On August 23, 2010, the NRC issued a Notice of Violation (Notice) and Proposed Imposition of Civil Penalty in the amount of $39,000 to the Department of Veteran Affairs (VA) for two Severity Level III violations involving: (1) the failure to implement 10 CFR 35.41(a)(2) and 10 CFR 35.41(b)(2) requirements for verifying medical treatments, and (2) the failure to implement 10 CFR 35.3045(c) requirements to report a medical event. Additionally, the Notice issued a Severity Level III violation for three examples of both 10 CFR 35.41(a)(2) and 35.41(b)(2) violations involving five patients at the VA Boston Healthcare System during 2005, which is also beyond the statute of limitations time period such that a civil penalty was not assessed. Specifically, for the first set of violations assessed a civil penalty, several facilities are identified and involve multiple examples of the licensee's failure to verify that the administration of permanent prostate brachytherapy implants was in accordance with the written directives: (i) the VA Sierra Nevada Health Care System in Reno, Nevada, between September 29, 2005 and October 12, 2008; (ii) the G.V. (Sonny) Montgomery VA Medical Center in Jackson, Mississippi, between May 2007 and February 2008; and, (iii) the VA Boston Healthcare System in Boston, Massachusetts on September 27, 2005. Further, the Notice identifies that the second violation assessed a civil penalty occurred on October 10, 2008, at the VA New York Harbor Healthcare System in Brooklyn, New York, where the licensee failed to make a timely medical event report regarding a permanent prostate brachytherapy implant when the data available at the time indicated otherwise, with the actual treatment dose less than 69 percent of the prescribed dose.