Citation Nr: 0811529 Decision Date: 04/08/08 Archive Date: 04/23/08 DOCKET NO. 06-11 176A ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Phoenix, Arizona THE ISSUE Entitlement to an effective date earlier than March 9, 1989, for the award of a 100 percent disability evaluation for psychotic disorder, not otherwise specified (formerly characterized as psychophysiological musculoskeletal reaction with history of back pain) is denied. REPRESENTATION Appellant represented by: Arizona Department of Veterans Services WITNESS AT HEARING ON APPEAL Appellant ATTORNEY FOR THE BOARD Scott Shoreman, Associate Counsel INTRODUCTION The veteran had active service from September 1972 to March 1973 and August 1973 to March 1974. This matter comes before the Board of Veterans' Appeals (Board) from a May 2005 rating decision by the above Department of Veterans Affairs (VA) Regional Office (RO). The RO assigned the veteran a 30 percent rating in a March 1978 rating decision, effective from March 12, 1976. In a January 1997 rating decision the RO assigned a 100 percent rating effective March 9, 1989, the date on which the veteran had filed a claim for an increased rating. The veteran testified at a Travel Board hearing before the undersigned Veterans Law Judge at the RO in January 2008. A transcript is of record. FINDINGS OF FACT There is no evidence of record demonstrating that the veteran met the criteria for a 100 percent evaluation for a psychotic disorder, not otherwise specified (formerly characterized as psychophysiological musculoskeletal reaction with history of back pain) prior to March 9, 1989. CONCLUSION OF LAW The criteria for an effective date prior to March 9, 1989, for a 100 percent evaluation for psychotic disorder, not otherwise specified (formerly characterized as psychophysiological musculoskeletal reaction with history of back pain) have not been met. 38 U.S.C.A. §§ 5103(a), 5103A, 5107, 5110 (West 2002 & Supp. 2007); 38 C.F.R. §§ 3.102, 3.159, 3.400(b)(2) (2007). REASONS AND BASES FOR FINDINGS AND CONCLUSION I. Duty to Notify and Assist The Veterans Claims Assistance Act of 2000 (VCAA) enhanced VA's duty to notify and assist claimants in substantiating a claim for VA benefits, as codified in pertinent part at 38 U.S.C.A. §§ 5103, 5103A, 5107, 5126 (West 2002 & Supp. 2007); 38 C.F.R. §§ 3.102, 3.159, 3.326(a) (2007). VA has no duty of notice or assistance in this case, since it is the law, and not the facts, which is dispositive of the case. See Sabonis v. Brown, 6 Vet. App. 426, 430 (1994). See also VAOPGCPREC 5-2004 (June 23, 2004), which stated that VA is not required to provide notice of the information and evidence necessary to substantiate a claim where that claim cannot be substantiated because there is no legal basis for the claim or because undisputed facts render the claim ineligible for the claimed benefit. II. Background and Analysis An appeal consists of a timely filed Notice of Disagreement (NOD) in writing, and, after a Statement of the Case (SOC) has been furnished, a timely filed substantive appeal. 38 C.F.R. § 20.200. Thus, an appeal to a rating action is initiated by submission of an NOD within one year after issuance of the rating action being appealed. 38 C.F.R. § 20.302. The law requires that a communication from a claimant contain certain information to constitute an NOD. While special wording is not required, the NOD must be in terms which can be reasonably construed as disagreement with that determination and a desire for appellate review. 38 C.F.R. § 20.201. Additional basic requirements for a timely appeal are that it must be filed within 60 days after the mailing of the SOC or within the remainder of the one-year period from the date of mailing of the notice of the determination being appealed, whichever is later. The issue of timeliness may also be appealed. See 38 U.S.C.A. § 7105. On December 12, 2004, the veteran submitted an NOD, which was untimely to initiate an appeal of the RO's January 1997 denial of an effective date earlier than March 9, 1989, for a 100 percent evaluation for psychotic disorder, not otherwise specified, competent. See 38 C.F.R. § 20.302. However, rather than simply closing the case, the RO accepted the attempted, untimely NOD as a claim for an effective date earlier than March 9, 1989, for a 100 percent evaluation. The assignment of effective dates of awards is generally governed by 38 U.S.C.A. § 5110; and 38 C.F.R. § 3.400. Unless specifically provided otherwise, the effective date of an award based on an original claim, a claim reopened after final adjudication, or a claim for increase, of compensation, dependency and indemnity compensation, or pension, "shall be fixed in accordance with the facts found, but shall not be earlier than the date of receipt of application therefor." 38 U.S.C.A. § 5110(a). The implementing regulation clarifies this to mean, except as otherwise provided, the effective date of an evaluation and award of pension, compensation, or dependency and indemnity compensation based on an original claim, a claim reopened after final disallowance, or a claim for increase will be the date of receipt of the claim or the date entitlement arose, whichever is later. 38 C.F.R. § 3.400. If a decision by the RO goes unappealed, it is final. A final and binding RO decision shall not be subject to revision on the same factual basis except by duly constituted appellate authorities, or on the basis of clear and unmistakable error (CUE), as provided in 38 C.F.R. § 3.105. 38 C.F.R. § 3.104(a). If a claimant wishes to reasonably raise CUE, "there must be some degree of specificity as to what the alleged error is and, unless it is the kind of error . . . that, if true, would be clear and unmistakable error on its face, persuasive reasons must be given as to why the result would have been manifestly different but for the alleged error." Fugo v. Brown, 6 Vet. App. 40, 43-44 (1993). Neither the veteran nor his representative has raised a contention that the RO committed clear and unmistakable error (CUE) in the January 1997 rating action which awarded the 100 percent evaluation effective March 9, 1989. In the instant case, because the rating action awarding the March 9, 1989, effective date become final, the veteran could only obtain an earlier effective date by showing that the decision was a product of CUE. As noted above, such a claim has not been made. Rather, the veteran and his representative have argued that the Board should now award the earliest date upon which it was factually ascertainable that an increase in disability had occurred. See 38 C.F.R. § 3.400(o)(2). The veteran testified at his January 2008 Travel Board hearing that he did not appeal the prior decision by filing a VA Form 9 or other written appeal because his former representative was ill and could not properly handle his claim. The Board notes that, after receipt of an NOD by VA, an SOC and Form 9 are sent directly to a claimant, in addition to the representative, with instructions on when a reply must be sent to VA. In this case, the record does not show a perfected appeal, by either the veteran or a representative of the veteran, regarding an increased rating between the January 1997 rating decision and when the veteran filed the present claim in December 2004. The veteran's claims file contains correspondence from him on other matters during that time period, but none regarding this claim. Although the veteran wrote in December 2004 that he has continuously prosecuted this claim since 1975, the record does not support that assertion. The Court of Appeals for Veterans Claims (CAVC) holding in Rudd v. Nicholson, 20 Vet. App. 296 (2006) dictates that the veteran's claim for an earlier effective date must fail. To the extent that the veteran intended his December 2004 statement to be a "freestanding" claim for an earlier effective date, "such a possibility vitiates the rule of finality." Rudd, 20 Vet. App. at 300. A freestanding claim for an earlier effective date for a 100 percent evaluation for the service-connected psychotic disorder, not otherwise specified (formerly characterized as psychophysiological musculoskeletal reaction with history of back pain) seeks a benefit not provided by law. As noted above, when the law is dispositive against a claim, as here, the claim must be denied or the appeal terminated. Sabonis, 6 Vet. App at 430. Therefore, pursuant to Rudd, 20 Vet. App. at 300, this appeal must be denied. ORDER The appeal for an effective date earlier than March 9, 1989, for the award of a 100 percent disability evaluation for service-connected psychotic disorder, not otherwise specified (formerly characterized as psychophysiological musculoskeletal reaction with history of back pain) is denied. ________________________________ ANDREW J. MULLEN Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs