94-22669. Expanded Remote Access to Computerized Veterans Claims Records by Accredited Representatives

  • [Federal Register Volume 59, Number 177 (Wednesday, September 14, 1994)]
    [Unknown Section]
    [Page 0]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 94-22669]
    
    
    [[Page Unknown]]
    
    [Federal Register: September 14, 1994]
    
    
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    DEPARTMENT OF VETERANS AFFAIRS
    
    38 CFR Part 14
    
    RIN 2900-AH01
    
     
    
    Expanded Remote Access to Computerized Veterans Claims Records by 
    Accredited Representatives
    
    AGENCY: Department of Veterans Affairs.
    
    ACTION: Final rule.
    
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    SUMMARY: The Department of Veterans Affairs (VA) is establishing 
    policy, procedures and criteria governing when, and under what 
    circumstances, VA will grant authorized claimants' representatives 
    read-only access to the automated claims records of claimants whom they 
    represent from approved office locations away from the VA Regional 
    Offices of jurisdiction for the claimants' records. Access will be 
    granted only for the purpose of representing those claimants before VA 
    on claims-related matters. In order to help safeguard the 
    confidentiality of claimants' automated claims records, the rules also 
    set out responsibilities and restrictions on claimants' representatives 
    in exercising their remote access to VA's automated claims records. 
    These procedures and criteria will provide for better and more timely 
    representation of claimants in claims matters by allowing their 
    representatives to have faster, easier and more efficient access to the 
    claimants' records than they currently have when they have to travel to 
    the Regional Offices. The regulations will also lead to more efficient 
    use of VA resources in meeting the agency mission in that VA employees 
    will have to spend less time providing access to those representatives 
    who do not have their own computers in Regional Offices.
    
    EFFECTIVE DATE: October 14, 1994.
    
    FOR FURTHER INFORMATION CONTACT: David G. Spivey, Chief, Authorization 
    Procedures Staff (213B), Compensation and Pension Service, Veterans 
    Benefits Administration, Department of Veterans Affairs, 810 Vermont 
    Avenue, NW., Washington, DC 20420, (202) 273-7258 or Jeffrey C. 
    Corzatt, Staff Attorney (024H2), Office of General Counsel, Department 
    of Veterans Affairs, 810 Vermont Avenue, NW, Washington, DC, 20420, 
    (202) 273-6381. Questions concerning applying for remote access should 
    be addressed to the Director of the Veterans Benefits Administration 
    Regional Office with jurisdiction for the claim for which remote access 
    is sought.
    
    SUPPLEMENTARY INFORMATION:
    
    Background
    
        On July 20, 1994, the Department of Veterans Affairs published a 
    notice of proposed rulemaking (NPRM) (59 FR 37008, July 20, 1994) to 
    promulgate regulations at 38 CFR part 14 establishing policies, 
    criteria and procedures governing access to certain Veterans Benefits 
    Administration (VBA) computerized claimants records by individuals and 
    organizations which represent those claimants from locations away from 
    the Regional Offices of jurisdiction for those claimants records. As VA 
    noted in its NPRM, the rules concern when, and under what 
    circumstances, VA will grant access, the responsibilities of those 
    granted access, and the bases to revoke or suspend access.
    
    Discussion of Comments
    
        Five comments were submitted in response to the NPRM. All the 
    comments endorsed the regulations. Three veterans service organizations 
    had no suggested changes.
        Another commenter suggested, in essence, that the regulations be 
    clarified to expressly provide that those individuals approved by the 
    Department to represent veterans in claims for title 38 benefits in 
    accordance with 38 CFR 14.629 are treated equally for purposes of being 
    granted read-only remote access to the automated claims records of 
    their clients. As was stated in the NPRM, it is the Department's 
    intention to provide the same on-line, remote access capability to all 
    individuals and organizations accredited under 38 CFR 14.626-14.635 who 
    represent claimants on VA claims for benefits and who request such 
    access. Moreover, this purpose is expressly stated in the regulations 
    at Sec. 14.641(a)(1) which provides that an applicant for read-only 
    access must be an organizations, representative, attorney or agent 
    approved or accredited by VA under 38 CFR 14.626 through 14.635. The 
    commenter's suggestion reflects what is already stated expressly in the 
    regulations.
        The last commenter noted a typographical error which the Department 
    has corrected. That commenter also suggested that the regulations 
    should clarify that the Regional Office Director, or the Regional 
    Office Director's designee, is the VA official who may revoke an 
    individual's or organization's access privileges under 38 CFR 
    14.643(b). Paragraphs (a) and (e) of Sec. 14.643 refer to the Regional 
    Office Director or the Regional Office Director's designee as the VA 
    official responsible for decisions concerning the grant, denial, 
    suspension or revocation of remote access privileges. VA similarly 
    intended those officials to make any revocation decisions under 
    Sec. 14.643(b), and to avoid possible confusion on this issue, VA will 
    clarify this point. VA accepts this suggestion, and the regulation is 
    modified accordingly.
        The fifth commenter suggested also that the Department clarify that 
    38 CFR 38.643(c) applies to proceedings under 38 CFR 14.643(b). VA also 
    accepts this suggestion, and the regulation is changed accordingly.
        The fifth commenter also suggested that Sec. 14.643(c) should be 
    modified to expressly refer only to accredited representatives of 
    service organizations. However, attorneys and claims agents also 
    represent veterans. These individuals may work for a law firm or some 
    other organization which is not a veterans service organization. The 
    proposed change would exclude some of the individuals covered by the 
    regulations. Accordingly, the proposal is not adopted.
        Finally, the commenter suggested that the proposed regulations set 
    forth the procedures which would be followed by the Department in any 
    revocation of access proceedings under Sec. 14.643(b). The matter 
    merits further consideration, and, accordingly, VA will consider 
    whether to amend this rule to incorporate such procedures.
        Following consideration of the comments submitted in response to 
    the NPRM, as well as further consideration of the reasoning and 
    analysis in the proposed regulation published at 59 FR 37008, the 
    Secretary has decided to implement the regulations as proposed, for the 
    reasons contained in that Federal Register notice, with the changes 
    discussed above.
    
    Regulatory Flexibility Act
    
        The Secretary of Veterans Affairs has certified that these rules 
    will not have a significant economic impact on a substantial number of 
    small entities as they are defined in the Regulatory Flexibility Act, 5 
    U.S.C. 601-612. Pursuant to 5 U.S.C. 605(b), the regulations, 
    therefore, are exempt from the initial and final regulatory flexibility 
    analyses requirements of sections 603 and 604.
        This certification can be made because the regulations facilitate 
    representative access to their claimants' information while imposing 
    little in the way of cost or administrative burden. Further, the rules 
    affect only the small number of entities and individuals which 
    represent claimants in claims before VA.
        This regulation is subject to review under Executive Order 12866.
        There are no Catalog of federal Domestic Assistance numbers for 
    this program.
    
    List of Subjects in 38 CFR Part 14
    
        Government employees, Lawyers, Legal services, Veterans.
    
        Approved: September 1, 1994.
    Jesse Brown,
    Secretary of Veterans Affairs.
    
        38 CFR part 14, Legal Services, General Counsel, is proposed to be 
    amended as follows:
    
    PART 14--LEGAL SERVICES, GENERAL COUNSEL
    
        1. The authority citation for part 14 continues to read as follows:
    
        Authority: 38 U.S.C. 5903.
    
        2. In Part 14, Secs. 14.640 through 14.646 and an undesignated 
    center heading prior to Sec. 14.640 are added to read as follows:
    
    Expanded Remote Access to Computerized Veterans Claims Records by 
    Accredited Representatives
    
    Sec.
    14.640  Purpose.
    14.641  Qualifications for access.
    14.642  Utilization of access.
    14.643  Disqualification.
    
    Expanded Remote Access to Computerized Veterans Claims Records by 
    Accredited Representatives
    
    
    Sec. 14.640  Purpose.
    
        (a) Sections 14.640 through 14.643 establish policy, assign 
    responsibilities and prescribe procedures with respect to:
        (1) When, and under what circumstances, VA will grant authorized 
    claimants' representatives read-only access to the automated Veterans 
    Benefits Administration (VBA) claims records of those claimants whom 
    they represent;
        (2) The exercise of authorized access by claimants' 
    representatives; and
        (3) The bases and procedures for disqualification of a 
    representative for violating any of the requirements for access.
        (b) VBA will grant access to its automated claimants' claims 
    records from locations outside Regional Offices under the following 
    conditions. Access will be provided:
        (1) Only to individuals and organizations granted access to 
    automated claimants' records under Secs. 14.640 through 14.643;
        (2) Only to the claims records of VA claimants whom the 
    organization or individual represents as reflected in the claims file;
        (3) Solely for the purpose of the representative assisting the 
    individual claimant whose records are accessed in a claim for benefits 
    administered by VA; and
        (4) On a read-only basis. Individuals authorized access to VBA 
    automated claims records under Secs. 14.640 through 14.643 will not be 
    permitted to modify the data.
        (c)(1) Access will be authorized only to the inquiry commands of 
    the Benefits Delivery Network which provide access to the following 
    categories of data:
        (i) Beneficiary identification data such as name, social security 
    number, sex, date of birth, service number and related service data; 
    and
        (ii) Claims history and processing data such as folder location, 
    claim status, claim establishment date, claim processing history, award 
    data, rating data, including service-connected medical conditions, 
    income data, dependency data, deduction data, payment data, educational 
    facility and program data (except chapter 32 benefits), and education 
    program contribution and delimiting data (except chapter 32 benefits).
        (2) Access to this information will currently be through the 
    inquiry commands of BINQ (BIRLS (Beneficiaries Identification and 
    Records Location Subsystem) Inquiry), SINQ (Status Inquiry), MINQ 
    (Master Record Inquiry), PINQ (Pending Issue Inquiry) and TINQ (Payment 
    History Inquiry). The identifying information received from BIRLS to 
    representative inquiries will be limited to file number, veteran's 
    name, date of death, folder location and transfer date of folder, 
    insurance number, insurance type, insurance lapse date and insurance 
    folder jurisdiction.
        (d) Sections 14.640 through 14.643 are not intended to, and do not:
        (1) Waive the sovereign immunity of the United States; or
        (2) Create, and may not be relied upon to create, any right or 
    benefit, substantive or procedural, enforceable at law against the 
    United States or the Department of Veterans Affairs.
    
    
    Sec. 14.641  Qualifications for access.
    
        (a) An applicant for read-only access to VBA automated claims 
    records from a location other than a VA Regional Office must be:
        (1) An organization, representative, attorney or agent approved or 
    accredited by VA under Secs. 14.626 through 14.635; or
        (2) An attorney of record for a claimant in proceedings before the 
    Court of Veterans Appeals or subsequent proceedings who requests access 
    to the claimant's automated claims records as part of the 
    representation of the claimant.
        (b) The hardware, modem and software utilized to obtain access, as 
    well as their location, must be approved in advance by VBA.
        (c) Each individual and organization approved for access must sign 
    and return a notice provided by the Regional Office Director (or the 
    Regional Office Director's designee) of the Regional Office of 
    jurisdiction for the claim. The notice will specify the applicable 
    operational and security requirements for access and an acknowledgment 
    that the breach of any of these requirements is grounds for 
    disqualification from access.
    
    
    Sec. 14.642  Utilization of access.
    
        (a) Once an individual or organization has been issued the 
    necessary passwords to obtain read-only access to the automated claims 
    records of individuals represented, access will be exercised in 
    accordance with the following requirements:
        (1) The individual or organization will obtain access only from 
    equipment and software approved in advance by the Regional Office from 
    the location where the individual or organization primarily conducts 
    its representation activities which also has been approved in advance;
        (2) The individual will use only his or her assigned password to 
    obtain access;
        (3) The individual will not reveal his or her password to anyone 
    else, or allow anyone else to use his or her password;
        (4) The individual will access only the VBA automated claims 
    records of VA claimants who are represented by the person obtaining 
    access or by the organization employing the person obtaining access;
        (5) The individual will access a claimant's automated claims record 
    solely for the purpose of representing that claimant in a claim for 
    benefits administered by VA;
        (6) Upon receipt of the password, the individual will destroy the 
    hard copy; no written or printed record containing the password will be 
    retained; and
        (7) The individual and organization will comply with all security 
    requirements VBA deems necessary to ensure the integrity and 
    confidentiality of the data and VBA's automated computer systems.
        (b) An organization granted access shall ensure that all employees 
    provided access in accordance with these regulations will receive 
    regular, adequate training on proper security, including the items 
    listed in Sec. 14.643(a). Where an individual such as an attorney or 
    registered agent is granted access, he or she will regularly review the 
    security requirements for the system as set forth in these regulations 
    and in any additional materials provided by VBA.
        (c) VBA may, at any time without notice:
        (1) Inspect the computer hardware and software utilized to obtain 
    access and their location;
        (2) Review the security practices and training of any individual or 
    organization granted access under these regulations; and
        (3) Monitor an individual's or organization's access activities. By 
    applying for, and exercising, the access privileges under Secs. 14.640 
    through 14.643, the applicant expressly consents to VBA monitoring the 
    access activities of the applicant at any time.
    
    
    Sec. 14.643  Disqualification.
    
        (a) The Regional Office Director or the Regional Office Director's 
    designee may revoke an individual's or an organization's access 
    privileges to a particular claimant's records because the individual or 
    organization no longer represents the claimant, and, therefore, the 
    beneficiary's consent is no longer in effect. The individual or 
    organization is no longer entitled to access as a matter of law under 
    the Privacy Act, 5 U.S.C. 552a, and 38 U.S.C. 5701 and 7332. Under 
    these circumstances, the individual or organization is not entitled to 
    any hearing or to present any evidence in opposition to the revocation.
        (b) The Regional Office Director or the Regional Office Director's 
    designee may revoke an individual's or an organization's access 
    privileges either to an individual claimant's records or to all 
    claimants' records in the VBA automated claims benefits systems if the 
    individual or organization:
        (1) Violates any of the provisions of Secs. 14.640 through 14.643;
        (2) Accesses or attempts to access data for a purpose other than 
    representation of an individual veteran;
        (3) Accesses or attempts to access data other than the data 
    specified in these regulations;
        (4) Accesses or attempts to access data on a VA beneficiary who is 
    not represented either by the individual who obtains access or by the 
    organization employing the individual who obtains access;
        (5) Utilizes unapproved computer hardware or software to obtain or 
    attempt to obtain access to VBA computer systems;
        (6) Modifies or attempts to modify data in the VBA computer 
    systems.
        (c) If VBA is considering revoking an individual's access under 
    Sec. 14.643(b), and that individual works for an organization, the 
    Regional Office of jurisdiction will notify the organization of the 
    pendency of the action.
        (d) After an individual's access privileges are revoked, if the 
    conduct which resulted in revocation was such that it merits reporting 
    to an appropriate governmental licensing organization such as a State 
    bar, the VBA Regional Office of jurisdiction will immediately inform 
    the licensing organization in writing of the fact that the individual's 
    access privileges were revoked and the reasons why.
        (e) The VBA Regional Office of jurisdiction may temporarily suspend 
    access privileges prior to any determination on the merits of the 
    proposed revocation where the Regional Office Director or the 
    Director's designee determines that such immediate suspension is 
    necessary in order to protect the integrity of the system or 
    confidentiality of the data in the system from a reasonably foreseeable 
    compromise. However, in such case, the Regional Office shall offer the 
    individual or organization an opportunity to respond to the charges 
    immediately after the temporary suspension.
    
    [FR Doc. 94-22669 Filed 9-13-94; 8:45 am]
    BILLING CODE 8320-01-P
    
    
    

Document Information

Published:
09/14/1994
Department:
Veterans Affairs Department
Entry Type:
Uncategorized Document
Action:
Final rule.
Document Number:
94-22669
Dates:
October 14, 1994.
Pages:
0-0 (1 pages)
Docket Numbers:
Federal Register: September 14, 1994
RINs:
2900-AH01
CFR: (5)
38 CFR 14.643(b)
38 CFR 14.640
38 CFR 14.641
38 CFR 14.642
38 CFR 14.643