Citation Nr: 0609885 Decision Date: 04/05/06 Archive Date: 04/13/06 DOCKET NO. 04-20 039 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Des Moines, Iowa THE ISSUES 1. Entitlement to an effective date earlier than September 22, 1969, for the award of service connection for bilateral hearing loss. 2. Entitlement to an effective date earlier than December 22, 1998, for the award of a 100 percent rating for bilateral hearing loss. REPRESENTATION Appellant represented by: The American Legion WITNESS AT HEARING ON APPEAL Appellant ATTORNEY FOR THE BOARD Siobhan Brogdon, Counsel INTRODUCTION The veteran served on active duty from April 15 to August 18, 1943. This appeal comes before the Department of Veterans Affairs (VA) Board of Veterans' Appeals (Board) from an August 2003 rating decision of the VA Regional Office (RO) in Des Moines, Iowa that granted service connection for bilateral hearing loss, effective from September 22, 1969, and assigned a 100 percent disability rating from December 22, 1998. The appellant was afforded a personal hearing at the RO in August 2004. The transcript is of record. At the hearing and in correspondence received in August 2004, the veteran withdrew the issues of entitlement to concurrent payments of VA disability pension and compensation and entitlement to monthly compensation greater than $110.00 for a spouse determined to be in need of regular aid and attendance. These matters are no longer for appellate consideration. This case was advanced on the docket on account of the veteran's age. (Consideration of the claim of entitlement to an effective date earlier than December 22, 1998, for the award of a 100 percent rating for bilateral hearing loss is deferred pending completion of the development sought in the remand that follows the decision below.) FINDINGS OF FACT 1. Service connection for defective hearing was denied by a September 1967 Board decision. 2. The veteran's application to reopen a claim of entitlement to service connection for hearing loss was received on August 25, 1969. CONCLUSION OF LAW The criteria for an effective date of August 25, 1969, for the grant of service connection for bilateral hearing loss have been met. 38 U.S.C.A. § 5110 (West 2002 & Supp. 2005); 38 C.F.R. § 3.400 (2005). REASONS AND BASES FOR FINDINGS AND CONCLUSION At the outset, the Board notes that the Veterans Claims Assistance Act of 2000 (VCAA), Pub. L. No. 106-475, 114 Stat. 2096 (2000), was promulgated in November 2000, and has imposed new duties on VA to provide notice and assistance to claimants in order to help them substantiate their claims. 38 U.S.C.A. §§ 5100, 5102, 5103, 5103A, 5107, 5126 (West 2002 & Supp. 2005). To implement the provisions of the law, VA promulgated regulations codified at 38 C.F.R. §§ 3.102, 3.156(a), 3.159, 3.326(a) (2005). The Act and implementing regulations include an enhanced duty on the part of VA to notify a claimant of the information and evidence needed to substantiate a claim. 38 U.S.C.A. § 5103; 38 C.F.R. § 3.159(b) (2005). In addition, they define the obligation of VA with respect to its duty to assist the claimant in obtaining evidence. 38 U.S.C.A. § 5103A; 38 C.F.R. § 3.159(c) (2005). Considering the record in light of the duties imposed by the VCAA and its implementing regulations, the Board finds that all notification and development action needed to fairly adjudicate the claim for an earlier effective date for service connection has been accomplished. As evidenced by the statement of the case, and the supplemental statements of the case, the appellant and his representative have been notified of the laws and regulations governing entitlement to the benefit sought, and informed of the evidence of record. These discussions also served to inform him of the evidence needed to substantiate the claim. The Board also finds that the statutory and regulatory requirement that VA notify a claimant of what evidence, if any, will be obtained by the claimant and which evidence, if any, will be obtained by VA, has been met. 38 U.S.C.A. § 5103(a); see Quartuccio v. Principi, 16 Vet. App. 183 (2002) (addressing the duties imposed by 38 U.S.C.A. § 5103(a) and 38 C.F.R. § 3.159). In a letter to the appellant dated in June 2005, the RO informed him of what the evidence had to show to substantiate the claim, what medical and other evidence the RO needed from him, what information or evidence he could provide in support of the claim, and what evidence VA would try to obtain on his behalf. The letter also advised him to submit relevant evidence or information in his possession. 38 C.F.R. § 3.159(b) (2005). The United States Court of Appeals for Veterans Claims (Court) has held that notice required by 38 U.S.C.A. § 5103(a), and 38 C.F.R. § 3.159(b), should generally be provided prior to the initial adverse decision on the claim. Pelegrini v. Principi, 18 Vet. App. 112, 119-20 (2004). The Court went on to say, however, that its decision was not meant to invalidate any existing decision made prior to such notice, and, indeed, that VA could satisfy VCAA notice requirements by ensuring that the proper notice was ultimately provided after the initial adverse decision on the claim. Id, at 120, 122-4. The Board does not find that any late notice under the VCAA requires remand to the RO. Nothing about the evidence or any response to the RO's notification suggests that the case must be re-adjudicated ab initio to satisfy the requirements of the VCAA. See also Dingess v. Nicholson, No. 01-1917 (U.S. Vet. App. March 3, 2006), The Board finds that VA has made the required efforts to assist the appellant in obtaining the evidence necessary to substantiate his claim. Private clinical data identified by the veteran have been requested and associated with the claims folder, and extensive VA outpatient records have also been retrieved. He was provided the opportunity for a Travel Board hearing at the RO in August 2005 but declined this option in a letter dated in July 2005. Under the circumstances, the Board finds that further assistance is not required. See 38 U.S.C.A. § 5103 A (a) (2). The appellant avers that service connection for hearing loss should have been effective as of the date of separation from his active military service in 1943. He filed claims as early as August 1946 and he appealed an April 1965 rating decision that denied service connection for hearing loss. By a September 1967 decision, the Board denied the claim. Absent a finding of clear and unmistakable error, the assignment of effective dates of awards is generally governed by 38 U.S.C.A. § 5110 (West 2002 & Supp. 2005) and 38 C.F.R. § 3.400 (2005). The effective date for a reopened claim, after a final disallowance (such as the 1967 Board denial), shall be the date of receipt of the new claim or date entitlement arose, whichever is later. 38 C.F.R. § 3.400(q)(1)(ii) (2005). See Nelson v. Principi, 18 Vet. App. 407, 409 (2004); Leonard v. Principi, 17 Vet. App. 447, 451 (2004); Sears v. Principi, 16 Vet. App. 245, 247 (2002), aff'd, 349 F.3d 1326 (Fed. Cir. 2003); see also Lapier v. Brown, 5 Vet. App. 215 (1993). Applicable regulations provide that a claim may be either a formal or informal written communication "requesting a determination of entitlement, or evidencing a belief in entitlement, to a benefit." 38 C.F.R. § 3.1(p) (2005). A claim, whether "formal" or "informal," must be "in writing" in order to be considered a "claim" or "application" for benefits. See Rodriguez v. West, 189 F.3d 1351, 1354 (Fed. Cir. 1999). Any claim for VA benefits must be submitted in the form prescribed by the Secretary. 38 U.S.C.A. § 5101(a) (West 2002 & Supp. 2005). Section § 5101(a) is a clause of general applicability and mandates that a claim must be filed in order for any type of benefit to accrue or be paid. See Jones v. West, 136 F.3d 1296, 1299 (Fed. Cir. 1998). An informal claim is any communication indicating an intent to apply for one or more benefits, and must identify the benefit sought. 38 C.F.R. § 3.155(a) (2005). As noted above, the evidence discloses that the veteran filed claims for service connection for hearing loss several times after separation from service beginning in 1946. The Board denied service connection for hearing loss in September 1967. This decision is final. See 38 U.S.C.A. § 7104 (West 2002 & Supp. 2005); 38 C.F.R. §§ 20.1100 (2005). As such, new and material evidence was required to reopen the claim. See 38 U.S.C.A. § 5108 (West 2002 & Supp. 2005); 38 C.F.R. § 3.156(a) (2005). The record reflects that following the final Board denial of the claim in 1967, the veteran ostensibly filed a claim for nonservice-connected pension that was received on August 25, 1969. In his application for pension, he noted a number of disabilities contributing to inability to work, including hearing loss. In a letter received on September 22, 1969, the veteran requested that he be service connected for his "worst disability." In support of his claim, the appellant submitted a letter from the Mayo Clinic that, among other things, noted that he had had difficulty hearing of at least 20 years' duration. The examining otologist felt that his hearing loss was due to noise exposure. The record reflects, however, that the agency of original jurisdiction did not respond to the appellant's additional evidence, thereby leaving the claim in an open status. The appellant subsequently attempted to reopen his claim in 1988, 1990, 1999 and February 2001. The record reflects that at the request of his Congressman, the veteran's case was sent to the VA Compensation and Pension service for administrative review. In a determination dated in December 2001, it was found that service connection for hearing loss should have been grated following the issuance of opinions relevant to his claim by the VA General Counsel in 1985 and 1988. These opinions concluded that service connection may be granted for hereditary diseases that preexisted service and progressed at an abnormally high rate during service. See VA OGC. Prec. Op. No. 8-88 (Sept. 29, 1988) (reissued as VAOPGCPREC 67-90 (July 18, 1990)). As noted previously, the veteran filed a claim for pension that was received on August 25, 1969 citing hearing loss as a disability. A claim for compensation may be considered to be a claim for pension and a claim for pension may be considered to be a claim for compensation. 38 U.S.C.A. § 5101(a); 38 C.F.R. § 3.151(a) (2005). Therefore, for the purposes of this appeal, it may be found that a claim to reopen service connection for hearing loss was first received after the 1967 Board decision on August 25, 1969. The Board thus finds that the award of service connection for hearing loss is warranted from August 25, 1969, based on the date that the claim to reopen was received. Although the veteran maintains that the effective date of service connection should be made retroactive to at least the filing of his original claim in 1946, it is shown that service connection for hearing loss was previously denied by the Board in 1967. Because this determination is final, the earliest date that may be assigned for an award of service connection is the date a claim to reopen was received. 38 U.S.C.A. § 5110. An effective date of August 25, 1969, but no earlier, is granted. ORDER An effective of August 25, 1969, for the award of service connection for bilateral hearing loss is granted. REMAND The veteran asserts that he is entitled to an effective date earlier than December 22, 1998, for the award of a 100 percent rating for his hearing loss. As noted previously, service connection for bilateral hearing loss has been granted effective from August 25, 1969. In a rating action dated in August 2003, the RO assigned 10 percent, 20 percent, 40 percent, 60 percent and 100 percent ratings effective from September 22, 1969, June 24, 1970, September 16, 1980, September 29, 1980 and December 22, 1998, respectively. The Board observes, however, that review of the evidence shows no document of record that discloses how the RO arrived at the assigned ratings for those specific dates, except in the latter-most instance. The rating decision of August 2003 and the February 2005 supplemental statement of the case in this regard only provide statements as to the levels of hearing loss shown on audiogram on those dates without providing the regulatory criteria that support the RO's conclusions. The Board is of the opinion that apprising the veteran of the schedular criteria for rating hearing loss dating back to 1969 is a function of VA's duty to assist in order that he may be properly informed as to why higher ratings for those time frames were not assigned. This also places the veteran on notice of what evidence was required to establish a 100 percent rating at any time prior to December 22, 1998. Accordingly, this case is REMANDED for the following actions: 1. The RO must review the claims file and ensure that all notification and development actions required by 38 U.S.C.A. §§ 5102, 5103, and 5103A (West 2002 & Supp. 2005), the implementing regulations found at 38 C.F.R. § 3.159 (2005), and any other legal precedent are fully complied with and satisfied. The veteran should specifically be told what is required to substantiate a claim for a 100 percent disability rating for bilateral hearing loss earlier than December 22, 1998, and advised of the information and evidence needed to substantiate the claim. The veteran should be told what part of such evidence he should obtain and what part the RO will attempt to obtain on his behalf. He should also be advised to provide any evidence in his possession that is pertinent to his claim. See Quartuccio v. Principi, 16 Vet. App. 183 (2002); see also Charles v. Principi, 16 Vet. App. 370, 373-374 (2002). 2. After undertaking any further development deemed appropriate, the RO should readjudicate the issue on appeal. The RO's adjudication should include consideration of rating criteria for award of a 100 percent rating that have been effective since 1969 with various amendments made to those criteria over the years. If the benefit sought is not granted, the appellant should be provided with a supplemental statement of the case and afforded an opportunity to respond. The supplemental statement of the case should set forth the various rating criteria. 38 C.F.R. § 19.29(b) (2005). Thereafter, the claims folder should be returned to the Board for further consideration. The appellant has the right to submit additional evidence and argument on the matter the Board has remanded. Kutscherousky v. West, 12 Vet. App. 369 (1999). This claim must be afforded expeditious treatment. The law requires that all claims that are remanded by the Board or by the United States Court of Appeals for Veterans Claims for additional development or other appropriate action must be handled in an expeditious manner. See 38 U.S.C.A. §§ 5109B, 7112 (West Supp. 2005). ________________________________ MARK F. HALSEY Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs