Cause of Action Institute v. U.S. Department of Veterans Affairs ( 2021 )


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  •                             UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF COLUMBIA
    CAUSE OF ACTION INSTITUTE,
    Plaintiff,
    Civil Action No. 20-997 (BAH)
    v.
    Chief Judge Beryl A. Howell
    U.S. DEPARTMENT OF VETERANS
    AFFAIRS,
    Defendant.
    MEMORANDUM OPINION
    Plaintiff Cause of Action Institute (“COA”), a “non-profit strategic oversight group
    advocating for economic freedom and individual opportunity advanced by honest, accountable,
    and limited government,” Compl. ¶ 6, ECF No. 1, challenges the response of defendant, the U.S.
    Department of Veterans Affairs (“VA”), to a request submitted pursuant to the Freedom of
    Information Act (“FOIA”), 
    5 U.S.C. § 552
    , for records related to pilot market assessments
    created by a VA contractor in preparation for VA’s implementation of the congressionally
    mandated Market Area Health System Optimization (“MAHSO”) analysis, part of a broader
    national plan to improve the delivery of health care to veterans, see Compl., Ex. 1, Letter from
    John E. McGlothlin, Counsel, COA, to VA FOIA Service (Jan. 16, 2019) (“FOIA Request”),
    ECF No. 1-1. Specifically, plaintiff alleges in a single claim that VA unlawfully withheld
    records responsive to plaintiff’s FOIA Request. Compl. ¶¶ 24–30; see also Pl.’s Mem. P. & A.
    Opp’n Def.’s Mot. Summ. J. & Supp. Pl.’s Cross-Mot. Summ. J. (“Pl.’s Opp’n”) at 1, ECF No.
    17-1.
    Pending before the Court are the parties’ cross-motions for summary judgment. Def.’s
    Mot. Summ. J. (“Def.’s Mot.”), ECF No. 16; Pl.’s Opp’n Def.’s Mot. Summ. J. & Cross-Mot.
    1
    Summ. J. (“Pl.’s Mot.”), ECF No. 17. For the reasons set forth below, VA’s Motion for
    Summary Judgment is granted and plaintiff’s Cross-Motion for Summary Judgment is denied.
    I.       BACKGROUND
    Pertinent background underlying plaintiff’s FOIA Request is briefly described, followed
    by review of the FOIA Request and VA’s responses thereto, both before and after initiation of
    this lawsuit.
    A.     Pertinent Background
    “VA maintains a complex of medical facilities dedicated to Veteran health care that is
    managed by the Veterans Health Administration (VHA),” including “approximately 140 [VA]
    Medical Centers and nearly 1700 outpatient centers,” as well as Residential Treatment Facilities
    and Community Living Centers. Def.’s Mot., Ex. 2, Decl. of Christine M. Stuppy, MBA
    (“Stuppy Decl.”) ¶ 4, ECF No. 16-3. VA’s facilities are organized into eighteen geographic
    regions, “known as Veterans Integrated Services Networks (VISNs),” that together “serve 96
    geographic markets.” 
    Id.
     In December 2014, Congress directed that the Secretary of VA
    develop and deliver to Congress “a report including . . . a national realignment strategy that
    includes a detailed description of realignment plans within each [VISN], including an updated
    Long Range Capital Plan to implement realignment requirements” (the “National Realignment
    Strategy”). Consolidated and Further Continuing Appropriations Act, 2015 (“2015 Act”), Pub.
    L. No. 113-235, § 235, 
    128 Stat. 2130
    , 2566 (2014); see also Stuppy Decl. ¶ 5. The report was
    also required to provide “an explanation of the process by which” VA developed its National
    Realignment Strategy and “a cost vs. benefit analysis of each planned realignment.” 2015 Act
    § 235.
    The VA MISSION Act of 2018 (“MISSION Act”), Pub. L. No. 115-182, 
    132 Stat. 1393
    (2018), imposed additional procedural requirements on VA’s development of its realignment
    2
    strategy, see 
    id.
     tit. II, subtit. A, § 203, 132 Stat. at 1446. This statute obligates the VA Secretary
    to “publish in the Federal Register and transmit to the Committees on Veterans’ Affairs of the
    Senate and the House of Representatives” the proposed and final criteria “to be used by [VA] in
    assessing and making recommendations regarding the modernization or realignment of [VHA]
    facilities.” Id. § 203(a)(1); see also id. § 203(a)(3). The deadline for publication of the final
    criteria is May 31, 2021. Id. § 203(a)(3). By January 31, 2022, the Secretary must “publish in
    the Federal Register and transmit,” id. § 203(b)(1), to Congress and the Asset and Infrastructure
    Review Commission (“AIR Commission”) created by the MISSION Act, see id. § 202, “a report
    detailing the recommendations regarding the modernization or realignment of facilities of the
    [VHA] on the basis of the final criteria” previously submitted by the agency, id. § 203(b)(1).
    The MISSION Act sets out a list of “factors” that the Secretary must consider in making
    recommendations, id. § 203(b)(2), and requires the agency to “assess the capacity of each
    [VISN] and medical facility . . . to furnish hospital care or medical services,” including through
    “a commercial health care market assessment of designated catchment areas . . . conducted by a
    non-governmental entity” and “consult[ation] with veterans service organizations and veterans,”
    id. § 203(b)(3), which assessments must be submitted with the agency’s recommendations, id.
    § 203(c), but does not otherwise limit VA’s discretion to develop its recommendations.
    Upon submission, the agency’s recommendations will be subject to review by the AIR
    Commission, see id., which may only change the recommendations if, among other mandatory
    findings, it “determines that the Secretary deviated substantially from the final criteria”
    published by VA, id. § 203(c)(2)(B)(i). By the end of January 2023, the AIR Commission will
    “transmit to the President a report containing [its] findings and conclusions based on a review
    and analysis of the recommendations made by the Secretary, together with the Commission’s
    3
    recommendations.” Id. § 203(c)(2)(A). Within two weeks of receiving the report, by February
    15, 2023, the President must “transmit to the Commission and to the Congress a report
    containing the President’s approval or disapproval of the Commission’s recommendations,” id.
    § 203(d)(1), and VA then “shall begin to implement” the approved recommendations, id.
    § 204(a).
    VA determined that, to formulate its National Realignment Strategy, a study was
    necessary of all ninety-six VISN markets, known as the MAHSO analysis. Stuppy Decl. ¶ 5.
    The agency entered a contract with PricewaterhouseCoopers (“PWC”), an outside consulting
    firm, “to develop a uniform methodology to perform market assessments . . . on healthcare
    markets within the VISNs,” with the goal of generating “a consistent method of conducting
    market assessments across all 96 [VISN] markets” (the “market assessment methodology”). Id.
    ¶ 6. This contract (the “Pilot Study Contract”) was assigned VA Contract No. VA101F-17-C-
    2843. See id.; Def.’s Mot., Ex. 1, Decl. of Barbara Swailes (“Swailes Decl.”) ¶ 15, ECF No. 16-
    2. As part of the contract, PWC was to test the market assessment methodology “in three diverse
    markets by conducting pilot market assessments.” Stuppy Decl. ¶ 6. PWC completed the three
    pilot market assessments, which utilized an “eight-step draft methodology,” id. ¶ 8, in Spring
    2017 and provided to VA “deliverables that memorialized the work,” consisting of the three pilot
    market assessments and a briefing document on each assessment, id. ¶ 7; see also Swailes Decl.
    ¶¶ 13, 15.
    B.      The FOIA Request
    On January 16, 2019, plaintiff submitted the FOIA Request at issue to VA. FOIA
    Request at 1; Def.’s Statement of Material Facts Not in Genuine Dispute (“Def.’s SMF”) ¶ 1,
    ECF No. 16-4; Pl.’s Statement of Undisputed Material Facts (“Pl.’s SMF”) ¶ 1, ECF No. 17-2.
    The Request sought “[a]ll records, including but not limited to email communications and
    4
    reports, relating to the results of The Pilot Study Contract (VA Contract No. VA101F-17-C-
    2843).” FOIA Request at 1. The Request included in its scope “any information produced by
    the Department of Veterans Affairs or provided by the contractor conducting the pilot studies,
    which were designed to define processes and outputs for an ‘ideal healthcare delivery system,’”
    from “December 6, 2016 to the present.” Id. VA received the FOIA Request that same day and
    assigned it a tracking number. Swailes Decl. ¶ 5; Def.’s SMF ¶ 1.
    C.      Processing of the Request and Procedural History
    The FOIA Request was initially referred to the VA Office of Procurement Policy
    Services’ FOIA Office for processing, Swailes Decl. ¶ 5, and in February 2019, that office
    informed plaintiff that it had forwarded the FOIA Request to the VA Construction Facility and
    Management (“CFM”) FOIA Office “for file search and direct response” to plaintiff,” id. ¶ 6; see
    also id., Ex. B, Email from Patricia Litewski, FOIA Officer, Procurement Policy Services, VA,
    to John McGlothlin, Counsel, COA (Feb. 15, 2019, 9:54 AM), ECF No. 16-2; Pl.’s SMF ¶ 6;
    Def.’s Resp. Pl.’s Statement of Undisputed Material Facts (“Def.’s Resp. SMF”) ¶ 6, ECF No.
    19-1. The CFM FOIA Office soon determined that the Pilot Study Contract had been handled by
    VHA rather than CFM, and thus transferred the FOIA Request to the VHA Central Office FOIA
    Office (“VHA FOIA Office”) for further processing. Swailes Decl. ¶ 7. Plaintiff was informed
    of the transfer in March 2019. Id. ¶¶ 8, 9; see also id., Ex. C, Letter from Michael B. Sarich,
    Director, VHA FOIA Off., to John McGlothlin, Counsel, COA (Mar. 8, 2019), ECF No. 16-2;
    id., Ex. D, Letter from Michael B. Sarich, Director, VHA FOIA Off., to John McGlothlin,
    Counsel, COA (Mar. 15, 2019), ECF No. 16-2.
    At the time of the transfer, the VHA FOIA Officer sent record search inquiries to VHA’s
    Office of Policy and Planning (“OPP”), Office of Healthcare Transformation (“OHT”), and
    Office of Capital Asset Management, Engineering, and Support (“OCAMES”). Swailes Decl.
    5
    ¶ 10. OHT “responded by indicating that” the Pilot Study Contract “was not an OHT contract,”
    and OCAMES “request[ed] that the record search be directed to OPP due to OPP’s involvement
    with the market assessment project.” Id. As of June 2019, the FOIA Officer had not received
    any response from OPP. Id. Nearly a year later, on April 14, 2020, having received no
    communications from VA since March 2019, plaintiff requested a status update on the
    processing of the FOIA Request. Id. ¶ 11. The VHA FOIA Officer responded to plaintiff on the
    same day and “provided the end of the calendar year 2020 as an estimated date of completion.”
    Id. Two days later, on April 16, 2020, plaintiff initiated this litigation. See Compl.; Pl.’s SMF
    ¶ 8; Def.’s Resp. SMF ¶ 8.
    Two weeks after the filing of the instant Complaint, OPP informed the FOIA Officer that
    it had produced some potentially responsive documents in response to a previous FOIA request
    for the pilot market assessments. Swailes Decl. ¶ 10. The FOIA Officer tracked down “the
    responsive documents” identified pursuant to that request, consisting of “seven documents,
    totaling four hundred and eighty-nine . . . pages, [B]ates numbered 1-489.” Id. The seven
    documents included the three pilot market assessments, with one of the three studies split into
    two files, and three related briefing documents, all prepared by PWC in consultation with VA
    employees pursuant to the Pilot Study Contract. See id.; id., Ex. F, Vaughn Index FOIA Request
    19-05023-F (“Vaughn Index”) at 1–24, ECF No. 16-2.
    On May 11, 2020, the VHA FOIA Officer issued VA’s first Initial Agency Decision (the
    “First IAD”), addressing these seven documents, to plaintiff. Id. ¶ 13; id., Ex. E, Letter from
    Barbara Swailes, VHA FOIA Officer, VHA FOIA Off., to John E. McGlothlin, Counsel, COA
    (May 11, 2020) (“First IAD”) at 2, ECF No. 16-2; Def.’s SMF ¶ 3(a); Pl.’s Resp. SMF ¶ 3; Pl.’s
    SMF ¶¶ 10–11; Def.’s Resp. SMF ¶¶ 10–11. All 489 pages were withheld in full pursuant to the
    6
    deliberative process privilege of FOIA Exemption 5, with certain overlapping withholdings
    under FOIA Exemption 6. First IAD at 2–7; see also Swailes Decl. ¶ 13; Def.’s SMF ¶ 3(a);
    Pl.’s Resp. SMF ¶ 3; Pl.’s SMF ¶¶ 11–12; Def.’s Resp. SMF ¶¶ 11–12. As reflected in the
    parties’ first Joint Status Report to the Court, VA agreed to produce a Vaughn Index
    corresponding to the First IAD to plaintiff, see Joint Status Report (June 3, 2020) at 1, ECF No.
    10, and did so in June 2020, Swailes Decl. ¶ 24.1
    Between June 2020 and September 2020, the VHA FOIA Officer searched for additional
    materials responsive to the FOIA Request. Swailes Decl. ¶ 25; see also Joint Status Report
    (Aug. 3, 2020) at 1–2, ECF No. 11. The FOIA Officer issued two further IADs during this
    period, in August and September. Swailes Decl. ¶ 25; Pl.’s SMF ¶¶ 15–16; Def.’s Resp. SMF
    ¶¶ 15–16; Joint Status Report (Sept. 4, 2020) (“Sept. 4 JSR”) at 1, ECF No. 12. After realizing
    that these two IADs addressed duplicate documents, Swailes Decl. ¶ 25, the parties “agreed to
    narrow the scope of summary judgment to those responsive records identified in” the First IAD,
    Pl.’s SMF ¶ 17; see also Def.’s Resp. SMF ¶ 17. Their next status report advised the Court that
    “[p]laintiff d[id] not contest the adequacy of the search but intend[ed] to challenge [VA]’s
    withholding of certain pilot studies and related records under Exemptions 5 and 6,” and that the
    parties therefore “believe[d] that briefing on summary judgment [was] necessary.” Joint Status
    Report (Sept. 25, 2020) (“Sept. 25 JSR”) at 1, ECF No. 13. A schedule for dispositive motions
    was accordingly set. See Min. Order (Sept. 28, 2020); Min. Order (Dec. 8, 2020).
    On December 14, 2020, less than a month before its Motion for Summary Judgment was
    due, see Min. Order (Dec. 8, 2020), VA “issued a notification letter” to plaintiff “as a follow-up”
    to the First IAD. Swailes Decl. ¶ 26; see also Pl.’s SMF ¶ 18; Def.’s SMF ¶ 18. This letter
    1
    “A Vaughn index describes the documents withheld or redacted [by the agency] and the FOIA exemptions
    invoked, and explains why each exemption applies.” Prison Legal News v. Samuels, 
    787 F.3d 1142
    , 1145 n.1 (D.C.
    Cir. 2015).
    7
    advised that the agency “had determined that the eight-step methodology” used in the three pilot
    market assessments “could be released.” Swailes Decl. ¶ 26. The VHA FOIA Officer
    accordingly “re-reviewed” the 489 pages that had been withheld in the First IAD “and released
    the five pages containing the methodology in full,” as well as “additional pages that repeated
    methodology information.” 
    Id.
     She further “determined that [the agency] could release several
    pages that had essentially no substantive content and release of which would not harm the
    agency.” 
    Id.
     As a result of this second review of the First IAD, “[a] total of thirty-eight . . .
    pages” previously withheld “were released in full or in part,” 
    id.,
     but VA continued to withhold
    in full the remaining 451 pages. The agency also produced to plaintiff a revised Vaughn Index.
    Id.; see also Vaughn Index. The parties’ briefing continued on the basis of the revised First IAD,
    and the pending cross-motions for summary judgment became ripe for resolution on March 26,
    2021. See Pl.’s Reply Br. Supp. Pl.’s Cross-Mot. Summ. J. (“Pl.’s Reply”), ECF No. 21.
    II.    LEGAL STANDARD
    Under Federal Rule of Civil Procedure 56, “‘[a] party is entitled to summary judgment
    only if there is no genuine issue of material fact and judgment in the movant’s favor is proper as
    a matter of law.’” Soundboard Ass’n v. FTC, 
    888 F.3d 1261
    , 1267 (D.C. Cir. 2018) (quoting
    Ctr. for Auto Safety v. Nat’l Highway Traffic Safety Admin., 
    452 F.3d 798
    , 805 (D.C. Cir. 2006));
    see also Fed. R. Civ. P. 56(a). “‘In FOIA cases, summary judgment may be granted on the basis
    of agency affidavits if they contain reasonable specificity of detail rather than merely conclusory
    statements, and if they are not called into question by contradictory evidence in the record or by
    evidence of agency bad faith.’” Aguiar v. DEA, 
    865 F.3d 730
    , 734–35 (D.C. Cir. 2017) (quoting
    Judicial Watch, Inc. v. U.S. Secret Serv., 
    726 F.3d 208
    , 215 (D.C. Cir. 2013)); see also Students
    Against Genocide v. Dep’t of State, 
    257 F.3d 828
    , 833 (D.C. Cir. 2001) (“[A]n agency is entitled
    8
    to summary judgment if no material facts are in dispute and if it demonstrates ‘that each
    document that falls within the class requested either has been produced . . . or is wholly exempt
    from the Act’s inspection requirements.’” (omission in original) (quoting Goland v. CIA, 
    607 F.2d 339
    , 352 (D.C. Cir. 1978))). Most FOIA cases “can be resolved on summary judgment.”
    Brayton v. Off. of U.S. Trade Representative, 
    641 F.3d 521
    , 527 (D.C. Cir. 2011).
    FOIA was enacted “to promote the ‘broad disclosure of Government records’ by
    generally requiring federal agencies to make their records available to the public on request.”
    DiBacco v. U.S. Army (“DiBacco I”), 
    795 F.3d 178
    , 183 (D.C. Cir. 2015) (quoting Dep’t of
    Justice v. Julian, 
    486 U.S. 1
    , 8 (1988)). Agencies are therefore statutorily mandated to
    “make . . records promptly available to any person” who submits a request that “reasonably
    describe such records” and “is made in accordance with [the agency’s] published rules.” 
    5 U.S.C. § 552
    (a)(3)(A). To balance the public’s interest in governmental transparency and
    “‘legitimate governmental and private interests [that] could be harmed by release of certain types
    of information,’” Judicial Watch, Inc. v. U.S. Dep’t of Def., 
    913 F.3d 1106
    , 1108 (D.C. Cir.
    2019) (quoting FBI v. Abramson, 
    456 U.S. 615
    , 621 (1982)), FOIA contains nine exemptions, set
    forth in 
    5 U.S.C. § 552
    (b), which “are ‘explicitly made exclusive’ and must be ‘narrowly
    construed,’” Milner v. Dep’t of Navy, 
    562 U.S. 562
    , 565 (2011) (first quoting EPA v. Mink, 
    410 U.S. 73
    , 79 (1979); and then quoting Abramson, 
    456 U.S. at 630
    ); see also Murphy v. Exec. Off.
    for U.S. Att’ys, 
    789 F.3d 204
    , 206 (D.C. Cir. 2015); Citizens for Resp. & Ethics in Wash. v. U.S.
    Dep’t of Justice (“CREW”), 
    746 F.3d 1082
    , 1088 (D.C. Cir. 2014). “[T]hese limited exemptions
    do not obscure the basic policy that disclosure, not secrecy, is the dominant objective of the
    Act.” Dep’t of Air Force v. Rose, 
    425 U.S. 352
    , 361 (1976).
    9
    FOIA authorizes federal courts “to enjoin the agency from withholding agency records
    and to order the production of any agency records improperly withheld from the complainant.” 
    5 U.S.C. § 552
    (a)(4)(B). When an agency invokes an exemption to disclosure, district courts must
    “determine de novo whether non-disclosure was permissible.” Elec. Priv. Info. Ctr. v. U.S. Dep’t
    of Homeland Sec., 
    777 F.3d 518
    , 522 (D.C. Cir. 2015). The statute “places the burden ‘on the
    agency to sustain its action,’ and the agency therefore bears the burden of proving that it has not
    ‘improperly’ withheld the requested records.” Citizens for Resp. & Ethics in Wash. v. U.S. Dep’t
    of Justice, 
    922 F.3d 480
    , 487 (D.C. Cir. 2019) (first quoting 
    5 U.S.C. § 552
    (a)(4)(B); and then
    quoting U.S. Dep’t of Justice v. Tax Analysts, 
    492 U.S. 136
    , 142 n.3 (1989)); see also U.S. Dep’t
    of Justice v. Landano, 
    508 U.S. 165
    , 171 (1993) (“The Government bears the burden of
    establishing that the exemption applies.”); DiBacco v. U.S. Dep’t of Army (“DiBacco II”), 
    926 F.3d 827
    , 834 (D.C. Cir. 2019) (“‘An agency withholding responsive documents from a FOIA
    release bears the burden of proving the applicability of clamed exemptions,’ typically through
    affidavit or declaration.” (quoting DiBacco I, 795 F.3d at 195)). This burden does not shift even
    when the requester files a cross-motion for summary judgment because the agency ultimately
    “bears the burden to establish the applicability of a claimed exemption to any records or portions
    of records it seeks to withhold,” Am. Immigr. Laws. Ass’n v. Exec. Off. for Immigr. Rev., 
    830 F.3d 667
    , 673 (D.C. Cir. 2016), while “[t]he burden upon the requester is merely ‘to establish the
    absence of material factual issues before a summary disposition of the case could permissibly
    occur,’” Pub. Citizen Health Rsch. Grp. v. FDA, 
    185 F.3d 898
    , 904–05 (D.C. Cir. 1999) (quoting
    Nat’l Ass’n of Gov’t Emps. v. Campbell, 
    593 F.2d 1023
    , 1027 (D.C. Cir. 1978)).
    10
    III.     DISCUSSION
    Plaintiff contests VA’s invocation of Exemptions 5 and 6 to justify withholding of all but
    thirty-eight pages of the seven documents identified in the First IAD and its redactions from
    twenty-two of the thirty-eight produced pages. See Pl.’s Opp’n at 6–18; Pl.’s Reply at 5–13.
    Additionally, plaintiff disputes VA’s foreseeable harm and segregability analyses with respect to
    its withholdings. See Pl.’s Opp’n at 18–23; Pl.’s Reply at 13–17.2 These topics are addressed
    seriatim.3
    A.       Application of FOIA Exemptions
    FOIA “requires government agencies to make information available upon request, unless
    the information is protected by one of” FOIA’s nine exemptions. Judicial Watch, Inc. v. U.S.
    Dep’t of Def., 
    847 F.3d 735
    , 738 (D.C. Cir. 2017). An agency must prove the applicability of
    claimed exceptions, and can do so through a Vaughn index, and supporting affidavits or
    declarations, that “describe[] the justifications for withholding the information with specific
    2
    VA discusses at length the adequacy of its search for records responsive to the FOIA Request, see Def.’s
    Mem. P. & A. Supp. Def.’s Mot. Summ. J. (“Def.’s Mem.”) at 5–8, ECF No. 16-1; Def.’s Reply Mem. Supp. Def.’s
    Mot. Summ. J. & Resp. Opp’n Pl.’s Mot. Summ. J. (“Def.’s Reply”) at 1–2, ECF No. 19, even though, as explained
    supra Part I.C, the parties agreed to restrict the scope of summary judgment to the propriety of VA’s withholdings
    under Exemptions 5 and 6, see Sept. 25 JSR at 1, and plaintiff maintains, consistent with the parties’ previous
    representation to the Court, that “the sufficiency of [VA]’s search” for responsive records “is not in dispute,” Pl.’s
    Opp’n at 7 n.3; see also Pl.’s Reply at 1–2. Indeed, plaintiff’s Complaint nowhere alleges that VA’s search was
    inadequate. See Compl. Accordingly, the adequacy of VA’s search is not contested and will not be addressed any
    further. See, e.g., Niskanen Ctr. v. FERC, 
    436 F. Supp. 3d 206
    , 212–13 (D.D.C. 2020); Tipograph v. Dep’t of
    Justice, 
    83 F. Supp. 3d 234
    , 238 (D.D.C. 2015); Showing Animals Respect & Kindness v. U.S. Dep’t of Interior, 
    730 F. Supp. 2d 180
    , 190 (D.D.C. 2010).
    3
    Plaintiff requests that the Court “order [VA] to submit unredacted versions of the records at issue” for in
    camera review, Pl.’s Opp’n at 25, arguing that such review is warranted “[b]ased on . . . [VA’s] improper use of
    Exemptions 5 and 6, as well as [the agency’s] questionable efforts to segregate non-exempt portions of records for
    release,” id. at 24; see also id. at 23–25; Pl.’s Reply at 17. FOIA provides that a district court “may examine the
    contents of . . . agency records in camera” at its discretion, 
    5 U.S.C. § 552
    (a)(4)(B), “but ‘it by no means compels
    the exercise of that option,’” Larson v. Dep’t of State, 
    565 F.3d 857
    , 869 (D.C. Cir. 2009) (quoting Juarez v. Dep’t
    of Justice, 
    518 F.3d 54
    , 60 (D.C. Cir. 2008)). “‘If the agency's affidavits provide specific information sufficient to
    place the documents within the exemption category, if this information is not contradicted in the record, and if there
    is no evidence in the record of agency bad faith, then summary judgment is appropriate without in camera review of
    the documents.’” Mobley v. CIA, 
    806 F.3d 568
    , 588 (D.C. Cir. 2015) (quoting ACLU v. U.S. Dep’t of Def., 
    628 F.3d 612
    , 626 (D.C. Cir. 2011)). As explained below, the first two of these requirements are satisfied in the instant case,
    and plaintiff raises no allegations of agency bad faith. In camera review therefore will not be ordered.
    11
    detail, demonstrate[] that the information withheld logically falls within the claimed exemption,
    and [are] not contradicted by contrary evidence in the record or by evidence of the agency’s bad
    faith.” DiBacco II, 926 F.3d at 834 (internal quotation marks and citation omitted); see also,
    e.g., CREW, 746 F.3d at 1088; Poitras v. Dep’t of Homeland Sec., 
    303 F. Supp. 3d 136
    , 150
    (D.D.C. 2018) (“An agency may carry its burden of showing an exemption was properly invoked
    by submitting sufficiently detailed affidavits or declarations, a Vaughn index of the withheld
    documents, or both, to demonstrate that the government has analyzed carefully any material
    withheld and provided sufficient information as to the applicability of an exemption to enable the
    adversary system to operate.”). “‘Ultimately, an agency’s justification for invoking a FOIA
    exemption is sufficient if it appears logical or plausible.’” Judicial Watch, Inc. v. U.S. Dep’t of
    Def., 
    715 F.3d 937
    , 941 (D.C. Cir. 2013) (per curiam) (quoting ACLU, 
    628 F.3d at 619
    ).
    Plaintiff disputes VA’s assertion of Exemption 5’s deliberative process privilege as to the
    agency’s withholding of 451 full pages of the pilot market assessments and related briefing
    documents discussed in the First IAD and redactions from an additional twenty-two pages of
    these seven documents. See Vaughn Index at 1–24; Pl.’s Opp’n at 8–11; Pl.’s Reply at 5–8. It
    further contests VA’s overlapping claim that Exemption 6 shields from disclosure thirty-five
    pieces of potentially personally identifying information, for which the agency also cites
    Exemption 5. See Vaughn Index at 1, 4–5, 7–9, 11–13, 14–16, 17–18, 21–23; Pl.’s Opp’n at 11–
    18; Pl.’s Reply at 8–13. To justify its withholdings from the seven documents, VA need only
    show that one exemption applies to each withholding. See Judicial Watch, Inc., 715 F.3d at 940;
    Ctr. for Nat’l Sec. Stud. v. U.S. Dep’t of Justice, 
    331 F.3d 918
    , 925 (D.C. Cir. 2003) (noting that
    a court “need not address [any] other exemptions invoked” for a withholding justified by one
    exemption); Cause of Action Inst. v. Exp.-Imp. Bank of U.S., Civ. A. No. 19-1915 (JEB), 2021
    
    12 WL 706612
    , at *3 (D.D.C. Feb. 23, 2021). As explained below, VA has properly relied on
    Exemption 5 to withhold or redact information from the three pilot market assessments and the
    three related briefing documents, and the applicability of Exemption 6 therefore need not be
    considered.
    1.      Legal Standards Governing Application of Exemption 5
    Exemption 5 protects from disclosure “inter-agency or intra-agency memorandums or
    letters that would not be available by law to a party other than an agency in litigation with the
    agency.” 
    5 U.S.C. § 552
    (b)(5). “‘Among th[e] privileges protected by Exemption 5 is the . . .
    deliberative process privilege.’” Judicial Watch, Inc., 847 F.3d at 739 (alteration and omission
    in original) (quoting Arthur Andersen & Co. v. IRS, 
    679 F.2d 254
    , 257 (D.C. Cir. 1982)); see
    also Abtew v. U.S. Dep’t of Homeland Sec., 
    808 F.3d 895
    , 898 (D.C. Cir. 2015). “To protect
    agencies from being ‘forced to operate in a fishbowl,’ the deliberative process privilege shields
    from disclosure ‘documents reflecting advisory opinions, recommendations and deliberations
    comprising part of a process by which governmental decisions and policies are formulated.’”
    U.S. Fish & Wildlife Serv. v. Sierra Club, Inc. (“Sierra Club”), 
    141 S. Ct. 777
    , 785 (2021) (first
    quoting Mink, 410 U.S. at 87; and then quoting NLRB v. Sears, Roebuck & Co. (“Sears”), 
    421 U.S. 132
    , 150 (1975)). It “is rooted in ‘the obvious realization that officials will not
    communicate candidly among themselves if each remark is a potential item of discovery and
    front page news.’” 
    Id.
     (quoting Dep’t of Interior v. Klamath Water Users Protective Ass’n, 
    532 U.S. 1
    , 8–9 (2001)); see also Judicial Watch, Inc., 847 F.3d at 739 (noting that the deliberative
    process privilege is predicated on the theory that “agencies craft better rules when their
    employees can spell out in writing the pitfalls as well as the strengths of policy options, coupled
    with the understanding that employees would be chilled from such rigorous deliberation if they
    feared it might become public”). The privilege is intended “[t]o encourage candor, which
    13
    improves agency decisionmaking,” by “blunt[ing] the chilling effect that accompanies the
    prospect of disclosure.” Sierra Club, 141 S. Ct. at 785; see also Machado Amadis v. U.S. Dep’t
    of State, 
    971 F.3d 364
    , 371 (D.C. Cir. 2020) (finding the deliberative process privilege intended
    to “protect[] ‘debate and candid consideration of alternatives within an agency,’ thus improving
    agency decisionmaking”) (quoting Jordan v. Dep’t of Justice, 
    591 F.2d 753
    , 772 (D.C. Cir.
    1978) (en banc))).
    “To qualify for the deliberative process privilege, an intra-agency memorandum must be
    both pre-decisional and deliberative.” Abtew, 808 F.3d at 898 (citing Coastal States Gas Corp.
    v. Dep’t of Energy (“Coastal States”), 
    617 F.2d 854
    , 866 (D.C. Cir. 1980)); see also Hall &
    Assocs. v. EPA, 
    956 F.3d 621
    , 624 (D.C. Cir. 2020).4 The Supreme Court recently clarified the
    contours of these requirements in U.S. Fish and Wildlife Service v. Sierra Club, Inc. (“Sierra
    Club”), 
    141 S. Ct. 777
     (2021), finding that “[t]he privilege . . . distinguishes between
    predecisional, deliberative documents, which are exempt from disclosure, and documents
    reflecting a final agency decision and the reasons supporting it, which are not,” 
    id.
     at 785–86.
    “Documents are ‘predecisional’ if they were generated before the agency’s final decision on the
    4
    At the outset, an agency can claim the deliberative process privilege only with respect to “inter-agency or
    intra-agency memorandums or letters.” 
    5 U.S.C. § 552
    (b)(5). The D.C. Circuit “has . . . interpreted the phrase
    ‘intra-agency’ in Exemption 5 to go beyond the text and include U.S. agency records authored by non-agency
    entities if those records were solicited by a U.S. agency in the course of its deliberative process” and were created by
    “an outside consultant” who “did not have its own interests in mind.” Pub. Emps. for Env’tl Resp. v. U.S. Section,
    Int’l Boundary & Water Comm’n, U.S.-Mexico, 
    740 F.3d 195
    , 201–02 (D.C. Cir. 2014) (citing McKinley v. Bd. of
    Governors of the Fed. Reserve Sys., 
    647 F.3d 331
    , 336–37 (D.C. Cir. 2011)); see also Nat’l Inst. of Mil. Justice v.
    U.S. Dep’t of Def., 
    512 F.3d 677
    , 679–80 (D.C. Cir. 2008); Buzzfeed, Inc. v. FBI, Civ. A. No. 18-cv-2567 (BAH),
    
    2020 WL 2219246
    , at *6 (D.D.C. May 7, 2020). This interpretation, known as the “consultant corollary” to
    Exemption 5, brings agency “communications to or from non-governmental parties, including contractors,” within
    the scope of the exemption as intra-agency documents, so long as “‘the consultant does not represent an interest of
    its own, or the interest of any other client, when it advises the agency that hires it.’” Competitive Enter. Inst. v. EPA,
    
    232 F. Supp. 3d 172
    , 185 (D.D.C. 2017) (quoting Elec. Priv. Info. Ctr. v. Dep’t of Homeland Sec., 
    892 F. Supp. 2d 28
    , 45 (D.D.C. 2012)). Though plaintiff “objects to the foundational confusion and lack of textual support
    undergirding the D.C. Circuit’s prevailing precedent, and the obvious inconsistency of the consultant corollary with
    the plain meaning of Exemption 5’s unambiguous language,” it does not contest that, under this Circuit’s binding
    precedent upholding and applying the consultant corollary, VA “has technically satisfied Exemption 5’s threshold
    requirement” that a record be an inter-agency or intra-agency communication. Pl.’s Opp’n at 8 n.3. The parties
    therefore do not dispute that the contested records qualify as “intra-agency” documents. See Def.’s Mem. at 9; Pl.’s
    Opp’n at 8 n.3.
    14
    matter, and they are ‘deliberative’ if they were prepared to help the agency formulate its
    position.” 
    Id.
     at 786 (citing Sears, 
    421 U.S. at
    150–52; Renegot. Bd. v. Grumman Aircraft Eng’g
    Corp., 
    421 U.S. 168
    , 184–86, 190 (1975)); see also Judicial Watch, Inc., 847 F.3d at 739
    (“Documents are ‘predecisional’ if they are ‘generated before the adoption of an agency policy,’
    and ‘deliberative’ if they ‘reflect[] the give-and-take of the consultative process.’” (alteration in
    original) (quoting Pub. Citizen, Inc. v. Off. of Mgmt. & Budget, 
    598 F.3d 865
    , 874 (D.C. Cir.
    2010))). “There is considerable overlap between these two prongs because a document cannot
    be deliberative unless it is predecisional.” Sierra Club, 141 S. Ct. at 786.
    Sierra Club explains that “a court must evaluate the documents ‘in the context of the
    administrative process which generated them’” to decide whether a document represents an
    agency’s final decision. Id. (quoting Sears, 
    421 U.S. at 138
    ). “[D]etermining whether an
    agency’s position is final for purposes of the deliberative process privilege is a functional rather
    than formal inquiry,” id. at 788, that focuses on “whether [the record] communicates a policy on
    which the agency has settled,” id. at 786. To answer this question, “courts must consider
    whether the agency treats the document as its final view on the matter.” Id. (citing Sears, 
    421 U.S. at 161
    ). “[O]nce cited as the agency’s final view, the document reflects ‘the consummation
    of the agency’s decisionmaking process’ and not a ‘merely tentative position,’” and therefore
    loses the protection of Exemption 5. 
    Id.
     (quoting Bennett v. Spear, 
    520 U.S. 154
    , 177–78
    (1997)). On the other hand, “a document that leaves agency decisionmakers ‘free to change their
    minds’ does not reflect the agency’s final decision” and is exempt from disclosure. 
    Id.
     (quoting
    Grumman Aircraft Eng’g Corp., 
    421 U.S. at
    189–90 & n.26). A record’s “real operative effect”
    is probative of its finality, but is assessed by reference “to the legal, not practical, consequences
    that flow from an agency action.” 
    Id.
     at 787 (citing Sears, 
    421 U.S. at
    159 n.25, 160). Thus, a
    15
    document that reflects an agency view “that [is] subject to change,” id. at 786, may be exempt as
    predecisional and deliberative even if it in fact “has the effect of changing an agency’s course,”
    id. at 788.
    To show that the deliberative process privilege is properly invoked, the government must
    explain, for each withheld record, at a minimum “(1) ‘what deliberative process is involved,’ (2)
    ‘the role played by the documents in issue in the course of that process,’ and (3) ‘the nature of
    the decisionmaking authority vested in the office or person issuing the disputed document[s], and
    the positions in the chain of command of the parties to the documents.’” Ctr. for Biological
    Diversity v. EPA, 
    279 F. Supp. 3d 121
    , 147 (D.D.C. 2017) (alteration in original) (first quoting
    Senate of P.R. v. U.S. Dep’t of Justice, 
    823 F.2d 574
    , 585–86 (D.C. Cir. 1987); and then quoting
    Elec. Frontier Found. v. U.S. Dep’t of Justice, 
    826 F. Supp. 2d 157
    , 168 (D.D.C. 2011)); see also
    Ecological Rights Found. v. EPA, Civ. A. No. 19-980 (BAH), 
    2021 WL 535725
    , at *12 (D.D.C.
    Feb. 13, 2021). “The government, not the requester, must identify the deliberative process to
    which any record relates.” Ctr. for Investigative Reporting v. U.S. Customs & Border Prot., 
    436 F. Supp. 3d 90
    , 101 (D.D.C. 2019) (citing 100Reporters LLC v. U.S. Dep’t of Justice, 
    248 F. Supp. 3d 115
    , 152 (D.D.C. 2017)); see also Senate of P.R., 
    823 F.2d at 585
     (“[T]o approve
    exemption of a document as predecisional, a court must be able ‘to pinpoint an agency decision
    or policy to which the document contributed.’” (quoting Paisley v. CIA, 
    712 F.2d 686
    , 698 (D.C.
    Cir. 1981))).
    Plaintiff argues that the three pilot market assessments and related briefing documents
    discussed in the First IAD “are neither predecisional nor deliberative,” Pl.’s Opp’n at 11; see
    also Pl.’s Reply at 8, and therefore contests VA’s reliance on Exemption 5’s deliberative process
    privilege to justify its withholding of 451 pages of these records, see Vaughn Index at 1–24, and
    16
    its redactions from twenty-two of the thirty-eight pages that were produced, see Vaughn Index at
    1, 7, 11, 14, 18, 21. For the reasons explained below, the challenged withholdings and
    redactions involve predecisional and deliberative records and VA therefore properly asserted
    Exemption 5 to withhold or redact the information at issue.
    2.      Description of Information Withheld Pursuant to Exemption 5
    VA describes the seven disputed records as “three market assessment pilots,” one of
    which “was broken into two documents, and three briefing documents,” Swailes Decl. ¶ 13,
    totaling 489 pages, that “were created in part by [PWC] acting as an outside consultant on behalf
    of VA as deliverables to [the Pilot Study Contract],” in consultation with VHA employees, 
    id. ¶ 15
    ; see also Stuppy Decl. ¶ 7; Vaughn Index at 1, 4–5, 8, 11–12, 15, 18, 21. The three pilot
    studies underlying these documents were intended “to develop a uniform methodology to
    perform market assessments” in all ninety-six VISN markets and to “test[]” that methodology “in
    three diverse markets.” Stuppy Decl. ¶ 6. For each study, the consultant, with input from agency
    employees, produced a pilot market assessment, see Vaughn Index at 7 (referring to Part 1 of the
    second pilot market assessment by Bates Nos. 68–127), 11 (referring to Part 2 of the second pilot
    market assessment by Bates Nos. 128–81), 14 (referring to the first pilot market assessment by
    Bates Nos. 182–328), 21 (referring to the third pilot market assessment by Bates Nos. 357–489),
    and a shorter briefing document, see 
    id. at 1
     (referring to the briefing document for the first pilot
    market assessment by Bates Nos. 1–42), 4 (referring to the briefing document for the second
    pilot market assessment by Bates Nos. 43–67), 17–18 (referring to the briefing document for the
    third pilot market assessment by Bates Nos. 329–56).
    Upon issuance of the revised First IAD, VA released five pages that described “the eight-
    step methodology” used in the pilot studies “in full” as well as “additional pages that repeated
    methodology information” and “several pages that essentially had no substantive content,” for a
    17
    total of thirty-eight pages. Swailes Decl. ¶ 26; see also Stuppy Decl. ¶ 8 (outlining the draft
    methodology). The agency redacted certain information, including the names of facilities and
    markets studied and content that would reveal the substance of the market assessments, from
    twenty-two of these thirty-eight pages. See Vaughn Index at 1, 7, 11, 14, 18, 21. The remaining
    451 pages were withheld in full. See 
    id.
     at 1–24; supra Part I.C.
    In asserting Exemption 5 to justify these withholdings, VA contends that the information
    withheld from all seven documents is “part of the foundation for VA to create its National
    Realignment Strategy.” Def.’s Mem. at 11; see also Vaughn Index at 2, 5, 9, 12, 16, 19, 22
    (identifying “the national realignment strategy” as the overarching deliberative process to which
    the challenged records relate). Each of the seven documents “contain[s] the objectives of the
    market assessment project, the developed methodology, the data utilized in testing the
    methodology in the selected markets, and the proposed recommendations resulting from the
    application of the methodology.” Swailes Decl. ¶ 17. The withheld sections of the three pilot
    market assessments “contain[] the proposed recommendations and the rationale for suggesting
    those recommendations in testing the methodology in one of the pilot market assessments”
    carried out by PWC, Vaughn Index at 9; see also id. at 12, 16, 22–23, while the pages withheld
    from the three briefing documents are described as “a summary/briefing of the proposed
    recommendations” made in their respective pilot market assessment “and the rationale for
    suggesting those recommendations in testing the methodology in one of the pilot market
    assessments,” id. at 2; see also id. at 6, 19. The “[p]roposed recommendations” in each
    document “are based on an analysis of standard data considered by [PWC] in developing the test
    methodology for the 96 pilot market assessments.” Id. at 2–3; see also id. at 6, 9, 12–13, 16, 19,
    23.
    18
    All seven records “were used to inform VA’s needs in conducting . . . market studies” in
    each of the ninety-six VISN markets, Stuppy Decl. ¶ 10, which studies “are current and ongoing”
    and will identify “opportunities” for “capital investments, divestments, or shifts in services
    provided” to inform VA’s National Realignment Strategy, id. ¶ 6. Specifically, VA looked to the
    documents (1) “to evaluate the market assessment methodology and to determine which
    deliverables might be of interest to senior leaders,” id.; (2) “to improve upon the methodology”
    used to carry out the pilot studies; (3) “to test [agency leaders’] appetite” for certain types of
    proposed reforms; and (4) to receive feedback on “pilot market assessments results for review by
    leadership” and “the content of the pilot market assessment reports, such as formatting and what
    information to include,” id. ¶ 9. VA further represents that the pilot market assessments “are not
    final as they pertain to” the three markets selected for study, because they represent an early step
    in the MAHSO project, which is “currently underway” and “is not considered complete until all
    96 [market assessments] have been finished, as each market assessment builds/interacts with
    adjacent markets.” Swailes Decl. ¶ 19; see also Stuppy Decl. ¶ 10. The agency avers that “the
    recommendations contained in the documents were not fully acted upon, finalized or
    operationalized.” Swailes Decl. ¶ 20; see also Stuppy Decl. ¶ 9 (“[T]he outcomes of the pilot
    studies—those identified . . . ‘recommendations,’ . . . were not intended to be acted upon, but
    were themselves part of the testing.”).
    3.      The Withheld Documents Are Predecisional and Deliberative
    Based on the above description of the three pilot market assessments and three briefing
    documents, VA has shown that, while thirty-eight pages describing the draft methodology used
    in the studies were released, with some redactions, the deliberative process privilege properly
    applies to withhold the other 451 pages of these records. The agency has adequately stated the
    deliberative processes involved (i.e., VA’s deliberations about how to conduct market
    19
    assessments in each of its ninety-six VISN markets and, in turn, how to develop its National
    Realignment Strategy); the role the withheld sections of the documents played (i.e., evaluating
    the success and application of the draft methodology, considering how to present results of the
    market assessments to leadership, Congress, and the public, and identifying options for
    recommendations to be included in the National Realignment Strategy); and the nature of the
    decisionmaking authority of the author of the documents (i.e., an outside consultant contracted to
    provide advice to the agency about how to carry out uniform market assessments). The
    conclusions reached in the documents offer options for the presentation, development, and types
    of recommendations that the agency might choose to pursue in the course of the ninety-six VISN
    market assessments and the formation of the National Realignment Strategy. PWC’s suggestions
    on these topics remain under agency consideration. Similarly, the assessment of and
    recommendations specific to the three pilot markets studied are not the agency’s final evaluation
    of those markets. VA’s redactions from twenty-two of the thirty-eight released pages of the
    names of facilities and markets studied, and content revealing the substance of the pilot market
    assessments are likewise supported by these factors.
    Plaintiff nonetheless challenges that the seven documents are neither predecisional nor
    deliberative in nature. Each of these contentions is addressed in turn.
    (a)     Pilot Market Assessments and Briefing Documents Are
    Predecisional
    Plaintiff first contends that “the pilot studies [and briefing documents] cannot be
    predecisional because they only reflect the consummation of the design of the uniform
    methodology” to be used by VA in completing assessments of all ninety-six VISN markets and
    therefore represent the agency’s “final” view as to that methodology. Pl.’s Opp’n at 9 (emphasis
    omitted); see also Pl.’s Reply at 3 (“The pilot studies only reflect finalization of the uniform
    20
    methodology used for the nationwide ninety-six market assessments.”). Thus, plaintiff proffers,
    VA’s deliberations about the methodology at the center of the pilot market assessments have
    ended and “[a]ny supposed distinction between the pilot studies being ‘complete’ but not ‘final’
    is mere sleight of hand.” Pl.’s Opp’n at 10.
    At the outset, the agency’s declarations, which state that “VHA uncovered ways to
    improve upon” the draft methodology used in the pilot market assessments, Stuppy Decl. ¶ 9,
    undermine plaintiff’s view that the pilot studies represent VA’s final methodology for
    conducting the market assessments. Cf. Goodrich Corp. v. EPA, 
    593 F. Supp. 2d 184
    , 189
    (D.D.C. 2009) (finding a draft groundwater flow model exempt because “evolving iterations of
    the Model’s inputs and calibration . . . may not represent [the agency]’s ultimate opinions”
    related to the model (internal quotation marks omitted)). More importantly, examination of the
    function of the pilot market assessments in the “administrative context” of the VA reform
    process outlined by the 2015 Act and the MISSION Act forecloses this argument. Sierra Club,
    141 S. Ct. at 786.
    In support of its claim that the pilot market assessments and briefing documents are
    “final” and therefore not exempt, plaintiff argues that the documents are “entirely divorced from
    [VA]’s broader [and continuing] effort to design a national realignment strategy and criteria for
    future recommendations” pursuant to the 2015 Act and the MISSION Act, Pl.’s Opp’n at 9,
    pointing specifically to the MISSION Act’s requirements that the AIR Commission and the
    President give final approval to VA’s recommendations for realignment before they are
    implemented, see id. at 9–10; Pl.’s Reply at 2–3; supra Part I.A. Plaintiff correctly notes that the
    MISSION Act requires the AIR Commission to approve VA’s recommendations, see MISSION
    Act § 203(c), and confers final decisionmaking authority with respect to VA reform on the
    21
    President, see id. §§ 203(d), 204(a). Before that final decisionmaking authority comes into play,
    however, VA must carry out market assessments of each VISN, see id. § 203(b)(3), and publish
    in the Federal Register and submit to Congress the criteria to be used by the agency in
    developing the recommendations that will comprise its National Realignment Strategy, see id.
    § 203(a)(1), (3); and the Secretary of VA must transmit to Congress and the AIR Commission a
    report on the agency’s findings and recommendations for realignment within each VISN for
    approval first by the AIR Commission and then by the President, see id. §§ 203(b)(1), (3). The
    Secretary’s recommendations must substantially conform to the published final criteria, see id.
    § 203(c), and account for certain factors enumerated in the MISSION Act, see id. § 203(b)(2),
    but the agency is otherwise free to decide which criteria and recommendations to submit, as
    plaintiff concedes, see Pl.’s Reply at 3.
    Thus, as the agency rightly notes, VA retains “ultimate responsibility for developing the
    criteria to be used in modernization and realignment efforts” and exercises “control over the
    process leading to [its] recommendations” until those final criteria and recommendations are
    published in the Federal Register or submitted to Congress and the AIR Commission, as the
    MISSION Act requires. Def.’s Reply at 3; see also MISSION Act § 203(a), (b). The deadlines
    for VA to do so have not yet passed. See supra Part I.A. Until they do, VA has substantial
    discretion to determine which inputs are relevant to its decisionmaking process and, crucially, to
    change those inputs and its resulting views on the National Realignment Strategy. The criteria,
    report, and recommendations actually submitted to Congress will carry legal consequences, as
    they will cabin VA’s discretion at the later stages in the formation of the National Realignment
    Strategy and trigger a statutory process for review, revision, and finalization of a plan for reform
    22
    of VA’s health services by other actors, see MISSION Act §§ 203, 204, but VA’s preliminary
    efforts to create those deliverables do not.
    The place of the pilot market assessments and briefing documents within this larger
    statutory process for development of the National Realignment Strategy makes clear that they are
    not final, as Sierra Club understands that term. See Sierra Club, 141 S. Ct. at 786. As a first
    step in the statutory process for VA reform set forth in the 2015 Act and the MISSION Act, VA
    determined that the MAHSO analysis was key to complying with its obligations under those laws
    and informing its choice of recommendations for each VISN. To carry out that analysis, it
    entered into the Pilot Study Contract with PWC to develop a methodology for its ninety-six
    VISN market assessments. The deliverables created pursuant to that Contract, the contested
    records here, represent an early effort by VA to design the MAHSO analysis. They may
    themselves be “complete,” insofar as VA has no immediate plans to revise them further, but they
    represent just one of many steps that VA must take before the MAHSO analysis, and in turn, the
    National Realignment Strategy, are “final.” At any point during this process that precedes the
    submission of the agency’s findings and recommendations, so long as it remains faithful to the
    final criteria that will be published in the Federal Register by May 31, 2021 and to the MISSION
    Act’s guidelines for the market assessments, VA is free to change its approach to the assessments
    without any consultation or review with outside actors. Even if plaintiff is correct, in practical
    terms, in contending that “[t]he pilot studies only reflect finalization of the uniform methodology
    used for the nationwide ninety-six market assessments,” Pl.’s Reply at 3, the use (or
    abandonment) of this methodology by the agency has no legal consequences that support a
    finding of finality. See Sierra Club, 141 S. Ct. at 787 (emphasizing “the legal, not practical,
    consequences that flow from an agency’s action” in assessing finality).
    23
    Relatedly, the continuing “possibility of changes” to both the methodology and the
    specific assessments and recommendations as to each of the three pilot markets set forth in the
    pilot market assessments counsels against concluding that these documents are final. Id.; see
    also Am. Soc’y for Prevention of Cruelty to Animals v. Animal & Plant Health Inspection Serv.,
    19 Civ. 3112 (NRB), 
    2021 WL 1163627
    , at *12 (S.D.N.Y. Mar. 25, 2021) (finding exempt under
    Sierra Club information that “would reveal the Agencies’ interim thoughts on courses of action
    that are contingent and subject to change”). Until its final report to Congress is submitted, VA
    could abandon the pilot market assessments altogether, modify the methodology set forth therein,
    or determine that it does not wish to pursue the types of recommendations included in the seven
    deliverables, and the agency in fact states that the methodology has been and may continue to be
    revised. Stuppy Decl. ¶ 9; see also Def.’s Mem. at 12 (“[T]he pilot market assessments are a part
    of VA’s ongoing deliberative process to develop a final market assessment methodology[.]”
    (emphasis omitted)). Moreover, VA explicitly declares that the pilot market assessments “are
    not final as they pertain to” the evaluation of or recommendations concerning the three pilot
    markets because “each market assessment builds/interacts with adjacent markets” and therefore
    will evolve over the course of the MAHSO project. Swailes Decl. ¶ 19 (“[T]he geographic areas
    covered in the pilot market assessments are being re-done in the larger 96-market assessment
    project.”); see also 
    id. ¶ 20
    ; Stuppy Decl. ¶¶ 9–10. In the face of these clear disclaimers of
    finality, the record does not support a conclusion that VA “treats” the pilot market assessments
    and briefing documents “as its final view” on either the methodology for the market assessments
    as a whole or the assessment of the three pilot markets in particular. Sierra Club, 141 S. Ct. at
    786.
    24
    Recycling arguments already addressed, plaintiff attempts to distinguish Sierra Club on
    the grounds that the pilot market assessments “‘reflect the consummation of the design of the
    uniform methodology,’” Pl.’s Reply at 6 (quoting Pl.’s Opp’n at 9), in contrast to the draft
    biological opinions at issue in Sierra Club, which were “more like ‘drafts of draft[s]’ as the
    defendant agencies never held them out to be ‘final’ and considered them ‘subject to change,’”
    id. at 5 (quoting Sierra Club, 141 S. Ct. at 788). Plaintiff accurately recites the teaching of
    Sierra Club, but misapplies it to these records. As explained above, like the draft biological
    opinions disputed in that case, the pilot market assessments and briefing documents are regarded
    by VA as subject to revision as to both the methodology they propose and their specific findings
    about the three pilot markets. Further, VA has not held these documents out as final in any way.
    It notes in its Vaughn Index that each document is “labeled as a draft,” Vaughn Index at 2, 5, 9,
    12, 16, 19, 22; see Sierra Club, 141 S. Ct. at 788 (“[A] draft document will typically be
    predecisional because . . . calling something a draft communicates that it is not yet final[.]”), and
    describes in its declarations the role of the documents as a first step in its larger MAHSO project,
    which will culminate with the presentation of findings and recommendations to Congress and the
    AIR Commission, see Stuppy Decl. ¶¶ 6–10; Swailes Decl. ¶¶ 19–20.
    Plaintiff next cautions that finding these records to be predecisional “because what
    matters is the ‘VA’s final decision’ in the realignment process . . . is a serious misreading of
    Sierra Club” and “would require treating everything even remotely related to VA reform efforts
    as privileged.” Pl.’s Reply at 5.5 The Sierra Club Court rejected a similar argument posited by
    5
    Plaintiff argues that “[t]he agency’s behavior in the instant proceeding . . . shows that this cannot be the
    right result,” pointing to VA’s “second and third productions” of responsive records, “totaling nearly 1,500 pages.”
    Pl.’s Reply at 5 (citing Pl.’s SMF ¶¶ 15–16). Closer scrutiny of the record discredits this claim. Although VA
    identified nearly 1,500 pages of responsive records in its second and third IADs, see Swailes Decl. ¶ 25; Pl.’s SMF
    ¶¶ 15–16; Def.’s Resp. SMF ¶¶ 15–16, the agency appears to have withheld a substantial portion of these documents
    pursuant to Exemptions 5 and 6. For example, VA’s August 2020 IAD identified 676 pages of responsive records
    and five responsive Excel sheets, Swailes Decl. ¶ 25; Pl.’s SMF ¶ 15; Def.’s Resp. SMF ¶ 15, but the parties
    25
    the plaintiff in that case, that allowing agencies to withhold documents based on the theoretical
    possibility of changes to them, regardless of the practical consequences, “would permit [an
    agency] to stamp every document ‘draft,’ thereby protecting even final agency decisions and
    creating ‘secret [agency] law.’” 141 S. Ct. at 788 (second alteration in original) (quoting Sears,
    
    421 U.S. at 153
    ). The Court regarded this threat as minimal because “determining whether an
    agency’s position is final . . . is a functional rather than formal inquiry,” noting that “[i]f the
    evidence establishes that an agency has hidden a functionally final decision in draft form, the
    deliberative process privilege will not apply,” but the defendant agency had not “engage[d] in
    such a charade.” 
    Id.
     Nor has VA. To the contrary, the record shows that VA continues to refine
    its methodology as the nationwide market assessments progress and will revisit its evaluation of
    the pilot markets as more information emerges.
    Nor does the common-sense conclusion that these seven documents are not final in either
    function or form indicate, as plaintiff suggests, see Pl.’s Reply at 5, that all records related to the
    National Realignment Strategy are necessarily exempt from disclosure. Each withheld document
    that relates to the National Realignment Strategy must be assessed in the “administrative
    context” that produced it and in light of its function within the agency’s decisionmaking process.
    Sierra Club, 141 S. Ct. at 786. As applied here, those factors indicate that the pilot market
    assessment and briefing documents are not final, but that determination does not foreclose a
    future finding that records related to another, distinct component of the National Realignment
    Strategy, for example, VA’s development of the criteria to be published in the Federal Register,
    must be disclosed.
    represented to the Court that this IAD “withh[eld] 672 pages of responsive records and 5 Excel sheets in full under
    FOIA Exemption 5 and the deliberative process privilege, as well as FOIA Exemption 6,” while “[f]our pages were
    released in part,” Sept. 4 JSR at 1.
    26
    Plaintiff next challenges VA’s claim that the seven documents are predecisional with
    respect to “each of the markets that were the subject of the three pilot market assessments.”
    Def.’s Reply at 5; see Pl.’s Opp’n at 10–11; Pl.’s Reply at 6–7. As support, plaintiff argues that,
    because “[t]he agency never intended to treat the pilot studies . . . as the basis for final criteria
    and recommendations for the national realignment strategy,” but rather “undertook the pilot
    studies to develop a uniform methodology,” the status of the pilot market assessments’ findings
    as to the test markets is irrelevant. Pl.’s Reply at 7 (internal quotation marks omitted); see also
    Pl.’s Opp’n at 10–11 (characterizing the pilot market assessments as “final work product,
    delivered to [VA] by its contractor, which concern the methodology adopted for the nation-wide
    market assessment process” (emphasis omitted)).
    Even taking plaintiff’s narrow view of the role played by the pilot market assessments,
    application of the draft methodology to the pilot markets was central to “allow[ing] [the agency]
    to fully understand if the methodology was appropriate for use in a standardized manner,”
    Stuppy Decl. ¶ 9, and these components of the reports are therefore predecisional to the final
    methodology. Moreover, VA’s declarations make clear that the agency used the pilot market
    assessments for purposes beyond development of the methodology, for example, to consider
    which types of recommendations and reforms the agency might be interested in pursuing and
    how to present its findings and recommendations in its eventual reports to Congress and the AIR
    Commission. See Stuppy Decl. ¶¶ 9–10. These actual uses of the records by the agency, not
    VA’s purported intentions in undertaking the pilot market assessments, are the relevant
    considerations for Exemption 5 purposes. See, e.g., Sierra Club, 141 S. Ct. at 788 (looking to
    documents’ “function[]” within an agency’s decisionmaking process); Ctr. for Biological
    Diversity, 279 F. Supp. 3d at 147 (emphasizing “the role played by the documents at issue in the
    27
    course of [the deliberative process to which they relate]” in determining whether Exemption 5
    was properly asserted (internal quotation marks omitted)). The findings and recommendations
    made as to the pilot markets inform VA’s deliberations about its approach to the MAHSO
    project and to identifying opportunities for improvement it wishes to explore further. That the
    market-specific results in these seven records were not meant to act as VA’s final assessment of
    those markets has no impact on their continuing role in the deliberative process.
    Further, VA’s representation that “the geographic areas covered in the pilot market
    assessments are being re-done in the larger 96-market assessment project,” Swailes Decl. ¶ 19,
    contrary to plaintiff’s characterization, in fact supports the conclusion that the pilot market
    assessments and briefing documents are predecisional as to the pilot markets. Regardless of
    whether VA intended for the pilot studies to produce final evaluations of the subject markets or
    not, the pilot studies reflect a preliminary effort to assess the conditions of those markets,
    identify problems, and propose solutions. VA is in the process of reassessing those very
    conclusions in the same markets. The pilot market assessments’ market-specific content, then, is
    plainly predecisional. See, e.g., Judicial Watch, Inc., 847 F.3d at 739; Pavement Coatings Tech.
    Council v. U.S. Geological Surv., 
    436 F. Supp. 3d 115
    , 127 (D.D.C. 2019) (finding documents
    that “reflect[ed]” agency employees’ “thoughts regarding draft documents and preliminary
    analyses of scientific studies and results” predecisional); Sack v. CIA, 
    49 F. Supp. 3d 15
    , 22–23
    (D.D.C. 2014) (deeming predecisional withheld documents that “discuss[ed] progress or actions
    taken on recommendations” given to an agency by an expert panel because the documents “were
    part of the Agency’s ongoing process of evaluating recommendations made . . . and assessing
    programmatic changes” (internal quotation marks omitted)).6
    6
    Plaintiff’s efforts to distinguish Stalcup v. CIA, 
    768 F.3d 65
     (1st Cir. 2014), a case cited by VA for the
    proposition that “[a] decision cannot be considered final if it is subject to change,” Def.’s Reply at 5, are without
    28
    In short, the pilot market assessments and briefing documents about three test markets
    represent a methodology for conducting uniform, nationwide market assessments, which
    methodology is subject to change and indeed, has already been revised, and the assessments
    themselves are currently in the process of being reexamined. The assessments will inform VA’s
    determination of how to approach the ninety-six VISN market assessments, the types of
    recommendations to pursue, and how to present that information to agency leadership, Congress,
    and the public. They have no operative legal effect, their actual use by VA in the course of
    carrying out the MAHSO analysis notwithstanding. All of these factors show that the seven
    contested records are predecisional.
    (b)      Pilot Market Assessments and Briefing Documents Are
    Deliberative
    Plaintiff next asserts that the seven documents “cannot be ‘deliberative’ because they do
    not ‘make recommendations or express opinion on legal or policy matters’” and “do not reflect
    the ‘give-and-take of the consultative process.’” Pl.’s Opp’n at 11 (first quoting Vaughn v.
    Rosen, 
    523 F.2d 1136
    , 1144 (D.C. Cir. 1975); then quoting Coastal States, 
    617 F.2d at 867
    ). In
    plaintiff’s view, “the pilot studies, and related briefing documents, do not reflect ‘internal
    deliberations on the advisability of any particular course of action,’ such as finalizing
    realignment criteria or other recommendations for public comment and congressional or
    presidential consideration.” 
    Id.
     (quoting Pub. Citizen, Inc., 
    598 F.3d at 875
    ); see also Pl.’s Reply
    merit. The First Circuit in Stalcup found supplemental reports prepared by the CIA in response to “new data” on a
    particular issue previously studied to be predecisional because, in preparing the supplements, the agency “undertook
    to determine whether its prior assessment was accurate or whether it needed to change its position.” Stalcup, 768
    F.3d at 71–72. Unlike the requester in Stalcup, plaintiff seeks the original assessment of the pilot markets, not the
    revised assessments that are currently in progress. Thus, plaintiff’s claim that VA’s “reassessment of the three
    geographic markets chosen for the pilot studies is decidedly not an attempt to supplement or modify the outcomes of
    those assessments,” Pl.’s Reply at 7, is inapposite. Moreover, the court’s decision relied not, as plaintiff contends,
    on the agency’s “attempt to supplement or modify” its earlier report, id., but instead on the fact that the later
    documents were “prepared for the specific purpose of aiding the agency in its [forthcoming] determination,” 768
    F.3d at 72 (internal quotation marks and citation omitted). In other words, even though the supplements revisited an
    earlier draft report, none of the drafts reflected the agency’s final decision on the issue discussed. The same is true
    of the pilot market assessments’ explication of conditions in the test markets and market-specific recommendations.
    29
    at 8 (challenging VA’s claim that the pilot studies are “inextricably intertwined with the draft
    market assessments currently underway” (quoting Def.’s Reply at 6–7)).7
    This argument construes the scope of the deliberative materials encompassed by
    Exemption 5 too narrowly. The D.C. Circuit has long held that Exemption 5 “covers
    recommendations, draft documents, proposals, suggestions, and other subjective documents
    which reflect the personal opinions of the writer rather than the policy of the agency,” Coastal
    States, 
    617 F.2d at 866
    ; see also Pub. Citizen, Inc., 
    598 F.3d at 875
    , and that the universe of
    covered agency decisions extends “not only to official agency policies but also to agency
    decisions more generally,” Pavement Coatings Tech. Council, 436 F. Supp. 3d at 127 (citing
    Reliant Energy Power Generation, Inc. v. FERC, 
    520 F. Supp. 2d 194
    , 205 (D.D.C. 2007)).
    Here, the pilot market assessments and briefing documents relate to VA’s choice of methodology
    to carry out the market assessments, the types of improvement opportunities to pursue, and how
    to present its findings to the AIR Commission, Congress, and the public. Decisions of this ilk
    7
    In making this argument, plaintiff points to two alleged inconsistencies in VA’s declarations, see Pl.’s
    Opp’n at 9–10, 10 n.5; Pl.’s Reply at 4, 8, 8 n.1, both of which are answered by examining the cherry-picked
    statements in context. Plaintiff first asserts that the declarations’ claim that “[t]he purpose of the pilot market
    assessments . . . was solely to test and refine the market assessment methodology for performing comprehensive
    market assessments,” Stuppy Decl. ¶ 7 (emphasis omitted); see also id. ¶ 6, stands in tension with VA’s assertion
    that the pilot studies are part of the deliberative processes underlying the National Realignment Strategy, see, e.g.,
    Vaughn Index at 2. These statements, read in the context in which they appear, of describing the Pilot Study
    Contract, the focuses of its evaluations, and the steps taken to carry out the pilot studies, see Stuppy Decl. ¶¶ 6–7,
    indicate only that the pilot market assessments were designed to develop a process for performing the market
    assessments nationwide and reporting their outcomes rather than to generate substantive evaluations of the markets
    studied. They do not imply, as plaintiff suggests, that VA’s use of the deliverables would be rigidly confined to
    consideration of the methodology in a vacuum. The declarations’ characterization of the pilot market assessments as
    informing the process by which VA would undertake the balance of the MAHSO analysis is fully consistent with the
    agency’s representation that these records contribute to the National Realignment Strategy.
    Plaintiff next contends that VA’s claim that “[t]he information used and analyzed in conducting the pilot
    assessment is/will be used in the larger 96-market assessment project and is inextricably intertwined with the
    ongoing market assessments,” Swailes Decl. ¶ 18, contradicts what plaintiff portrays, without quoting the challenged
    portion of the cited declaration, as “testimony, which indicates the only aspect of the pilot studies imported into the
    subsequent nation-wide assessments is the uniform ‘methodology,’” Pl.’s Opp’n at 10 n.5 (citing Stuppy Decl. ¶¶ 6–
    7); see also Pl.’s Reply at 8 n.1. Even taking plaintiff’s description of this testimony as true, no contradiction exists.
    Common sense dictates that, if VA has elected to use a subsequent version of the methodology tested in the pilot
    market assessments to conduct its final market assessments, including of the three test markets, the same data and
    factual information will be relevant to those studies. This reality is not inconsistent with VA’s representation that
    the analysis and conclusions drawn from those sources in the pilot market assessments will not be carried over into
    its final studies because it is in the process of reevaluating those elements.
    30
    are regularly held to fall within the scope of Exemption 5 even though they may not be “final” or
    “official” decisions of policy or law.8 Plaintiff’s contention that the pilot market assessments
    and briefing documents must have “some broader function and significance . . . in the overall
    scheme of agency decisionmaking,” Pl.’s Reply at 8, is thus mistaken. VA has shown that it
    continues to build on the methodology proposed in these records as it completes the MAHSO
    analysis, and that these records inform its “refine[ment]” of not only the methodology, but also
    the types of substantive recommendations that may be made in relation to each VISN and the
    information that may be included in its market assessment reports. Stuppy Decl. ¶ 9; see also
    supra Part III.A.2, 3.a. The deliberative process privilege requires nothing more.
    In sum, the pilot market assessments and briefing documents are both predecisional and
    deliberative, and VA properly invoked Exemption 5’s deliberative process privilege to justify its
    withholding of information from these records.
    B.       Foreseeable Harm
    Plaintiff next contends that VA has “fail[ed] to satisfy the . . . foreseeable harm
    standard,” Pl.’s Opp’n at 21, under the FOIA Improvement Act of 2016 because the agency has
    not “offer[ed] factual support for the supposed harms” it claims would result from disclosure, id.
    at 19 (emphasis omitted), or “specifically tie[d] the expected harms to the records at issue . . . in
    a reasonable manner,” id. at 21; see also Pl.’s Reply at 13–15. The FOIA Improvement Act
    provides that “[a]n agency shall withhold information . . . only if the agency reasonably foresees
    that disclosure would harm an interest protected by” one of the nine FOIA exemptions. 5 U.S.C.
    8
    See, e.g., Ecological Rights Found., 
    2021 WL 535725
    , at *15 (“[A]n agency’s consideration of what
    information to present to external parties and how to present it is a [protected agency] decision in itself[.]”); Husch
    Blackwell LLP v. EPA, 
    442 F. Supp. 3d 114
    , 122–23 (D.D.C. 2020) (holding “materials preparing officials for
    congressional testimony and draft responses to Congress” exempt from disclosure under the deliberative process
    privilege (internal quotation marks omitted)); Urban Air Initiative, Inc. v. EPA, 
    271 F. Supp. 3d 241
    , 261 (D.D.C.
    2017) (finding that agency decisions about a study preliminary to creation of “an updated emissions model” were
    “exactly the type of agency judgments that the deliberative process privilege protects”).
    31
    § 552(a)(8)(A). This provision requires agencies withholding information under an exemption to
    show not only that a withheld record “falls within a FOIA exemption,” but also “that the agency
    ‘reasonably foresees that disclosure would harm an interest protected by [the] exemption.’”
    Machado Amadis, 971 F.3d at 370 (alteration in original) (quoting 
    5 U.S.C. § 552
    (a)(8)(A)(i)(I)).
    An agency successfully makes this second, “heightened” showing, Judicial Watch, Inc. v.
    U.S. Dep’t of Com., 
    375 F. Supp. 3d 93
    , 100 (D.D.C. 2019), by “‘identify[ing] specific harms to
    the relevant protected interests that it can reasonably foresee would actually ensue from
    disclosure of the withheld materials’ and ‘connect[ing] the harms in [a] meaningful way to the
    information withheld,’” Ctr. for Investigative Reporting, 436 F. Supp. 3d at 106 (third alteration
    in original) (quoting Judicial Watch, Inc. v. U.S. Dep’t of Justice (“Judicial Watch II”), Civ. A.
    No. 17-0832 (CKK), 
    2019 WL 4644029
    , at *5 (D.D.C. Sept. 24, 2019)); see also H.R. Rep. No.
    114-391, at 9 (2016) (“An inquiry into whether an agency has reasonably foreseen a specific,
    identifiable harm that would be caused by a disclosure would require the ability to articulate both
    the nature of the harm and the link between the specified harm and specific information
    contained in the material withheld.”). Agencies therefore “must provide more than ‘nearly
    identical boilerplate statements’ and ‘generic and nebulous articulations of harm.’” Ctr. for
    Investigative Reporting, 436 F. Supp. 3d at 106 (quoting Judicial Watch II, 
    2019 WL 4644029
    ,
    at *4–5).
    “[T]he agency’s burden to demonstrate that harm would result from disclosure may shift
    depending on the nature of the interests protected by the specific exemption with respect to
    which a claim of foreseeable harm is made.” Ecological Rights Found., 
    2021 WL 535725
    , at
    *32 (citing Rosenberg v. Dep’t of Def., 
    442 F. Supp. 3d 240
    , 259 (D.D.C. 2020); S. Rep. No.
    114-4, at 8 (2015)). To demonstrate foreseeable harm with respect to exemptions under the
    32
    deliberative process privilege, “[t]he agency ‘cannot simply rely on generalized assertions that
    disclosure could chill deliberations,’” but instead “must ‘provide context or insight into the
    specific decision-making processes or deliberations at issue, and how they in particular would be
    harmed by disclosure.’” 
    Id.
     (first quoting Machado Amadis, 971 F.3d at 371; and then quoting
    Ctr. for Investigative Reporting, 436 F. Supp. 3d at 107). Contrary to plaintiff’s characterization,
    however, this requirement for an agency to describe assertions of foreseeable harm with
    specificity and to contextualize the harms anticipated does not require an agency to “offer factual
    support for the supposed harms,” Pl.’s Opp’n at 19 (emphasis omitted); see also Pl.’s Reply at
    14, as the D.C. Circuit’s recent decision in Machado Amadis v. U.S. Department of State, 
    971 F.3d 364
     (D.C. Cir. 2020), clearly illustrates.
    The D.C. Circuit in Machado Amadis considered the adequacy of an agency’s foreseeable
    harm showing under the deliberative process privilege. The agency in that case produced, in
    response to the plaintiff’s FOIA request, a series of “Blitz Forms,” documents used to adjudicate
    FOIA appeals, with redactions under the deliberative process privilege. 971 F.3d at 369–71. In
    support of the redactions, the agency’s affidavit stated that the withheld materials revealed “line
    attorneys’ evaluations, recommendations, discussions, and analysis which are prepared for
    senior-level review and decisionmaking,” id. at 370 (internal quotation marks omitted), and
    asserted that disclosure of this information “would discourage line attorneys from candidly
    discussing their ideas, strategies, and recommendations, thus impairing the forthright internal
    discussions necessary for efficient and proper adjudication of administrative appeals,” id. at 371
    (alteration and internal quotation marks omitted). The D.C. Circuit deemed this showing of
    foreseeable harm sufficient, without any further factual proffer by the agency, because the
    agency “specifically focused on the information at issue” and properly “concluded that
    33
    disclosure of that information would chill future internal discussions.” Id. (internal quotation
    marks omitted); see also Ecological Rights Found., 
    2021 WL 535725
    , at *32.
    VA’s Vaughn Index and declarations in this case make a similarly adequate showing. As
    in Machado Amadis, VA identifies the contents of the documents with sufficient particularity.
    See Vaughn Index at 1–24. The agency affirmatively concludes, with respect to each of the
    seven challenged records, that disclosure would harm an interest protected by the privilege. See
    Sierra Club, 141 S. Ct. at 785; Machado Amadis v. Dep’t of Justice, 
    388 F. Supp. 3d 1
    , 18–19
    (D.D.C. 2019) (summarizing the relevant interests of the privilege); supra Part III.A.1. VA first
    states that disclosure of the withheld information “would chill future agency deliberations,
    causing harm to the agency’s ability to obtain a comprehensive and thoughtful analysis that
    considers all aspects of the issues affected.” Vaughn Index at 3; see also id. at 6, 9, 13, 16, 19–
    20, 23; Swailes Decl. ¶ 21. It further submits that “[r]eleasing data” used in the pilot market
    assessments “without knowledge of how that data is being used or linked to VA
    recommendations would undermine the project as the data may be misleading or misinterpreted,
    causing individuals to draw conclusions about VA action that may not be accurate,” while
    releasing “recommendations in the pilot studies that ultimately may not be made or proposed” in
    the National Realignment Strategy would generate confusion about VA’s plans for the continued
    provision of veteran health care in certain markets. Vaughn Index at 3; see also id. at 6, 10, 13,
    16–17, 20, 23. In the agency’s view, the resulting speculation by the public “could further affect
    VA’s ability to negotiate for private care” by exposing vulnerabilities in VA’s existing services
    and could “create concern among patients, employees, and the community generally” with
    respect to the implications of the non-binding, predecisional recommendations made in the pilot
    market assessments. Vaughn Index at 3–4; see also id. at 7, 10, 13–14, 17, 20, 23–24; Stuppy
    34
    Decl. ¶¶ 13–16; Swailes Decl. ¶ 21. Finally, VA contends that “the moment a pilot assessment is
    released, interested parties may interpret the pilots and try to influence the working
    recommendations or opportunities (positively or negatively) identified in the pilot market
    assessment or the currently underway market assessments. Shifting the focus to individual
    interests would undermine the goal of the ongoing assessments, i.e., the creation of high
    performing networks that provide high-quality, readily accessible care for Veterans.” Stuppy
    Decl. ¶ 12; see also Swailes Decl. ¶ 21. These predicted results of disclosure are “exactly what
    the privilege seeks to prevent.” Machado Amadis, 971 F.3d at 371; see also Ecological Rights
    Found., 
    2021 WL 535725
    , at *32.9
    Like the declarations found sufficient in Machado Amadis, VA also links these specified
    harms to “specific information contained in the material withheld.” Judicial Watch II, 
    2019 WL 4644029
    , at *4 (internal quotation marks and citation omitted). For each of the seven
    documents, VA explains that disclosure “would chill future agency deliberations” by impeding
    “the agency’s ability to obtain [from staff or external consultants] a comprehensive and
    thoughtful analysis that considers all aspects of the issues affected” and causing VA staff
    engaged in the ongoing market assessments “to be subjected to pressure” from external
    stakeholders “as they evaluate the data and make recommendations,” to the detriment of the
    agency’s efforts to act objectively. Swailes Decl. ¶ 21; see also Vaughn Index at 3–4, 6–7, 9–10,
    13–14, 16–17, 20, 23. VA further indicates that release could lead external stakeholders to
    9
    Plaintiff contends that VA’s assertion of public confusion or concern as a potential harm of disclosure
    carries no weight because the MISSION Act “opened the realignment process to public participation.” Pl.’s Reply
    at 14; see also Pl.’s Opp’n at 20. While the MISSION Act subjects VA’s submission of criteria and
    recommendations to scrutiny by the public, the AIR Commission, Congress, and eventually the President, this
    feedback from external stakeholders begins only after VA finalizes its criteria and recommendations internally. See
    supra Part I.A. Disclosure of VA’s intra-agency deliberations preceding its final determination of the criteria and
    recommendations that will be submitted for public scrutiny thus continues to pose risks associated with public
    confusion or misinterpretation, the MISSION Act’s provision for public participation in the formation of the
    National Realignment Strategy notwithstanding.
    35
    “draw erroneous conclusions” about VA’s plans for reform in one of the test markets or on a
    national scale, as compared to the recommendations VA eventually includes in its National
    Realignment Strategy. Swailes Decl. ¶ 21; see also Stuppy Decl. ¶¶ 15–16; Vaughn Index at 3,
    6, 9, 13, 16, 20, 23–24. This explanation “specifically connects disclosure of [the records] to a
    tangible chilling effect,” here among VA staff involved in the agency’s ongoing market
    assessments, and a concrete risk of generating public confusion. Judicial Watch, Inc. v. U.S.
    Dep’t of Justice, 
    487 F. Supp. 3d 38
    , 47 (D.D.C. 2020) (finding a similar level of detail sufficient
    in light of Machado Amadis); see also Ecological Rights Found., 
    2021 WL 535725
    , at *33
    (same). The standard of Machado Amadis requires nothing more.
    C.      Segregability
    FOIA requires that “[a]ny reasonably segregable portion of a record shall be provided to
    any person requesting such record after deletion of the portions which are exempt” from
    disclosure. 
    5 U.S.C. § 552
    (b). Producing segregable information is essential for agencies’ FOIA
    compliance, and “district courts cannot approve withholding exempt documents ‘without making
    an express finding on segregability.’” Machado Amadis, 971 F.3d at 371 (quoting Morley v.
    CIA, 
    508 F.3d 1108
    , 1123 (D.C. Cir. 2007)); see also Stolt-Nielsen Transp. Grp. Ltd. v. United
    States, 
    534 F.3d 728
    , 734 (D.C. Cir. 2008) (“[B]efore approving the application of a FOIA
    exemption, the district court must make specific findings of segregability regarding the
    documents to be withheld.” (internal quotation marks and citation omitted)); Sussman v. U.S.
    Marshals Serv., 
    494 F.3d 1106
    , 1116 (D.C. Cir. 2007) (same).
    In evaluating segregability, “[a]gencies are entitled to a presumption that they complied
    with the obligation to disclose reasonably segregable material.” Sussman, 
    494 F.3d at 1117
    .
    Even under that presumption, “the agency must provide a ‘detailed justification’ for [the exempt
    material’s] non-segregability,” but need not “provide so much detail that the exempt material
    36
    would be effectively disclosed.” Johnson v. Exec. Off. for U.S. Att’ys, 
    310 F.3d 771
    , 776 (D.C.
    Cir. 2002) (quoting Mead Data Ctr., Inc. v. Dep’t of Air Force, 
    566 F.2d 242
    , 261 (D.C. Cir.
    1977)). Affidavits attesting to the agency’s “line-by-line review of each document withheld in
    full” and the agency’s determination “that no documents contained releasable information which
    could be reasonably segregated from the nonreleasable portions,” in conjunction with a Vaughn
    index describing the withheld record, suffice. 
    Id.
     (internal quotation marks omitted); see also
    Loving v. Dep’t of Def., 
    550 F.3d 32
    , 41 (D.C. Cir. 2008) (stating that “the description of the
    document set forth in the Vaughn index and the agency’s declaration that it released all
    segregable material” are “sufficient for [the segregability] determination”).10
    To this end, VA has averred that, upon revision of the First IAD, it “re-reviewed the four
    hundred and eighty-nine pages” of the seven challenged records and “released the five pages
    containing the [pilot market assessment] methodology in full” as well as “additional pages that
    repeated methodology information” and “several pages that essentially had no substantive
    content and release of which would not harm the agency,” with redactions to twenty-two of these
    pages. Swailes Decl. ¶ 26; see Vaughn Index at 1–24. As to the pages withheld in full, the
    agency represents that, when issuing the First IAD, it “determin[ed] the content” of the pages,
    “including factual information,” and “determined that [it] was unable to reasonably segregate
    any non-exempt material as the remaining portion would have minimal or no informative or
    substantive content, so as to render the document essentially meaningless.” Swailes Decl. ¶ 23.
    10
    The FOIA Improvement Act of 2016 added another provision concerning segregability: An agency shall
    “(I) consider whether partial disclosure of information is possible whenever the agency determines that a full
    disclosure of a requested record is not possible; and (II) take reasonable steps necessary to segregate and release
    nonexempt information.” 
    5 U.S.C. § 552
    (a)(8)(A)(ii). The D.C. Circuit has interpreted subsection (b) of FOIA to
    be satisfied by affidavits attesting to the agency’s “line-by-line review of each document withheld in full” and the
    agency’s determination “that no documents contained releasable information which could be reasonably segregated
    from the nonreleasable portions.” Johnson, 
    310 F.3d at 776
     (internal quotation marks omitted). The FOIA
    Improvement Act’s new provision on segregability “appears to require no more than that.” Ctr. for Investigative
    Reporting, 436 F. Supp. 3d at 115.
    37
    It states, for each of the contested documents, that any potentially non-exempt factual
    information and data is “inextricably intertwined” with privileged information, “as it contributes
    to the rationale for making the proposed recommendations and methodology used in the pilots,”
    Vaughn Index at 4; see also id. at 6, 9, 13, 16, 19, 23, and that “[t]he information used and
    analyzed in conducting the pilot assessments is/will be used in the larger 96-market assessment
    project” and thus “is inextricably intertwined with the ongoing market assessments,” Swailes
    Decl. ¶ 18; see also Vaughn Index at 2, 5, 8, 12, 15, 18, 22. VA’s declarations and Vaughn
    Index are therefore sufficient to establish non-segregability of the disputed exempt records.
    Plaintiff raises three challenges to this conclusion. First, plaintiff disputes VA’s claim
    that factual information within the documents is exempt, contending that VA has failed to
    “explain in detail why factual and deliberative material are inextricably intertwined.” Pl.’s Reply
    at 15 (internal quotation marks omitted); see also Pl.’s Opp’n at 22. “[W]ell-established law in
    this Circuit [provides] that the deliberative process privilege operates to shield from disclosure
    agency decision-making reflecting the collection, culling and assessment of factual information
    or . . . data.” Ctr. for Biological Diversity v. EPA, 
    369 F. Supp. 3d 1
    , 20 (D.D.C. 2019)
    (collecting cases); see also Ancient Coin Collectors Guild v. U.S. Dep’t of State, 
    641 F.3d 504
    ,
    513 (D.C. Cir. 2011) (holding exempt factual information “culled . . . from the much larger
    universe of facts” available because this “reflect[ed] an exercise of judgment as to what issues
    are most relevant to the pre-decisional findings and recommendations” (internal quotation marks
    omitted)); Pavement Coatings Tech. Council, 436 F. Supp. 3d at 129 (similar); Goodrich Corp.,
    
    593 F. Supp. 2d at 189
     (“[E]ven if the data plugged into the model is itself purely factual, the
    selection and calibration of data is part of the deliberative process to which Exemption 5
    applies[.]”); Reliant Energy Power Generation, Inc., 
    520 F. Supp. 2d at
    205–06 (finding
    38
    “spreadsheets and tables that analyze raw data” exempt from disclosure (alteration and internal
    quotation marks omitted)). The data and facts chosen by VA, or its consultant, to test the pilot
    market assessment methodology are therefore properly withheld under Exemption 5 independent
    of their relationship to the remainder of the seven documents. Moreover, courts in this Circuit
    routinely find “inextricably intertwined” language of a similar specificity to that proffered by VA
    to be sufficient for segregability purposes. See, e.g., Elec. Frontier Found. v. Dep’t of Justice,
    
    739 F.3d 1
    , 12–13 (D.C. Cir. 2014); Ecological Rights Found., 
    2021 WL 535725
    , at *34 (relying
    on similar “inextricably intertwined” language in agency’s declarations); Ctr. for Biological
    Diversity, 369 F. Supp. 3d at 26 (same).
    Second, plaintiff contends that VA’s revision of the First IAD demonstrates that the
    agency “has already once overredacted records and thus failed to conduct the necessary line-by-
    line review for non-exempt material.” Pl.’s Opp’n at 22–23; see also Pl.’s Reply at 16. An
    agency’s revision of its previous segregability determination does not, as plaintiff suggests, raise
    an inference that the agency has failed to comply with its obligation to release all reasonably
    segregable, non-exempt information. To the contrary, supplemental releases of information
    “evidence[] a good-faith effort on the [agency’s] part to segregate nonexempt information where
    possible.” Schoenman v. FBI, 
    575 F. Supp. 2d 136
    , 161 (D.D.C. 2008); see also Ecological
    Rights Found., 
    2021 WL 535725
    , at *34 (finding the agency’s representation that it “provided
    supplemental releases of information where possible” to support the conclusion that it had
    released all reasonably segregable information (internal quotation marks omitted)). Nor does
    VA’s revisiting of its earlier determination rebut the presumption that the agency has fulfilled its
    segregability obligations. See Sussman, 
    494 F.3d at 1117
    .
    39
    Finally, plaintiff asserts that VA “is mistaken that it need not disclose segregable material
    that it finds ‘meaningless’ or of ‘minimal or no informative or substantive content.’” Pl.’s Opp’n
    at 23 (quoting Swailes Decl. ¶ 23); see also Pl.’s Reply at 16–17. As plaintiff accurately recites,
    however, an agency need not release otherwise-segregable information “if it can demonstrate
    that disclosure of the non-exempt portion of the document would result in the release of ‘only
    incomplete, fragmented, unintelligible sentences composed of isolated meaningless words.’”
    Cause of Action Inst. v. U.S. Dep’t of Com., Civ. A. No. 1:19-cv-778 (CJN), 
    2021 WL 148386
    , at
    *11 (D.D.C. Jan. 14, 2021) (quoting Brown v. Dep’t of Justice, 
    734 F. Supp. 2d 99
    , 111 (D.D.C.
    2010)). Plaintiff misinterprets both the burden placed on an agency by this standard and the
    import of VA’s assertion that the non-exempt, segregable portions of the seven contested
    records, if released independent of the exempt material, would be “essentially meaningless.”
    Swailes Decl. ¶ 23. To carry its initial burden to demonstrate that it has complied with its
    segregability obligations, “the agency need only show with ‘reasonable specificity’ that the
    information withheld cannot be further segregated,” triggering the presumption that it has
    complied with its segregability obligations. Cause of Action Inst., 
    2021 WL 148386
    , at *11
    (quoting Armstrong v. Exec. Off. of President, 
    97 F.3d 575
    , 580 (D.C. Cir. 1996)). As explained
    above, VA has met this requirement. The agency’s statement that any disclosure of non-exempt,
    segregable information would result in release only of an “essentially meaningless” document
    with “minimal or no informative or substantive content,” Swailes Decl. ¶ 23, suffices to show
    that the withheld information could not be further segregated, see Cause of Action Inst., 
    2021 WL 148386
    , at *11 (finding an agency’s declaration that release of non-exempt information
    “would have resulted in disclosure of ‘a meaningless set of words or phrases which have no or
    minimal information content’” sufficient). The burden then shifts to plaintiff to “produce a
    40
    ‘quantum of evidence’ to rebut th[e] presumption.” Am. Ctr. for L. & Justice v. U.S. Dep’t of
    State, 
    330 F. Supp. 3d 293
    , 306 (D.D.C. 2018) (quoting Sussman, 
    494 F.3d at 1117
    ). Plaintiff
    states that “the records at issue likely contain factual information that will remain both
    meaningful and informative, even if heavily redacted,” Pl.’s Reply at 23 (emphasis omitted), but
    offers nothing beyond this speculation that might rebut the presumption. VA has thus
    demonstrated that it complied with its segregability obligations, and the disputed records are
    properly withheld.
    IV.    CONCLUSION
    For the foregoing reasons, VA’s Motion for Summary Judgment is granted and plaintiff’s
    Cross-Motion for Summary Judgment is denied. VA has justified its withholdings of 451 full
    pages of the seven contested records and redactions from twenty-two of the thirty-eight released
    pages under Exemption 5’s deliberative process privilege, shown that foreseeable harm would
    result from further disclosures, and complied with its segregability obligations.
    An order consistent with this Memorandum Opinion will be entered contemporaneously.
    Date: April 20, 2021
    __________________________
    BERYL A. HOWELL
    Chief Judge
    41