 189]]
Sec. 20.800 Rule 800. Order of consideration of appeals.
(a) Docketing of appeals. (1) Applications for review on appeal are
docketed in the order in which they are received on the following
dockets:
(i) A docket for appeals in which an appellant does not request a
hearing or an opportunity to submit additional evidence on the Notice
of Disagreement;
(ii) A docket for appeals in which the appellant does not request a
hearing but does request an opportunity to submit additional evidence
on the Notice of Disagreement; and
(iii) A docket for appeals in which the appellant requests a
hearing on the Notice of Disagreement.
(2) An appeal may be moved from one docket to another only when the
Notice of Disagreement has been modified pursuant to Rule 202,
paragraph (c)(3) (Sec. 20.202(c)(3)). The request to modify the Notice
of Disagreement must reflect that the appellant requests the option
listed in Sec. 20.202(b) that corresponds to the docket to which the
appeal will be moved. An appeal that is moved from one docket to
another will retain its original docket date.
(b) Except as otherwise provided, each appeal will be decided in
the order in which it is entered on the docket to which it is assigned.
(c) Advancement on the docket--(1) Grounds for advancement. A case
may be advanced on the docket to which it is assigned on the motion of
the Chairman, the Vice Chairman, a party to the case before the Board,
or such party's representative. Such a motion may be granted only if
the case involves interpretation of law of general application
affecting other claims, if the appellant is seriously ill or is under
severe financial hardship, or if other sufficient cause is shown.
``Other sufficient cause'' shall include, but is not limited to,
administrative error resulting in a significant delay in docketing the
case, administrative necessity, or the advanced age of the appellant.
For purposes of this Rule, ``advanced age'' is defined as 75 or more
years of age. This paragraph does not require the Board to advance a
case on the docket in the absence of a motion of a party to the case or
the party's representative.
(2) Requirements for motions. Motions for advancement on the docket
must be in writing and must identify the specific reason(s) why
advancement on the docket is sought, the name of the veteran, the name
of the appellant if other than the veteran (e.g., a veteran's survivor,
a guardian, a substitute appellant, or a fiduciary appointed to receive
VA benefits on an individual's behalf), and the applicable Department
of Veterans Affairs file number. The motion must be filed with the
Board of Veterans' Appeals, P.O. Box 27063, Washington, DC 20038.
(3) Disposition of motions. If a motion is received prior to the
assignment of the case to an individual member or panel of members, the
ruling on the motion will be by the Vice Chairman, who may delegate
such authority to a Deputy Vice Chairman. If a motion to advance a case
on the docket is denied, the appellant and his or her representative
will be immediately notified. If the motion to advance a case on the
docket is granted, that fact will be noted in the Board's decision when
rendered.
(d) Consideration of appeals remanded by the United States Court of
Appeals for Veterans Claims. A case remanded by the United States Court
of Appeals for Veterans Claims for appropriate action will be treated
expeditiously by the Board without regard to its place on the Board's
docket.
(Authority: 38 U.S.C. 7112; Sec. 302,103-446; 108 Stat. 4645)
(e) Case remanded to correct duty to assist error and new Notice of
Disagreement filed after readjudication. A case will not be returned to
the Board following the agency of original jurisdiction's
readjudication of an appeal previously remanded by the Board pursuant
to Rule 803, paragraph (c) (Sec. 20.802(c)), unless the claimant files
a new Notice of Disagreement. Such cases will be docketed in the order
in which the most recent Notice of Disagreement was received.
(f) Cases involving substitution. A case returned to the Board
following the grant of a substitution request or pursuant to an appeal
of a denial of a substitution request assumes the same place on the
docket held by the deceased appellant at the time of his or her death.
If the deceased appellant's case was advanced on the docket prior to
his or her death pursuant to paragraph (c) of this section, the
substitute will receive the benefit of the advanced placement.
(Authority: 38 U.S.C. 5121A)
(g) Postponement to provide hearing. Any other provision of this
Rule notwithstanding, a case may be postponed for later consideration
and determination if such postponement is necessary to afford the
appellant a hearing.
(Authority: 38 U.S.C. 7105, 7107)
Sec. 20.801 Rule 801. The decision.
(a) General. Decisions of the Board will be based on a de novo
review of the evidence of record at the time of the agency of original
jurisdiction decision on the issue or issues on appeal, and any
additional evidence submitted pursuant to Rules 302 and 303 (Sec. Sec.
20.302 and 20.303). Any findings favorable to the claimant as
identified by the agency of original jurisdiction in notification of a
decision or in a prior Board decision on an issue on appeal are binding
on all agency of original jurisdiction and Board of Veterans' Appeals
adjudicators, unless rebutted by evidence that identifies a clear and
unmistakable error in the favorable finding. For purposes of this
section, findings means conclusions on questions of fact and
application of law to facts made by an adjudicator concerning the issue
under review.
(b) Content. The decision of the Board will be in writing and will
set forth specifically the issue or issues under appellate
consideration. Except with respect to appeals which are dismissed
because an appellant seeking nonmonetary benefits has died while the
appeal was pending, the decision will also include:
(1) Findings of fact and conclusions of law on all material issues
of fact and law presented on the record;
(2) The reasons or bases for those findings and conclusions;
(3) A general statement reflecting whether any evidence was
received at a time when not permitted under subpart D, and informing
the appellant that any such evidence was not considered by the Board
and of the options available to have that evidence reviewed by the
Department of Veterans Affairs; and
(4) An order granting or denying the benefit or benefits sought on
appeal, dismissing the appeal, or remanding the issue or issues as
described in Rule 802 (Sec. 20.802).
(c) Panel decision. A decision by a panel of Members will be by a
majority vote of the panel Members.
(Authority: 38 U.S.C. 7104(d))
Sec. 20.802 Rule 802. Remand for correction of error.
(a) Remand. Unless the issue or issues can be granted in full, the
Board shall remand the appeal to the agency of original jurisdiction
for correction of an error on the part of the agency of original
jurisdiction to satisfy its duties under 38 U.S.C. 5103A, if the error
occurred prior to the date of the agency of original jurisdiction
decision on appeal. The Board may remand for correction of any other
error by the agency of original jurisdiction in
[[Page 190]]
satisfying a regulatory or statutory duty, if correction of the error
would have a reasonable possibility of aiding in substantiating the
appellant's claim. The remand must specify the action to be taken by
the agency of original jurisdiction.
(b) Advisory Medical Opinion. If the Board determines that an error
as described in paragraph (a) of this section may only be corrected by
obtaining an advisory medical opinion from a medical expert who is not
an employee of the Department of Veterans Affairs, the Board shall
remand the case to the agency of original jurisdiction to obtain such
an opinion, specifying the questions to be posed to the independent
medical expert providing the advisory medical opinion.
(c) Action by agency of original jurisdiction after receipt of
remand. After correction of any error identified in the Board's remand,
the agency of original jurisdiction must readjudicate the claim and
provide notice of the decision under 38 U.S.C. 5104, to include notice
under 38 U.S.C. 5104C of a claimant's options for further review of the
agency of original jurisdiction's decision. The agency of original
jurisdiction must provide for the expeditious treatment of any claim
that is remanded by the Board.
(Authority: 38 U.S.C. 5103A, 5109, 5109B, 7102, 7104(a), 7105)
Sec. 20.803 Rule 803. Content of Board decision, remand, or order in
simultaneously contested claims.
The content of the Board's decision, remand, or order in appeals
involving a simultaneously contested claim will be limited to
information that directly affects the issues involved in the contested
claim. Appellate issues that do not involve all of the contesting
parties will be addressed in one or more separate written decisions,
remands, or orders that will be furnished only to the appellants
concerned and their representatives, if any.
(Authority: 5 U.S.C. 552a(b), 38 U.S.C. 5701(a))
Sec. 20.804 Rule 804. Opinions of the General Counsel.
(a) The Board may obtain an opinion from the General Counsel of the
Department of Veterans Affairs on legal questions involved in the
consideration of an appeal.
(b) Filing of requests for the procurement of opinions. The
appellant or representative may request that the Board obtain an
opinion under this section. Such request must be in writing and will be
granted upon a showing of good cause, such as the identification of a
complex or controversial legal issue involved in the appeal which
warrants such an opinion.
(c) Notification of evidence to be considered by the Board and
opportunity for response. If the Board requests an opinion pursuant to
this section, it will notify the appellant and his or her
representative, if any. When the Board receives the opinion, it will
furnish a copy of the opinion to the appellant, subject to the
limitations provided in 38 U.S.C. 5701(b)(1), and to the appellant's
representative, if any. A period of 60 days from the date the Board
furnishes a copy of the opinion will be allowed for response, which may
include the submission of relevant evidence or argument. The date the
Board furnishes a copy will be presumed to be the same as the date of
the letter or memorandum that accompanies the copy of the opinion for
purposes of determining whether a response was timely filed.
(d) For purposes of this section, the term ``the Board'' includes
the Chairman, the Vice Chairman, any Deputy Vice Chairman, and any
Member of the Board before whom a case is pending.
(Authority: 38 U.S.C. 5107(a), 7102(c), 7104(a), 7104(c))
Subpart J--Action by the Board in Legacy Appeals
0
155. Revise the subpart J heading to read as set forth above.
Sec. 20.900 [Redesignated as Sec. 20.902]
0
156. Redesignate Sec. 20.900 as Sec. 20.902.
0
157. Add new Sec. 20.900 to read as follows:
Sec. 20.900 Rule 900. Applicability.
The provisions in this subpart apply to Board decisions and remands
rendered in legacy appeals, as defined in Sec. 19.2 of this chapter.
(Authority: Sec. 2,115-55; 131 Stat. 1105)
0
158. Amend newly redesignated Sec. 20.901 by revising the section
heading and the authority citation at the end of the section to read as
follows:
Sec. 20.901 Rule 901. Submission of additional evidence after
initiation of appeal.
* * * * *
(Authority: 38 U.S.C. 5902, 5903, 5904; 38 U.S.C. 5904, 7105(d)(1)
(2016))
0
159. Amend newly redesignated Sec. 20.902:
0
a. By revising the section heading;
0
b. By revising the third sentence in paragraph (c)(1);
0
c. In paragraph (c)(2), by removing the words ``Director, Office of
Management, Planning and Analysis (014),''; and
0
d. Revising the authority citations at the end of paragraph (d) and at
the end of the section.
The revisions read as follows:
Sec. 20.902 Rule 902. Order of consideration of appeals.
* * * * *
(c) * * *
(1) * * * ``Other sufficient cause'' shall include, but is not
limited to, administrative error resulting in a significant delay in
docketing the case, administrative necessity, or the advanced age of
the appellant. * * *
* * * * *
(d) * * *
(Authority: Sec. 302, Pub. L. 103-446; 108 Stat. 4645)
* * * * *
(Authority: 38 U.S.C. 5121A, 7107; 38 U.S.C. 7107 (2016))
Sec. 20.1002 [Removed]
0
160. Remove Sec. 20.1002.
Sec. Sec. 20.1000 and 20.1001 [Redesignated as Sec. Sec. 20.1001
and 20.1002]
0
161. Redesignate Sec. Sec. 20.1000 and 20.1001 as Sec. Sec. 20.1001
and 20.1002, respectively.
0
162. Amend newly redesignated Sec. 20.906:
0
a. By revising the section heading; and
0
b. In paragraph (b), by removing the words ``Armed Forces Institute of
Pathology'' and adding in its place the words ``Joint Pathology
Center'' both places it appears.
The revision reads as follows:
Sec. 20.906 Rule 906. Medical opinions and opinions of the General
Counsel.
* * * * *
0
163. Amend newly redesignate Sec. 20.907 by:
0
a. Revising the section heading; and
0
b. Removing the words ``Rule 901 (Sec. 20.901 of this part)'' and
adding in its place the words ``Rule 906 (Sec. 20.906)''.
The revision reads as follows:
Sec. 20.907 Rule 907. Filing of requests for the procurement of
opinions.
* * * * *
0
164. Amend newly redesignated Sec. 20.908:
0
a. By revising the section heading;
0
b. In paragraph (a), by removing the words ``Rule 901 (Sec. 20.901 of
this part)'' and adding in its place the words ``Rule 906 (Sec.
20.906)''; and
0
c. In paragraph (b)(1), by removing the words ``Sec. 19.9(d)(5) of
this chapter'' and adding in its place the words ``Rule 904(d)(5)
(Sec. 20.904(d)(5))''.
The revision reads as follows:
[[Page 191]]
Sec. 20.908 Rule 908. Notification of evidence to be considered by
the Board and opportunity for response.
* * * * *
Subpart K--Vacatur and Reconsideration
0
165. Revise the subpart K heading to read as set forth above.
0
166. Amend newly redesignated Sec. 20.1000 by revising the section
heading and paragraphs (a)(2) and (3) to read as follows:
Sec. 20.1000 Rule 1000. Vacating a decision.
* * * * *
(a) * * *
(1) * * *
(2) When there was a prejudicial failure to afford the appellant a
personal hearing. (Where there was a failure to honor a request for a
hearing and a hearing is subsequently scheduled, but the appellant
fails to appear, the decision will not be vacated.), and
(3) For a legacy app7al, as defined in Sec. 19.2 of this chapter,
when a Statement of the Case or required Supplemental Statement of the
Case was not provided.
* * * * *
0
167. Amend newly redesignated Sec. 20.1001 and amend by:
0
a. Revising the section; and
0
b. Removing the words ``and material'' from paragraph (b).
The revision reads as follows:
Sec. 20.1001 Rule 1001. When reconsideration is accorded.
* * * * *
0
168. Amend newly redesignated Sec. 20.1002 and amend by:
0
a. Revising the section heading;
0
b. Removing the words ``Director, Office of Management, Planning and
Analysis (014),'' in paragraph (b); and
0
c. Removing the words ``Sec. 19.11 of this chapter'' and adding in its
place the words ``Rule 1004 (Sec. 20.1004)'' in paragraph (c)(2).
The revision reads as follows:
Sec. 20.1002 Rule 1002. Filing and disposition of motion for
reconsideration.
* * * * *
0
169. Amend Sec. 20.1003 by revising the first sentence and removing
the fifth sentence.
The revision reads as follows:
Sec. 20.1003 Rule 1003. Hearing on reconsideration.
After a motion for reconsideration has been allowed, a hearing will
be granted if the issue under reconsideration was considered on a
docket for cases that may include a hearing, and an appellant requests
a hearing before the Board. * * *
Subpart L--Finality
0
170. Revise Sec. 20.1103 to read as follows:
Sec. 20.1103 Rule 1103. Finality of determinations of the agency of
original jurisdiction where issue is not appealed.
A determination on a claim by the agency of original jurisdiction
of which the claimant is properly notified is final if an appeal is not
perfected as prescribed in Sec. 19.52 of this chapter. If no Notice of
Disagreement is filed as prescribed in subpart C of this part, the
claim shall not thereafter be readjudicated or allowed, except as
provided by 38 U.S.C. 5104B or 5108, or by regulation.
0
171. Revise Sec. 20.1105 to read as follows:
Sec. 20.1105 Rule 1105. Supplemental claim after promulgation of
appellate decision.
(a) After an appellate decision has been promulgated on a claim, a
claimant may file a supplemental claim with the agency of original
jurisdiction by submitting the prescribed form with new and relevant
evidence related to the previously adjudicated claim as set forth in
Sec. 3.2601 of this chapter, except in cases involving simultaneously
contested claims under Subpart E of this part.
(Authority: 38 U.S.C. 5108, 7104)
(b) Legacy appeals pending on the effective date. For legacy
appeals as defined in Sec. 19.2 of this chapter, where prior to the
effective date described in Rule 4 (Sec. 20.4), an appellant requested
that a claim be reopened after an appellate decision has been
promulgated and submitted evidence in support thereof, a determination
as to whether such evidence is new and material must be made and, if it
is, as to whether it provides a basis for allowing the claim. An
adverse determination as to either question is appealable.
(Authority: 38 U.S.C. 5108, 7104 (2016))
Subpart M--Privacy Act
Sec. 20.1201 [Amended]
0
172. Amend Sec. 20.1201 by removing the words ``Rules 1000 through
1003 (Sec. Sec. 20.1000-20.1003 of this part)'' and adding in its
place the words ``Rules 1001 through 1004 (Sec. Sec. 20.1001-
20.1004)'' both places it appears.
Subpart N--Miscellaneous
0
173. Amend Sec. 20.1301:
0
a. By revising paragraph (a);
0
b. By redesignating paragraph (b) as paragraph (c);
0
c. By adding new paragraph (b);
0
d. By removing the text ``the internet at https://www.index.va.gov/search/va/bva.html'' and adding in its place the text ``the Board's
website'' in newly redesignated paragraph (c)(1); and
0
c. In newly redesignated paragraph (c)(2) by:
0
i. Removing the words ``at the Research Center'' from the second
sentence;
0
ii. Removing the words ``Board's Research Center'' and adding in its
place the words ``Board'' from the third sentence;
0
iii. Removing the word ``paper'' from the ninth sentence; and
0
iv. Removing the words ``Research Center (01C1),'' from the last
sentence.
The revisions and additions read as follows:
Sec. 20.1301 Rule 1301. Disclosure of information.
(a) Policy. It is the policy of the Board for the full text of
appellate decisions to be disclosed to appellants. In those situations
where disclosing certain information directly to the appellant would
not be in conformance with 38 U.S.C. 5701, that information will be
removed from the decision and the remaining text will be furnished to
the appellant. A full-text appellate decision will be disclosed to the
designated representative, however, unless the relationship between the
appellant and representative is such (for example, a parent or spouse)
that disclosure to the representative would be as harmful as if made to
the appellant.
(b) Legacy appeals. For legacy appeals as defined in Sec. 19.2 of
this chapter, the policy described in paragraph (a) of this section is
also applicable to Statements of the Case and supplemental Statements
of the Case.
(Authority: 38 U.S.C. 7105(d)(2))
* * * * *
Sec. 20.1302 [Amended]
0
174. Amend Sec. 20.1302 in paragraph (a) by removing the words ``Rule
900 (Sec. 20.900(a)(2)'' and adding in its place the words ``Rule 800,
paragraph (f) (Sec. 20.800(f)) or, for legacy appeals, Rule 902,
paragraph (a)(2) (Sec. 20.902(a)(2))'' both places it appears.
Sec. 20.1304 [Redesignated as Sec. 20.1305]
0
175. Redesignate Sec. 20.1304 as Sec. 20.1305.
0
176. Add new Sec. 20.1304 to read as follows:
Sec. 20.1304 Rule 1304. Request for a change in representation.
(a) Request for a change in representation within 90 days following
Notice of Disagreement. An appellant
[[Page 192]]
and his or her representative, if any, will be granted a period of 90
days following receipt of a Notice of Disagreement, or up to and
including the date the appellate decision is promulgated by the Board,
whichever comes first, during which they may submit a request for a
change in representation.
(b) Subsequent request for a change in representation. Following
the expiration of the period described in paragraph (a) of this
section, the Board will not accept a request for a change in
representation 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; and withdrawal of an individual representative.
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 could not be accomplished in a timely
manner. Such motions must be filed at the following address: Board of
Veterans' Appeals, P.O. Box 27063, Washington, DC 20038. Depending upon
the ruling on the motion, action will be taken as follows:
(1) Good cause not shown. If good cause is not shown, the request
for a change in representation will be referred to the agency of
original jurisdiction for association with the appellant's file for any
pending or subsequently received claims upon completion of the Board's
action on the pending appeal without action by the Board concerning the
request.
(2) Good cause shown. If good cause is shown, the request for a
change in representation will be honored.
(Authority: 38 U.S.C. 5902, 5903, 5904, 7105, 7105A)
0
177. Amend newly redesignated Sec. 20.1305:
0
a. By revising the section heading and paragraph (a);
0
b. In paragraph (b)(1) introductory text, by removing the words
``Director, Office of Management, Planning and Analysis (014),'';
0
c. In paragraph (b)(2), by removing the words ``Sec. 20.903 of this
chapter'' and adding in their place ``Sec. 20.908''; and
0
d. In paragraph (c), by removing the words ``Sec. 20.903'' and adding
in their place the words ``Sec. 20.908'';
0
e. Revising the authority citation at the end of the section.
The revisions read as follows:
Sec. 20.1305 Rule 1305. Procedures for legacy appellants to request a
change in representation, personal hearing, or submission of additional
evidence following certification of an appeal to the Board of Veterans'
Appeals.
(a) Request for a change in representation, request for a personal
hearing, or submission of additional evidence within 90 days following
notification of certification and transfer of records. An appellant in
a legacy appeal, as defined in Sec. 19.2 of this chapter, and his or
her representative, if any, will be granted a period of 90 days
following the mailing of notice to them that an appeal has been
certified to the Board for appellate review and that the appellate
record has been transferred to the Board, or up to and including the
date the appellate decision is promulgated by the Board, whichever
comes first, during which they may submit a request for a personal
hearing, additional evidence, or a request for a change in
representation. Any such request or additional evidence should be
submitted directly to the Board and not to the agency of original
jurisdiction. If any such request or additional evidence is submitted
to the agency of original jurisdiction instead of to the Board, the
agency of original jurisdiction must forward it to the Board in
accordance with Sec. 19.37(b) of this chapter. The date of mailing of
the letter of notification will be presumed to be the same as the date
of that letter for purposes of determining whether the request was
timely made or the evidence was timely submitted. Any evidence which is
submitted at a hearing on appeal which was requested during such period
will be considered to have been received during such period, even
though the hearing may be held following the expiration of the period.
Any pertinent evidence submitted by the appellant or representative is
subject to the requirements of paragraph (d) of this section if a
simultaneously contested claim is involved.
* * * * *
(Authority: 38 U.S.C. 5121A, 5902, 5903; 38 U.S.C. 5904, 7104, 7105,
7105A (2016))
Sec. Sec. 20.1306-20.1399 [Reserved]
0
178. Add reserved Sec. Sec. 20.1306 through 20.1399.
Subpart O--Revision of Decisions on Grounds of Clear and
Unmistakable Error
Sec. 20.1401 [Amended]
0
179. Amend Sec. 20.1401 by removing the words ``, but does not include
officials authorized to file administrative appeals pursuant to Sec.
19.51 of this title'' in the last sentence of paragraph (b).
0
180. Amend Sec. 20.1403 by revising paragraph (b)(2) to read as
follows:
Sec. 20.1403 Rule 1403. What constitutes clear and unmistakable
error; what does not.
* * * * *
(b) * * *
(2) Special rule for Board decisions on legacy appeals issued on or
after July 21, 1992. For a Board decision on a legacy appeal as defined
in Sec. 19.2 of this chapter issued on or after July 21, 1992, the
record that existed when that decision was made includes relevant
documents possessed by the Department of Veterans Affairs not later
than 90 days before such record was transferred to the Board for review
in reaching that decision, provided that the documents could reasonably
be expected to be part of the record.
* * * * *
Sec. 20.1404 [Amended]
0
181. Amend Sec. 20.1404 in paragraph (c) by removing ``Director,
Office of Management, Planning and Analysis (014),''.
0
182. Amend Sec. 20.1405:
0
a. In paragraph (a)(1), by removing the words ``Sec. 19.3 of this
title'' and adding in their place ``Sec. 20.106'';
0
b. In paragraph (a)(2), by removing the words ``Rule 900(c) (Sec.
20.900(c) of this part)'' and adding in their place the words ``Rule
800, paragraph (c) (Sec. 20.800(c)) or, for legacy appeals, Rule 902,
paragraph (c) (Sec. 20.902(c))'';
0
c. In paragraph (c)(2), by removing the words ``Director, Office of
Management, Planning and Analysis (014),'';
0
d. By removing paragraph (d);
0
e. By redesignating paragraph (e) as paragraph (d);
0
f. By redesignating paragraph (f) as paragraph (e);
0
g. By redesignating paragraph (g) as paragraph (f); and
0
h. By revising the first sentence of the newly redesignated paragraph
(f).
The revision reads as follows:
Sec. 20.1405 Rule 1405. Disposition.
* * * * *
[[Page 193]]
(f) * * * The decision of the Board on a motion under this subpart
will be in writing. * * *
* * * * *
Sec. 20.1408 [Amended]
0
183. Amend Sec. 20.1408 by removing the words ``Rule 3(o) (Sec.
20.3(o) of this part)'' and adding in its place the words ``Rule 3(l)
(Sec. 20.3(l) of this part)'' from the first sentence.
Sec. 20.1409 [Amended]
0
184. Amend Sec. 20.1409 in paragraph (b) by removing the words ``Rule
1405(e)'' and adding in its place the words ``Rule 1405, paragraph (d)
(Sec. 20.1405(d) of this part)''.
0
185. Amend Sec. 20.1411 by revising paragraphs (b) and (d) to read as
follows:
Sec. 20.1411 Rule 1411. Relationship to other statutes.
* * * * *
(b) For legacy appeals as defined in Sec. 19.2 of this chapter, a
motion under this subpart is not a claim subject to reopening under 38
U.S.C. 5108 (prior to the effective date described in Rule 4, paragraph
(a) (Sec. 20.4(a) of this part) (relating to reopening claims on the
grounds of new and material evidence).
* * * * *
(d) A motion under this subpart is not a claim for benefits subject
to the requirements and duties associated with 38 U.S.C. 5103A
(imposing a duty to assist).
* * * * *
Sec. Sec. 20.1412--20.1499 [Reserved]
0
186. Add reserved Sec. Sec. 20.1412 through 20.1499.
Subpart P--[Removed and Reserved]
0
187. Remove and reserve subpart P, consisting of Sec. Sec. 20.1500-
20.1510.
Appendix A to Part 20 [Removed]
0
188. Remove appendix A to part 20.
PART 21--VOCATIONAL REHABILITATION AND EMPLOYMENT
Subpart A--Vocational Rehabilitation and Employment Under 38 U.S.C.
Chapter 31
0
189. The authority citation for part 21, subpart A, continues to read
as follows:
Authority: 38 U.S.C. 501(a), chs. 18, 31, and as noted in
specific sections.
Sec. 21.59 [Removed]
0
190. Remove Sec. 21.59.
Sec. 21.98 [Removed]
0
191. Remove Sec. 21.98.
Sec. 21.184 [Amended]
0
192. Amend Sec. 21.184 by removing the CROSS REFERENCE paragraph from
the end of the section.
Sec. 21.188 [Amended]
0
193. Amend Sec. 21.188 in paragraph (b) by removing the words ``Sec.
21.96, or Sec. 21.98'' and adding in their place the words ``or Sec.
21.96''.
Sec. 21.190 [Amended]
0
194. Amend Sec. 21.190 in paragraph (b) by removing the words ``Sec.
21.96, or Sec. 21.98'' and adding in their place the words ``or Sec.
21.96''.
Sec. 21.192 [Amended]
0
195. Amend Sec. 21.192 in paragraph (b) by removing the words ``Sec.
21.96, or Sec. 21.98'' and adding in their place the words ``or Sec.
21.96''.
Sec. 21.194 [Amended]
0
196. Amend Sec. 21.194 in paragraph (b) by removing the words ``Sec.
21.94 and 21.98'' and adding in their place the words ``and Sec.
21.94''.
Sec. 21.282 [Amended]
0
197. Amend Sec. 21.282 in paragraph (c)(4) by removing ``21.98'' and
adding in its place ``21.96''.
Sec. 21.412 [Amended]
0
198. Amend Sec. 21.412 in paragraph (a)(2) by removing the words
``(See Sec. Sec. 19.153, 19.154, and 19.155''.
0
199. Amend Sec. 21.414:
0
a. In paragraph (e), by removing the period following ``Sec.
3.105(e)'' and adding in its place a semicolon;
0
b. By adding paragraph (f); and
0
c. Revising the authority citation at the end of the section.
The addition and revision read as follows:
Sec. 21.414 Revision of decision.
* * * * *
(f) Review of decisions, Sec. 21.416.
(Authority: 38 U.S.C. 5104B, 5108, and 5112)
0
200. Add Sec. 21.416 before the undesignated center heading
``Informing the Veteran'' to read as follows:
Sec. 21.416 Review of decisions.
(a) Applicability. This section applies where notice of a decision
under this subpart or subpart M of this part was provided to a claimant
or his/her representative on or after the effective date of the
modernized review system as provided in Sec. 19.2(a) of this chapter,
or where a claimant has elected review of a legacy claim under the
modernized review system as provided in Sec. 3.2400(c) of this
chapter.
(b) Reviews available. Within one year from the date on which VA
issues notice of a decision on an issue contained within a claim, a
claimant may elect one of the following administrative review options:
(1) Supplemental Claim. The nature of this review will accord with
Sec. 3.2501 of this chapter, except that a complete application in
writing on a form prescribed by the Secretary will not be required and
a hearing will not be provided.
(2) Appeal to the Board of Veterans' Appeals. See 38 CFR part 20.
(3) Higher-level Review. The nature of this review will accord with
Sec. 3.2601.
(c) Notice requirements. Notice of a decision made under paragraph
(b)(1) or (3) of this section will include all of the elements
described in Sec. 21.420(b).
(Authority: 38 U.S.C. 5104B, 5108, 5109A, and 7105)
0
201. Amend Sec. 21.420 by revising paragraphs (b) and (d), adding
paragraph (e), and revising the authority citation at the end of the
section to read as follows:
Sec. 21.420 Informing the veteran.
* * * * *
(b) Notification: Each notification should include the following:
(1) Identification of the issues adjudicated.
(2) A summary of the evidence considered by the Secretary.
(3) A summary of the applicable laws and regulations relevant to
the decision.
(4) Identification of findings favorable to the veteran.
(5) In the case of a denial of a claim, identification of elements
not satisfied leading to the denial.
(6) An explanation of how to obtain or access evidence used in
making the decision.
(7) A summary of the applicable review options available for the
veteran to seek further review of the decision.
* * * * *
(d) Prior notification of adverse action. VA shall give the veteran
a period of at least 30 days to review, prior to its promulgation, an
adverse action other than one which arises as a consequence of a change
in training time or other such alteration in circumstances. During that
period, the veteran shall be given the opportunity to:
(1) Meet informally with a representative of VA;
(2) Review the basis for VA decision, including any relevant
written documents or material; and
(3) Submit to VA any material which he or she may have relevant to
the decision.
(e) Favorable findings. Any finding favorable to the veteran is
binding on all
[[Page 194]]
subsequent agency of original jurisdiction and Board of Veterans'
Appeals adjudicators, unless rebutted by evidence that identifies a
clear and unmistakable error in the favorable finding.
(Authority: 38 U.S.C. 3102, 5104, 5104A, and 7105)
Sec. 21.430 [Amended]
0
202. Amend Sec. 21.430 in paragraph (b) by removing ``21.98'' and
adding in its place ``21.96''.
Subpart B--Claims and Applications for Educational Assistance
0
203. The authority citation for part 21, subpart B is revised to read
as follows:
Authority: 38 U.S.C. 501(a).
Sec. 21.1033 [Amended]
0
204. Amend Sec. 21.1033 in paragraph (f)(2) by removing the text
``Sec. Sec. 20.302 and 20.305'' and adding in its place the text
``Sec. Sec. 20.203 and 20.110''.
0
205. Revise Sec. 21.1034 to read as follows:
Sec. 21.1034 Review of decisions.
(a) Decisions. A claimant may request a review of a decision on
eligibility or entitlement to educational assistance under title 38,
United States Code. A claimant may request review of a decision on
entitlement to educational assistance under 10 U.S.C. 510, and 10
U.S.C. chapters 106a, 1606, and 1607. A claimant may not request review
of a decision on eligibility under 10 U.S.C. 510, and 10 U.S.C.
chapters 106a, 1606, and 1607 or for supplemental or increased
educational assistance under 10 U.S.C. 16131(i) or 38 U.S.C. 3015(d),
3021, or 3316 to VA as the Department of Defense solely determines
eligibility to supplemental and increased educational assistance under
these sections.
(b) Reviews available. Except as provided in paragraph (d) of this
section, within one year from the date on which the agency of original
jurisdiction issues notice of a decision described in paragraph (a) of
this section as subject to a request for review, a claimant may elect
one of the following administrative review options:
(1) Supplemental Claim Review. See Sec. 3.2501 of this chapter.
(2) Higher-level Review. See Sec. 3.2601 of this chapter.
(3) Board of Veterans' Appeals Review. See 38 CFR part 20.
(c) Part 3 provisions. See Sec. 3.2500(b)-(d) of this chapter for
principles that generally apply to a veteran's election of review of a
decision described in paragraph (a) of this section as subject to a
request for review.
(d) Contested claims. See subpart E of part 20 of this title for
the timeline pertaining to contested claims.
(e) Applicability. This section applies where notice of a decision
described in paragraph (a) of this section was provided to a veteran on
or after the effective date of the modernized review system as provided
in Sec. 19.2(a) of this chapter, or where a veteran has elected review
of a legacy claim under the modernized review system as provided in
Sec. 3.2400(c) of this chapter.
(Authority: 38 U.S.C. 501, 5104B)
0
206. Add Sec. 21.1035 to read as follows:
Sec. 21.1035 Legacy review of benefit claims decisions.
(a) A claimant who has filed a Notice of Disagreement with a
decision described in Sec. 21.1034(a) that does not meet the criteria
of Sec. 21.1034(e) of this chapter has a right to a review under this
section. The review will be conducted by the Educational Officer of the
Regional Processing Officer, at VA's discretion. An individual who did
not participate in the decision being reviewed will conduct this
review. Only a decision that has not yet become final (by appellate
decision or failure to timely appeal) may be reviewed. Review under
this section will encompass only decisions with which the claimant has
expressed disagreement in the Notice of Disagreement. The reviewer will
consider all evidence of record and applicable law, and will give no
deference to the decision being reviewed.
(b) Unless the claimant has requested review under this section
with his or her Notice of Disagreement, VA will, upon receipt of the
Notice of Disagreement, notify the claimant in writing of his or her
right to a review under this section. To obtain such a review, the
claimant must request it not later than 60 days after the date VA mails
the notice. This 60-day time limit may not be extended. If the claimant
fails to request review under this section not later than 60 days after
the date VA mails the notice, VA will proceed with the legacy appeal
process by issuing a Statement of the Case. A claimant may not have
more than one review under this section of the same decision.
(c) The reviewer may conduct whatever development he or she
considers necessary to resolve any disagreements in the Notice of
Disagreement, consistent with applicable law. This may include an
attempt to obtain additional evidence or the holding of an informal
conference with the claimant. Upon the request of the claimant, the
reviewer will conduct a hearing under the version of Sec. 3.103(c) of
this chapter predating Public Law 115-55.
(d) A review decision made under this section will include a
summary of the evidence, a citation to pertinent laws, a discussion of
how those laws affect the decision, and a summary of the reasons for
the decision.
(e) The reviewer may grant a benefit sought in the claim,
notwithstanding Sec. 3.105(b) of this chapter. The reviewer may not
revise the decision in a manner that is less advantageous to the
claimant than the decision under review, except that the reviewer may
reverse or revise (even if disadvantageous to the claimant) prior
decisions of an agency of original jurisdiction (including the decision
being reviewed or any prior decision that has become final due to
failure to timely appeal) on the grounds of clear and unmistakable
error (see Sec. 3.105(a) of this chapter).
(f) Review under this section does not limit the appeal rights of a
claimant. Unless a claimant withdraws his or her Notice of Disagreement
as a result of this review process, VA will proceed with the legacy
appeal process by issuing a Statement of the Case.
(Authority: 38 U.S.C. 5109A and 7105(d))
Subpart I--Temporary Program of Vocational Training for Certain New
Pension Recipients
Sec. 21.6058 [Amended]
0
207. Amend Sec. 21.6058(b) by removing ``21.59'' and adding in its
place ``21.416''.
Sec. 21.6080 [Amended]
0
208. Amend Sec. 21.6080:
0
a. In paragraph (a), by removing the text ``21.96 and 21.98'' and
adding its place the text ``and 21.96''.
0
b. In paragraph (d)(3), by removing ``21.98'' and adding in its place
``21.416''.
[FR Doc. 2018-28350 Filed 1-17-19; 8:45 am]
BILLING CODE 8320-01-P