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VA RIN: 2900-AN05 Publication ID: Spring 2009 
Title: Presumption of Service Connection for Amyotrophic Lateral Sclerosis 
Abstract: The Department of Veterans Affairs (VA) amends its adjudication regulations to establish a presumption of service connection for amyotrophic lateral sclerosis (ALS) for any veteran who develops the disease at any time after separation from service. This amendment is necessary to implement a decision by the Secretary to establish such a presumption based primarily on a November 2006 report by the National Academy of Sciences Institute of Medicine (IOM) on the association between active service and ALS. 
Agency: Department of Veterans Affairs(VA)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 38 CFR 3.318   
Legal Authority: 38 USC 501(a)   
Legal Deadline:  None
Timetable:
Action Date FR Cite
Interim Final Rule  09/23/2008  73 FR 54691   
Interim Final Rule Comment Period End  11/24/2008    
Final Action  10/00/2009    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Information URL: thomas.kniffen@va.gov   Public Comment URL: www.regulations.gov  
RIN Data Printed in the FR: No 
Agency Contact:
Thomas Kniffen
Compensation Service (211D)
Department of Veterans Affairs
Veterans Benefits Administration, 810 Vermont Avenue NW.,
Washington, DC 20420
Phone:202 461-9725
Fax:202 275-1728
Email: thomas.kniffen@va.gov