Court Opinion

ID: 817036
Source: CourtListenerOpinion
Date Created: 2013-02-01 01:47:35.615359+00
Date Added: 2024-06-11T12:27:09.334812
License: Public Domain

This version includes the erratas dated 21Apr05 & 13May05 - e

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

N O . 02-1077

L IZZIE K. M AY FIELD , A PPELLAN T ,

V.

R. J AM ES N ICH O LSO N ,
S EC RETARY O F V ETERAN S A FFAIRS , A PPELLEE .

On Appeal from the Board of Veterans' Appeals

(Decided        April 14, 2005     )

         John Rosinski, of Madison, W isconsin, was on the brief for the appellant.

        Tim S. McClain, General Counsel; R. Randall Campbell, Assistant General Counsel; Carolyn F. Washington,
Deputy Assistant General Counsel; and Alice M. Szynklewski, all of W ashington, D.C., were on the brief for the appellee.

         Before STEINBERG, GREENE, and KASOLD, Judges.

         STEINBERG, Judge: Lizzie K. Mayfield (the appellant), the surviving spouse of deceased veteran Estey
Mayfield, seeks, through counsel, review of a May 23, 2002, decision of the Board of Veterans' Appeals (BVA or Board)
that denied her claim for Department of Veterans Affairs (VA) service connection for the cause of her husband's death.
Record (R.) at 1-11. The parties each filed briefs, and on M arch 23, 2004, the Court, by single-judge order, ordered the
May 2002 BVA decision vacated and the matter remanded in order for VA to comply with the regulatory requirement
in 38 C.F.R. § 3.159(b)(1) that VA "'request that the claimant provide any evidence in the claimant's possession that
pertains to the claim.'" Mayfield v. Principi, No. 02-1077, 2004 W L 772121 (Vet. App. Mar. 23, 2004) (quoting 38
C.F.R. § 3.159(b)(1) (2003)).
         On April 13, 2004, the Secretary filed a motion for reconsideration or, in the alternative, for a panel decision.
On June 3, 2004, the Court ordered, pursuant to Rule 35(g) of the Court's Rules of Practice and Procedure (Rules), the
appellant to respond to the Secretary's motion, and, after seeking and receiving an extension of time to file such response,
she filed her response on July 2, 2004. On October 28, 2004, a panel of the Court issued an order that, after noting that
the single judge had denied the Secretary's motion for reconsideration, granted the motion for a panel decision. The
Court will withdraw its single-judge order and will issue this opinion in its stead. For the reasons set forth below, the
Court will affirm the May 2002 Board decision.

                                                     I. Background
         Veteran Estey Mayfield served honorably on active duty in the U.S. Army from October 1942 to March 1946.
R. at 15. In August 1980, he filed a VA compensation and pension application (C&P application) seeking service
connection for a "[l]eft[-]leg injury and varicosities of both legs". R. at 115. The veteran was awarded service
connection for both conditions, and was ultimately assigned a 50% disability rating, effective from July 1985, for his
varicosities and a noncompensable rating for residuals of a laceration of the anterior-upper-tibia area, effective from
August 5, 1950. R. at 205. In October 1999, the veteran died; on his death certificate, the cause of death was listed as
"[c]ongestive [h]eart [f]ailure due to, or as a consequence of [c]oronary [a]rtery [d]isease [(CAD)]." R. at 207. The
autopsy report noted that the veteran had "[s]evere coronary artery disease with varying degree[s] of occlusion up to 90%
involving all branches including bypass." R. at 212.
         In November 1999, appellant Lizzie K. M ayfield, the veteran's surviving spouse, filed a claim for dependency
and indemnity (DIC) benefits; she asserted that the cause of her husband's death was related to service. R. at 227-30.
Specifically, she contended that the veteran as a result of his varicosities was unable to undergo proper treatment for his
CAD. R. at 224. On December 19, 1999, a VA regional office (RO) denied her DIC claim as not well grounded on the
basis that the evidence "fail[ed] to establish any relationship between the veteran's military service . . . and [his] death
. . . as a result of congestive heart failure due to coronary disease." R. at 247. Mrs. M ayfield timely filed a Notice of
Disagreement (NOD) as to that VARO decision (R. at 258), and in June 2000 the RO issued a Statement of the Case
(SOC), which noted that "[n]o medical evidence ha[d] been presented which provides a link between the veteran's
varicose[-]vein condition and his death" (R. at 268). Mrs. Mayfield then filed a Substantive Appeal to the Board (R. at
270-71), and on November 15, 2000, she was afforded a video hearing before the Board (R. at 297-313). In December
2000, the Board, inter alia, remanded the DIC matter for readjudication in light of the enactment of the Veterans Claims
Assistance Act of 2000 (VCAA), Pub. L. No. 106-475, § 3, 114 Stat. 2096, 2096-98.
         On remand from the Board, the RO sent to Mrs. M ayfield a December 13, 2000, letter asking that she "identify
all VA and non-VA health care providers who ha[d] treated the veteran subsequent to service, and particularly any
medical treatment rendered to the veteran immediately preceding his death." R. at 323. In response, she signed and
submitted three forms authorizing the veteran's private physicians to release the veteran's treatment records to the RO.
R. at 376, 386, 391. In authorizing Dr. Cheng Tien, the veteran's treating physician, to release the veteran's records, Mrs.
Mayfield stated specifically that she "need[ed] any and all medical evidence which would help establish that the veteran
(Estey) could not undergo necessary treatment for [his] heart condition because of the severe varicosities of the lower
extremities." R. at 376. She stated more generally in the two other authorization release forms that she needed all
records that pertained to the veteran's heart condition and varicose veins. R. at 386, 391. The RO then sent to M rs.
Mayfield on M arch 15, 2001, a VCAA-notice letter informing her of VA's duty to notify and assist her in obtaining
information or evidence under the amendments made by the VCAA. R. at 833-36. The full text of that letter is set forth
in the Appendix to this opinion. She responded in a M arch 29, 2001, letter stating that she "would like a medical opinion
on the likel[i]hood that [the veteran's service-connected] condition of varicose veins may have contributed to the cause
of his death." R. at 924. The RO also obtained treatment records from Dr. Tien (R. at 680), the University of Wisconsin
Hospital and Clinic (R. at 750), and the Monroe Clinic (R at 926). Upon review of the veteran's private and service
medical records, a VA physician, in August 2001, stated:
                   Mr. Mayfield had several cardiac risk factors for [CAD] including long[]standing
                   hypertension and diabetes. . . . He had [a] successful two[-]vessel Coronary artery
                   bypass-[s]urgery in 1990. . . . His left ventricular systolic function and renal
                   function slowly deteriorated and he died of severe congestive heart failure and renal
                   failure. I did not see any notes by cardiac surgeons stating the inability of bypasses
                   due to varicosit[ies] of his leg veins. He needed only two vessels bypass[ed], which
                   was appropriately done.

R. at 1046. In an addendum, the VA physician opined:
                   This veteran's CAD is m ore likely than not related to both his long[]standing
                   smoking and his [hypertension (HPT)]. Both are well documented in the medical
                   literature to be associated with an increased incidence of CAD. It is less likely than
                   not that the veteran's varicose veins impacted his CAD either positively or
                   negatively.

Ibid (emphasis added). In January 2002, the RO issued a Supplemental SOC (SSOC) that denied service connection for
the cause of the veteran's death. R. at 1049-57. In the SSOC, the RO concluded that none of the newly submitted or
obtained evidence nor any of the previously received evidence "indicated any relationship of the heart problems to
service or the service[-]related conditions." R. at 1056.
         In the May 23, 2002, BVA decision here on appeal, the Board found that there was "no competent medical
evidence linking the veteran's fatal cardiovascular disease . . . to service or his service-connected disabilities." R. at 3.
As to the notice and duty-to-assist provisions enacted by the VCAA in 38 U.S.C. §§ 5103(a) and 5103A, the Board
determined that "VA has met its duty to notify and assist in the appellant's case" and stated:
                   The record discloses that the December 1999 [RO] decision provided the appellant
                   with the reasons and bases for the denial of her claim. The June 2000 [SOC] and
                   the January 2002 [SSOC] provided the appellant with the applicable law and
                   regulations pertaining to service connection for the cause of the veteran's death.

R. at 4. The Board did not address or even cite to the VA regulation, 38 C.F.R. § 3.159(b)(1), issued nine months earlier,
see R. at 1-11. 66 Fed. Reg. 45,620, 45,630-31 (Aug. 29, 2001).

                                               II. Contentions on Appeal
         The appellant filed a brief in which she argues for remand on the grounds (1) that the Secretary "failed to fulfill
[his] duty to notify under 38 U.S.C. § 5103(a)" (emphasis in original) as amended by the VCAA by not notifying her
of "the need for medical evidence to substantiate the causative relationship between the veteran's . . . surgery . . . and his
death", (2) that the Secretary failed to advise her who was responsible for obtaining what evidence, and (3) that the Board
failed to address adequately under 38 U.S.C. § 7104(a) and (d)(1) how the Secretary had complied with those section
5103(a) notice requirements. Appellant's (App.) Brief (Br.) at 4-6. Although she did not raise in her principal brief any
argument with respect to the Secretary's compliance with the fourth element of notice, thereby indicating a possible
abandonment of that issue, see Ford v. Gober, 10 Vet.App. 531, 535-36 (1997); Degmetich v. Brown, 8 Vet.App. 208,
209 (1995), aff'd, 104 F.3d 1328 (Fed. Cir. 1997), it was that issue that formed the basis of the single-judge order as to
which reconsideration has now been granted. Both parties have addressed this issue in the reconsideration pleadings in
this appeal. Thus, the issue will be addressed. Additionally, although the issue of a timing-of-notice error was not
specifically raised during briefing, timing of notice is part of the Secretary's compliance with his duty to notify under
section 5103(a), see Pelegrini v. Principi, 18 Vet.App. 112, 118-19 (2004), and the appellant did contend that the
Secretary has "failed to fulfill [this] duty" (App. Br. at 4). Under the circumstances, the Court will address the timing-of-
notice issue as well.
         The Secretary argues for affirmance of the May 2002 BVA decision on the grounds that it is supported by a
plausible basis in the record (Secretary's (Sec'y) Br. at 7-10) and that VA satisfied its duty to notify in that the
"[a]ppellant was provided notice in substantial compliance with . . . [section] 5103(a)" by virtue of the June 2000 SOC,
the January 2002 SSOC, and the March 2001 VCAA-notice letter. Br. at 11-14. Additionally, the Secretary contends
that the Board provided an adequate statement of reasons or bases for its decision but argues that, should the Court
determine that the Board decision contained a reasons-or-bases error, "such error would necessarily be non[]prejudicial
given the clear absence of any defect in notification." Br. at 14-15. Finally, the Secretary claims that any "error is
harmless unless the appellant shows the ultimate legal question should be decided differently." Br. at 15.
         In the Secretary's motion for reconsideration, he makes two principal arguments: (1) That the language
contained in the March 2001 VCAA-notice letter "should be deemed to be sufficient to fulfill the [regulatory]
requirement [in 38 U.S.C. § 3.159(b)(1) (2002)] that VA must request that the claimant provide any evidence in her
possession that pertains to the claim" and "was in substantial compliance with the requirement of the regulation" (Motion
(Mot.) at 2-3); and (2) that the appellant has made no showing of prejudicial error (Mot. at 3-6). Specifically, he
contends that "it was incumbent upon [the a]ppellant to establish that if VA had provided notice consistent with [§]
3.159(b) as interpreted by this Court, the outcome below would have been different." Mot. at 4. In response, the
appellant asserts that the notice provided does not comply with the regulatory requirement and contends that "[n]o further
showing of prejudice by the [a]ppellant is required or possible when the Secretary fails to identify in the notice the
additional evidence necessary to substantiate a claim." Response (Resp.) at 3-4.

                                         III. Applicable Law and Regulation
         Section 3 of the VCAA amended, inter alia, 38 U.S.C. § 5103 ("Notice to claimants of required information
and evidence"). VCAA § 3(a), 114 Stat. at 2096-97. Section 5103(a) provides:
                   (a) R EQ U IRED I N FO RM ATIO N AN D E VIDENCE .–Upon receipt of a complete or
                   substantially complete application, the Secretary shall notify the claimant and the
                   claimant's representative, if any, of any information, and any medical or lay
                   evidence, not previously provided to the Secretary that is necessary to substantiate
                   the claim. As part of that notice, the Secretary shall indicate which portion of that
                   information and evidence, if any, is to be provided by the claimant and which
                   portion, if any, the Secretary, in accordance with section 5103A of this title and any
                   other applicable provisions of law, will attempt to obtain on behalf of the claimant.

38 U.S.C. § 5103(a). On August 29, 2001, the Secretary issued regulations that implemented, inter alia, amended section
5103 in 38 C.F.R. § 3.159(b). Subject to several exceptions not implicated by the current appeal, the Secretary made
those regulations applicable to any claim for benefits, such as that in the instant case, pending before the Department and
"not decided by VA" as of November 9, 2000, the date of the VCAA's enactment. 66 Fed. Reg. at 45,629; see Pelegrini,
supra (holding that regulation, with exceptions not here relevant in 38 C.F.R. § 3.159(b) and (c), which was made
applicable expressly to "any claim for benefits received by VA on or after November 9, 2000, . . . as well as to any claim
filed before that date but not decided by VA as of that date", 66 Fed. Reg. at 45,620, applied to all claims pending before
VA on November 9, 2000). Specifically, the amended regulation § 3.159(b)(1) provides, and provided at the time of
the BVA decision here on appeal, in pertinent part:
                   (b) VA's duty to notify claimants of necessary information or evidence. (1) When
                   VA receives a complete or substantially complete application for benefits, it will
                   notify the claimant of any information and medical or lay evidence that is necessary
                   to substantiate the claim. VA will inform the claimant which information and
                   evidence, if any, that the claimant is to provide to VA and which information and
                   evidence, if any, that VA will attempt to obtain on behalf of the claimant. VA will
                   also request that the claimant provide any evidence in the claimant's possession that
                   pertains to the claim.

38 C.F.R. § 3.159(b)(1) (2004). Regarding the notice requirement, in Quartuccio v. Principi this Court remanded a
matter for further adjudication after concluding that neither of the potential VCAA-notice communications in that matter
met the requirements set forth in amended section 5103(a) and § 3.159(b)(1) because they failed to "'notify the claimant
. . . of any information, and any medical or lay evidence, not previously provided to the Secretary that is necessary to
substantiate the claim'" and failed to "'indicate which portion of that information and evidence, if any, is to be provided
by the claimant and which portion, if any, the Secretary . . . will attempt to obtain on behalf of the claimant.'"
Quartuccio, 16 Vet.App. 183, 187 (2002) (quoting 38 U.S.C. § 5103(a)). The regulatory requirement that VA "will also
request that the claimant provide any evidence in the claimant's possession that pertains to the claim", 38 C.F.R.
§ 3.159(b)(1), has been termed "a fourth element of the requisite notice". Pelegrini, 18 Vet.App. at 121. In Pelegrini,
the Court held that the notice requirements of section 5103(a) and § 3.159(b)(1) must be satisfied prior to an initial
unfavorable decision by an agency of original jurisdiction (AOJ) on a claim. Id. at 120; cf. Disabled Am. Veterans v.
Sec'y of Veterans Affairs, 327 F.3d 1339, 1341 (Fed. Cir. 2003) (invalidating 38C.F.R. § 19.9(a)(2) (2002) because "it
allows the Board to consider additional evidence without having to remand the case to the AOJ for initial consideration
[or] without having to obtain the appellant's waiver [of such remand]"). In a case involving the sufficiency of notice to
a veteran regarding an impending foreclosure based on a default under a VA-guaranteed home loan, the Court assessed
the sufficiency of the notice under the "clearly erroneous" standard of review set forth in 38 U.S.C. § 7261(a)(4).
Buzinski v. Brown, 6 Vet.App. 360, 365 (1994); see Gilbert v. Derwinski, 1 Vet.App. 49, 53 (1990).
         The Board is required to consider, and discuss in its decision, all "potentially applicable" provisions of law and
regulation. Schafrath v. Derwinski, 1 Vet.App. 589, 592-93 (1991); see 38 U.S.C. § 7104(a), (d)(1); Weaver v. Principi,
14 Vet.App. 301, 302 (2001) (per curiam order). The Board is also required to include in its decision a written statement
of the reasons or bases for its findings and conclusions on all material issues of fact and law presented on the record; that
statement must be adequate to enable an appellant to understand the precise basis for the Board's decision, as well as to
facilitate informed review in this Court. See 38 U.S.C. § 7104(d)(1); Allday v. Brown, 7 Vet.App. 517, 527 (1995);
Gilbert, 1 Vet.App. at 56-57. The Board's failure to address adequately in its decision the notice provisions in amended
section 5103(a) can constitute a separate ground for remand under 38 U.S.C. § 7104(a) and (d)(1). Charles v. Principi,
16 Vet.App. 370, 373-74 (2002).
         W hen reviewing decisions of the Board, the Court "shall take due account of the rule of prejudicial error."
38 U.S.C. § 7261(b)(2); see Conway v. Principi, 353 F.3d 1369, 1375 (Fed. Cir. 2004). Because the U.S. Court of
Appeals for the Federal Circuit (Federal Circuit) in Conway declined to "express [an] opinion . . . on what it means . .
. to 'take due account' of the rule [of prejudicial error]", Conway, supra, we will address here how this rule is applied
by this Court.

                                                       IV. Analysis
          As a general matter, before prejudice becomes relevant, of course, the Court must conclude that there has been
an error. In that regard, every appellant must carry the general burden of persuasion regarding contentions of error. See
Berger v. Brown, 10 Vet.App. 166, 169 (1997) (stating that "the appellant . . . always bears the burden of persuasion on
appeals to this Court"); see also Hilkert v. West, 12 Vet.App. 145, 151 (1999) (en banc) (holding that appellant had failed
to satisfy burden of demonstrating error in Board decision, and thus affirming); Bucklinger v. Brown, 5 Vet.App. 435,
436 (1993) (noting that issues not raised may be considered abandoned); U.S. V ET . A PP . R. 28(a) (requiring appellant
to raise all issues on appeal). Accordingly, an appellant claiming noncomplying notice bears the burden of convincing
the Court that a notice error has been committed, by referring to specific deficiencies in the document(s) in the record
on appeal (ROA), including any documents that the Secretary and/or the Board may have relied on as having met the
section 5103(a)/§ 3.159(b)(1) requirements – that is, the appellant bears the burden of demonstrating specifically in what
respects the particular notice documents are noncompliant in terms of the purposes sought to be achieved by the notice
requirements, see Parker v. Brown, 9 Vet.App. 476, 481 (1996) (referring to "'interest that the statute . . . in question
was designed to protect'" (quoting Intercargo Ins. Co. v. United States, 83 F.3d 391, 396 (Fed. Cir. 1996))). However,
in light of the fact that the single-judge decision here found a notice error that was prejudicial and because the parties
present very divergent interpretations and applications of the rule of prejudicial error, we will address the rule of
prejudicial error first.
                                              A. Rule of Prejudicial Error
          The Secretary argues that the appellant has failed to demonstrate prejudice, and that the Board's decision should
therefore be affirmed. Mot. at 3-6. The appellant contends that when the Secretary fails to notify a claimant what
additional evidence is necessary to substantiate a claim, "[n]o further showing of prejudice by the [a]ppellant is required
or possible." App. Resp. at 3.
          As stated above, in reviewing decisions of the Board, this Court shall "shall take due account of the rule of
prejudicial error." 38 U.S.C. § 7261(b)(2); see also Conway, supra. Although this Court has often applied section
7261(b) to hold that errors are nonprejudicial, the Court has never defined precisely what constitutes prejudicial error,
see, e.g., Edenfield v. Brown, 8 Vet.App. 384, 390-91 (1995) (en banc) (discussing nonprejudicial error extensively and
citing cases), or what burden each party bears with regard to our taking due account of the prejudicial-error rule. In
seeking guidance as to how this Court should apply the rule of prejudicial error, we look to similar directives regarding
consideration of prejudicial error, how other courts and our caselaw have analyzed and applied that rule, and how the
burdens on the parties are allocated in applying the rule. Recently, the Court in Pelegrini stated the following in applying
the rule of prejudicial error in the context of noncompliance with the timing-of-notice requirement (that is, that notice
must precede the initial unfavorable AOJ decision on a service-connection claim) in section 5103(a)/§ 3.159(b)(1):
                    W ith respect to the notice deficiency . . . , the Court, based upon the record and
                    pleadings, cannot intuit that there is no possible information or evidence that could
                    be obtained to substantiate the appellant's . . . claim. Further, it would require pure
                    speculation for the Court to determine at this time that, once given the notice to
                    which he is entitled, the appellant definitely could not provide or lead VA to obtain
                    the information or evidence necessary to substantiate his service-connection claim.

Pelegrini,18 Vet.App. at 121 (citations omitted); cf. Daniels v. Brown, 9 Vet.App. 348, 353 (1996) (holding that Court
cannot conclude that error (BVA's notification to appellant that additional evidence would be considered only on motion
for good cause) was not prejudicial where "it is possible that the appellant would have sought and obtained additional
medical opinions, evidence[,] or treatises" on disputed question of fact). W e address today both the meaning of
prejudicial error and the parties' burdens with respect thereto and how the Court will inform itself in such a way as to
avoid its engaging in the kind of "pure speculation" that the Court in Pelegrini eschewed. In examining how we should
take due regard of the rule of prejudicial error, we are fully cognizant that this Court acts in the context of an appeal from
a VA adjudication system that has a well-established "uniquely pro-claimant" nature, see, e.g., Elkins v. Gober, 229 F.3d
1369, 1376 (Fed. Cir. 2000) (noting the "pro-claimant, nonadversarial, ex parte system that supplies veterans benefits").
                                                     1. Sim ilar Directives
          Similar to this Court's rule of prejudicial error is the "rule of harmless error" for civil cases in federal district
courts, as set forth in Rule 61 of the Federal Rules of Civil Procedure. This rule states in part:
                    [N]o error or defect . . . in anything done or omitted by the court or by any of the
                    parties is ground for . . . setting aside a verdict or for vacating, modifying, or
                    otherwise disturbing a judgment or order, unless refusal to take such action appears
                    to the court inconsistent with substantial justice. The court at every stage of the
                    proceeding must disregard any error or defect in the proceeding which does not
                    affect the substantial rights of the parties.

F ED . R. C IV . P. 61. By its language, Rule 61 applies only to the district courts, see F ED . R. C IV . P. 1 (stating that "[t]hese
rules govern the procedure in the United States district courts"). However, the Supreme Court of the United States has
observed that the federal harmless-error statute, 28 U.S.C. § 2111, which was enacted after the adoption of Rule 61 and
provides that "[o]n the hearing of any appeal or writ of certiorari in any case, the Court shall give judgment after an
examination of the record without regard to errors or defects which do not affect the substantial rights of the parties",
applies to federal appellate courts and "incorporates the same principle as that found in Rule 61", McDonough Power
Equip., Inc. v. Greenwood, 464 U.S. 548, 554 (1984). W hen interpreting Rule 61, the Supreme Court has held – albeit
in a criminal-law context: "[I]f one cannot say, with fair assurance, . . . that the judgment was not substantially swayed
by the error, it is impossible to conclude that substantial rights were not affected." Kotteakos v. United States, 328 U.S.
750, 765 (1946). W hen describing the purpose behind Rule 61, the Supreme Court has stated:
                    W e have also come a long way from the time when all trial error was presumed
                    prejudicial and reviewing courts were considered citadels of technicality. The
                    harmless-error rules adopted by this Court and Congress embody the principle that
                    courts should exercise judgment in preference to the automatic reversal for "error"
                    and ignore errors that do not affect the essential fairness of the trial.

McDonough, 464 U.S. at 553 (citations and some quotation marks omitted) (emphasis added). W e note at the outset that
our discussion of Kotteakos and, later, in part IV.A.3, below, of O'Neal v. McAninch, 513 U.S. 432 (1995), is for the
purpose of drawing general guidance from the Supreme Court's cases involving the application of the basic federal
harmless-error statute, which the Supreme Court in O'Neal stated "applied to both civil and criminal cases", Id. at 441;
accord Kotteakos, 328 U.S. at 762. W e understand fully that in a criminal case, where "life or . . . liberty" is at stake,
id. at 763, rather than "only some question of civil liability", ibid., different considerations may be applicable, depending
on the nature of the proceeding involved, and, further, that concepts involved in a criminal context are not necessarily
applicable in a civil context. See id. at 762 (stating that "same criteria" regarding prejudice are not always applicable
to "civil and criminal causes"); cf. United States v. Benitez, 542 U.S. 74, __ n.7, __ n.9, 124 S. Ct. 2333, 2339 n.7, 2340
n.9 (2004) (discussing differences among various types of proceedings and various standards and burdens regarding
prejudice).
          Additionally, under the Administrative Procedure Act (APA), 5 U.S.C. § 706 (hereinafter APA § 706), federal
courts are required to take "due account . . . of the rule of prejudicial error" when reviewing agency administrative action
under the APA. See Intercargo Ins. Co., 83 F.3d at 394 (stating that APA § 706 "requires courts to apply conventional
principles of harmless error when reviewing agency action"); Kolek v. Engen, 869 F.2d 1281, 1286 (9th Cir. 1989).
Section 301 of the Veterans' Judicial Review Act, Pub. L. No. 100-687, § 301(a), 102 Stat. 4105, 4115 (1988) (enacting
38 U.S.C. § 4061(b), renumbered as section 7261(b)(2)),1 which established this Court to carry out judicial review of
BVA decisions, was intended to "incorporate a reference to the 'rule of prejudicial error' as included in the APA
(5 U.S.C. [§] 706)." S. R EP . N O . 100-418, at 61 (1988) (report by Senate Committee on Veterans' Affairs to accompany
S. 11, 100th Cong. (1988)); see also Tulingan v. Brown, 9 Vet.App. 484, 488 (1996) (Farley, J., concurring) (noting that
"APA served as a model for at least some sections of the [Court's enabling statute]"). Because of this congressional
intent, because the language of APA § 706 is virtually the same as the language in section 7261(b)(2), and because APA
§ 706 governs federal appellate court review of administrative agency action, general principles governing application
of APA § 706 review are particularly relevant to our determination of how this Court should "take due account of the
rule of prejudicial error", 38 U.S.C. § 7261(b)(2), in reviewing BVA decisions.
          In addition to finding guidance in the general principles governing APA § 706 and 28 U.S.C. § 2111, we note
also that the direction to us in section 7261(b)(2) to "take due account" of the rule leaves us with considerable latitude
as to how to "take due account". In this regard, there are many federal statutes and rules relating to prejudicial error that,
unlike section 7261(b)(2), are quite specific in their directions. See, e.g., 31 U.S.C. § 3805(c) (as to district-court review
of administrative remedies for false claims and statements, providing that "court shall review the whole record or those
parts of it cited by a party, and due account shall be taken of the rule of prejudicial error"); F E D . R. E V ID . 101 (as to
general evidence provisions, providing that "[e]rror may not be predicated upon a ruling . . . unless a substantial right
of the party is affected"); cf. F ED . R. C RIM . P. 52(a) (as to criminal trials, providing that "[a]ny error . . . that does not
affect substantial rights must be disregarded"). Accordingly, we turn to the task of determining the substance of the "take
due account" phrase in section 7261(b)(2).

          1
           See Department of Veterans Affairs Health-Care Personnel Act of 1991, Pub. L. No. 102-83, § 402(b)(1),
105 Stat. 187, 238.
                                         2. Interpretations of Prejudicial Error
         As the Federal Circuit noted in Intercargo Insurance Co., "the Supreme Court explained in Vermont Yankee
Nuclear Power Corp. v. N[atural] R[esources] D[efense] C[ouncil], 435 U.S. 519, 558 (1978), [that] administrative
action, like court decisions, should be set aside 'only for substantial procedural or substantive reasons.'" Intercargo Ins.
Co., 83 F.3d at 394. A substantial procedural or substantive reason is one that affects the "substantial rights" of the
parties in terms of "the essential fairness of the [adjudication]", McDonough, 464 U.S. at 553-54. T here is also
considerable APA § 706 caselaw to the effect that "the doctrine of harmless error . . . is to be used only 'when a mistake
of the administrative body is one that clearly had no bearing on the procedure used or the substance of decision reached.'"
U.S. Steel Corp. v. EPA, 595 F.2d 207, 215 (5th Cir. 1979) (quoting Braniff Airways, Inc. v. Civil Aeronautics Bd.,
379 F.2d 453, 466 (D.C. Cir. 1967)); accord Sierra Club v. U.S. Fish and Wildlife Serv., 245 F.3d 434, 444-45 (5th Cir.
2001); McLouth Steel Prod. Corp. v. EPA, 838 F.2d 1317, 1324-25 (D.C. Cir. 1988); Buschmann v. Schweiker, 676 F.2d
352, 358 (9th Cir. 1982); Evans v. Sec'y of Def., 944 F. Supp. 25, 29 (D. D.C. 1996); see also Pelegrini, supra (quoting
U.S. Steel Corp., supra).
         The Secretary relies on In re Watts, 354 F.3d 1362 (Fed. Cir. 2004), and Cunningham v. Laser Golf Corp.,
222 F.3d 943 (Fed. Cir. 2000), for the proposition that an error is prejudicial only when "the correction of the error
would yield a different result", i.e., that the outcome below would have been different but for the error. Mot. at 3-5. For
the reasons set forth below, we do not agree that these cases require an outcome to have been different to find prejudice.
However, a demonstration that an outcome would not have been different even if the error had not been committed would
demonstrate that there was no prejudice. See Green (Doris) v. Brown, 10 Vet.App. 111, 119 (1997) (holding that
appellant not prejudiced by Board's "requiring new and material evidence . . . because in no event could she have been
awarded . . . [38 U.S.C. §] 1318 DIC" as matter of law); Eddy v. Brown, 9 Vet.App. 52, 58-59 (1996); M ason
(Sangernetta) v. Brown, 8 Vet.App. 44, 57 (1995); Godwin v. Derwinski, 1 Vet.App. 419, 427 (1991); see also Valiao
v. Principi, 17 Vet.App. 229, 232 (2003); Velez v. West, 11 Vet.App. 148, 155-57 (1998).
         In Cunningham, although the Federal Circuit held that the appellant "ha[d] not convinced [the court] that the
ultimate legal question . . . should be decided differently," the court based its holding upon the fact that the totality of
the evidence before the court outweighed the error regarding the determination of a single factor. Cunningham, 222
F.3d. at 948-49 (emphasis added). Four years later in Watts, that court held that "the appellant must not only show the
existence of error, but also show that the error was in fact harmful because it affected the decision below." Watts, 354
F.3d. at 1369 (emphasis added). The court further explained that harmful error would exist if there is "reason to believe
that the 'procedure used or the substance of the decision reached' by the Board m ight have been different upon remand."
Id. at 1370 (quoting Mass. Trs. of E. Gas & Fuel Ass'ns v. United States, 377 U.S. 235, 248 (1964)) (emphasis added).
W e believe that Cunningham and Watts are consistent with the concept that an error is prejudicial if it affects the
"substantial rights" of the parties in terms of "the essential fairness of the [adjudication]." McDonough, supra. This
conclusion is buttressed by Wagner v. United States, 365 F.3d 1358, 1365 (Fed. Cir. 2004), where the Federal Circuit
found that the failure to comply with a regulation requiring the Secretary of the Army to pre-approve an officer's release
from active duty constituted prejudicial error even though it could not be shown objectively that the outcome would have
been different had the error not occurred.
         A review of our caselaw demonstrates that we have applied the prejudicial-error rule in a manner consistent with
the above principles defining prejudicial error in suits against the United States. For example, in Parker we held, based
on the Federal Circuit's opinion in Intercargo Insurance Co.:
                   "A party is not 'prejudiced' by a technical defect simply because that party will lose
                   its case if the defect is disregarded. Prejudice, as used in this setting, means injury
                   to an interest that the statute, regulation, or rule in question was designed to
                   protect."

Parker, supra (quoting Intercargo Ins. Co., 83 F.3d at 396). W e have also required that a lack of prejudice be "clear"
before we would overlook a Board error. Winters v. West, 12 Vet.App. 203, 207-08 (1999) (en banc) (holding that
failure to reopen disallowed claim would not require remand where "it is clear that the reopened claim would still be not
well grounded as a matter of law") (emphasis added), vacated and remanded on other grounds sub nom. Winters v.
Gober, supra; see Pelegrini, supra (in context of assessing prejudicial error from lack of notice compliance, referring
to need for Court "to determine . . . [that] the appellant definitely could not provide or lead VA to obtain the information
or evidence necessary to substantiate his service-connection claim"). Further, as noted above, this Court has held that
an error is nonprejudicial where the benefit sought could not possibly have been awarded as a matter of law. See Green,
supra; Eddy, supra (holding Board's reasons-or-bases error nonprejudicial because benefit sought "could not have been
granted on any of the theories advanced by the appellant"); Mason, supra (holding that appellant not prejudiced by
Board's failure to discuss "whether either letter constituted an NOD . . . because this Court holds as a matter of law that
neither could constitute a valid NOD"); Godwin, supra (concluding that Board's apparent failure to take direct account
of certain evidence was nonprejudicial where record contains no evidence supporting increased-rating claim); see also
Valiao, supra (holding that "[w]here the facts averred by a claimant cannot conceivably result in any disposition of the
appeal other than affirmance of the Board decision, . . . [t]he failure to carry out [VCAA-notice] development under those
circumstances is nonprejudicial error under section 7261(b)(2)"); Velez, supra (holding twice that any Board failure to
give certain notice was not prejudicial where lack of nexus medical evidence was determinative of outcome of service-
connection claim; and holding that any Board error in considering issue of service incurrence was nonprejudicial where
nexus medical evidence was lacking); cf. Smith (Claudus) v. Gober, 14 Vet.App. 227, 231-32 (2000) (holding that where
there is no legal basis for benefit claimed in case, there is no reason to consider VCAA compliance).                Synthesizing
the above caselaw and discussion, we hold that, consistent with Intercargo Insurance Co. and Parker, both supra, an
error below, whether procedural or substantive, is prejudicial when the error affects a substantial right so as to injure an
interest that the statutory or regulatory provision involved was designed to protect such that the error affects "the essential
fairness of the [adjudication]". McDonough, supra; see Parker and Intercargo Ins. Co., both supra. In other words, the
key to determining whether an error is prejudicial is the effect of the error on the essential fairness of the adjudication.
Stated in the negative, an error is not prejudicial when the error did not affect "the essential fairness of the
[adjudication]". McDonough, supra. Moreover, as noted above, although a demonstration by one party that an error
did not affect the outcome of a case would establish that there was or could be no prejudice, the failure of the other party
to demonstrate that the error did affect the outcome does not necessarily mean that the error was harmless. Hence, to
persuade that there was no prejudice, a party must demonstrate the essential fairness of the adjudication.
                                                 3. Allocation of Burdens

         Turning to the question of the role of each party in connection with the Court's taking due account of the
prejudicial-error rule, the Secretary contends that the burden of demonstrating prejudice should be placed on the
appellant (Mot. at 4-5 (discussing burden of proof)). As noted above, there is no dispute that the appellant bears the
burden of demonstrating error below. See U.S. V ET . A PP . R. 28(a), Hilkert, Berger, and, Bucklinger, all supra. However,
that does not decide the question of allocating burdens relating to prejudice. As discussed below, we conclude that the
weight of authority supports the Secretary's position that the appellant must carry some burden with respect to the
prejudicial nature of the error.

         Congress, in section 7261(b)(2), provided this Court with considerable discretion in determining what burdens
should be carried by the parties regarding our taking due account of the prejudicial-error rule. Cf. 5 U.S.C. § 7701(c)
(provision governing appeals to Federal Circuit from Merit Systems Protection Board (MSPB) in which Congress
explicitly placed burden on "the employee or applicant for employment [to] show[] harmful error", 5 U.S.C.
§ 7701(c)(2)(A)). In his motion for reconsideration, the Secretary relies on the Supreme Court's statement in Palmer
v. Hoffman that, in a civil case, "'[h]e who seeks to have a judgment set aside because of an erroneous ruling carries the
burden of showing that prejudice resulted'"; the Secretary asserts that the burden of demonstrating that a VCAA-notice
error was prejudicial should be on the appellant, as "the party challenging agency action" Mot. at 3 (quoting Palmer,
318 U.S. 109, 116 (1943)). In Kotteakos, however, the Supreme Court recognized – albeit in a criminal case – that
although the "'party seeking a new trial [has] the burden of showing that any technical errors that he may complain of
have affected his substantial rights' . . . [that] burden does not extend to all errors", and that "[i]f the error is of such a
character that its natural effect is to prejudice a litigant's substantial rights, [then] the burden of sustaining a verdict
will, notwithstanding this legislation[,] 2 rest upon the one who claims under [the verdict].'" Kotteakos, 328 U.S. at 760
(emphasis added) (quoting H.R. R EP . No. 65-913, at 1 (1919)); see also id. at 765-66 (stressing importance of
determining whether error had "natural effect" of producing prejudice).

         More than 50 years after Palmer was decided, the Supreme Court in O'Neal, regarding a habeas proceeding,
characterized the Palmer language relied upon by the Secretary as "[']pre-Kotteakos language['] . . . [that] referred to
what . . . Palmer described as 'mere "technical errors."'" O'Neal, 513 U.S. at 439 (quoting Kotteakos, supra). The
Supreme Court in O'Neal further concluded that, in cases in which there is "grave doubt" as to the harmlessness of an
error, the burden of demonstrating prejudice in a civil context should be on the government because 28 U.S.C. § 391,
the predecessor to 28 U.S.C. § 2111, the federal harmless-error statute, made no distinction between civil and criminal
cases. O'Neal, 513 U.S. at 440-41. Thus, although not expressly overruling Palmer, supra, O'Neal makes clear that

         2

  The Act of February 26, 1919 (1919 Act), 40 Stat. 1181, amended 269 of the Judicial Code. It provided in part: "On
the hearing of any appeal, certiorari, writ of error, or motion for a new trial, in any case, civil or criminal, the court shall
give judgment after an examination of the entire record before the court, without regard to technical errors, defects, or
exceptions which do not affect the substantial rights of the parties." 28 U.S.C. § 391. In 1949, this provision was
reenacted in its current form as 28 U.S.C. § 2111. See Pub. L. No. 81-72, § 110, 63 Stat. 89, 105 (1949).
placing the burden of demonstrating prejudice on the appellant is not always the rule in a civil context. See id. at 440-42;
see also Morrison Knudsen Corp. v. Fireman's Fund Ins. Co., 175 F.3d 1221, 1239-41 (10th Cir. 1999) (declining to
decide whether O'Neal reverses court's use of burdens of proof when conducting harmless error analysis in civil cases);
Allen v. Minnstar, Inc., 97 F.3d 1365, 1374-75 (10th Cir. 1996) (Lucero, J., concurring) (noting that "burden-free"
harmless-error approach seems to have been applied in court's civil cases after O'Neal). Compare Obrey v. Johnson,
400 F.3d 691, __ (9th Cir. 2005) (holding in civil case that court "presum[es] prejudice, rather than harmlessness" (citing
O'Neal, supra) and placing "'burden on . . .beneficiary of the error . . . to prove that there was no injury'" (quoting
Chapman v. Cal., 386 U.S. 18, 24 (1967))), and Haddad v. Lockhead Cal. Corp., 720 F.2d 1454, 1459 (9th Cir. 1983)
(stating that harmless-error standard should reflect burden of proof and holding that to reverse "error in a civil trial need
only be more probably than not harmless"), with Kisor v. Johns-Manville Corp., 783 F.2d 1337, 1340 (9th Cir. 1986)
(purporting to restate standard from Haddad, supra, as that "[t]o reverse, we must say that more probably than not, the
error tainted the verdict [in a civil trial]"). Indeed, in O'Neal, the Supreme Court suggested that, in determining whether
a trial error was prejudicial, a reviewing judge should not "try to put the . . . question in terms of proof burdens (e.g., 'Do
I believe the party has borne its burden of showing . . . ["that the error substantially influenced the jury's decision"]?')."
513 U.S. at 436-37.

         Given the relevance of APA § 706 to our analysis, we find it instructive that appellate courts conducting review
under that section generally place a burden of persuasion regarding prejudice on the party claiming that an error below
was prejudicial. See Intercargo Ins. Co., supra; see also St. Anthony Hosp. v. U.S. Dep't of Health & Human Servs.,
309 F.3d 680, 698-99 (10th Cir. 2002); Air Can. v. Dep't of Transp., 148 F.3d 1142, 1156 (D.C. Cir. 1998). But see U.S.
Steel, supra (Fifth Circuit opinion holding that absence of prejudice must be clear for harmless error to apply, when there
is outright failure to comply with notice-and-comment requirements of APA); McLouth Steel Prod. Corp., supra (D.C.
Circuit opinion stating that burden of demonstrating prejudice not generally placed on challenger when agency
"completely" fails to comply with APA notice-and-comment requirements). Moreover, the Federal Circuit has stated
expressly at times in appeals of administrative agency decisions that the burden of demonstrating that error below was
prejudicial is placed on the appellant. See Watts and Cunningham, both supra (requiring appellant to show error and
prejudice); see also Intercargo Ins. Co., supra. But cf. Diaz v. Dep't of Air Force, 63 F.3d 1107, 1109 (Fed. Cir. 1995)
(quoting Handy v. United States Postal Serv., 754 F.2d 335, 338 (Fed. Cir. 1985) to effect that, in MSPB case where
the review statute expressly so provided, "[h]armful error must be shown" by appellant to overturn MSPB decision).

         Although the Federal Circuit held in Wagner, supra, that an appellant does not have a burden with respect to
showing prejudice when a substantial procedural right has been denied and it is impossible to demonstrate prejudice
objectively, that analysis is not applicable to VCAA-notice cases because when notice is not provided or is inadequate
the Court can assess prejudice based on the parties' submissions and the applicable law. W hen notice is defective,
incomplete, or untimely, the party claiming prejudice confronts no barrier similar to that in Wagner in coming forward
with a showing of what action was or was not taken because of the lack of notice, or a particular defect in the notice, and,
once the Secretary responds, a determination can then be made by the Court as to whether or not the essential fairness
of the adjudication was affected. See Yabut v. Brown, 6 Vet.App. 79, 84-85 (1994) (vacating Board decision based on
holding that Board failure to notify of intention to rely on medical treatise was not harmless "where appellant has
presented a plausible argument that he had been prejudiced by the Board's error"). In that manner, the Court will avoid
having to engage in the "pure speculation" that we eschewed in Pelegrini, 18 Vet.App. at 121.

         In our own cases, we have often required that the appellant present a "plausible argument" as to how an asserted
BVA error was prejudicial to the appellant. Yabut, supra; see Marciniak v. Brown, 10 Vet.App. 198, 201 (1997)
(holding that VA's loss of SOC was not prejudicial where "appellant has not alleged with specificity any prejudice that
resulted from [that] loss"); Parker, 9 Vet.App. at 480-81 (holding that VA's use of specified VA form for recording of
results of VA field review of foreclosure appraiser's report in home-loan-guaranty case was not prejudicial where
"appellant has not alleged that any prejudice resulted from this error"); Junstrom v. Brown, 6 Vet.App. 264, 268 (1994)
(holding that Board failure to provide notice and opportunity to respond to proposed Board reliance on medical treatises
was not prejudicial where "appellant did not argue that any [such] error by the BVA was prejudicial to his interests").
W e recognize, however, that, as the Supreme Court has held, where an error's "'natural effect is to prejudice a litigant's
substantial rights, [then] the burden . . . rest[s] upon the one who claims under [the challenged decision]'", Kotteakos,
supra (quoting H.R. R EP . No. 65-913, at 1), although an appellant's asserting and identifying such prejudice will be
beneficial to the chances that prejudice will be found, see, e.g., Bingham v. Principi, 18 Vet.App. 470, 476 (2004)
(noting that appellant in his pleadings failed to aver or demonstrate how he could be successful in matter pending before
Court); Dorward v. West, 13 Vet.App. 295, 296 (2000) (per curiam order) (noting Court's aversion to addressing
unsupported assertions on appeal).

         The foregoing analysis leads us to conclude that once an appellant has demonstrated an error below he or she
generally bears a responsibility to initiate consideration of the issue of prejudice, that is, the appellant carries the burden
of going forward with a plausible showing of how the essential fairness of the adjudication was affected by that error.
The burden of going forward generally entails making a "prima facie" case, Hjelvik v. Babbitt, 198 F.3d 1072, 1074-75
(9th Cir. 1999); 2 K EN N ETH C U LP D AVIS & R ICH ARD J. P IERCE , J R ., A D M IN ISTRATIVE L AW T REATISE §10.7, at 165 (3d
ed. 1994), and is different from the burden of persuasion, which creates the risk of nonpersuasion, see Moore v. Kulicke
& Soffa Indus., Inc., 318 F.3d 561, 566 (3d Cir. 2003); D AVIS & P IERCE , supra; see also Wagner, 365 F.3d at 1362
(recognizing that Court of Claims had two-step process in reviewing failures to promote service personnel: "First, the
officer must show the existence of legal error. [Engels v. United States, 678 F.2d 173, 175 (Ct. Cl. 1982)]. Second, the
officer must demonstrate a prima facie showing of a causal nexus between the error and the result"); Porter v. United
States, 163 F.3d 1304, 1315-19 (Fed. Cir. 1998) (discussing in detail Claims Court caselaw regarding armed services
selection boards and summarizing Engels, supra, as stating that "the burden on the officer is to make a prima facie
showing of nexus between the alleged error in his record and the passover decision" and that "final burden of persuasion
'falls to the [g]overnment to show harmlessness – that, despite the plaintiff's prima facie case, there was no substantial
nexus or connection'" (quoting Engels, supra)). W e further note that placing on the appellant this burden of going
forward is also consistent with Rule 28(a) of the Court's Rules, which requires a represented appellant to provide a
statement of the issues and the facts and contentions relevant to those issues and to provide citations to the parts of the
record relied on by the appellant in support of those contentions. See U.S. V ET . A PP . R. 28(a)(3), (4), (5). But see U.S.
V ET . A PP . R. 28(i) (permitting self-represented appellant to submit informal brief on Court-provided form that does not
include satisfaction of specific requirements in Rule 28(a)(3), (4), (5)). Hence, we agree with the Secretary that our
application of the rule of prejudicial error should not permit "automatic" remands that would make the Court an
"''impregnable citadel[] of technicality''", Br. at 15 (citing U.S. v. Hasting, 461 U.S. 499, 508-09 (1983) (quoting R.
T RAY N OR , T H E R ID D LE O F H ARM LESS E RROR 14 (1970)) (citation omitted)); see also McDonough, supra.

         If an appellant has met the burden of going forward, by asserting with specificity how an error was prejudicial,
it becomes the Secretary's burden to demonstrate that the error was clearly nonprejudicial to the appellant – that is, that
the error is not one that affected "the essential fairness of the [adjudication]", McDonough, supra. Finally, we note that
when assessing any Board error for prejudice, it is important to understand the purpose behind the requirement as to
which the Board erred, because there can be no prejudice if that purpose has been satisfied. See Parker, 9 Vet.App. at
481 (stating that "'[p]rejudice . . . means injury to an interest that the statute, regulation, or rule in question was designed
to protect'" (quoting Intercargo Insurance Co., supra)); Seaboard Sur. Co. v. Town of Greenfield, 370 F.3d 215, 223
(1st Cir. 2004) (holding that appellant was in material breach of contract because none of its notice letters "'conveyed
with reasonable certainty the information reasonably needed' to serve the purpose of . . . [the] notice requirement"
(citation omitted)).

                                           4. Prejudice in Notice-Error Context

         In assessing the interest that the section 5103(a) notice requirements were designed to protect, see Parker and
Seaboard Sur. Co., both supra, we note that in enacting the VCAA "[t]he intent of Congress . . . was to expand the duties
of the Secretary." Quartuccio, 16 Vet.App. at 186-87. Nothing in the VCAA or otherwise in title 38 of the U.S. Code,
in the VCAA's legislative history, or in VA's August 2001 regulations or their regulatory history, suggests that the VCAA
and its implementing regulations were not intended to bestow upon an appellant a substantial right by way of amended
section 5103(a) notice. It is undisputed that section 5103(a) was enacted in order that VA would "early in the claim
process" let VA claimants know "what was necessary to substantiate their claims", Pelegrini,18 Vet.App. at 120 (quoting
VA Gen. Coun. Prec. 8-03 para. 2 (Dec. 22, 2003)), "so that the claimant[s] and/or VA can produce" the "information
needed to substantiate their claims" that is "missing", id. at 122. In this manner, section 5103(a) assumes a fundamental
role in furthering an interest that goes to the very essence of the nonadversarial, pro-claimant nature of the VA
adjudication system, see, e.g., Elkins, supra – that is, VA's duty to assist claimants in the development of their claims
– by affording a claimant a meaningful opportunity to participate effectively in the processing of his or her claim. See
38 U.S.C. § 5103A; Holliday v. Principi, 14 Vet.App. 280, 285 (2001) (stating that "the Court must avoid cutting off
an appellant's rights under the VCAA by prematurely injecting itself into the VA adjudication process" because to do
so "where no section 5103(a) notice had been provided by VA would violate principles of fair process", given VA's
"'uniquely pro-claimant'" benefits system (quoting, in part, Nolen v. Gober, 222 F.3d 1356, 1361 (Fed. Cir. 2000), and
Winters v. Gober, supra)); Daniels, supra.

         Taking into account the foregoing conclusions regarding prejudicial error and the applicable burdens, we
conclude that in the section 5103(a) notice context an appellant generally must identify, with considerable specificity,
how the notice was defective and what evidence the appellant would have provided or requested the Secretary to obtain
(e.g., a nexus medical opinion) had the Secretary fulfilled his notice obligations; further, an appellant must also assert,
again with considerable specificity, how the lack of that notice and evidence affected the essential fairness of the
adjudication. See Marciniak and Parker, both supra; Duran v. Brown, 7 Vet.App. 216, 222 (1994) (holding that Board's
failure to reopen disallowed claim was prejudicial error where Court found that new evidence clearly was material and
that, even though Board "in fact" reopened and adjudicated claim on merits, if Board had reopened claim it would have
been required to fulfill Secretary's "'statutory duty to assist'" under which Secretary "could well have identified and
secured additional supporting medical records . . . , conducted a mental examination of the appellant . . . , and obtained
military records"); Junstrom and Yabut, both supra. W hen the appellant has met the burden of going forward with such
a plausible showing of prejudice, then the Secretary must demonstrate a lack of prejudice by persuading the Court that
the purpose of the notice was not frustrated – e.g., by demonstrating (1) that any defect in notice was cured by actual
knowledge on the part of the appellant that certain evidence (i.e., the missing information or evidence needed to
substantiate the claim) was required and that she should have provided it, see Velez and Buzinski, both supra, or (2) that
a reasonable person could be expected to understand from the notice provided what was needed, see Seaboard, supra,
or (3) that a benefit could not possibly have been awarded as a matter of law, see Green, Eddy, Mason, and Godwin, all
supra; see also Valiao, supra; Velez, 11 Vet.App. at 155-57 (holding three errors nonprejudicial). Of course, as noted
above, if the asserted error is found by the Court to exist and to be of the type that has the "natural effect" of producing
prejudice, an appellant need not have pled prejudice and it is the Secretary's burden to demonstrate lack of prejudice in
terms of the fairness of the adjudication, Kotteakos, supra.

                             B. Appellant's Carrying Her Burden of Asserting Prejudice

         Applying the foregoing analysis and precepts to M rs. M ayfield's case, we note first that the appellant "submits
that the RO failed to fulfill its duty to notify under 38 U.S.C. § 5103(a)." App. Br. at 4 (emphasis in original).
Specifically, she asserts that the notice in this case was defective on three accounts: (1) The notice failed to identify "the
need for medical evidence to substantiate the causative relationship between the veteran's . . . surgery . . . and his death"
(App. Br. at 5); (2) the notice failed to advise her who would provide what information (App. Br. at 4); and (3) the notice
failed to request that she submit "any evidence in the claimant's possession that pertains to the claim" (App. Resp. at 2).
She contends that "[n]o further showing of prejudice by the [a]ppellant is required . . . when the Secretary fails to identify
in the notice the additional evidence necessary to substantiate a claim." Id. at 3.

                                                 1. First Notice Element

         As to the first notice element – regarding the information and evidence necessary to substantiate the claim –
the appellant asserts specifically that the notice failed to advise her of the need to substantiate a nexus between her
husband's surgery and his death. The natural effect of such error, if found by the Court, would constitute a failure to
provide a key element of what it takes to substantiate her claim, thereby precluding her from participating effectively in
the processing of her claim, which would substantially defeat the very purpose of section 5103(a) notice. See Pelegrini,
18 V et.App. at 122 (explaining that "the very purpose of requiring that a claimant whose claim is missing necessary
evidence be notified of the information and evidence needed to substantiate the claim is so that the claimant and/or VA
can produce that missing evidence"); see also Holliday and Daniels, both supra. Accordingly, even though the appellant
has failed to assert specifically how she was prejudiced by this asserted notice error, the specificity and substantive nature
of her asserted notice error is, as discussed above, such as to make it one that has the natural effect of producing
prejudice and thus to shift to the Secretary the burden of demonstrating that there was clearly no prejudice to the
appellant based on any failure to give notice as to this element. See Daniels, supra (holding that notification error was
prejudicial because without that error appellant might have presented additional medical evidence).

                                         2. Second and Third Notice Elem ents

         Concerning the appellant's contention that the Secretary failed to inform the appellant about who should provide
what information and evidence, the Court notes that this assertion of error, by itself, does not have the natural effect of
producing prejudice because this asserted error did not preclude the appellant from effectively participating in the
processing of her claim, see Pelegrini, supra. That is because prejudice can arise from such an asserted error only if she
failed to submit evidence because she was not advised to do so, or if the Secretary failed to seek to obtain evidence that
he should have obtained. The appellant, who is represented here, has failed to provide any specifics with regard to how
she was prejudiced in this regard.

                                               3. Fourth Notice Element

         As noted above, the fourth notice element requires the Secretary to "request that the claimant provide any
evidence in the claimant's possession that pertains to the claim", 38 C.F.R. § 3.159(b)(1). W ith regard to the appellant's
assertion that notice was defective because it requested that she provide any additional evidence supportive of her claim
rather than evidence that pertains to her claim, such error does not have the natural effect of producing prejudice.
Prejudice would exist only if the claimant had evidence in her possession, not previously submitted, that is, of the type
that should be considered by the Secretary in assessing her claim – such as a nexus medical opinion. Cf. Pelegrini, supra
(holding that Board must ensure that appellant is provided content-complying notice unless Board is able to conclude
on facts of record that no prejudice resulted from lack of notice (citing Conway, 353 F.3d at 1375)). The appellant
provided numerous responses to the Secretary's requests for evidence, and there is no indication that she had pertinent
evidence in her possession – including neutral evidence that might lead to supportive evidence – that she did not provide
in response to the notice she received. Although it is possible that she may have possessed such evidence, that is a matter
within her knowledge and certainly outside the Secretary's. Under such circumstances, her failure to make a plausible
showing of how the essential fairness of the adjudication was affected, see McDonough, supra, is a failure to carry her
burden regarding prejudice.

                                                   4. Tim ing of Notice

         Finally, with regard to the timing of notice, the Court notes that this, too, is the type of error that does not have
the natural effect of producing prejudice and that, therefore, prejudice must be pled as to it. The appellant failed to do
so here. In this case, as noted above, the Court will address this issue and will hold below that there was no prejudice
from an untimely provision of notice here.
                                        C. Com pliance with Notice Requirem ents

         In the preceding part, the Court concluded that the error asserted by the appellant that she never received
sufficient first-element notice – of what was necessary to substantiate her claim – was the type that, if found by the Court,
would have had the natural effect of denying her a meaningful opportunity to participate effectively in the processing
of her claim, and we will thus discuss below the merits of her contention of error. In addition, because we have not
previously set forth definitively a pleading requirement regarding prejudice in a notice context, we will also examine
whether the second, third, and forth notice elements, as well as the timing of the notice provided to her, satisfied the
Secretary's statutory and regulatory notice obligations and, if not, whether any error was prejudicial to her.

         As noted above, the Secretary is required by section 5103(a) to inform the claimant of information and evidence
not of record, (1) that is necessary to substantiate the claim, (2) that VA will seek to obtain, if any, and (3) that the
claimant is expected to provide, if any. 38 U.S.C. § 5103(a); Quartuccio, 16 Vet.App. at 187. Additionally, §
3.159(b)(1) provides that the Secretary "will also request that the claimant provide any evidence in the claimant's
possession that pertains to the claim." 38 C.F.R. § 3.159(b)(1); see Pelegrini, 18 Vet.App. at 121. In the instant case,
the Board concluded that the Secretary had provided the appellant with the statutorily required notice in three documents:
The December 1999 RO decision, the June 2000 SOC, and the January 2002 SSOC. R. at 4-5. The appellant contends
that neither these documents nor the March 2001 VCAA-notice letter identified "the specific information or evidence,
not previously provided, that is necessary to substantiate the claim [, particularly] the need for medical evidence to
substantiate the causative relationship between the veteran's . . . surgery . . . and his death". App. Br. at 5. She also
argues that the Secretary is incorrect in contending that he substantially complied with the regulatory requirement that
he request that she "provide any evidence in the claimant's possession that pertains to the claim." Resp. at 2 (quoting
38 C.F.R. § 3.159(b)(1)). For the following reasons, we hold, in part IV.C.1, below, that the Board did not err in finding
that the Secretary met his statutory duty to notify in this case as to the content of the notice provided and further hold,
in part IV.C.2, and 3, below, that the regulatory duty was substantially satisfied on the facts of this case and that a timing-
of-notice error was nonprejudicial because the error was cured by subsequent VA actions.

                                       1. Com pliance with Statutory Requirem ents

         In addition to the three documents specifically addressed by the Board decision, the record before the Board
also contains the March 2001 VCAA-notice letter sent to M rs. M ayfield. That letter contains three pertinent sections,
with headings as follows: (1) "W hat Must The Evidence Show To Establish Entitlement"; (2) "W hat Has Been Done
To Help W ith Your Claim"; and (3) "W hat Information Or Evidence Do W e Still Need From You". R. at 834-35.

         a. First Notice Elem ent: As to the first section 5103(a) notice requirement, that VA inform the claimant of
information and evidence not of record that is necessary to substantiate the claim, the March 2001 letter advised Mrs.
Mayfield that in order to substantiate her claim the evidence needed to show a causal relationship between the veteran's
service-connected condition and his death. In addition, there was a specific reference to the process of getting a VA or
private "medical opinion" on the nexus question. R. at 834. Specifically, in the first section of the letter, the RO listed
the following three requisites for a finding of service connection for the veteran's death: (1) "The cause of death"; (2)
 "[a]n injury, disease[,] or other event in service"; and (3) "[a] relationship between the cause of death and the injury,
 disease, or other event in service." Ibid. Under the third requisite, the RO letter informed Mrs. Mayfield that a causal
 relationship was usually shown by either a death certificate or by medical evidence – so-called nexus medical evidence
 – and then stated: "[W ]e may also try to get this evidence for you by requesting a medical opinion from a VA doctor,
 or you can give us a m edical opinion from your own doctor." Ibid. (emphasis added). Although the appellant argues
 that the VCAA-notice letter did not state expressly what evidence necessary to substantiate her claim was "not previously
 provided" under 38 U.S.C. § 5103(a) (Resp. at 2), this Court has never held that overcompliance is necessarily equivalent
 to noncompliance – that is, that that degree of specificity is required in order for first-element notice to be compliant.
 A notice letter consists of various sections that are not to be read in isolation; rather, all sections should be construed in
 connection with one another so as to determine whether the document, read as a whole, addresses all aspects of the
 requisite notice. Cf. Cottle v. Principi, 14 Vet.App. 329, 334 (2001); Meeks v. West, 12 Vet.App. 352, 354 (1999)
 (stating that "'each part or section [of a statute] should be construed in connection with every other part or section so as
 to produce a harmonious whole'" (quoting 2A N. S IN GER , S U TH ERLAN D ON S TATU TO RY C O N STRU CTIO N § 46.05 (5th ed.
 1992))), aff'd, 216 F.3d 1363 (Fed. Cir. 2000); Talley v. Derwinski, 2 Vet.App. 282, 286 (1992).

         The third section of that notice letter informed M rs. M ayfield that she should submit any additional evidence to
substantiate her claim for service connection for the cause of her husband's death and then stated that this evidence could
include treatment records and physician or lay statements. R. at 835. Although this section is describing existing evidence
tending to show the cause of the veteran's death, rather than evidence needing to be produced (i.e., a nexus medical
opinion), when the VCAA-notice letter is read as a whole the first sentence of that section (by referring to "evidence that
supports your claim for service connection for the cause of your husband's death" (R. at 835)) adequately refers back to
the first section of the notice letter (1) where Mrs. Mayfield was told that in order to substantiate her claim the evidence
needed to show a causal relationship between the veteran's service-connected condition and his death and (2) where there
was a specific reference to the process of getting a VA or private "medical opinion" as to the nexus question (R. at 834).

         Furthermore, the notice letter needs to be read in the context of prior, relatively contemporaneous
communications to Mrs. Mayfield from the AOJ. See generally Quartuccio, 16 Vet.App. at 187 (considering all relevant
VA communications when determining whether adequate notice had been provided). Here, the June 2000 SOC that the
RO provided to M rs. Mayfield 10½ months earlier acknowledged that she believed "that the veteran's service[-]connected
varicose[-]vein condition contributed to his death as he did not have enough healthy veins available for heart bypass
surgery" but noted that no evidence establishing a link between the veteran's varicose veins and the cause of his death had
been provided. R. at 268. This notice thus informed Mrs. M ayfield of the necessary information and evidence not already
provided (i.e., a nexus medical opinion). Moreover, the evidence shows that Mrs. Mayfield was well aware of what
evidence had not been submitted previously. She not only requested from the veteran's private physician an opinion
linking the veteran's service-connected condition to his CAD (R. at 376), but she also further requested, in response to
the VCAA-notice letter sent two weeks before, that VA obtain such a nexus medical opinion on her behalf (R. at 924),
evidencing actual knowledge on her part regarding what was needed to substantiate her claim. See Velez,11 Vet.App. at
157 (holding that actual knowledge by the veteran cures defect in notice); Buzinski, supra; cf. Baxter v. Principi, 17
Vet.App. 407, 410 (2004) (holding that actual receipt of deficiency-free notice of RO decision satisfies notification
requirement even though record suggested that notice was sent to claimant's wrong address).

         In light of this notice in the June 2000 SOC and taking into account that Mrs. Mayfield already knew what she
had provided, and that a reasonable person, on the facts present here, would have known from the AOJ's relatively
contemporaneous communications, and on the basis of the knowledge of what the claimant had already provided, what
information to substantiate the claim was missing and who was responsible for obtaining it, we hold that the Board did
not err in finding that the Secretary fulfilled his statutory obligation as to the first notice element. See Quartuccio, supra.
That is not to say that under other circumstances an appellant could not demonstrate that the notice provided was
sufficiently confusing – for example, about what information and evidence had not been previously provided – so as to
amount to a notice deficiency regarding this first notice element.

         b. Second and Third Notice Elem ents: Concerning the second and third section 5103(a) notice requirements,
the March 2001 VCAA-notice letter notified Mrs. Mayfield about who would be responsible for providing or seeking to
obtain which information and evidence. Specifically, the notice letter advised her that VA had requested copies of the
veteran's VA medical records, as well as copies of his private medical records, but that, ultimately, she was responsible
for obtaining and providing any private treatment records. R. at 834. The letter further stated that VA would attempt to
obtain a medical opinion, or that she could provide one of her own. Given this information, the Court holds that the Board
did not err in finding that the Secretary fulfilled his statutory obligation as to the second and third notice elements. See
Quartuccio, supra.

                         2. Com pliance with Regulatory Fourth-Element Notice Requirement

         As noted above, 38 C.F.R. § 3.159(b)(1) contains "a fourth element of the requisite notice" that requires the
Secretary to "request that the claimant provide any evidence in the claimant's possession that pertains to the claim."
Pelegrini, 18 V et.App. at 121. There is no evidence in the record that the Secretary ever specifically requested Mrs.
Mayfield to "provide any evidence in [her] possession that pertains to the claim." 38 C.F.R. § 3.159(b)(1). Although the
Secretary could most efficiently and fully comply with § 3.159(b)(1) by using the exact language of the regulation in any
notice provided to a claimant, there is no requirement that the precise words of the regulation be included in order for
notice to be complying. This is particularly true with regard to § 3.159(b)(1), which was promulgated in August 2001
but expressly made retroactive to November 2000. 66 Fed. Reg. at 45,629 (amendments made applicable, inter alia, to
"any claim for benefits . . . filed before [November 9, 2000,] but not decided by VA as of that date"); see Pelegrini, 18
Vet.App. at 118-19. Certainly, the Secretary was providing notice to claimants between November 2000 and August
2001, and it would be illogical to require strict adherence to the language in the regulation in the countless notices
provided to claimants in that nine-month interim, which includes the March 2001 letter sent to Mrs. Mayfield.

         The purpose behind promulgating § 3.159 was plainly to implement statutory section 5103(a). See 66 Fed. Reg.
17,834 (proposed Apr. 4, 2001). In the explanation accompanying the final rule, the Secretary explained the purpose
behind the fourth-element-notice requirement and stated:

                   The duty to assist is not "always a one-way street"; the claimant cannot passively
                   wait for VA's assistance in circumstances where he or she may or should have
                   information that is essential to obtaining supporting evidence.
66 Fed. Reg. at 45,624 (emphasis added). Moreover, the Federal Circuit in Paralyzed Veterans of America v. Secretary
of Veterans Affairs (PVA v. Sec'y), agreed that the fourth-element requirement was "only part of a notice that has already
identified the information and evidence necessary to substantiate the claim . . . [and that] . . . this additional provision
merely assists the claimant by inviting any additional evidence that m ight help substantiate the claim." PVA v. Sec'y,
345 F.3d 1334, 1347 (Fed. Cir. 2003) (emphasis added); see Pelegrini, 18 Vet.App. at 120 (referring to one purpose of
notice as being to "lead VA to obtain the information or evidence necessary to substantiate . . . claim").

         This Court has held that notice to a claimant in a loan-guaranty-indebtedness case was "sufficient" despite the
claimant's argument that the notice did not use the specific words of the notice requirements. Buzinski, 6 Vet.App. at 366;
cf. Zajicek v. West, 12 Vet.App. 48, 50 (1998) (determining that claimant had demonstrated substantial compliance with
regulation directing where to send Notice of Appeal despite use of incorrect address); Daniels, supra (holding that remand
was warranted when notice misinformed claimant as to right to submit additional evidence for VA consideration). W e
likewise hold that a complying notice need not necessarily use the exact language of the regulation so long as that notice
properly conveys to a claimant the essence of the regulation. See Cummings v. West, 136 F.3d 1468, 1472 (Fed. Cir.
1998) (holding that BVA notice of appellate rights was sufficient under 38 U.S.C. § 5104(a) even though notice did not
include detailed description or information regarding all aspects of appellate rights); Buzinski, supra; see also Parker,
supra (stating that prejudice means "injury to an interest that the . . . regulation was designed to protect"); Seaboard Sur.
Co., 370 F.3d at 223 (stating that purpose of notice must be met); City of W. Chicago v. U.S. Nuclear Regulatory
Comm'n, 701 F.2d 632, 641 (7th Cir. 1983) (concluding that "three magic words ["on the record" from 5 U.S.C. § 554]
need not appear for a court to determine that formal [APA] hearings are required" for licensing hearing under Atomic
Energy Act (AEA), but that where Congress [by "clear intention in the legislative history of the AEA"] has not "indicate[d]
its intent to trigger the formal on-the-record hearing provisions of the APA", such "formal hearings are not statutorily
required"); cf. B LACK 'S L AW D ICTIO N ARY 1442, 1443 (7th ed. 1999) (defining "substantial-compliance rule", also known
as the "substantial-performance doctrine", as "equitable rule that, if a good-faith attempt to perform does not precisely
meet the terms of the agreement, the agreement will still be considered complete if the essential purpose of the contract
is accomplished").

         The March 2001 VA letter to Mrs. Mayfield notified her of the following: (1) The three requisites for a finding
of service connection for her husband's death; (2) that a causal relationship was usually shown either by a death certificate
or by medical evidence; (3) that VA may try to get this evidence for her by requesting a medical opinion from a VA doctor
or that she could give VA a medical opinion from her own doctor; (4) that she should submit any additional evidence to
substantiate her claim, which could include treatment records and physician or lay statements describing the veteran's
condition and symptoms; (5) which party would be responsible for providing or seeking to obtain which information and
evidence; and, finally, (6) under the heading "W hat Information Or Evidence Do W e Still Need From You", stated "You
should submit any additional evidence that supports your claim for service connection for the cause of your husband's
death." R. at 835 (emphasis added). As we have already concluded, the March 2001 letter must be read as a whole, see
King v. St. Vincent's Hosp., 502 U.S. 215, 221 (1991) (stating that "'[w]ords are not pebbles in alien juxtaposition; they
have only a communal existence; and not only does the meaning of each interpenetrate the other, but all in their aggregate
take their purport from the setting in which they are used'") (quoting NLRB v. Federbush Co., 121 F.2d 954, 957 (2d Cir.
1941)); see also Gustafson v. Alloyd Co., 513 U.S. 561, 575 (1995) (stating that "a word is known by the company it
keeps"). Reading the letter as a whole, including its compliance with the three statutory notice elements, we hold, based
on the foregoing analysis and the facts of this case, that the RO's M arch 2001 notice letter was in substantial compliance
with the fourth notice element, as set forth in § 3.159(b)(1), because the letter fulfilled the essential purposes of the
regulation, i.e., giving notice of VA's desire to obtain additional information and evidence supporting and substantiating
the claim and possibly leading to such information and evidence, see 66 Fed. Reg. at 45,624.

                                           3. Tim ing-of-Notice Requirement

         a. Com pliance: The Board did not address the requirement that notice must be provided prior to the initial RO
adjudication. See Pelegrini, 18 Vet.App. at 120 (holding that section 5103(a)/§ 3.159(b)(1) notice requirements must be
satisfied prior to initial unfavorable decision by AOJ on service-connection claim). H ere, neither any of the three
documents relied on by the Board to show notice compliance (the December 1999 RO decision, the June 2000 SOC, and
the January 2002 SSOC), nor the March 2001 VCAA-notice letter, preceded the initial RO decision in this case, which
was the December 1999 RO decision. Therefore, the notice provided did not comply with the timing-of-notice
requirement. See ibid. However, as we will hold in part IV.C.3.b, below, this notice error was not prejudicial to the
appellant.

         b. Lack of Actual Prejudice from Tim ing-of-Notice Noncom pliance: Having determined that the timing of
the notice provided in this case was noncompliant with the statutory requirement that it precede the initial RO decision,
we turn to the evaluation of whether such notice error was prejudicial to the appellant. See 38 U.S.C. § 7261(b)(2);
Conway, supra. The Board remanded the appellant's claim in December 2000 for readjudication in light of the VCAA's
enactment and thereafter the RO sent the December 13, 2000, development letter (R. at 322) and the March 2001 VCAA-
notice letter (R. at 833-36), and obtained various private treatment records as to which Mrs. Mayfield had provided
authorizations for release (R. at 376, 386, 391). After a VA physician provided a nexus medical opinion in August 2001
(R. at 1046), the RO's January 2002 SSOC denied service connection for the cause of the veteran's death (R. at 1049-57).
This Court addressed this type of situation directly in Pelegrini as follows:

                  The statute and the regulation provide for pre-initial-AOJ-adjudication notice, but
                  the Court specifically recognizes that, where, as here, that notice was not mandated
                  at the time of the initial AOJ decision, the AOJ did not err in not providing such
                  notice specifically complying with section 5103(a)/§ 3.159(b)(1) because an initial
                  AOJ adjudication had already occurred. Instead, as explained in part III.C, below,
                  the appellant has the right on remand to VCAA content-complying notice and proper
                  subsequent VA process.
Pelegrini, supra (citation omitted). In this case, the Board remand and subsequent RO actions were precisely the "proper
subsequent VA process" envisioned in Pelegrini, as discussed in part III.C of that opinion, and these actions essentially
cured the error in the timing of notice. Id. at 122-24. Moreover, as noted above, there could be no prejudice if the
purpose behind the notice has been satisfied, see, e.g., Parker and Seaboard Sur. Co., both supra – that is, affording a
claimant a meaningful opportunity to participate effectively in the processing of her claim by VA, see Pelegrini and
Holliday, both supra. Review of the record shows clear evidence that that purpose was indeed satisfied here as a result
of M rs. Mayfield's actions to obtain the evidence that was missing in order to substantiate her claim – that is, medical
evidence of a nexus linking her husband's varicose-vein condition to his death. For example, in her letter to Dr. Tien, she
specifically requested him to provide to the RO "any and all medical evidence which would help establish that the veteran
. . . could not undergo necessary treatment for [his] heart condition because of the severe varicosities of the lower
extremities." R. at 376. Finally, in response to the March 2001 VCAA-notice letter, Mrs. Mayfield requested the RO to
obtain a medical opinion expressing the likelihood that the veteran's cause of death was linked to his service-connected
varicosities. R. at 924. Accordingly, we hold that the timing-of-notice error was sufficiently remedied by the process
carried out after the Board's December 2000 remand, see Pelegrini and Holliday, both supra, so as to provide Mrs.
Mayfield with a meaningful opportunity to participate effectively in the processing of her claim by VA. The timing-of-
notice error was thus nonprejudicial in this case, see 38 U.S.C. § 7261(b)(2); Conway, supra, because the error did not
affect the essential fairness of the adjudication. See McDonough, Parker, and Intercargo Insurance Co., all supra.

                                    D. Board's Reasons or Bases Regarding Notice

         The appellant argues that the Board failed to discuss adequately the Secretary's compliance with the statutory
notice provisions. Br. at 5-6. The purpose behind the requirement that the Board provide an adequate statement of
reasons or bases for its decision is "to enable a claimant to understand the precise basis for the Board's decision, as well
as to facilitate review in this Court," Kay v. Principi, 16 Vet.App. 529, 532 (2002) (citing Allday, supra). Given these
two purposes of the reasons-or-bases requirement, we hold, based on the following analysis, that any reasons-or-bases
deficiency in this case would be nonprejudicial. See Parker and Seaboard Sur. Co., both supra.

         Although we held in Charles, 16 Vet.App. at 374, that the Board's failure to address adequately in its decision
the notice provisions in amended section 5103(a) constituted there a separate ground for remand under 38 U.S.C.
§ 7104(a) and (d)(1), the only notice issue that the Court addressed in Charles was the reasons-or-bases error, see id. at
373-74. That is not the situation in the instant case, because we have already held , in part IV.C.1, above, that, as the
Board also determined, VA complied with the statutory notice requirements. Hence, our review here is not hindered by
any reasons-or-bases deficiency in the Board decision, and a remand for a reasons-or-bases error would be of no benefit
to Mrs. Mayfield and would therefore be pointless. See Soyini v. Principi, 1 Vet.App. 540, 546 (1991) (concluding that
where evidence is overwhelmingly against claim, remand for reasons-or-bases deficiency would be superfluous); see also
Eddy, supra (concluding that Board's reasons-or-bases error was nonprejudicial). Accordingly, notwithstanding the fact
that the Board inexplicably made no reference to the March 2001 VCAA-notice letter in its VCAA-compliance discussion,
the Court need not address the appellant's reasons-or-bases contention in light of our holding that the notice provided to
Mrs. Mayfield fulfilled the Secretary's section 5103(a) notice obligation. That is because where the claimant has received
compliant notice, any Board reasons-or-bases deficiency in discussing how section 5103(a)/§ 3.159(b)(1) notice has been
satisfied in this case would of necessity be nonprejudicial to the claimant. See 38 U.S.C. § 7261(b)(2); Conway, Eddy,
and Soyini, all supra. "It would elevate form over substance to remand this appeal to the Board to [discuss] that which
. . . has already [been] done." Guimond v. Brown, 6 Vet.App. 69, 72 (1993) (holding that Board error in finding no new
and material evidence to reopen disallowed claim does not require remand where Board "in fact" did reopen claim and
deny it on merits); cf. Baxter, supra.

         In sum, remanding this matter because of a reasons-or-bases error would be an act of                   adherence to
hypertechnicality about which the Supreme Court cautioned in McDonough and Kotteakos, both supra, about which the
Federal Circuit wrote in Intercargo Insurance Co., supra, and about which we wrote in Parker, supra. Such a remand
would "'unnecessarily impos[e] additional burdens on the BVA and . . . VA with no benefit flowing to the veteran'".
Sabonis v. Brown, 6 Vet.App. 426, 430 (1994) (quoting Soyini, supra).

                                                       V. Conclusion

         The Court withdraws its March 23, 2004, order and issues this opinion in its stead. On the basis of the above
analysis, the ROA, and the parties' pleadings, the Court holds that the represented appellant was not required to make a
plausible showing of prejudice resulting from any Board error regarding the first notice requirement (because the natural
effect of such an error would be prejudicial) but that she failed to present plausible showings that any Board error was
prejudicial with respect to the second, third, and fourth notice requirements and with respect to timing of notice and,
moreover, that she failed to demonstrate that the Board erred in finding that the Secretary fulfilled his statutory content-of-
notice obligations in this case. Additionally, the Court further holds that the Secretary fulfilled his duty to notify with
regard to the statutory notice requirements and substantially fulfilled the regulatory notice requirement. Finally, the Court
holds that the appellant was not prejudiced by the timing-of-notice error. On consideration of the foregoing, therefore,
the Court will affirm the May 23, 2002, Board decision, see 38 U.S.C. §§ 7252(a), 7261.

         AFFIRMED.
APPENDIX
                              DEPARTMENT OF VETERANS AFFAIRS
                                    Chicago VA Regional Office
                                      536 South Clark Street
                                      Chicago Illinois 60605

March 15, 2001
                                                           In Reply Refer To:   328/21 ACT--png
LIZZIE K MAYFIELD 1321                                                          XC 29 618 131
LEITH AVENU                                                                     MAYFIELD, Estey
W AUKEGAN IL 60085

Dear Mrs. Mayfield:

As instructed by the Board of Veterans' Appeals in their remand dated December 8, 2000 we are
taking additional action regarding your claim for service connection for the cause of the veteran's
death.

This letter will tell you about the VA's duty to explain to you what information or evidence we
need to grant the benefit you want and the VA's duty to assist you in obtaining evidence for your
claim as well as what the evidence must show to establish your claim. Also, this letter will tell
you what we have done to help with your claim and what information or evidence we still need
from you including when and where you should send it. Finally, this letter will also tell how long
it will take us to decide your claim and how to contact us, if that is necessary.

VA's Duty To Notify You About Your Claim

The Veterans Claims Assistance Act of 2000 (VCAA) requires us to explain to you what
information or evidence we need to grant the benefit you want. We will tell you when medical
evidence is required. Medical evidence includes such things as doctors' records, medical
diagnoses, and medical opinions.

We will tell you what necessary information or evidence you must give us, such as income
information, or the names and addresses of doctors who treated you for your medical
condition.We will also tell you what necessary information or evidence we will try to get for
you.

VA's Duty To Assist You In Obtaining Evidence For Your Claim

The law states that we must make reasonable efforts to help you get evidence necessary to support

                                    RECORD ON APPEAL                                                  833
2

XC 29 618 131
Mayfield, Estey

We will also assist you by providing a medical examination or getting a medical opinion if we
decide it's necessary to make a decision on your claim.

What Must The Evidence Show To Establish Entitlement?

To establish entitlement for service connected death benefits, the evidence must show three
things:

! The cause of death. (This is usually shown by the veteran's death certificate or other evidence
  showing cause of death. You should give us this evidence.)
  An injury, disease or other event in service. (We will get service medical records and will review
!
  them to see if they show the veteran had an injury or disease in service, or suffered an event in
  service causing injury or disease. We will also get other military service records if they are
  necessary. If you had previously filed a claim for service connected death benefits, we will review
  the evidence contained in the deceased veteran's claim file.)
  A relationship between the cause of death and the injury, disease, or event in service. (This is
!
  usually shown by the death certificate, or in other medical records or medical opinions. We will
  request this medical evidence for you if you tell us about it. If appropriate, we may also try to get
  this evidence for you by requesting a medical opinion from a VA doctor, or you can give us a
  medical opinion from your own doctor.)

What Has Been Done To Help With Your Claim?

We have requested copies of your treatment records from the Monroe Clinic, University of
Wisconsin Hospital Clinics, St. Clare Hospital, and Dr. Cheng Tien. You previously indicated that
you have been treated for this condition by the Monroe Clinic, University of Wisconsin Hospital
Clinics, St. Clare Hospital, and Dr. Cheng Tien. We have asked that this evidence be provided
within 60 days. Please be aware that ultimately you are responsible for this evidence.

We have asked the VA Medical Center North Chicago to provide us with your husband's
applicable treatment records and have received a partial response from them.

We are awaiting your response to this letter before further action is taken on your case. If we
receive no response from you we will take our action based on the evidence of record.

What Information Or Evidence Do We Still Need From You?

                                         RECORD ON APPEAL                                                 834
3

XC 29 618 131
Mayfield, Estey

You should submit any additional evidence that supports your claim for service connection for the
cause of your husband's death. This may include treatment records for his claimed condition,
statements by physicians or other health care professionals who have treated him, or lay statements
by you and/or others describing his symptoms and problems.

We will attempt to obtain evidence for you if you complete in full and sign the enclosed VA
Form(s) 21-4142, "Authorization for Release of Information" and return them to this office. Be sure
to complete a VA Form 21-4142 for each doctor, clinic, or hospital, and provide a complete mailing
address as well as the approximate period of treatment and the condition(s) for which you were
treated. You may wish to contact the doctor or facility yourself and request release of the
information to us. Doing this may reduce the amount of time it will take to decide your claim.

When and Where Do You Send The Information Or Evidence?

Send the information describing additional evidence or the evidence itself to the address at the top of
this letter. If you have been asked to submit evidence, the evidence should be submitted as soon as
possible, preferably within 60 days from the date of this letter. In any case, the evidence must be
received in the Department of Veterans Affairs within one year from the date it was requested,
otherwise, if entitlement is established, benefits may not be paid for any period prior to the date the
evidence is received.

If your address should change while your claim is pending, be sure to notify the Department of
Veterans Affairs immediately by writing to the address at the top of this letter or calling our toll free
number. Whenever you contact the VA always furnish your VA claim number and your full name.

Do You Have Questions Or Need Assistance?

If the information contained in this letter or any future letter is unclear, or you have not received
notification of our final decision on your claim within four months of this letter, PLEASE CALL
OUR TOLL FREE NUMBER: 1-800-827-1000. If you are in the local dialing area of a VA regional
office, check your local telephone directory for the regional office's telephone number.

If you are hearing impaired and must communicate through a Telecommunication Device for the
Deaf (TDD), our number is 1-800-829-4833. One of our benefit counselors will provide the
assistance you require.

How Do You Fax Information To Us?

                                        RECORD ON APPEAL                                                    835
4
XC 29 618 131
Mayfield, Estey

You can expedite the processing of your claim for benefits by faxing the information to us. By faxing
you are eliminating the time delays associated with mail delivery and mail screening. If you do no
have faxing capabilities in your own home a large number of Currency Exchanges offer faxing at a
nominal fee. If you wish to FAX the information to us our FAX number is (312) 353-8576. You
should send the information with a cover sheet showing the following: Department of Veterans
Affairs, Service Center Division, ACT Team, and be sure to give your name and claim number. You
should include your name and claim number on each piece of correspondence that you FAX. Your
claim number is XC 29-618-131.

Sincerely yours,
/s/ Kerrie
Witty
Kerrie Witty
Veterans Service Center Manager
Enclosure(s): VA Form 21-4138 VA
               Form 21-4142(2)

cc: Disabled American Veterans

                                      RECORD ON APPEAL                                                  836