Angel Vazquez -Flores v. James B. PeakeAngel Vazquez -Flores v. James B. Peake
Lead Opinion
Veteran Angel Vazquez-Flores appeals through counsel a February 1, 2005, decision of the Board of Veterans’ Appeals (Board) that denied a disability rating greater than 30% for nephrolithiasis (kidney stones), and denied service connection for a neuropsychiatric disorder on a direct basis and as secondary to a service-connected renal disability. For the reasons set forth below, the Board’s decision will be set aside and these matters remanded for readjudication.
I. BACKGROUND
Mr. Vazquez-Flores served on active duty in the U.S. Army from July 1963 to July 1965 and from January 1966 to January 1969. Record (R.) at 26. He was granted service connection for nephroli-thiasis, and in April 1976 his disability rating was increased to 30%. R. at 242, 246. Additional evidentiary development followed, during which Mr. Vazquez-Flores submitted an April 1979 private mental evaluation report from Dr. Raul Correa Grau that reflects a diagnosis of moderately severe depressive reaction and April 1979 hospitalization records that reflect a diagnosis of schizophrenia. R. at 250-52, 274-75. After additional adjudication wherein a VA regional office (RO) denied his claim for service connection for a psychiatric disorder, Mr. Vazquez-Flores submitted a June 1982 private psychiatric evaluation report that opined that he had undifferentiated schizophrenia and that his condition “becomes more prominent when ph[y]sical symptomatology flares up.” R. at 280. He appealed the RO decision to the Board, and in September 1984 the Board, inter alia, denied service connection for an acquired psychiatric disorder on the basis that it was not incurred in or aggravated by service. R. at 296-305.
In August 1994, Mr. Vazquez-Flores sought to reopen his previously denied claim. R. at 358. He also claimed that his “service-connected kidney condition ha[d]
In the decision on appeal, the Board found that letters dated April 2001 from the RO and December 2003 from the Appeals Management Center (AMC) satisfied the Secretary’s
Mr. Vazquez-Flores argues on appeal that the Board erred in its determination that adequate
II. DISCUSSION
A.
1. Required Notice in General
Upon receipt of a complete or substantially complete application for benefits, the Secretary is required to inform a claimant of any information and evidence not of record (1) that is necessary to substantiate the claim, (2) that the Secretary will seek to obtain, if any, and (3) that the claimant is expected to provide, if any. See
The purpose of
Generally,
[T]he Secretary must, at a minimum, notify the claimant that, should service connection be awarded, a schedular or extraschedular disability rating will be determined by applying relevant [DCs] in the rating schedule, found in title 38, Code of Federal Regulations, to provide a disability rating from 0% to as much as 100% (depending on the disability involved) based on the nature of the symptoms of the condition for which disability compensation is being sought, their severity and duration, and their impact upon employment. Moreover, consistent with the statutory and regulatory history, that notice must provide examples of the types of medical and lay evidence that the claimant could submit (or ask [the Secretary] to obtain) that are relevant to establishing a disability&emdash;e.g., competent lay statements describing symptoms, medical and hospitalization records, medical statements, employer statements, job application rejections, and any other evidence showing exceptional circumstances relating to the disability.
Dingess,
2. Required Notice for an Increased-Compensation Claim
In the claimant-friendly VA-benefits system, a claimant’s assertion that an already service-connected disability has worsened or increased in severity is a claim for additional (or increased) compensation. See
Accordingly, for an increased-compensation claim,
S. Administrative Claims Processing
Section 5108(a) notice must be given before an initial decision on the claim is rendered in order to serve its statutory purpose of promoting development of the claim properly the first time. See Mayfield II,
To ensure that claimants receive the benefits to which they are entitled, Congress created a uniquely pro-claimant, nonadversarial VA-benefits adjudicatory system that contains several important procedural steps to promote that pro-claimant environment. See Wilson,
When an NOD is filed to the initial decision and there is alleged a notice error, the surest and often quickest way to correct that error is for the adjudicator to issue a new, adequate notice and readjudi-cate the claim. See Medrano v. Nicholson,
k. Rule of Prejudicial Error
In filings with the Court, an appellant generally must demonstrate error. See Sanders,
When it is established on appeal to the Court that the Board has committed an error, the Court must take due account of the rule of prejudicial error. See
To overcome the presumption of prejudice associated with a pre-adjudicato-ry notice error, the Secretary “must persuade the reviewing court that the purpose of the notice was not frustrated.” Sanders,
Additionally, because the Court reviews only final Board decisions and not the initial or intermittent decisions rendered below, see
The record before the Board reveals that Mr. Vazquez-Flores was assigned a 30% disability rating for nephrolithiasis under
In this case, the Board relied on notice letters dated April 2001 and December 2003 and a February 2004 SSOC to find adequate notice. We observe that the Board relied on the February 2004 SSOC only to find compliance with
Nonetheless, neither of these letters provided to Mr. Vazquez-Flores the necessary information regarding substantiating his claim for a disability rating higher than the 30% rating currently assigned. The April 2001 letter does not advise how to substantiate an increased-compensation claim. Rather, it focuses only on what is necessary to substantiate a service-connection claim. R. at 550-53. The December 2003 letter advised him only to submit evidence that shows that his nephrolithiasis has “gotten worse.” R. at 928. It fails to explain that the evidence must demonstrate the effect of that worsening on his occupational and daily life or to provide, at least in general terms, the criteria beyond the effect of the worsening of the disability upon the occupational and daily life that is necessary to be awarded the higher disability rating for his condition. See
Having found notice error, that error is presumptively prejudicial. See Sanders,
Additionally, the Secretary’s assertion that Mr. Vazquez-Flores had actual knowledge of what was necessary to substantiate his claim appears to be premised on a misunderstanding that receipt of notice equates to actual knowledge. It does not. Actual knowledge is established by statements or actions by the claimant or the claimant’s representative that demonstrate an awareness of what was necessary to substantiate his or her claim. See Dalton v. Nicholson,
B. Statement of Reasons or Bases
The Board must include in its decision a written statement of the reasons or bases for its findings and conclusions, adequate to enable an appellant to understand the precise basis for the Board’s decision as well as to facilitate review in this Court. See
Mr. Vazquez-Flores argues that the Board, in denying his neuropsychiatric disorder claim, relied heavily on a November 2002 VA examination report despite the fact that the report is unclear as to the scope of a key statement, and without explaining evidence in the record that refutes that key statement. Specifically, the report states that Mr. Vazquez-Flores “does not report any subjective complaint, any type of relationship between his renal symptoms and his psychiatric symptoma-tology,” and that his clinical history shows no type of relationship between these conditions. R. at 585. This statement in the
It is also possible that the November 2002 examination report can be read more narrowly to mean that, during that particular examination, Mr. Vazquez-Flores provided-no history or complaint to the examiner. The Board should have recognized and addressed the fact that the November 2002 examination report statement on this key issue could fairly be read broadly or narrowly, with differing meanings, and it should have either returned the examination report to the examiner for clarification of its meaning or explained why such action was not necessary. See Daves v. Nicholson,
C. Foreign Language Documents Contained in the Record on Appeal
The record on appeal contains numerous documents obtained from the Social Security Administration that are in a language other than English but are unaccompanied by an English translation, thus impeding judicial review. See, e.g., R. at 863-64, 866. The “Court conducts its reviews and deliberations in English. Any document transmitted to the Court (including one in the record on appeal) in a language other than English must be accompanied by an English translation that is certified by the translator, pursuant to
D. Remand
Where, as here, the Board has failed to provide an adequate statement of reasons or bases and there have been other errors prejudicial to an appellant, the general remedy is to remand the affected matters for corrective action. See Tucker v. West,
III. CONCLUSION
Upon consideration of the foregoing, the Board’s February 1, 2005, decision is SET
Notes
. Although demonstrating that a reasonable person would be expected to understand from a particular notice what was necessary to substantiate the claim is cited in Sanders as a means of demonstrating no prejudice, it is more correctly stated to be a demonstration that there was no error. See Fenstermacher v. Phila. Nat’l Bank,
. Although our dissenting colleague takes exception to our noting that pre-adjudicatory notice may be rendered non-prejudicial by the administrative appellate process, we see nothing in Sanders that might limit the Court solely to the "examples” cited therein when assessing prejudice. Indeed, the very designation of the three stated means of demonstrating no prejudice as "examples” indicates there may be other means of doing so. Moreover, we note that our error in Mayfield I was in determining that pre-adjudicatory notice had been satisfied by a document not otherwise discussed by the Board. The Federal Circuit in Sanders, Newhouse, and Mlechick
. Unlike our dissenting colleague, we believe our duty to "take due account of the rule of prejudicial error” is not limited to considering only the three "examples” cited in Sanders. See n. 2, supra, and accompanying text. Moreover, having noted that notice error before the initial decision might be rendered non-prejudicial by the full panoply of administrative appellate procedures below, we proceed to find that the administrative appellate proceedings below fail to so demonstrate. Having confronted an issue germane to resolution of this case, our ruling is not dicta. See, e.g., Miranda B. v. Kitzhaber,
. In light of our conclusion that the presumption of prejudice was not rebutted with regard to specific notice of how an increased rating might be substantiated, we need not further address other alleged errors in the notice and any resultant prejudice. See Dunn v. West,
Concurrence Opinion
concurring in the result:
I concur only in the majority’s ultimate conclusion that a claim for increased disability compensation requires at least general
1. Analysis of Decisions of the Federal Circuit Regarding the Application of the Rule of Prejudicial Error in Cases Involving Allegations of Defective
There is no doubt that this Court has the responsibility to take into account the rule of prejudicial error.
After this Court wrestled with the application of the rule of prejudicial error in the context of
In Sanders, the Federal Circuit made several key findings. First, the veteran bears the burden of establishing that there is
Second, Sanders holds that if the veteran alleges a notice error and properly
Third, in Sanders, the Federal Circuit held that if the Court finds a notice error and the Secretary fails to satisfy its burden of proving that such notice error is not prejudicial, there is only one course of action: The matter must be remanded. This requirement could not have been put more directly or succinctly by the Federal Circuit: “[W]e hold that the [Veterans Claims Assistance Act] notice errors should be presumed prejudicial, requiring reversal unless the VA can show that the error did not effect the essential fairness of the adjudication. To do this, the VA must persuade the reviewing court that the purpose of the notice was not frustrated.” Id. (emphasis added).
Fourth, in Sanders, the Federal Circuit went to great pains to explain how such a method of analysis fits within the general rule of prejudicial error, stating that “[a] presumption of prejudice does not require reversal in all instances of [
Newhouse followed Sanders. Newhouse v. Nicholson,
In Mlechick, decided after Newhouse, the Federal Circuit overruled this Judge’s single-judge decision, relying on Pelegrini v. Principi to find that it would be speculative and, thus, impossible to apply the rule of prejudicial error in certain circumstances where the appellant established a notice error. Mlechick v. Mansfield,
Given this framework [i.e., the framework established in Sanders and New-house], the Veterans Court should have first presumed that any inadequacies in the notice [Mr.] Mlechick received were prejudicial. See [Sanders,487 F.3d at 889 ]. Next, the Veterans Court should have determined whether VA had overcome the presumption that the notice error was prejudicial by demonstrating that the “error did not affect the essential fairness of the adjudication.” Id. In conducting this inquiry the Veterans Court can review the entire “record of the proceedings before the Secretary and the Board” in determining whether an error was non-prejudicial. Newhouse*54 [,497 F.3d at 1302 ];38 U.S.C. § 7261(b)(2) . Thus, the Veterans Court’s inquiry should have included a review of the record to determine if VA had met its burden of showing that the notice error was non-prejudicial.
Most recently, the Federal Circuit decided Wilson v. Mansfield,
2. Application of the Federal Circuit Decisions to the Majority Opinion
In considering the application of recent Federal Circuit precedent in this case, it is important to note that, other than an argument based on our now defunct Mayfield analysis, the only argument made by the Secretary that any notice error should be found harmless is that Mr. Vasquez-Flores had actual knowledge of the notice elements and, thus, the purpose for which the notice requirement was instituted was not frustrated.
The majority makes several important omissions when quoting the abundance of recent Federal Circuit precedent regarding
The majority’s application is wrong on two counts. First, the Secretary failed to make any argument that procedures following the initial adjudication eliminated the presumptive prejudice of the notice error. Because of this pleading failure, and because the Secretary presented no other viable arguments that any notice errors were rendered non-prejudicial, reversal is required under Sanders. Sanders,
Sanders provides three examples of situations that, if proven by the Secretary, could rebut the presumption of prejudice. Sanders,
By expanding the recognized “examples” to the prejudice analysis beyond those endorsed by the Federal Circuit, the majority, at a minimum, induces confusion regarding how this Court is to apply this mysterious fourth example in determining whether a notice error is prejudicial. By judging the prejudicial effect of inadequate notice in terms of the subsequent adjudication of the claim, I believe the Court runs afoul of the original purpose of the duty to notify. Although the majority refers to the Federal Circuit’s recent Newhouse decision to support its view that it may scour the record for support of a finding of no prejudice in the absence of allegations by the Secretary, nowhere in the Newhouse decision, nor in Mlechick or Wilson does the Federal Circuit abandon Sanders’ command to reverse the Board’s decision if the Secretary fails to fulfill his obligation to rebut the presumption of prejudice. Nor do those decisions suggest that the Court can use only the appellate history of a claim to find that the purpose of pre-
Finally, and perhaps most significantly, the majority, after advocating their new example, finds that it has no application in this case, rendering the exercise contained in sections A(4) and A(5) quintessential obiter dicta. See, e.g., Black’s Law Diotionary 1100 (7th ed.1999) (“A judicial comment made during the course of delivering a judicial opinion, but one that is unnecessary to the decision in the case and therefore not precedential.”). The majority’s creation of a new example by which the Court may find a notice error non-prejudicial when that example is neither applicable in this case nor argued by the parties, is far from necessary to the resolution of this case. At best it can be said that the majority recognizes an issue that may someday be raised and thus require resolution by the Court, but its attempt here to answer a question not dispositive of the appeal renders the discussion non-prece-dential.
For reasons unknown to me and despite the Federal Circuit’s continued insistence on compliance with the pre-adjudicatory notice requirements of the Veterans Claims Assistance Act, my colleagues persist in their quest to find no prejudice through a review of post-adjudicatory procedures. As a consequence, I concur only in the result and again voice my concern with the majority’s language as it amounts to the subtle yet clear minimization of the duty to notify. In the end, I disagree with my colleagues to the extent that they might suggest that an appellant’s post-adjudicatory participation in the overall VA appellate process could alone render a duty-to-notify error non-prejudicial, their apparent view that the Court, in
. I have expressed my view that it is best to develop a general test for the application of the rule of prejudicial error that can be applied in all cases, rather than to devise a special test applicable only to
. Rule 28(a) of the Court's Rules of Practice and Procedure states in full:
The appellant must file a brief which, unless the appellant is self-represented and submits an informal brief pursuant to subsection (I), must contain, in the following order, the appropriate division headings and following separate divisions: (1) A table of contents, with page references; (2) a table of cases (alphabetically listed), statutes, and other authorities cited, with references to the page of the brief where they are cited, unless the case is expedited under Rule 47; (3) a statement of the issues; (4) a statement of the case, showing briefly the nature of the case, the course of proceedings, the result below, and the facts relevant to the issues, with appropriate references to the record on appeal; (5) an argument, beginning with a summary and containing the appellant’s contentions with respect to the issues and the reasons for those contentions, with citations to the authorities and parts of the record on appeal relied on; and (6) a short conclusion stating the precise relief sought.
.As recognized by the majority, briefs of self-represented appellants are governed by Rule 28(1), which exempts them from adhering to the form set forth in Rule 28(a), and which provides: "Only a self-represented party may submit, without regard to the requirements of subsection (a) and Rule 32, an informal brief on the form provided by the Court.”
. After the Federal Circuit’s decision in Sanders, both parties were given the opportunity to supplement their arguments with regard to prejudicial error. See Misc. Order No. 14-07 (July 3, 2007) (en banc order). The Secretary chose not to do so in this case.
. Rule 28(b)(1) states in full: "The Secretary must file a brief, which must conform to the requirements of subsection (a), but a statement of the issues or of the case need not be made unless the Secretary is dissatisfied with the appellant's statement.”
. See