# Pending (Highlighted in Orange Below. Represents the 8 End Product Claim Codes + Agent Orange Claims VA Uses to Define the 125 Day and 98% Accuracy Targets) 610,150 69.2% # Pending Over 125 % Over 125 846,223 583,916 69.0% # Pending # Pending Over 125 % Over 125 796,731 Compensation and Pension Rating Bundle % Over 125 # Pending As of April 27, 2013 # Pending Over 125 882,023 Compensation and Pension Entitlement 564,166 70.8% Compensation EP Entitlement (Original and Supplemental) Original Entitlement - Veterans1 Initial entitlement decisions for Voc Rehab Initial entitlement for service-connected disability (=>8) Initial entitlement for service-connected disability (<=7) 095 010 110 1,507 70,277 231,946 1,205 51,015 169,997 80.0% 72.6% 73.3% Original Entitlement - Survivors2 Initial claims from surviving spouses, children or parents Initial claims from children Veterans with Spina bifida and/or birth defects 140 410 9,796 441 3,511 339 35.8% 76.9% Supplemental Entitlement 020 478,092 334,813 70.0% Increased evaluation and/or additional claimed conditions 320 1,616 647 40.0% Increased entitlement due to hospitalization or surgery 420 151 139 92.1% Spina bifida and/or birth defects reconsideration 681 471 115 24.4% Reopened or new Agent Orange claims prior to 8/30/10 687 0 0 0.0% Nehmer review cases based upon new Agent Orange presumptives 405 2,165 2,161 99.8% Reopened or new Agent Orange claims After 9/01/10 409 269 224 83.3% Agent Orange claims where an interim decision was provided Agent Orange presumptives 3 1 First claim filed by a Veteran for benefits (including Voc Rehab memo ratings) based upon the effects of disabilities, diseases, or injuries incurred or aggravated during active military service. 2 First claim received from surviving spouses, dependent children and dependent parents based upon the Veteran's death due to service-related causes. 3 As of 11/1/10 Agent Orange presumptives include EP 681, EP 687 and EP 405. As of 12/13/2010 the Agent Orange presumptives claim category include EP 409 EP Award Adjustments Dependency Survivor restored entitlement Hospitalization adjustment (non-rating) Misc determinations Spina bifida and/or birth defects adjustments Future examination for disabilities Due process 130 133 135 290 450 310 600 # Pending # Pending Over 125 % Over 125 338,251 192,111 48 236 83,645 10 17,167 45,034 235,148 141,291 19 168 62,256 8 8,058 23,348 69.5% 73.5% 39.6% 71.2% 74.4% 80.0% 46.9% 51.8% Involves the modification of benefits based upon additional ancillary factors. Such activity usually occurs when a Veteran or survivor is currently entitled and receiving benefits, such as adjudication of dependency issues. EP Program Reviews Income verification for unemployability Review of Hemodialysis related cases/conditions Review of Radiation related cases/conditions Review of Misc cases referred to central office Review of effective date related to herbicide exposure Cost of Living Adjustments (COLAs) and other reviews Social Security number verification 314 680 682 684 685 690 690 Group # Pending # Pending Over 125 % Over 125 67,472 4,626 30 1,018 9,788 123 11,378 40,509 51,432 4,626 24 965 7,155 118 7,542 31,002 76.2% 100.0% 80.0% 94.8% 73.1% 95.9% 66.3% 76.5% These actions are not initiated by Veterans or survivors. All program integrity actions are initiated by internal VBA controls and mandates. These actions are classified as internal controls necessary to audit, review, and ensure that benefits and entitlements are proper and the intent of laws and regulations is being followed. EP Other Pre-decisional hearings Correspondence Congressional correspondence Freedom of Information Act (FOIA) requests Review, including quality assurance Correction of errors Prepared by VBA Office of Performance Analysis & Integrity. 173 400 500 510 930 960 # Pending # Pending Over 125 % Over 125 85,912 2,254 24,461 3,526 26,007 28,923 741 60,296 1,780 16,327 1,311 14,511 25,754 613 70.2% 79.0% 66.7% 37.2% 55.8% 89.0% 82.7% Combination of workload received from Veterans, survivors and internal sources that do not have any effect on entitlement, nor do they require any adjustment to monetary benefits. Pension EP Entitlement Increased entitlement and/or reconsideration Initial entitlement - Veteran Initial entitlement - Survivor 120 180 190 # Pending # Pending Over 125 % Over 125 85,292 19,704 14,720 50,868 45,984 8,319 5,056 32,609 53.9% 42.2% 34.3% 64.1% Claims for benefits from Veterans and survivors that have never before applied for pension, as well as claims for aid and attendance, and housebound benefits. Some pension entitlement claims require a rating decision. EP Award Adjustments Hospitalization adjustment (non-rating) Dependency Income adjustments Annual eligibility verification reporting (EVRs) Misc determinations Due process 135 137 150 155 297 607 # Pending # Pending Over 125 % Over 125 102,761 1,770 10,692 53,948 9 17,796 18,546 41,814 347 5,215 21,954 9 7,446 6,843 40.7% 19.6% 48.8% 40.7% 100.0% 41.8% 36.9% # Pending # Pending Over 125 % Over 125 51,568 49,867 60 1,641 51,010 49,866 54 1,090 98.9% 100.0% 90.0% 66.4% # Pending # Pending Over 125 % Over 125 12,651 8,951 1,209 2,491 7,214 5,254 15 1,945 57.0% 58.7% 1.2% 78.1% Involve the modification of benefits based upon income changes. EP Program Reviews Income Verification Match Cost of Living Adjustments Non-entitlement reviews 154 696 697 These actions are not initiated by Veterans or survivors. All program review actions are initiated by internal VBA controls and mandates. These actions are classified as internal controls necessary to audit, review, and ensure that benefits and entitlements are proper and the intent of laws and regulations is being followed. EP Other Correspondence Congressional correspondence Internal quality reviews 407 507 937 Combination of workload received from Veterans, survivors and internal sources that do not have any effect on entitlement, nor do they require any adjustment to monetary benefits. Additional Compensation, Pension and Education Workload Burial EP # Pending 160 60,133 Provides honor and assistance with the burial of Veterans through an enhanced burial benefit for those whose post-service death was due to or hastened by a service-connected disability. The burial program also provides assistence with the burial of Veterans entitled to pension; Veterans who die while under VA care; and Veterans entitled to compensation but who die from other causes. Accrued EP # Pending 165 15,002 Benefits not paid prior to the death of a Veteran or survivor based upon a pending claim at the time of death which is later granted. Appeals EP # Pending As of April 27, 2013 NA 248,012 Appealed cases include compensation, pension, burial, and accrued benefits and decisions. Education Type # Pending Ch 33 All 8,182 60,355 Chapter 33 is the new Post-9/11GI Bill. "All" represents all Education Benefit Programs Including Chapter 33 claims. Prepared by VBA Office of Performance Analysis & Integrity.