Citation Nr: 0811088 Decision Date: 04/03/08 Archive Date: 04/14/08 DOCKET NO. 02-17 852 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in St. Paul, Minnesota THE ISSUE Entitlement to Dependency and Indemnity Compensation (DIC) benefits under 38 U.S.C.A. § 1310. REPRESENTATION Appellant represented by: Disabled American Veterans ATTORNEY FOR THE BOARD C. Ferguson, Associate Counsel INTRODUCTION The veteran had active service from January 1969 to January 1973. The appellant is the veteran's widow. This matter returns to the Board of Veterans' Appeals (Board) following Board Remands issued in August 2004 and March 2007. This matter was originally on appeal from a September 2001 rating decision of the Department of Veterans Affairs (VA) Regional Office (RO) in St. Paul, Minnesota. The Board observes that the appellant requested a Decision Review Officer (DRO) hearing in the November 2002 VA Form 9. However, the January 2003 VA Form 119 reveals that the appellant no longer wanted a hearing with the DRO or any other type of hearing and asked that the case be certified and forwarded to the Board. Thus, the appellant's DRO hearing request has been withdrawn. In the August 2004 Remand, the Board explained that the appellant appeared to raise a claim for DIC benefits under 38 U.S.C.A. § 1318 and a claim of clear and unmistakable error in a September 1974 rating decision and referred the matters to the RO for appropriate action. As it is not clear whether any action has been taken with respect to these undeveloped claims, the Board again refers the matters to the RO for appropriate action. FINDINGS OF FACT 1. All relevant evidence necessary for an equitable disposition of this appeal has been obtained. 2. The veteran died in June 2001. The death certificate lists the immediate cause of death as post operative pulmonary congestion due to post operative bronchial mucus plug due to carcinoma of the right lung. 3. At the time of the veteran's death, service connection was in effect for a skull defect, right temporal area with acrylic cranioplasty; encephalopathy with recurrent residual cephalgia and left hemiparesis, slight; and osteomyelitis, bone flap, skull. 4. No service-connected disability has been shown to be the principal cause or contributory cause of the veteran's death. 5. The evidence of record does not show that the veteran was exposed to herbicide agents in service. 6. The competent medical evidence of record does not show that the veteran's cause of death is related to active military service. CONCLUSION OF LAW A disability incurred in or aggravated by military service did not cause or contribute substantially or materially to cause the veteran's death. 38 U.S.C.A. §§ 1110, 1310, 5103, 5103A, 5107 (West 2002); 38 C.F.R. §§ 3.159, 3.303, 3.312 (2007). REASONS AND BASES FOR FINDINGS AND CONCLUSION The Veterans Claims Assistance Act of 2000 (VCAA) The VCAA describes VA's duty to notify and assist claimants in substantiating a claim for VA benefits. 38 U.S.C.A. §§ 5100, 5102, 5103, 5103A, 5107, 5126 (West 2002); 38 C.F.R. §§ 3.102, 3.156(a), 3.159 and 3.326(a) (2007). Upon receipt of a complete or substantially complete application for benefits, VA is required to notify the claimant and his or her representative, if any, of any information, and any medical or lay evidence, that is necessary to substantiate the claim. 38 U.S.C.A. § 5103(a) (West 2002); 38 C.F.R. § 3.159(b) (2007); Quartuccio v. Principi, 16 Vet. App. 183 (2002). Proper VCAA notice must inform the claimant of any information and evidence not of record (1) that is necessary to substantiate the claim; (2) that VA will seek to provide; (3) that the claimant is expected to provide; and (4) must ask the claimant to provide any evidence in his or her possession that pertains to the claim in accordance with 38 C.F.R. § 3.159(b)(1). VCAA notice should be provided to a claimant before the initial unfavorable agency of original jurisdiction (AOJ) decision on a claim. Pelegrini v. Principi, 18 Vet. App. 112 (2004). But see Mayfield v. Nicholson, 19 Vet. App. 103, 128 (2005), rev'd on other grounds, Mayfield v. Nicholson, 444 F.3d 1328 (Fed. Cir. Apr. 5, 2006) (when VCAA notice follows the initial unfavorable AOJ decision, remand and subsequent RO actions may "essentially cure [] the error in the timing of notice"). VCAA notice should also apprise the veteran of the criteria for assigning disability ratings and for award of an effective date. Dingess/Hartman v. Nicholson, 19 Vet. App. 473 (2006). In correspondence dated in August 2004, the RO advised the appellant of what the evidence must show to support her claim for DIC benefits and asked her to provide VA with any information and evidence in her possession that pertained to her claim. The RO also explained to the appellant what evidence VA was responsible for obtaining and would make reasonable efforts to obtain on her behalf in support of her claim. While the RO did not advise the appellant regarding the element of effective date with respect to her claim in said notice, such notice defect constitutes harmless error in this case. Indeed, the appellant was sent notice of how VA determines the effective date in March 2007 by way of the June 2006 VCAA letter that had been enclosed with the March 2007 follow-up VCAA notice letter and the claim was later readjudicated in October 2007. Moreover, the appellant's claim is being denied for reasons explained in greater detail below and, consequently, no effective date will be assigned. Although the Board acknowledges that the August 2004 VCAA notice letter was sent after the initial denial of the appellant's claim, any timing error has been remedied as that notice and a follow-up VCAA notice sent in March 2007 were followed by readjudication of the claim in October 2007. While this case was in remand status, the U.S. Court of Appeals for Veterans Claims (Court) held that for dependency and indemnity compensation (DIC) benefits, VCAA notice must further include (1) a statement of the conditions, if any, for which a veteran was service-connected at the time of his or her death; (2) an explanation of the evidence and information required to substantiate a DIC claim based on a previously service-connected condition; and (3) an explanation of the evidence and information required to substantiate a DIC claim based on a condition not yet service-connected. Hupp v. Nicholson, 21 Vet. App. 342, 352 (2007). The Board notes that the RO provided explanation of the evidence and information required to substantiate a DIC claim based on a previously service-connected condition in the August 2004 VCAA notice letter. Indeed, the RO wrote that VA needed medical evidence showing that the veteran's service- connected conditions caused or contributed to the veteran's death. Thus, notice with respect to the second element was satisfied by the August 2004 VCAA notice letter. However, the appellant is not shown to have been provided with adequate notice with respect to the first or third elements delineated above in any VCAA correspondence issued during the course of this appeal. Nonetheless, the absence of notice with respect to both elements is harmless error in this case for reasons explained below. In regard to the first element, the Board notes that the RO listed the disabilities for which the veteran had been service-connected during his lifetime stating that none of the conditions were held to have caused or to have contributed in any way to the veteran's death and additionally discussed entitlement to service connection for right lung carcinoma on a direct and a presumptive basis due to exposure to herbicide agents in the September 2001 rating decision. The appellant subsequently filed a notice of disagreement with respect to the September 2001 rating decision, specifically asserting that the veteran's death was related to Agent Orange exposure during service in Thailand. Next, the RO issued a statement of the case (SOC) in September 2002 wherein the RO again listed the service- connected disabilities for which the veteran was service- connected during his lifetime, stated that none of the service-connected conditions were held to have caused or to have contributed in any way to the veteran's death, and discussed entitlement to service connection for right lung carcinoma on a direct and a presumptive basis due to exposure to herbicide agents. In the October 2002 VA Form 9, the appellant continued to assert that she believed that her husband's death was "service-related due to Agent Orange." Additionally, the appellant's representative submitted written briefs in January 2007 and February 2008 wherein the law and regulation pertaining to DIC benefits are discussed and did not indicate any lack of notice with respect to the veteran's service-connected disabilities. Thus, in light of the numerous written statements submitted by the appellant and her representative during the course of this lengthy appeal in response to RO correspondence, the appellant can be reasonably expected to have actual knowledge of the conditions for which the veteran was service-connected at the time of his death. The Board particularly notes that the appellant filed a notice of disagreement in September 2001 and a substantive appeal in October 2002, wherein she asserted that the cause of the veteran's death was due to in- service herbicide exposure. Her assertion at that time was solely based on information provided to her in the September 2001 rating decision and September 2002 SOC as she had not been provided with VCAA notice with respect to her claim at that time. Although the appellant does not specifically mention the veteran's service-connected disabilities in her correspondence, it is certainly reasonable to conclude that she and her representative were aware of the conditions for which the veteran was service-connected but chose to contend that the veteran's right lung carcinoma was related to in- service herbicide exposure rather than any service-connected disability. In regard to the third element, the Board notes that the appellant contends that the veteran's death was caused by a disorder not yet service-connected, i.e., right lung carcinoma, as noted above; however, she was not specifically provided with an explanation of the evidence and information required to substantiate a DIC claim based on a condition not yet service-connected with respect to her claim. Nevertheless, the appellant has demonstrated actual knowledge of what the evidence must show to establish entitlement to service connection for the veteran's right lung carcinoma as she has submitted argument in support of her contention that the veteran was exposed to herbicide agents in service and, as a result, further development has been accomplished. Additionally, as above, it can be reasonably expected from the correspondence issued during the course of this appeal that the appellant knew what evidence was needed to establish service-connection for right lung carcinoma and she has repeatedly asserted that her husband's death was related to in-service herbicide exposure, which indicates that she wanted to pursue the theory of service connection based on herbicide exposure with respect to her claim. Furthermore, the appellant has been afforded a meaningful opportunity to participate in the adjudication of her claim during the course of this lengthy appeal such that the essential fairness of the adjudication was not affected by such lack of notice with respect to that element. For the foregoing reasons and the particular facts presented in this case, the Board finds that a remand to the RO for further notice with respect to the appellant's claim would only serve to delay adjudication of the claim unnecessarily. The Board further notes that the RO provided the veteran with a copy of the September 2001 rating decision, the September 2002 SOC, and the October 2007 Supplemental Statement of the Case (SSOC), which included a discussion of the facts of the claim, pertinent laws and regulations, notification of the basis of the decision, and a summary of the evidence considered to reach the decision. Therefore, the Board concludes that the requirements of the notice provisions of the VCAA have been met, and there is no outstanding duty to inform the veteran that any additional information or evidence is needed. Quartuccio, 16 Vet. App. at 187. To fulfill its statutory duty to assist, the RO submitted a search request to the U.S. Army and Joint Services Records Research Center (JSRRC) in August 2004 in an attempt to verify the appellant's claim that the veteran was exposed to Agent Orange in service, as pursuant to the August 2004 Board Remand. In January 2005, JSRRC replied that it was unable to assist with the request because it did not maintain military personnel files, unit histories, or files related to the veteran's duty assignments. Subsequently, the RO contacted the US National Archives and Records Administration (NARA) in February 2006. In its March 2006 response, the NARA informed the RO that unit histories and supporting documents of Air Force units were in the custody of the Air Force Historical Research Agency. In June 2006, the RO submitted a request to the Air Force Historical Research Agency for the unit histories of the 307th Field Maintenance Squadron in Thailand during January 1971. The Air Force Historical Research Agency responded in July 2006 that it could find no reference to the aircraft that sprayed herbicide agents in Vietnam in the histories for the 307th Strategic Wing (parent of the 307th Field Maintenance Squadron) and enclosed copies of relevant pages from the Project Checo South Asia Report: Ranch Hand Herbicide Operations in Sea that indicated that the aircraft and spray systems belonged to the 310th Tactical Airlift Squadron of the 315 Tactical Airlift Wing. The Board also notes that the appellant's representative suggested that a request for records from the Social Security Administration be made in the June 2004 Appellant's Brief and the record reflects that no such request was made. However, the Board finds that a remand to obtain social security records is not necessary in this case as the representative expressed uncertainty as to whether the veteran was even in receipt of such benefits and the records are not deemed pertinent to the claim because they would not show that the veteran was exposed to herbicide agents in service, as contended by the appellant. The Board further notes that the appellant's representative suggested in the June 2004 Appellant's Brief that an independent medical opinion be obtained regarding the relationship between the veteran's cancer and herbicide exposure. However, as the veteran is not shown to have been exposed to herbicide agents in service, no such opinion is needed in this case. The appellant has not made the RO or the Board aware of any other evidence relevant to this appeal that needs to be obtained. Based on the foregoing, the Board finds that all relevant facts have been properly and sufficiently developed in this appeal and no further development is required to comply with the duty to assist the appellant in developing the facts pertinent to her claim. Based on the foregoing, the Board finds that the RO complied with its August 2004 and March 2007 Remands. Stegall v. West, 11 Vet. App. 268 (1998). Accordingly, the Board will proceed with appellate review. Analysis The appellant essentially contends that the underlying cause of the veteran's death, carcinoma of the right lung, was caused by exposure to herbicide agents during his service in Thailand. The appellant asserts that the veteran was exposed to Agent Orange while performing maintenance on aircraft that had been to Vietnam and were contaminated with Agent Orange as part of his duties as an environmental systems repairman with the 307th Field Maintenance Squadron. Dependency and Indemnity Compensation (DIC) benefits are payable to the surviving spouse of a veteran if the veteran died from a service-connected or compensable disability. 38 U.S.C.A. § 1310 (West 2002); 38 C.F.R. § 3.5 (2007). In order to establish service connection for the cause of death, there must be (1) evidence of death; (2) evidence of in-service incurrence or aggravation of a disease or injury; and (3) medical evidence of a nexus between the claimed in- service disease or injury and death. Hickson v. West, 12 Vet. App. 247, 253 (1999). The Board initially notes that the evidence of record confirms the occurrence of the veteran's death. Indeed, the death certificate notes that the veteran died in June 2001 of post operative pulmonary congestion due to post operative bronchial mucus plug as a result of carcinoma of the right lung. In regard to the second criterion, the record reflects that service connection had been established during the veteran's lifetime for a skull defect, right temporal area with acrylic cranioplasty; encephalopathy with recurrent residual cephalgia and left hemiparesis, slight; and osteomyelitis, bone flap, skull. However, the appellant does not contend and the evidence does not show that any of the veteran's service-connected disabilities was either the principal or a contributory cause of the veteran's death. Rather, as stated above, the appellant contends that the veteran's right lung carcinoma, which was not service-connected, was related to in-service herbicide exposure. In order to establish presumptive service connection for a disease associated with exposure to certain herbicide agents, the evidence must show the following: (1) that the veteran served in the Republic of Vietnam during the period beginning on January 9, 1962 and ending on May 7, 1975; (2) that the veteran currently suffers from a disease associated with exposure to certain herbicide agents enumerated under § 3.309(e); and (3) that the current disease process manifested to a degree of 10 percent or more within the specified time period prescribed in § 3.307(a)(6)(ii). 38 U.S.C.A. § 1116 (West 2002); 38 C.F.R. §§ 3.307(a)(6), 3.309(e) (2007). The Board notes that the underlying cause of the veteran's death, right lung carcinoma, is enumerated as a disease associated with exposure to certain herbicide agents under 38 C.F.R. § 3.309(e). However, the veteran is not shown to have served in the Republic of Vietnam during the requisite period as service personnel records do not show that the veteran actually served in Vietnam, but rather served in Thailand from January 1971 to January 1972. Therefore, exposure to herbicide agents is not presumed. Nonetheless, if the evidence shows that the veteran was exposed to herbicide agents during his period of active military service, service connection for his right lung carcinoma may still be established. A review of the record, however, does not show that the veteran was exposed to herbicide agents in service. Service personnel records show the veteran began his service in Thailand as an environmental systems repairman with the 307th Field Maintenance Squadron on January 4, 1971. His duties as a repairman at that time included inspecting, troubleshooting, repairing, and modifying aircraft air conditioning, anti-icing, cabin pressurization and oxygen systems and components on B-52 and KC-135 aircraft and, generally, preparing bombardment and tanker aircraft for strike and refueling missions; there is no indication that the veteran performed maintenance on aircraft involved in herbicide missions. In addition, the Air Force Historical Research Agency wrote in July 2006 correspondence that it could find no reference to the aircraft (i.e., UC-123) that sprayed herbicide agents in Vietnam in the unit histories for the 307th Strategic Wing (parent of the 307th Field Maintenance Squadron) and enclosed copies of relevant pages from a declassified report (i.e., Project Checo South Asia Report) that indicated that the aircraft that participated in herbicide missions involved another unit (i.e., the 310th Tactical Airlift Squadron of the 315 Tactical Airlift Wing) and that the herbicide mission of the United States Air Force terminated in January 1971, the month that the veteran began his service in Thailand. Thus, the evidence does not show that the veteran or his assigned unit was involved with herbicide missions to include the maintenance of aircraft involved in such missions during the veteran's service in Thailand and there is no indication that the veteran was otherwise exposed to herbicide agents during his period of active military service. Consequently, the veteran's exposure to herbicide agents in service, as claimed by the appellant, is not shown. Furthermore, as noted above, the appellant does not contend and the evidence does not show that any of the veteran's service-connected disabilities was either the principal or a contributory cause of the veteran's death. Moreover, there is no evidence otherwise linking the veteran's death to his active military service. Indeed, the veteran's service medical records are negative of any findings of respiratory cancer and there is no indication of right lung carcinoma shown until many years after separation from service. Additionally, there is no competent medical opinion of record linking the cause of the veteran's death to active military service. Although the Board observes that the appellant has repeatedly asserted that the cause of the veteran's death, right lung carcinoma, was due to in-service herbicide exposure, the evidence does not show that the veteran was exposed to herbicide agents in service. Furthermore, there is no medical evidence causally linking the veteran's death to his active military service. Grottveit v. Brown, 5 Vet. App. 91 (1993). Based on the foregoing reasons, the Board finds that the preponderance of the evidence weighs against the appellant's claim and entitlement to service connection for the cause of the veteran's death must be denied. In reaching this conclusion, the Board notes that under the provisions of 38 U.S.C.A. § 5107(b), the benefit of the doubt is to be resolved in the claimant's favor in cases where there is an approximate balance of positive and negative evidence in regard to a material issue. The preponderance of the evidence, however, is against the appellant's claim and that doctrine is not applicable. Gilbert v. Derwinski, 1 Vet. App. 49 (1990). ORDER Entitlement to Dependency and Indemnity Compensation under 38 U.S.C.A. § 1310 is denied. ____________________________________________ STEVEN L. COHN Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs