Citation Nr: 1329246 Decision Date: 09/12/13 Archive Date: 09/20/13 DOCKET NO. 12-11 243A ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Indianapolis, Indiana THE ISSUE Entitlement to service connection for tinnitus. REPRESENTATION Appellant represented by: Tenna Petro, Agent ATTORNEY FOR THE BOARD Aaron Bill, Associate Counsel INTRODUCTION The Veteran served on active duty from May 1982 to May 1986. This appeal comes to the Board of Veterans' Appeals (Board) from a May 2011 rating decision. The Board has not only reviewed the Veteran's physical claims file but also his file on the "Virtual VA" system to ensure a total review of the evidence. FINDINGS OF FACT 1. The Veteran was exposed to loud noise while in service. 2. The Veteran has credibly reported the onset of tinnitus in service and he has a current diagnosis of tinnitus. CONCLUSION OF LAW The criteria for service connection for tinnitus have been met. 38 U.S.C.A. §§ 1112, 1113, 1131, 1137, 1153, 5107, 7104 (West 2002 & Supp. 2012); 38 C.F.R. §§ 3.102, 3.303, 3.307, 3.309, 3.385 (2012). REASONS AND BASES FOR FINDINGS AND CONCLUSION Duties to Notify and to Assist The Veterans Claims Assistance Act of 2000 (VCAA) and implementing regulations impose obligations on the Department of Veterans Affairs to provide claimants with notice and assistance. 38 U.S.C.A. §§ 5102, 5103, 5103A, 5107; 38 C.F.R §§ 3.102, 3.156(a), 3.159, 3.326(a). Proper VCAA notice must inform the claimant of any information and evidence not of record that: (1) is necessary to substantiate the claim; (2) VA will seek to provide; and (3) the claimant is expected to provide. 38 U.S.C.A. § 5103(a); 38 C.F.R. § 3.159(b) (1) (2012). In Pelegrini v. Principi, 18 Vet. App. 112 (2004), the United States Court of Appeals for Veterans Claims (Court) held that a VCAA notice, as required by 38 U.S.C.A. § 5103(a), must be provided to a claimant before the initial unfavorable decision on the claim for VA benefits. In the decision below, the Board grants service connection for tinnitus. As such action represents a complete grant of the benefit sought on appeal, no discussion of VA's duty to notify and to assist is necessary as to those issues. Service Connection It is the Board's responsibility to evaluate the entire record on appeal. See 38 U.S.C.A. § 7104(a). In this case, the Board has thoroughly reviewed all the evidence in the Veteran's claims folder. Although the Board has an obligation to provide reasons and bases supporting this decision, there is no need to discuss, in detail, all of the evidence submitted by a veteran or on his or her behalf. See Gonzales v. West, 218 F.3d 1378, 1380-81 (Fed. Cir. 2000) (the Board must review the entire record, but does not have to discuss each piece of evidence). When there is an approximate balance in the evidence regarding the merits of an issue material to the determination of the matter, the benefit of the doubt in resolving each such issue shall be given to the claimant. 38 U.S.C.A. § 5107(b); 38 C.F.R. § 3.102. The Court held that an appellant need only demonstrate that there is an "approximate balance of positive and negative evidence" in order to prevail. See Gilbert v. Derwinski, 1 Vet. App. 49, 53 (1990). The Court has also stated, "It is clear that to deny a claim on its merits, the evidence must preponderate against the claim." Alemany v. Brown, 9 Vet. App. 518, 519 (1996), citing Gilbert. Service connection may be granted for a disability resulting from disease or injury incurred in or aggravated by active military, naval, or air service. 38 U.S.C.A. § 1131 ; 38 C.F.R. § 3.303(a). Service connection may be granted for any disease diagnosed after discharge, when all the evidence, including that pertinent to service, establishes that the disease was incurred in service. 38 C.F.R. § 3.303(d). Tinnitus is not a chronic condition under 38 C.F.R. § 3.303(b). As a general matter, service connection for a disability requires evidence of: (1) the existence of a current disability; (2) the existence of the disease or injury in service, and; (3) a relationship or nexus between the current disability and any injury or disease during service. Shedden v. Principi, 381 F.3d 1163 (Fed. Cir. 2004); see also Hickson v. West, 12 Vet. App. 247, 253 (1999), citing Caluza v. Brown, 7 Vet. App. 498, 506 (1995), aff'd, 78 F.3d 604 (Fed. Cir. 1996). The condition at issue, tinnitus, is not "chronic diseases" listed under 38 C.F.R. § 3.309(a); therefore, the presumptive provisions of 38 C.F.R. § 3.303(b) do not apply. Walker v. Shinseki, 708 F.3d 1331 (Fed. Cir. 2013). In rendering a decision on appeal, the Board must analyze the credibility and probative value of the evidence, account for the evidence which it finds to be persuasive or unpersuasive, and provide the reasons for its rejection of any material evidence favorable to the claimant. See Gabrielson v. Brown, 7 Vet. App. 36, 39-40 (1994); Gilbert, supra, 1 Vet. App. at 57. Lay assertions may serve to support a claim for service connection by supporting the occurrence of lay-observable events or the presence of disability or symptoms of disability subject to lay observation. See 38 U.S.C.A. § 1153(a); 38 C.F.R. § 3.303(a); see also Jandreau v. Nicholson, 492 F.3d 1372 (Fed. Cir. 2007) and Buchanan v. Nicholson, 451 F.3d 1331, 1336 (Fed. Cir. 2006) (addressing lay evidence as potentially competent to support presence of disability even where not corroborated by contemporaneous medical evidence). In certain circumstances, however, lay evidence may be sufficient to establish a medical diagnosis or nexus. See Davidson v. Shinseki, 581 F.3d 1313, 1316 (Fed. Cir. 2009). Competency of evidence differs from weight and credibility. Competency is a legal concept determining whether testimony may be heard and considered by the trier of fact, while credibility is a factual determination going to the probative value of the evidence to be made after the evidence has been admitted. Rucker v. Brown, 10 Vet. App. 67, 74 (1997); Layno v. Brown, 6 Vet. App. 465, 469 (1994); see also Cartright v. Derwinski, 2 Vet. App. 24, 25 (1991) ("although interest may affect the credibility of testimony, it does not affect competency to testify"). The Veteran asserts entitlement to tinnitus related to noise exposure during service. The Veteran contends that his current tinnitus disability is related to his service, and that his tinnitus started in service based on exposure to excessive noise including diesel engines and boiler rooms aboard the ship upon which he was stationed. The Board also acknowledges that the March 2011 VA audiological examiner stated that the Veteran reported having had tinnitus for approximately 20 years, though he could not recall the exact onset, stating it likely started a couple of years after separation from service. The examiner concluded that it was less likely than not that tinnitus was caused by acoustic trauma form diesel engines and boilers while service in the Navy. The Board finds that the weight of the probative and credible evidence supports the claim and service connection for tinnitus is warranted. The Board finds that the Veteran was exposed to noise in service. In the Veteran's notice of disagreement (NOD), he states he reported to the VA examiner that his tinnitus began during service due to the previously mentioned engine and boiler noise. The VA examiner's opinion was based on the absence of documented tinnitus at the end of the deployment and the onset of tinnitus after separation from service. The Veteran consistently and credibly contended that he experienced in-service noise exposure from diesel engines and boilers and that he had tinnitus in service and since service. See Layno v. Brown, 6 Vet. App. 465 (1994). The Board finds that the examiner's negative opinion regarding tinnitus was erroneously based on the VA examiner documenting that the Veteran stated he did not have tinnitus while in service. However, as mentioned above, the Veteran has consistently reported that he had tinnitus during service due to noise exposure and has had tinnitus since separation from service. Therefore the VA opinion has no probative value. Based on the Veteran's credible testimony that he had tinnitus in service and ever since service, the evidence support a finding that tinnitus was incurred in service. Accordingly, service connection is warranted for tinnitus. ORDER Entitlement to service connection for tinnitus is granted. ____________________________________________ K. J. ALIBRANDO Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs