81_FR_28210 81 FR 28121 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

81 FR 28121 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 81, Issue 89 (May 9, 2016)

Page Range28121-28130
FR Document2016-10873

FMCSA announces receipt of applications from 65 individuals for exemption from the prohibition against persons with insulin-treated diabetes mellitus (ITDM) operating commercial motor vehicles (CMVs) in interstate commerce. If granted, the exemptions would enable these individuals with ITDM to operate CMVs in interstate commerce.

Federal Register, Volume 81 Issue 89 (Monday, May 9, 2016)
[Federal Register Volume 81, Number 89 (Monday, May 9, 2016)]
[Notices]
[Pages 28121-28130]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-10873]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2016-0039]


Qualification of Drivers; Exemption Applications; Diabetes 
Mellitus

AGENCY: Federal Motor Carrier Safety Administration (FMCSA).

ACTION: Notice of applications for exemptions; request for comments.

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SUMMARY: FMCSA announces receipt of applications from 65 individuals 
for exemption from the prohibition against persons with insulin-treated 
diabetes mellitus (ITDM) operating commercial motor vehicles (CMVs) in 
interstate commerce. If granted, the exemptions would enable these 
individuals with ITDM to operate CMVs in interstate commerce.

DATES: Comments must be received on or before June 8, 2016.

ADDRESSES: You may submit comments bearing the Federal Docket 
Management System (FDMS) Docket No. FMCSA-2016-0039 using any of the 
following methods:
     Federal eRulemaking Portal: Go to http://www.regulations.gov. Follow the on-line instructions for submitting 
comments.
     Mail: Docket Management Facility; U.S. Department of 
Transportation, 1200 New Jersey Avenue SE., West Building Ground Floor, 
Room W12-140, Washington, DC 20590-0001.
     Hand Delivery: West Building Ground Floor, Room W12-140, 
1200 New Jersey Avenue SE., Washington, DC, between 9 a.m. and 5 p.m., 
Monday through Friday, except Federal Holidays.
     Fax: 1-202-493-2251.
    Instructions: Each submission must include the Agency name and the 
docket numbers for this notice. Note that all comments received will be 
posted without change to http://www.regulations.gov, including any 
personal information provided. Please see the Privacy Act heading below 
for further information.

[[Page 28122]]

    Docket: For access to the docket to read background documents or 
comments, go to http://www.regulations.gov at any time or Room W12-140 
on the ground level of the West Building, 1200 New Jersey Avenue, SE., 
Washington, DC, between 9 a.m. and 5 p.m., Monday through Friday, 
except Federal holidays. The Federal Docket Management System (FDMS) is 
available 24 hours each day, 365 days each year. If you want 
acknowledgment that we received your comments, please include a self-
addressed, stamped envelope or postcard or print the acknowledgement 
page that appears after submitting comments on-line.
    Privacy Act: In accordance with 5 U.S.C. 553(c), DOT solicits 
comments from the public to better inform its rulemaking process. DOT 
posts these comments, without edit, including any personal information 
the commenter provides, to www.regulations.gov, as described in the 
system of records notice (DOT/ALL-14 FDMS), which can be reviewed at 
www.dot.gov/privacy.

FOR FURTHER INFORMATION CONTACT: Christine A. Hydock, Chief, Medical 
Programs Division, (202) 366-4001, [email protected], FMCSA, 
Department of Transportation, 1200 New Jersey Avenue SE., Room W64-113, 
Washington, DC 20590-0001. Office hours are 8:30 a.m. to 5 p.m., E.T., 
Monday through Friday, except Federal holidays.

SUPPLEMENTARY INFORMATION: 

I. Background

    Under 49 U.S.C. 31136(e) and 31315, FMCSA may grant an exemption 
from the Federal Motor Carrier Safety Regulations for a 2-year period 
if it finds ``such exemption would likely achieve a level of safety 
that is equivalent to or greater than the level that would be achieved 
absent such exemption.'' The statute also allows the Agency to renew 
exemptions at the end of the 2-year period. The 65 individuals listed 
in this notice have recently requested such an exemption from the 
diabetes prohibition in 49 CFR 391.41(b) (3), which applies to drivers 
of CMVs in interstate commerce. Accordingly, the Agency will evaluate 
the qualifications of each applicant to determine whether granting the 
exemption will achieve the required level of safety mandated by 
statute.

II. Qualifications of Applicants

Israel R.H. Alvarez

    Mr. Alvarez, 32, has had ITDM since 2015. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Alvarez understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Alvarez meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Kansas.

Matthew P. Ambrose

    Mr. Ambrose, 39, has had ITDM since 2012. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Ambrose understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Ambrose meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Ohio.

Christopher M. Anderson

    Mr. Anderson, 41, has had ITDM since 1996. His endocrinologist 
examined him in 2015 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Anderson understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Anderson meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2015 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
Arkansas.

Juan Arvizu

    Mr. Arvizu, 45, has had ITDM since 2013. His endocrinologist 
examined him in 2015 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Arvizu understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Arvizu meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2015 and certified that he does not 
have diabetic retinopathy. He holds a Class B CDL from Florida.

Steven E. Beining

    Mr. Beining, 53, has had ITDM since 1996. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Beining understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Beining meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Ohio.

Steven Belback

    Mr. Belback, 57, has had ITDM since 1999. His endocrinologist 
examined him in 2015 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Belback understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Belback meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2015 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Pennsylvania.

[[Page 28123]]

Joseph N. Beller

    Mr. Beller, 64, has had ITDM since 2014. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Beller understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Beller meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Texas.

Roger D. Bragg

    Mr. Bragg, 47, has had ITDM since 2016. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Bragg understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Bragg meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from West Virginia.

Jonathan Bu

    Mr. Bu, 27, has had ITDM since 1999. His endocrinologist examined 
him in 2016 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (2 or 
more) severe hypoglycemic episodes in the last 5 years. His 
endocrinologist certifies that Mr. Bu understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Bu meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2015 and certified that he does not have diabetic retinopathy. He 
holds an operator's license from New Jersey.

John Ciesmelewski

    Mr. Ciesmelewski, 61, has had ITDM since 2012. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Ciesmelewski understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Ciesmelewski 
meets the requirements of the vision standard at 49 CFR 391.41(b)(10). 
His optometrist examined him in 2016 and certified that he does not 
have diabetic retinopathy. He holds a Class C CDL from New Jersey.

Ernest W. Collett

    Mr. Collett, 59, has had ITDM since 2006. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Collett understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Collett meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he does not 
have diabetic retinopathy. He holds a Class A CDL from Texas.

Daniel C. Crider

    Mr. Crider, 38, has had ITDM since 1991. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Crider understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Crider meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Minnesota.

Charla J. Donahy

    Ms. Donahy, 38, has had ITDM since 2015. Her endocrinologist 
examined her in 2015 and certified that she has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
Her endocrinologist certifies that Ms. Donahy understands diabetes 
management and monitoring has stable control of her diabetes using 
insulin, and is able to drive a CMV safely. Ms. Donahy meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). Her 
optometrist examined her in 2015 and certified that she does not have 
diabetic retinopathy. She holds an operator's license from Texas.

Jason A. Edington

    Mr. Edington, 44, has had ITDM since 2014. His endocrinologist 
examined him in 2015 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Edington understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Edington meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2015 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Tennessee.

Richard D. Florio, Jr.

    Mr. Florio, 44, has had ITDM since 1989. His endocrinologist 
examined him in 2015 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Florio understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Florio meets the

[[Page 28124]]

requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2015 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from New York.

Tyler J. Francis

    Mr. Francis, 66, has had ITDM since 2015. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Francis understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Francis meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Kansas.

Calvin L. Frew

    Mr. Frew, 56, has had ITDM since 2014. His endocrinologist examined 
him in 2016 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (2 or 
more) severe hypoglycemic episodes in the last 5 years. His 
endocrinologist certifies that Mr. Frew understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Frew meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His ophthalmologist examined 
him in 2016 and certified that he has stable nonproliferative diabetic 
retinopathy. He holds a Class A CDL from Idaho.

Juda Friedman

    Mr. Friedman, 35, has had ITDM since 2013. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Friedman understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Friedman meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class B CDL from New York.

Dean Gage

    Mr. Gage, 50, has had ITDM since 1986. His endocrinologist examined 
him in 2016 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (2 or 
more) severe hypoglycemic episodes in the last 5 years. His 
endocrinologist certifies that Mr. Gage understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Gage meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His ophthalmologist examined 
him in 2016 and certified that he has stable nonproliferative diabetic 
retinopathy. He holds an operator's license from New York.

William Gallagher

    Mr. Gallagher, 62, has had ITDM since 1990. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Gallagher understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Gallagher meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Pennsylvania.

Michael A. Gervasio

    Mr. Gervasio, 58, has had ITDM since 2015. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Gervasio understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Gervasio meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he does not 
have diabetic retinopathy. He holds a Class A CDL from New York.

Harvey E. Gordon

    Mr. Gordon, 65, has had ITDM since 2010. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Gordon understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Gordon meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he does not 
have diabetic retinopathy. He holds a Class A CDL from Massachusetts.

James W. Gorman, Jr.

    Mr. Gorman, 58, has had ITDM since 2014. His endocrinologist 
examined him in 2015 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Gorman understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Gorman meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Maryland.

Christopher L. Greene

    Mr. Greene, 37, has had ITDM since 2004. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or

[[Page 28125]]

more) severe hypoglycemic episodes in the last 5 years. His 
endocrinologist certifies that Mr. Greene understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Greene meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Wyoming.

Gregor C. Guisewhite

    Mr. Guisewhite, 53, has had ITDM since 2013. His endocrinologist 
examined him in 2015 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Guisewhite understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Guisewhite meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Pennsylvania.

Aleaha M. Hallgren

    Ms. Hallgren, 24, has had ITDM since 2016. Her endocrinologist 
examined her in 2016 and certified that she has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
Her endocrinologist certifies that Ms. Hallgren understands diabetes 
management and monitoring, has stable control of her diabetes using 
insulin, and is able to drive a CMV safely. Ms. Hallgren meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). Her 
optometrist examined her in 2016 and certified that she does not have 
diabetic retinopathy. She holds a Class B CDL from Illinois.

Dennis T. Harding

    Mr. Harding, 56, has had ITDM since 2004. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Harding understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Harding meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2015 and certified that he does not have 
diabetic retinopathy. He holds a Class B CDL from Minnesota.

Brandon R. Hart

    Mr. Hart, 34, has had ITDM since 2006. His endocrinologist examined 
him in 2016 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (2 or 
more) severe hypoglycemic episodes in the last 5 years. His 
endocrinologist certifies that Mr. Hart understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Hart meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2016 and certified that he does not have diabetic retinopathy. He 
holds an operator's license from Texas.

Carl E. Hawkins

    Mr. Hawkins, 69, has had ITDM since 2015. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Hawkins understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Hawkins meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Illinois.

Craig J. Hebbeln

    Mr. Hebbeln, 51, has had ITDM since 1986. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Hebbeln understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Hebbeln meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he does not 
have diabetic retinopathy. He holds an operator's license from Iowa.

Stephen E. Hochmiller

    Mr. Hochmiller, 60, has had ITDM since 2015. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Hochmiller understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Hochmiller meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Colorado.

Jack V. Holloway

    Mr. Holloway, 53, has had ITDM since 2013. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Holloway understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Holloway meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
Illinois.

Richard L. Hubbard

    Mr. Hubbard, 65, has had ITDM since 2015. His endocrinologist 
examined him

[[Page 28126]]

in 2016 and certified that he has had no severe hypoglycemic reactions 
resulting in loss of consciousness, requiring the assistance of another 
person, or resulting in impaired cognitive function that occurred 
without warning in the past 12 months and no recurrent (2 or more) 
severe hypoglycemic episodes in the last 5 years. His endocrinologist 
certifies that Mr. Hubbard understands diabetes management and 
monitoring, has stable control of his diabetes using insulin, and is 
able to drive a CMV safely. Mr. Hubbard meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2016 and certified that he does not have diabetic retinopathy. He 
holds a Class A CDL from Minnesota.

Sondra R. Jones

    Ms. Jones, 62, has had ITDM since 2015. Her endocrinologist 
examined her in 2016 and certified that she has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
Her endocrinologist certifies that Ms. Jones understands diabetes 
management and monitoring has stable control of her diabetes using 
insulin, and is able to drive a CMV safely. Ms. Jones meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). Her 
optometrist examined her in 2016 and certified that she does not have 
diabetic retinopathy. She holds a Class A CDL from Texas.

John F. Kelleher, Jr.

    Mr. Kelleher, 75, has had ITDM since 2010. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Kelleher understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Kelleher meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2015 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Massachusetts.

Stephen A. Kinney

    Mr. Kinney, 49, has had ITDM since 2015. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Kinney understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Kinney meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
Michigan.

Russell L. Koehn

    Mr. Koehn, 65, has had ITDM since 2011. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Koehn understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Koehn meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Illinois.

Timothy C. LaRue

    Mr. LaRue, 63, has had ITDM since 2014. His endocrinologist 
examined him in 2015 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. LaRue understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. LaRue meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he has stable 
proliferative diabetic retinopathy. He holds a Class A CDL from 
Florida.

Joseph M. Lopes

    Mr. Lopes, 61, has had ITDM since 2014. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Lopes understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Lopes meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he does not 
have diabetic retinopathy. He holds a Class A CDL from New Hampshire.

Ronald G. Mundt

    Mr. Mundt, 60, has had ITDM since 2015. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Mundt understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Mundt meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class B CDL from Wisconsin.

Derrick C. Nailon

    Mr. Nailon, 35, has had ITDM since 2010. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Nailon understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Nailon meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist

[[Page 28127]]

examined him in 2016 and certified that he does not have diabetic 
retinopathy. He holds a Class A CDL from Minnesota.

William B. Onimus

    Mr. Onimus, 46, has had ITDM since 2010. His endocrinologist 
examined him in 2015 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Onimus understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Onimus meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2015 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Pennsylvania.

Jesus O. Orellana

    Mr. Orellana, 55, has had ITDM since 2015. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Orellana understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Orellana meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2015 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Rhode Island.

Victor M. Orta

    Mr. Orta, 55, has had ITDM since 2015. His endocrinologist examined 
him in 2016 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (2 or 
more) severe hypoglycemic episodes in the last 5 years. His 
endocrinologist certifies that Mr. Orta understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Orta meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His ophthalmologist examined 
him in 2016 and certified that he does not have diabetic retinopathy. 
He holds a Class A CDL from Texas.

Travis J. Partridge

    Mr. Partridge, 27, has had ITDM since 1998. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Partridge understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Partridge meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds an operator's license 
from Iowa.

Adam L. Pennings

    Mr. Pennings, 25, has had ITDM since 2001. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Pennings understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Pennings meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
Minnesota.

Tyler D. Pittsley

    Mr. Pittsley, 24, has had ITDM since 2004. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Pittsley understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Pittsley meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from North Dakota.

William D. Powell

    Mr. Powell, 46, has had ITDM since 1981. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Powell understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Powell meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2015 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds an operator's license 
from Illinois.

Lee A. Pulda

    Mr. Pulda, 58, has had ITDM since 1998. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Pulda understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Pulda meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
Wisconsin.

Dustin L. Renfroe

    Mr. Renfroe, 27, has had ITDM since 2007. His endocrinologist 
examined him in 2015 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or

[[Page 28128]]

resulting in impaired cognitive function that occurred without warning 
in the past 12 months and no recurrent (2 or more) severe hypoglycemic 
episodes in the last 5 years. His endocrinologist certifies that Mr. 
Renfroe understands diabetes management and monitoring, has stable 
control of his diabetes using insulin, and is able to drive a CMV 
safely. Mr. Renfroe meets the requirements of the vision standard at 49 
CFR 391.41(b)(10). His optometrist examined him in 2015 and certified 
that he does not have diabetic retinopathy. He holds an operator's 
license from Texas.

Robert D. Risk

    Mr. Risk, 41, has had ITDM since 2014. His endocrinologist examined 
him in 2015 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (2 or 
more) severe hypoglycemic episodes in the last 5 years. His 
endocrinologist certifies that Mr. Risk understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Risk meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His ophthalmologist examined 
him in 2016 and certified that he has stable nonproliferative diabetic 
retinopathy. He holds a Class A CDL from Indiana.

David C. Roberts

    Mr. Roberts, 40, has had ITDM since 1988. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Roberts understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Roberts meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he does not 
have diabetic retinopathy. He holds an operator's license from South 
Dakota.

Richard L. Robinson

    Mr. Robinson, 62, has had ITDM since 2015. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Robinson understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Robinson meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he does not 
have diabetic retinopathy. He holds a Class A CDL from Michigan.

Randy Rowe

    Mr. Rowe, 34, has had ITDM since 2015. His endocrinologist examined 
him in 2016 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (2 or 
more) severe hypoglycemic episodes in the last 5 years. His 
endocrinologist certifies that Mr. Rowe understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Rowe meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2015 and certified that he does not have diabetic retinopathy. He 
holds an operator's license from Illinois.

William K. Sawyer II

    Mr. Sawyer, 37, has had ITDM since 2002. His endocrinologist 
examined him in 2015 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Sawyer understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Sawyer meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2015 and certified that he does not 
have diabetic retinopathy. He holds an operator's license from New 
Mexico.

Jeffrey J. Schnacker

    Mr. Schnacker, 44, has had ITDM since 2013. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Schnacker understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Schnacker meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2015 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Nebraska.

Jeffrey D. Smith

    Mr. Smith, 47, has had ITDM since 2015. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Smith understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Smith meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Maryland.

Anthony G. Stellatos

    Mr. Stellatos, 52, has had ITDM since 2010. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Stellatos understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Stellatos meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2015

[[Page 28129]]

and certified that he does not have diabetic retinopathy. He holds a 
Class A CDL from New Jersey.

Trent A. Stuber

    Mr. Stuber, 31, has had ITDM since 2006. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Stuber understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Stuber meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2015 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Illinois.

Samer M. Valle

    Mr. Valle, 51, has had ITDM since 2015. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Valle understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Valle meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Texas.

LaDon L. Wallin

    Mr. Wallin, 46, has had ITDM since 1990. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Wallin understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Wallin meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Minnesota.

Thomas J. Warren

    Mr. Warren, 60, has had ITDM since 2016. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Warren understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Warren meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he does not 
have diabetic retinopathy. He holds a Class A CDL from Minnesota.

Richard D. Webb

    Mr. Webb, 60, has had ITDM since 2014. His endocrinologist examined 
him in 2016 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (2 or 
more) severe hypoglycemic episodes in the last 5 years. His 
endocrinologist certifies that Mr. Webb understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Webb meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2016 and certified that he does not have diabetic retinopathy. He 
holds a Class A CDL from New York.

Grady L. Wilson, Jr.

    Mr. Wilson, 61, has had ITDM since 2013. His endocrinologist 
examined him in 2016 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Wilson understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Wilson meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2016 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Florida.

Karl S. Yauneridge

    Mr. Yauneridge, 24, has had ITDM since 2000. His endocrinologist 
examined him in 2015 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (2 or more) severe hypoglycemic episodes in the last 5 years. 
His endocrinologist certifies that Mr. Yauneridge understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Yauneridge meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2016 and certified that he does not 
have diabetic retinopathy. He holds an operator's license from 
Maryland.

III. Request for Comments

    In accordance with 49 U.S.C. 31136(e) and 31315, FMCSA requests 
public comment from all interested persons on the exemption petitions 
described in this notice. We will consider all comments received before 
the close of business on the closing date indicated in the date section 
of the notice.
    FMCSA notes that section 4129 of the Safe, Accountable, Flexible 
and Efficient Transportation Equity Act: A Legacy for Users requires 
the Secretary to revise its diabetes exemption program established on 
September 3, 2003 (68 FR 52441)\1\. The revision must provide for 
individual assessment of drivers with diabetes mellitus, and be 
consistent with the criteria described in section 4018 of the 
Transportation Equity Act for the 21st Century (49 U.S.C. 31305).
---------------------------------------------------------------------------

    \1\ Section 4129(a) refers to the 2003 notice as a ``final 
rule.'' However, the 2003 notice did not issue a ``final rule'' but 
did establish the procedures and standards for issuing exemptions 
for drivers with ITDM.
---------------------------------------------------------------------------

    Section 4129 requires: (1) Elimination of the requirement for 3 
years of experience operating CMVs while being treated with insulin; 
and (2) establishment of a specified minimum period of insulin use to 
demonstrate stable control of diabetes before being allowed to operate 
a CMV.
    In response to section 4129, FMCSA made immediate revisions to the 
diabetes exemption program established by the September 3, 2003 notice.

[[Page 28130]]

FMCSA discontinued use of the 3-year driving experience and fulfilled 
the requirements of section 4129 while continuing to ensure that 
operation of CMVs by drivers with ITDM will achieve the requisite level 
of safety required of all exemptions granted under 49 U.S.C. 31136 (e).
    Section 4129(d) also directed FMCSA to ensure that drivers of CMVs 
with ITDM are not held to a higher standard than other drivers, with 
the exception of limited operating, monitoring and medical requirements 
that are deemed medically necessary.
    The FMCSA concluded that all of the operating, monitoring and 
medical requirements set out in the September 3, 2003 notice, except as 
modified, were in compliance with section 4129(d). Therefore, all of 
the requirements set out in the September 3, 2003 notice, except as 
modified by the notice in the Federal Register on November 8, 2005 (70 
FR 67777), remain in effect.

IV. Submitting Comments

    You may submit your comments and material online or by fax, mail, 
or hand delivery, but please use only one of these means. FMCSA 
recommends that you include your name and a mailing address, an email 
address, or a phone number in the body of your document so that FMCSA 
can contact you if there are questions regarding your submission.
    To submit your comment online, go to http://www.regulations.gov and 
in the search box insert the docket number FMCSA-2016-0039 and click 
the search button. When the new screen appears, click on the blue 
``Comment Now!'' button on the right hand side of the page. On the new 
page, enter information required including the specific section of this 
document to which each comment applies, and provide a reason for each 
suggestion or recommendation. If you submit your comments by mail or 
hand delivery, submit them in an unbound format, no larger than 8\1/2\ 
by 11 inches, suitable for copying and electronic filing. If you submit 
comments by mail and would like to know that they reached the facility, 
please enclose a stamped, self-addressed postcard or envelope.
    We will consider all comments and material received during the 
comment period. FMCSA may issue a final determination at any time after 
the close of the comment period.

V. Viewing Comments and Documents

    To view comments, as well as any documents mentioned in this 
preamble, go to http://www.regulations.gov and in the search box insert 
the docket number FMCSA-2016-0039 and click ``Search.'' Next, click 
``Open Docket Folder'' and you will find all documents and comments 
related to this notice.

    Issued on: May 2, 2016.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2016-10873 Filed 5-6-16; 8:45 am]
 BILLING CODE 4910-EX-P



                                                                                  Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices                                                    28121

                                                  Chris C. Calogar                                        Wayne Turner                                          FMCSA–2015–0329 and click ‘‘Search.’’
                                                    Mr. Calogar, age 46, holds an                           Mr. Turner, age 26, holds an                        Next, click ‘‘Open Docket Folder’’ and
                                                  operator’s license in Ohio.                             operator’s license in Illinois.                       you will find all documents and
                                                                                                                                                                comments related to this notice.
                                                  Richard P. Carney                                       Paul Wentworth
                                                                                                                                                                  Issued on: April 29, 2016.
                                                    Mr. Carney, age 58, holds an                            Mr. Wentworth, age 48, holds an                     Larry W. Minor,
                                                  operator’s license in New York.                         operator’s license in Texas.                          Associate Administrator for Policy.
                                                  David Cochran                                           Kevin L.Wickman                                       [FR Doc. 2016–10789 Filed 5–6–16; 8:45 am]
                                                    Mr. Cochran, age 32, holds an                           Mr. Wickman, age 51, holds an                       BILLING CODE 4910–EX–P

                                                  operator’s license in Washington.                       operator’s license in Iowa.
                                                  Mark Deaken                                             Robert G. Wilson                                      DEPARTMENT OF TRANSPORTATION
                                                   Mr. Deaken, age 27, holds a class A                      Mr. Wilson, age 64, holds an
                                                  CDL in Montana.                                                                                               Federal Motor Carrier Safety
                                                                                                          operator’s license in Tennessee.
                                                                                                                                                                Administration
                                                  Ronald Doiron                                           III. Request for Comments
                                                    Mr. Doiron, age 49, holds an                             In accordance with 49 U.S.C. 31136(e)              [Docket No. FMCSA–2016–0039]
                                                  operator’s license in Massachusetts.                    and 31315, FMCSA requests public                      Qualification of Drivers; Exemption
                                                  Glenn Ferguson                                          comment from all interested persons on                Applications; Diabetes Mellitus
                                                                                                          the exemption petitions described in
                                                    Mr. Ferguson, age 52, holds an                        this notice. We will consider all                     AGENCY: Federal Motor Carrier Safety
                                                  operator’s license in Texas.                            comments received before the close of                 Administration (FMCSA).
                                                  James Griffin                                           business on the closing date indicated                ACTION: Notice of applications for
                                                                                                          in the date section of the notice.                    exemptions; request for comments.
                                                    Mr. Griffin, age 59, holds an
                                                  operator’s license in Tennessee.                        IV. Submitting Comments                               SUMMARY:   FMCSA announces receipt of
                                                  James Harris                                               You may submit your comments and                   applications from 65 individuals for
                                                                                                          material online or by fax, mail, or hand              exemption from the prohibition against
                                                     Mr. Harris, age 55, holds an operator’s
                                                                                                          delivery, but please use only one of                  persons with insulin-treated diabetes
                                                  license in Florida.
                                                                                                          these means. FMCSA recommends that                    mellitus (ITDM) operating commercial
                                                  Kristina Hundorf                                        you include your name and a mailing                   motor vehicles (CMVs) in interstate
                                                    Ms. Hundorf, age 50, holds an                         address, an email address, or a phone                 commerce. If granted, the exemptions
                                                  operator’s license in California.                       number in the body of your document                   would enable these individuals with
                                                                                                          so that FMCSA can contact you if there                ITDM to operate CMVs in interstate
                                                  Kenneth Jones                                           are questions regarding your                          commerce.
                                                    Mr. Jones, age 55, holds a class A CDL                submission.
                                                                                                             To submit your comment online, go to               DATES:  Comments must be received on
                                                  in New Jersey.                                                                                                or before June 8, 2016.
                                                                                                          http://www.regulations.gov and in the
                                                  Paul Mansfield                                          search box insert the docket number                   ADDRESSES: You may submit comments
                                                    Mr. Mansfield, age 39, holds an                       FMCSA–2015–0329 and click the search                  bearing the Federal Docket Management
                                                  operator’s license in Kansas.                           button. When the new screen appears,                  System (FDMS) Docket No. FMCSA–
                                                                                                          click on the blue ‘‘Comment Now!’’                    2016–0039 using any of the following
                                                  Eric Muniz                                                                                                    methods:
                                                                                                          button on the right hand side of the
                                                     Mr. Muniz, age 38, holds an operator’s               page. On the new page, enter                            • Federal eRulemaking Portal: Go to
                                                  license in Oklahoma.                                    information required including the                    http://www.regulations.gov. Follow the
                                                                                                          specific section of this document to                  on-line instructions for submitting
                                                  Anthony Panto                                                                                                 comments.
                                                                                                          which each comment applies, and
                                                    Mr. Panto, age 57, holds a class A CDL                provide a reason for each suggestion or                 • Mail: Docket Management Facility;
                                                  in New Jersey.                                          recommendation. If you submit your                    U.S. Department of Transportation, 1200
                                                  David Pogue                                             comments by mail or hand delivery,                    New Jersey Avenue SE., West Building
                                                                                                          submit them in an unbound format, no                  Ground Floor, Room W12–140,
                                                    Mr. Pogue, age 31, holds a class B                                                                          Washington, DC 20590–0001.
                                                                                                          larger than 81⁄2 by 11 inches, suitable for
                                                  CDL in Missouri.                                                                                                • Hand Delivery: West Building
                                                                                                          copying and electronic filing. If you
                                                  Jeffrey Prag                                            submit comments by mail and would                     Ground Floor, Room W12–140, 1200
                                                                                                          like to know that they reached the                    New Jersey Avenue SE., Washington,
                                                     Mr. Prag, age 56, holds a class AM
                                                                                                          facility, please enclose a stamped, self-             DC, between 9 a.m. and 5 p.m., Monday
                                                  CDL in Georgia.
                                                                                                          addressed postcard or envelope.                       through Friday, except Federal
                                                  James Prine                                                We will consider all comments and                  Holidays.
                                                     Mr. Prine, age 67, holds an operator’s               material received during the comment                    • Fax: 1–202–493–2251.
                                                  license in Arkansas.                                    period. FMCSA may issue a final                         Instructions: Each submission must
                                                                                                                                                                include the Agency name and the
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                                                                                                          determination any time after the close of
                                                  Steven Tipton                                           the comment period.                                   docket numbers for this notice. Note
                                                    Mr. Tipton, age 50, holds an                                                                                that all comments received will be
                                                                                                          V. Viewing Comments and Documents                     posted without change to http://
                                                  operator’s license in Iowa.
                                                                                                            To view comments, as well as any                    www.regulations.gov, including any
                                                  Eric Trevino                                            documents mentioned in this preamble,                 personal information provided. Please
                                                    Mr. Trevino, age 30, holds an                         go to http://www.regulations.gov and in               see the Privacy Act heading below for
                                                  operator’s license in Texas.                            the search box insert the docket number               further information.


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                                                  28122                           Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices

                                                     Docket: For access to the docket to                  in loss of consciousness, requiring the               in 2015 and certified that he has had no
                                                  read background documents or                            assistance of another person, or                      severe hypoglycemic reactions resulting
                                                  comments, go to http://                                 resulting in impaired cognitive function              in loss of consciousness, requiring the
                                                  www.regulations.gov at any time or                      that occurred without warning in the                  assistance of another person, or
                                                  Room W12–140 on the ground level of                     past 12 months and no recurrent (2 or                 resulting in impaired cognitive function
                                                  the West Building, 1200 New Jersey                      more) severe hypoglycemic episodes in                 that occurred without warning in the
                                                  Avenue, SE., Washington, DC, between                    the last 5 years. His endocrinologist                 past 12 months and no recurrent (2 or
                                                  9 a.m. and 5 p.m., Monday through                       certifies that Mr. Alvarez understands                more) severe hypoglycemic episodes in
                                                  Friday, except Federal holidays. The                    diabetes management and monitoring,                   the last 5 years. His endocrinologist
                                                  Federal Docket Management System                        has stable control of his diabetes using              certifies that Mr. Arvizu understands
                                                  (FDMS) is available 24 hours each day,                  insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                                  365 days each year. If you want                         safely. Mr. Alvarez meets the                         has stable control of his diabetes using
                                                  acknowledgment that we received your                    requirements of the vision standard at                insulin, and is able to drive a CMV
                                                  comments, please include a self-                        49 CFR 391.41(b)(10). His optometrist                 safely. Mr. Arvizu meets the
                                                  addressed, stamped envelope or                          examined him in 2016 and certified that               requirements of the vision standard at
                                                  postcard or print the acknowledgement                   he does not have diabetic retinopathy.                49 CFR 391.41(b)(10). His
                                                  page that appears after submitting                      He holds an operator’s license from                   ophthalmologist examined him in 2015
                                                  comments on-line.                                       Kansas.                                               and certified that he does not have
                                                     Privacy Act: In accordance with 5                    Matthew P. Ambrose                                    diabetic retinopathy. He holds a Class B
                                                  U.S.C. 553(c), DOT solicits comments                                                                          CDL from Florida.
                                                  from the public to better inform its                      Mr. Ambrose, 39, has had ITDM since
                                                  rulemaking process. DOT posts these                     2012. His endocrinologist examined him                Steven E. Beining
                                                  comments, without edit, including any                   in 2016 and certified that he has had no
                                                  personal information the commenter                      severe hypoglycemic reactions resulting                 Mr. Beining, 53, has had ITDM since
                                                  provides, to www.regulations.gov, as                    in loss of consciousness, requiring the               1996. His endocrinologist examined him
                                                  described in the system of records                      assistance of another person, or                      in 2016 and certified that he has had no
                                                  notice (DOT/ALL–14 FDMS), which can                     resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                                  be reviewed at www.dot.gov/privacy.                     that occurred without warning in the                  in loss of consciousness, requiring the
                                                                                                          past 12 months and no recurrent (2 or                 assistance of another person, or
                                                  FOR FURTHER INFORMATION CONTACT:
                                                                                                          more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                                  Christine A. Hydock, Chief, Medical
                                                                                                          the last 5 years. His endocrinologist                 that occurred without warning in the
                                                  Programs Division, (202) 366–4001,
                                                  fmcsamedical@dot.gov, FMCSA,                            certifies that Mr. Ambrose understands                past 12 months and no recurrent (2 or
                                                  Department of Transportation, 1200                      diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                                  New Jersey Avenue SE., Room W64–                        has stable control of his diabetes using              the last 5 years. His endocrinologist
                                                  113, Washington, DC 20590–0001.                         insulin, and is able to drive a CMV                   certifies that Mr. Beining understands
                                                  Office hours are 8:30 a.m. to 5 p.m.,                   safely. Mr. Ambrose meets the                         diabetes management and monitoring,
                                                  E.T., Monday through Friday, except                     requirements of the vision standard at                has stable control of his diabetes using
                                                  Federal holidays.                                       49 CFR 391.41(b)(10). His optometrist                 insulin, and is able to drive a CMV
                                                                                                          examined him in 2016 and certified that               safely. Mr. Beining meets the
                                                  SUPPLEMENTARY INFORMATION:
                                                                                                          he does not have diabetic retinopathy.                requirements of the vision standard at
                                                  I. Background                                           He holds a Class A CDL from Ohio.                     49 CFR 391.41(b)(10). His optometrist
                                                     Under 49 U.S.C. 31136(e) and 31315,                  Christopher M. Anderson                               examined him in 2016 and certified that
                                                  FMCSA may grant an exemption from                                                                             he does not have diabetic retinopathy.
                                                                                                            Mr. Anderson, 41, has had ITDM                      He holds a Class A CDL from Ohio.
                                                  the Federal Motor Carrier Safety
                                                                                                          since 1996. His endocrinologist
                                                  Regulations for a 2-year period if it finds                                                                   Steven Belback
                                                                                                          examined him in 2015 and certified that
                                                  ‘‘such exemption would likely achieve a
                                                                                                          he has had no severe hypoglycemic
                                                  level of safety that is equivalent to or                                                                        Mr. Belback, 57, has had ITDM since
                                                                                                          reactions resulting in loss of
                                                  greater than the level that would be                                                                          1999. His endocrinologist examined him
                                                                                                          consciousness, requiring the assistance
                                                  achieved absent such exemption.’’ The                                                                         in 2015 and certified that he has had no
                                                                                                          of another person, or resulting in
                                                  statute also allows the Agency to renew                                                                       severe hypoglycemic reactions resulting
                                                                                                          impaired cognitive function that
                                                  exemptions at the end of the 2-year                                                                           in loss of consciousness, requiring the
                                                                                                          occurred without warning in the past 12
                                                  period. The 65 individuals listed in this                                                                     assistance of another person, or
                                                                                                          months and no recurrent (2 or more)
                                                  notice have recently requested such an                                                                        resulting in impaired cognitive function
                                                                                                          severe hypoglycemic episodes in the
                                                  exemption from the diabetes prohibition                                                                       that occurred without warning in the
                                                                                                          last 5 years. His endocrinologist certifies
                                                  in 49 CFR 391.41(b) (3), which applies                                                                        past 12 months and no recurrent (2 or
                                                                                                          that Mr. Anderson understands diabetes
                                                  to drivers of CMVs in interstate                                                                              more) severe hypoglycemic episodes in
                                                                                                          management and monitoring, has stable
                                                  commerce. Accordingly, the Agency                                                                             the last 5 years. His endocrinologist
                                                                                                          control of his diabetes using insulin,
                                                  will evaluate the qualifications of each                                                                      certifies that Mr. Belback understands
                                                                                                          and is able to drive a CMV safely. Mr.
                                                  applicant to determine whether granting                                                                       diabetes management and monitoring,
                                                                                                          Anderson meets the requirements of the
                                                  the exemption will achieve the required                                                                       has stable control of his diabetes using
                                                                                                          vision standard at 49 CFR 391.41(b)(10).
                                                  level of safety mandated by statute.                                                                          insulin, and is able to drive a CMV
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                                                                                                          His ophthalmologist examined him in
                                                  II. Qualifications of Applicants                        2015 and certified that he has stable                 safely. Mr. Belback meets the
                                                                                                          nonproliferative diabetic retinopathy.                requirements of the vision standard at
                                                  Israel R.H. Alvarez                                                                                           49 CFR 391.41(b)(10). His optometrist
                                                                                                          He holds a Class A CDL from Arkansas.
                                                     Mr. Alvarez, 32, has had ITDM since                                                                        examined him in 2015 and certified that
                                                  2015. His endocrinologist examined him                  Juan Arvizu                                           he does not have diabetic retinopathy.
                                                  in 2016 and certified that he has had no                  Mr. Arvizu, 45, has had ITDM since                  He holds a Class A CDL from
                                                  severe hypoglycemic reactions resulting                 2013. His endocrinologist examined him                Pennsylvania.


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                                                                                  Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices                                             28123

                                                  Joseph N. Beller                                        John Ciesmelewski                                     examined him in 2016 and certified that
                                                    Mr. Beller, 64, has had ITDM since                      Mr. Ciesmelewski, 61, has had ITDM                  he does not have diabetic retinopathy.
                                                  2014. His endocrinologist examined him                  since 2012. His endocrinologist                       He holds an operator’s license from
                                                  in 2016 and certified that he has had no                examined him in 2016 and certified that               Minnesota.
                                                  severe hypoglycemic reactions resulting                 he has had no severe hypoglycemic                     Charla J. Donahy
                                                  in loss of consciousness, requiring the                 reactions resulting in loss of                          Ms. Donahy, 38, has had ITDM since
                                                  assistance of another person, or                        consciousness, requiring the assistance               2015. Her endocrinologist examined her
                                                  resulting in impaired cognitive function                of another person, or resulting in                    in 2015 and certified that she has had
                                                  that occurred without warning in the                    impaired cognitive function that                      no severe hypoglycemic reactions
                                                  past 12 months and no recurrent (2 or                   occurred without warning in the past 12               resulting in loss of consciousness,
                                                  more) severe hypoglycemic episodes in                   months and no recurrent (2 or more)                   requiring the assistance of another
                                                  the last 5 years. His endocrinologist                   severe hypoglycemic episodes in the                   person, or resulting in impaired
                                                  certifies that Mr. Beller understands                   last 5 years. His endocrinologist certifies           cognitive function that occurred without
                                                  diabetes management and monitoring,                     that Mr. Ciesmelewski understands                     warning in the past 12 months and no
                                                  has stable control of his diabetes using                diabetes management and monitoring,                   recurrent (2 or more) severe
                                                  insulin, and is able to drive a CMV                     has stable control of his diabetes using              hypoglycemic episodes in the last 5
                                                  safely. Mr. Beller meets the                            insulin, and is able to drive a CMV                   years. Her endocrinologist certifies that
                                                  requirements of the vision standard at                  safely. Mr. Ciesmelewski meets the                    Ms. Donahy understands diabetes
                                                  49 CFR 391.41(b)(10). His optometrist                   requirements of the vision standard at                management and monitoring has stable
                                                  examined him in 2016 and certified that                 49 CFR 391.41(b)(10). His optometrist                 control of her diabetes using insulin,
                                                  he does not have diabetic retinopathy.                  examined him in 2016 and certified that               and is able to drive a CMV safely. Ms.
                                                  He holds a Class A CDL from Texas.                      he does not have diabetic retinopathy.                Donahy meets the requirements of the
                                                                                                          He holds a Class C CDL from New                       vision standard at 49 CFR 391.41(b)(10).
                                                  Roger D. Bragg
                                                                                                          Jersey.                                               Her optometrist examined her in 2015
                                                    Mr. Bragg, 47, has had ITDM since                                                                           and certified that she does not have
                                                  2016. His endocrinologist examined him                  Ernest W. Collett
                                                                                                                                                                diabetic retinopathy. She holds an
                                                  in 2016 and certified that he has had no                  Mr. Collett, 59, has had ITDM since                 operator’s license from Texas.
                                                  severe hypoglycemic reactions resulting                 2006. His endocrinologist examined him
                                                  in loss of consciousness, requiring the                 in 2016 and certified that he has had no              Jason A. Edington
                                                  assistance of another person, or                        severe hypoglycemic reactions resulting                 Mr. Edington, 44, has had ITDM since
                                                  resulting in impaired cognitive function                in loss of consciousness, requiring the               2014. His endocrinologist examined him
                                                  that occurred without warning in the                    assistance of another person, or                      in 2015 and certified that he has had no
                                                  past 12 months and no recurrent (2 or                   resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                                  more) severe hypoglycemic episodes in                   that occurred without warning in the                  in loss of consciousness, requiring the
                                                  the last 5 years. His endocrinologist                   past 12 months and no recurrent (2 or                 assistance of another person, or
                                                  certifies that Mr. Bragg understands                    more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                                  diabetes management and monitoring,                     the last 5 years. His endocrinologist                 that occurred without warning in the
                                                  has stable control of his diabetes using                certifies that Mr. Collett understands                past 12 months and no recurrent (2 or
                                                  insulin, and is able to drive a CMV                     diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                                  safely. Mr. Bragg meets the requirements                has stable control of his diabetes using              the last 5 years. His endocrinologist
                                                  of the vision standard at 49 CFR                        insulin, and is able to drive a CMV                   certifies that Mr. Edington understands
                                                  391.41(b)(10). His optometrist examined                 safely. Mr. Collett meets the                         diabetes management and monitoring,
                                                  him in 2016 and certified that he does                  requirements of the vision standard at                has stable control of his diabetes using
                                                  not have diabetic retinopathy. He holds                 49 CFR 391.41(b)(10). His                             insulin, and is able to drive a CMV
                                                  a Class A CDL from West Virginia.                       ophthalmologist examined him in 2016                  safely. Mr. Edington meets the
                                                                                                          and certified that he does not have                   requirements of the vision standard at
                                                  Jonathan Bu
                                                                                                          diabetic retinopathy. He holds a Class A              49 CFR 391.41(b)(10). His optometrist
                                                    Mr. Bu, 27, has had ITDM since 1999.                  CDL from Texas.                                       examined him in 2015 and certified that
                                                  His endocrinologist examined him in                                                                           he does not have diabetic retinopathy.
                                                  2016 and certified that he has had no                   Daniel C. Crider
                                                                                                                                                                He holds a Class A CDL from Tennessee.
                                                  severe hypoglycemic reactions resulting                   Mr. Crider, 38, has had ITDM since
                                                  in loss of consciousness, requiring the                 1991. His endocrinologist examined him                Richard D. Florio, Jr.
                                                  assistance of another person, or                        in 2016 and certified that he has had no                Mr. Florio, 44, has had ITDM since
                                                  resulting in impaired cognitive function                severe hypoglycemic reactions resulting               1989. His endocrinologist examined him
                                                  that occurred without warning in the                    in loss of consciousness, requiring the               in 2015 and certified that he has had no
                                                  past 12 months and no recurrent (2 or                   assistance of another person, or                      severe hypoglycemic reactions resulting
                                                  more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              in loss of consciousness, requiring the
                                                  the last 5 years. His endocrinologist                   that occurred without warning in the                  assistance of another person, or
                                                  certifies that Mr. Bu understands                       past 12 months and no recurrent (2 or                 resulting in impaired cognitive function
                                                  diabetes management and monitoring,                     more) severe hypoglycemic episodes in                 that occurred without warning in the
                                                  has stable control of his diabetes using                the last 5 years. His endocrinologist                 past 12 months and no recurrent (2 or
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                                                  insulin, and is able to drive a CMV                     certifies that Mr. Crider understands                 more) severe hypoglycemic episodes in
                                                  safely. Mr. Bu meets the requirements of                diabetes management and monitoring,                   the last 5 years. His endocrinologist
                                                  the vision standard at 49 CFR                           has stable control of his diabetes using              certifies that Mr. Florio understands
                                                  391.41(b)(10). His optometrist examined                 insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                                  him in 2015 and certified that he does                  safely. Mr. Crider meets the                          has stable control of his diabetes using
                                                  not have diabetic retinopathy. He holds                 requirements of the vision standard at                insulin, and is able to drive a CMV
                                                  an operator’s license from New Jersey.                  49 CFR 391.41(b)(10). His optometrist                 safely. Mr. Florio meets the


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                                                  28124                           Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices

                                                  requirements of the vision standard at                  and is able to drive a CMV safely. Mr.                diabetes management and monitoring,
                                                  49 CFR 391.41(b)(10). His optometrist                   Friedman meets the requirements of the                has stable control of his diabetes using
                                                  examined him in 2015 and certified that                 vision standard at 49 CFR 391.41(b)(10).              insulin, and is able to drive a CMV
                                                  he does not have diabetic retinopathy.                  His optometrist examined him in 2016                  safely. Mr. Gervasio meets the
                                                  He holds a Class A CDL from New York.                   and certified that he does not have                   requirements of the vision standard at
                                                                                                          diabetic retinopathy. He holds a Class B              49 CFR 391.41(b)(10). His
                                                  Tyler J. Francis
                                                                                                          CDL from New York.                                    ophthalmologist examined him in 2016
                                                    Mr. Francis, 66, has had ITDM since                                                                         and certified that he does not have
                                                  2015. His endocrinologist examined him                  Dean Gage
                                                                                                                                                                diabetic retinopathy. He holds a Class A
                                                  in 2016 and certified that he has had no                   Mr. Gage, 50, has had ITDM since                   CDL from New York.
                                                  severe hypoglycemic reactions resulting                 1986. His endocrinologist examined him
                                                  in loss of consciousness, requiring the                 in 2016 and certified that he has had no              Harvey E. Gordon
                                                  assistance of another person, or                        severe hypoglycemic reactions resulting                 Mr. Gordon, 65, has had ITDM since
                                                  resulting in impaired cognitive function                in loss of consciousness, requiring the               2010. His endocrinologist examined him
                                                  that occurred without warning in the                    assistance of another person, or                      in 2016 and certified that he has had no
                                                  past 12 months and no recurrent (2 or                   resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                                  more) severe hypoglycemic episodes in                   that occurred without warning in the                  in loss of consciousness, requiring the
                                                  the last 5 years. His endocrinologist                   past 12 months and no recurrent (2 or                 assistance of another person, or
                                                  certifies that Mr. Francis understands                  more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                                  diabetes management and monitoring,                     the last 5 years. His endocrinologist                 that occurred without warning in the
                                                  has stable control of his diabetes using                certifies that Mr. Gage understands                   past 12 months and no recurrent (2 or
                                                  insulin, and is able to drive a CMV                     diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                                  safely. Mr. Francis meets the                           has stable control of his diabetes using              the last 5 years. His endocrinologist
                                                  requirements of the vision standard at                  insulin, and is able to drive a CMV                   certifies that Mr. Gordon understands
                                                  49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Gage meets the requirements               diabetes management and monitoring,
                                                  examined him in 2016 and certified that                 of the vision standard at 49 CFR                      has stable control of his diabetes using
                                                  he does not have diabetic retinopathy.                  391.41(b)(10). His ophthalmologist                    insulin, and is able to drive a CMV
                                                  He holds a Class A CDL from Kansas.                     examined him in 2016 and certified that               safely. Mr. Gordon meets the
                                                                                                          he has stable nonproliferative diabetic               requirements of the vision standard at
                                                  Calvin L. Frew
                                                                                                          retinopathy. He holds an operator’s                   49 CFR 391.41(b)(10). His
                                                     Mr. Frew, 56, has had ITDM since                     license from New York.                                ophthalmologist examined him in 2016
                                                  2014. His endocrinologist examined him                                                                        and certified that he does not have
                                                  in 2016 and certified that he has had no                William Gallagher
                                                                                                                                                                diabetic retinopathy. He holds a Class A
                                                  severe hypoglycemic reactions resulting                   Mr. Gallagher, 62, has had ITDM since               CDL from Massachusetts.
                                                  in loss of consciousness, requiring the                 1990. His endocrinologist examined him
                                                  assistance of another person, or                        in 2016 and certified that he has had no              James W. Gorman, Jr.
                                                  resulting in impaired cognitive function                severe hypoglycemic reactions resulting                 Mr. Gorman, 58, has had ITDM since
                                                  that occurred without warning in the                    in loss of consciousness, requiring the               2014. His endocrinologist examined him
                                                  past 12 months and no recurrent (2 or                   assistance of another person, or                      in 2015 and certified that he has had no
                                                  more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                                  the last 5 years. His endocrinologist                   that occurred without warning in the                  in loss of consciousness, requiring the
                                                  certifies that Mr. Frew understands                     past 12 months and no recurrent (2 or                 assistance of another person, or
                                                  diabetes management and monitoring,                     more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                                  has stable control of his diabetes using                the last 5 years. His endocrinologist                 that occurred without warning in the
                                                  insulin, and is able to drive a CMV                     certifies that Mr. Gallagher understands              past 12 months and no recurrent (2 or
                                                  safely. Mr. Frew meets the requirements                 diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                                  of the vision standard at 49 CFR                        has stable control of his diabetes using              the last 5 years. His endocrinologist
                                                  391.41(b)(10). His ophthalmologist                      insulin, and is able to drive a CMV                   certifies that Mr. Gorman understands
                                                  examined him in 2016 and certified that                 safely. Mr. Gallagher meets the                       diabetes management and monitoring,
                                                  he has stable nonproliferative diabetic                 requirements of the vision standard at                has stable control of his diabetes using
                                                  retinopathy. He holds a Class A CDL                     49 CFR 391.41(b)(10). His optometrist                 insulin, and is able to drive a CMV
                                                  from Idaho.                                             examined him in 2016 and certified that               safely. Mr. Gorman meets the
                                                                                                          he does not have diabetic retinopathy.                requirements of the vision standard at
                                                  Juda Friedman
                                                                                                          He holds a Class A CDL from                           49 CFR 391.41(b)(10). His optometrist
                                                    Mr. Friedman, 35, has had ITDM                        Pennsylvania.                                         examined him in 2016 and certified that
                                                  since 2013. His endocrinologist                                                                               he does not have diabetic retinopathy.
                                                  examined him in 2016 and certified that                 Michael A. Gervasio
                                                                                                                                                                He holds an operator’s license from
                                                  he has had no severe hypoglycemic                         Mr. Gervasio, 58, has had ITDM since                Maryland.
                                                  reactions resulting in loss of                          2015. His endocrinologist examined him
                                                  consciousness, requiring the assistance                 in 2016 and certified that he has had no              Christopher L. Greene
                                                  of another person, or resulting in                      severe hypoglycemic reactions resulting                 Mr. Greene, 37, has had ITDM since
                                                  impaired cognitive function that                        in loss of consciousness, requiring the               2004. His endocrinologist examined him
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                                                  occurred without warning in the past 12                 assistance of another person, or                      in 2016 and certified that he has had no
                                                  months and no recurrent (2 or more)                     resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                                  severe hypoglycemic episodes in the                     that occurred without warning in the                  in loss of consciousness, requiring the
                                                  last 5 years. His endocrinologist certifies             past 12 months and no recurrent (2 or                 assistance of another person, or
                                                  that Mr. Friedman understands diabetes                  more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                                  management and monitoring, has stable                   the last 5 years. His endocrinologist                 that occurred without warning in the
                                                  control of his diabetes using insulin,                  certifies that Mr. Gervasio understands               past 12 months and no recurrent (2 or


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                                                                                  Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices                                               28125

                                                  more) severe hypoglycemic episodes in                   assistance of another person, or                      assistance of another person, or
                                                  the last 5 years. His endocrinologist                   resulting in impaired cognitive function              resulting in impaired cognitive function
                                                  certifies that Mr. Greene understands                   that occurred without warning in the                  that occurred without warning in the
                                                  diabetes management and monitoring,                     past 12 months and no recurrent (2 or                 past 12 months and no recurrent (2 or
                                                  has stable control of his diabetes using                more) severe hypoglycemic episodes in                 more) severe hypoglycemic episodes in
                                                  insulin, and is able to drive a CMV                     the last 5 years. His endocrinologist                 the last 5 years. His endocrinologist
                                                  safely. Mr. Greene meets the                            certifies that Mr. Harding understands                certifies that Mr. Hebbeln understands
                                                  requirements of the vision standard at                  diabetes management and monitoring,                   diabetes management and monitoring,
                                                  49 CFR 391.41(b)(10). His optometrist                   has stable control of his diabetes using              has stable control of his diabetes using
                                                  examined him in 2016 and certified that                 insulin, and is able to drive a CMV                   insulin, and is able to drive a CMV
                                                  he does not have diabetic retinopathy.                  safely. Mr. Harding meets the                         safely. Mr. Hebbeln meets the
                                                  He holds an operator’s license from                     requirements of the vision standard at                requirements of the vision standard at
                                                  Wyoming.                                                49 CFR 391.41(b)(10). His optometrist                 49 CFR 391.41(b)(10). His
                                                                                                          examined him in 2015 and certified that               ophthalmologist examined him in 2016
                                                  Gregor C. Guisewhite
                                                                                                          he does not have diabetic retinopathy.                and certified that he does not have
                                                    Mr. Guisewhite, 53, has had ITDM                      He holds a Class B CDL from Minnesota.                diabetic retinopathy. He holds an
                                                  since 2013. His endocrinologist                                                                               operator’s license from Iowa.
                                                  examined him in 2015 and certified that                 Brandon R. Hart
                                                  he has had no severe hypoglycemic                         Mr. Hart, 34, has had ITDM since                    Stephen E. Hochmiller
                                                  reactions resulting in loss of                          2006. His endocrinologist examined him                  Mr. Hochmiller, 60, has had ITDM
                                                  consciousness, requiring the assistance                 in 2016 and certified that he has had no              since 2015. His endocrinologist
                                                  of another person, or resulting in                      severe hypoglycemic reactions resulting               examined him in 2016 and certified that
                                                  impaired cognitive function that                        in loss of consciousness, requiring the               he has had no severe hypoglycemic
                                                  occurred without warning in the past 12                 assistance of another person, or                      reactions resulting in loss of
                                                  months and no recurrent (2 or more)                     resulting in impaired cognitive function              consciousness, requiring the assistance
                                                  severe hypoglycemic episodes in the                     that occurred without warning in the                  of another person, or resulting in
                                                  last 5 years. His endocrinologist certifies             past 12 months and no recurrent (2 or                 impaired cognitive function that
                                                  that Mr. Guisewhite understands                         more) severe hypoglycemic episodes in                 occurred without warning in the past 12
                                                  diabetes management and monitoring,                     the last 5 years. His endocrinologist                 months and no recurrent (2 or more)
                                                  has stable control of his diabetes using                certifies that Mr. Hart understands                   severe hypoglycemic episodes in the
                                                  insulin, and is able to drive a CMV                     diabetes management and monitoring,                   last 5 years. His endocrinologist certifies
                                                  safely. Mr. Guisewhite meets the                        has stable control of his diabetes using              that Mr. Hochmiller understands
                                                  requirements of the vision standard at                  insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                                  49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Hart meets the requirements               has stable control of his diabetes using
                                                  examined him in 2016 and certified that                 of the vision standard at 49 CFR                      insulin, and is able to drive a CMV
                                                  he does not have diabetic retinopathy.                  391.41(b)(10). His optometrist examined               safely. Mr. Hochmiller meets the
                                                  He holds a Class A CDL from                             him in 2016 and certified that he does                requirements of the vision standard at
                                                  Pennsylvania.                                           not have diabetic retinopathy. He holds               49 CFR 391.41(b)(10). His optometrist
                                                                                                          an operator’s license from Texas.                     examined him in 2016 and certified that
                                                  Aleaha M. Hallgren
                                                                                                                                                                he does not have diabetic retinopathy.
                                                    Ms. Hallgren, 24, has had ITDM since                  Carl E. Hawkins
                                                                                                                                                                He holds a Class A CDL from Colorado.
                                                  2016. Her endocrinologist examined her                    Mr. Hawkins, 69, has had ITDM since
                                                  in 2016 and certified that she has had                  2015. His endocrinologist examined him                Jack V. Holloway
                                                  no severe hypoglycemic reactions                        in 2016 and certified that he has had no                Mr. Holloway, 53, has had ITDM
                                                  resulting in loss of consciousness,                     severe hypoglycemic reactions resulting               since 2013. His endocrinologist
                                                  requiring the assistance of another                     in loss of consciousness, requiring the               examined him in 2016 and certified that
                                                  person, or resulting in impaired                        assistance of another person, or                      he has had no severe hypoglycemic
                                                  cognitive function that occurred without                resulting in impaired cognitive function              reactions resulting in loss of
                                                  warning in the past 12 months and no                    that occurred without warning in the                  consciousness, requiring the assistance
                                                  recurrent (2 or more) severe                            past 12 months and no recurrent (2 or                 of another person, or resulting in
                                                  hypoglycemic episodes in the last 5                     more) severe hypoglycemic episodes in                 impaired cognitive function that
                                                  years. Her endocrinologist certifies that               the last 5 years. His endocrinologist                 occurred without warning in the past 12
                                                  Ms. Hallgren understands diabetes                       certifies that Mr. Hawkins understands                months and no recurrent (2 or more)
                                                  management and monitoring, has stable                   diabetes management and monitoring,                   severe hypoglycemic episodes in the
                                                  control of her diabetes using insulin,                  has stable control of his diabetes using              last 5 years. His endocrinologist certifies
                                                  and is able to drive a CMV safely. Ms.                  insulin, and is able to drive a CMV                   that Mr. Holloway understands diabetes
                                                  Hallgren meets the requirements of the                  safely. Mr. Hawkins meets the                         management and monitoring, has stable
                                                  vision standard at 49 CFR 391.41(b)(10).                requirements of the vision standard at                control of his diabetes using insulin,
                                                  Her optometrist examined her in 2016                    49 CFR 391.41(b)(10). His optometrist                 and is able to drive a CMV safely. Mr.
                                                  and certified that she does not have                    examined him in 2016 and certified that               Holloway meets the requirements of the
                                                  diabetic retinopathy. She holds a Class                 he does not have diabetic retinopathy.                vision standard at 49 CFR 391.41(b)(10).
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                                                  B CDL from Illinois.                                    He holds a Class A CDL from Illinois.                 His ophthalmologist examined him in
                                                                                                                                                                2016 and certified that he has stable
                                                  Dennis T. Harding                                       Craig J. Hebbeln
                                                                                                                                                                nonproliferative diabetic retinopathy.
                                                    Mr. Harding, 56, has had ITDM since                     Mr. Hebbeln, 51, has had ITDM since                 He holds a Class A CDL from Illinois.
                                                  2004. His endocrinologist examined him                  1986. His endocrinologist examined him
                                                  in 2016 and certified that he has had no                in 2016 and certified that he has had no              Richard L. Hubbard
                                                  severe hypoglycemic reactions resulting                 severe hypoglycemic reactions resulting                 Mr. Hubbard, 65, has had ITDM since
                                                  in loss of consciousness, requiring the                 in loss of consciousness, requiring the               2015. His endocrinologist examined him


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                                                  28126                           Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices

                                                  in 2016 and certified that he has had no                Stephen A. Kinney                                     proliferative diabetic retinopathy. He
                                                  severe hypoglycemic reactions resulting                   Mr. Kinney, 49, has had ITDM since                  holds a Class A CDL from Florida.
                                                  in loss of consciousness, requiring the                 2015. His endocrinologist examined him                Joseph M. Lopes
                                                  assistance of another person, or                        in 2016 and certified that he has had no
                                                  resulting in impaired cognitive function                                                                        Mr. Lopes, 61, has had ITDM since
                                                                                                          severe hypoglycemic reactions resulting               2014. His endocrinologist examined him
                                                  that occurred without warning in the                    in loss of consciousness, requiring the
                                                  past 12 months and no recurrent (2 or                                                                         in 2016 and certified that he has had no
                                                                                                          assistance of another person, or                      severe hypoglycemic reactions resulting
                                                  more) severe hypoglycemic episodes in                   resulting in impaired cognitive function
                                                  the last 5 years. His endocrinologist                                                                         in loss of consciousness, requiring the
                                                                                                          that occurred without warning in the                  assistance of another person, or
                                                  certifies that Mr. Hubbard understands                  past 12 months and no recurrent (2 or
                                                  diabetes management and monitoring,                                                                           resulting in impaired cognitive function
                                                                                                          more) severe hypoglycemic episodes in                 that occurred without warning in the
                                                  has stable control of his diabetes using                the last 5 years. His endocrinologist
                                                  insulin, and is able to drive a CMV                                                                           past 12 months and no recurrent (2 or
                                                                                                          certifies that Mr. Kinney understands                 more) severe hypoglycemic episodes in
                                                  safely. Mr. Hubbard meets the                           diabetes management and monitoring,
                                                  requirements of the vision standard at                                                                        the last 5 years. His endocrinologist
                                                                                                          has stable control of his diabetes using              certifies that Mr. Lopes understands
                                                  49 CFR 391.41(b)(10). His optometrist                   insulin, and is able to drive a CMV
                                                  examined him in 2016 and certified that                                                                       diabetes management and monitoring,
                                                                                                          safely. Mr. Kinney meets the                          has stable control of his diabetes using
                                                  he does not have diabetic retinopathy.                  requirements of the vision standard at
                                                  He holds a Class A CDL from                                                                                   insulin, and is able to drive a CMV
                                                                                                          49 CFR 391.41(b)(10). His                             safely. Mr. Lopes meets the
                                                  Minnesota.                                              ophthalmologist examined him in 2016                  requirements of the vision standard at
                                                  Sondra R. Jones                                         and certified that he has stable                      49 CFR 391.41(b)(10). His
                                                                                                          nonproliferative diabetic retinopathy.                ophthalmologist examined him in 2016
                                                    Ms. Jones, 62, has had ITDM since                     He holds a Class A CDL from Michigan.                 and certified that he does not have
                                                  2015. Her endocrinologist examined her
                                                                                                          Russell L. Koehn                                      diabetic retinopathy. He holds a Class A
                                                  in 2016 and certified that she has had
                                                                                                                                                                CDL from New Hampshire.
                                                  no severe hypoglycemic reactions                          Mr. Koehn, 65, has had ITDM since
                                                  resulting in loss of consciousness,                     2011. His endocrinologist examined him                Ronald G. Mundt
                                                  requiring the assistance of another                     in 2016 and certified that he has had no                Mr. Mundt, 60, has had ITDM since
                                                  person, or resulting in impaired                        severe hypoglycemic reactions resulting               2015. His endocrinologist examined him
                                                  cognitive function that occurred without                in loss of consciousness, requiring the               in 2016 and certified that he has had no
                                                  warning in the past 12 months and no                    assistance of another person, or                      severe hypoglycemic reactions resulting
                                                  recurrent (2 or more) severe                            resulting in impaired cognitive function              in loss of consciousness, requiring the
                                                  hypoglycemic episodes in the last 5                     that occurred without warning in the                  assistance of another person, or
                                                  years. Her endocrinologist certifies that               past 12 months and no recurrent (2 or                 resulting in impaired cognitive function
                                                  Ms. Jones understands diabetes                          more) severe hypoglycemic episodes in                 that occurred without warning in the
                                                  management and monitoring has stable                    the last 5 years. His endocrinologist                 past 12 months and no recurrent (2 or
                                                  control of her diabetes using insulin,                  certifies that Mr. Koehn understands                  more) severe hypoglycemic episodes in
                                                  and is able to drive a CMV safely. Ms.                  diabetes management and monitoring,                   the last 5 years. His endocrinologist
                                                  Jones meets the requirements of the                     has stable control of his diabetes using              certifies that Mr. Mundt understands
                                                  vision standard at 49 CFR 391.41(b)(10).                insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                                  Her optometrist examined her in 2016                    safely. Mr. Koehn meets the                           has stable control of his diabetes using
                                                  and certified that she does not have                    requirements of the vision standard at                insulin, and is able to drive a CMV
                                                  diabetic retinopathy. She holds a Class                 49 CFR 391.41(b)(10). His optometrist                 safely. Mr. Mundt meets the
                                                  A CDL from Texas.                                       examined him in 2016 and certified that               requirements of the vision standard at
                                                  John F. Kelleher, Jr.                                   he does not have diabetic retinopathy.                49 CFR 391.41(b)(10). His optometrist
                                                                                                          He holds a Class A CDL from Illinois.                 examined him in 2016 and certified that
                                                    Mr. Kelleher, 75, has had ITDM since                                                                        he does not have diabetic retinopathy.
                                                  2010. His endocrinologist examined him                  Timothy C. LaRue
                                                                                                                                                                He holds a Class B CDL from Wisconsin.
                                                  in 2016 and certified that he has had no                  Mr. LaRue, 63, has had ITDM since
                                                  severe hypoglycemic reactions resulting                 2014. His endocrinologist examined him                Derrick C. Nailon
                                                  in loss of consciousness, requiring the                 in 2015 and certified that he has had no                Mr. Nailon, 35, has had ITDM since
                                                  assistance of another person, or                        severe hypoglycemic reactions resulting               2010. His endocrinologist examined him
                                                  resulting in impaired cognitive function                in loss of consciousness, requiring the               in 2016 and certified that he has had no
                                                  that occurred without warning in the                    assistance of another person, or                      severe hypoglycemic reactions resulting
                                                  past 12 months and no recurrent (2 or                   resulting in impaired cognitive function              in loss of consciousness, requiring the
                                                  more) severe hypoglycemic episodes in                   that occurred without warning in the                  assistance of another person, or
                                                  the last 5 years. His endocrinologist                   past 12 months and no recurrent (2 or                 resulting in impaired cognitive function
                                                  certifies that Mr. Kelleher understands                 more) severe hypoglycemic episodes in                 that occurred without warning in the
                                                  diabetes management and monitoring,                     the last 5 years. His endocrinologist                 past 12 months and no recurrent (2 or
                                                  has stable control of his diabetes using                certifies that Mr. LaRue understands                  more) severe hypoglycemic episodes in
                                                  insulin, and is able to drive a CMV                     diabetes management and monitoring,                   the last 5 years. His endocrinologist
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                                                  safely. Mr. Kelleher meets the                          has stable control of his diabetes using              certifies that Mr. Nailon understands
                                                  requirements of the vision standard at                  insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                                  49 CFR 391.41(b)(10). His optometrist                   safely. Mr. LaRue meets the                           has stable control of his diabetes using
                                                  examined him in 2015 and certified that                 requirements of the vision standard at                insulin, and is able to drive a CMV
                                                  he does not have diabetic retinopathy.                  49 CFR 391.41(b)(10). His                             safely. Mr. Nailon meets the
                                                  He holds a Class A CDL from                             ophthalmologist examined him in 2016                  requirements of the vision standard at
                                                  Massachusetts.                                          and certified that he has stable                      49 CFR 391.41(b)(10). His optometrist


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                                                                                  Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices                                             28127

                                                  examined him in 2016 and certified that                 safely. Mr. Orta meets the requirements               certifies that Mr. Pittsley understands
                                                  he does not have diabetic retinopathy.                  of the vision standard at 49 CFR                      diabetes management and monitoring,
                                                  He holds a Class A CDL from                             391.41(b)(10). His ophthalmologist                    has stable control of his diabetes using
                                                  Minnesota.                                              examined him in 2016 and certified that               insulin, and is able to drive a CMV
                                                                                                          he does not have diabetic retinopathy.                safely. Mr. Pittsley meets the
                                                  William B. Onimus
                                                                                                          He holds a Class A CDL from Texas.                    requirements of the vision standard at
                                                    Mr. Onimus, 46, has had ITDM since                                                                          49 CFR 391.41(b)(10). His optometrist
                                                  2010. His endocrinologist examined him                  Travis J. Partridge
                                                                                                                                                                examined him in 2016 and certified that
                                                  in 2015 and certified that he has had no                  Mr. Partridge, 27, has had ITDM since               he does not have diabetic retinopathy.
                                                  severe hypoglycemic reactions resulting                 1998. His endocrinologist examined him                He holds an operator’s license from
                                                  in loss of consciousness, requiring the                 in 2016 and certified that he has had no              North Dakota.
                                                  assistance of another person, or                        severe hypoglycemic reactions resulting
                                                  resulting in impaired cognitive function                in loss of consciousness, requiring the               William D. Powell
                                                  that occurred without warning in the                    assistance of another person, or                         Mr. Powell, 46, has had ITDM since
                                                  past 12 months and no recurrent (2 or                   resulting in impaired cognitive function              1981. His endocrinologist examined him
                                                  more) severe hypoglycemic episodes in                   that occurred without warning in the                  in 2016 and certified that he has had no
                                                  the last 5 years. His endocrinologist                   past 12 months and no recurrent (2 or                 severe hypoglycemic reactions resulting
                                                  certifies that Mr. Onimus understands                   more) severe hypoglycemic episodes in                 in loss of consciousness, requiring the
                                                  diabetes management and monitoring,                     the last 5 years. His endocrinologist                 assistance of another person, or
                                                  has stable control of his diabetes using                certifies that Mr. Partridge understands              resulting in impaired cognitive function
                                                  insulin, and is able to drive a CMV                     diabetes management and monitoring,                   that occurred without warning in the
                                                  safely. Mr. Onimus meets the                            has stable control of his diabetes using              past 12 months and no recurrent (2 or
                                                  requirements of the vision standard at                  insulin, and is able to drive a CMV                   more) severe hypoglycemic episodes in
                                                  49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Partridge meets the                       the last 5 years. His endocrinologist
                                                  examined him in 2015 and certified that                 requirements of the vision standard at                certifies that Mr. Powell understands
                                                  he does not have diabetic retinopathy.                  49 CFR 391.41(b)(10). His                             diabetes management and monitoring,
                                                  He holds a Class A CDL from                             ophthalmologist examined him in 2016                  has stable control of his diabetes using
                                                  Pennsylvania.                                           and certified that he has stable                      insulin, and is able to drive a CMV
                                                                                                          nonproliferative diabetic retinopathy.                safely. Mr. Powell meets the
                                                  Jesus O. Orellana
                                                                                                          He holds an operator’s license from                   requirements of the vision standard at
                                                     Mr. Orellana, 55, has had ITDM since                 Iowa.                                                 49 CFR 391.41(b)(10). His
                                                  2015. His endocrinologist examined him                                                                        ophthalmologist examined him in 2015
                                                  in 2016 and certified that he has had no                Adam L. Pennings
                                                                                                                                                                and certified that he has stable
                                                  severe hypoglycemic reactions resulting                   Mr. Pennings, 25, has had ITDM since                nonproliferative diabetic retinopathy.
                                                  in loss of consciousness, requiring the                 2001. His endocrinologist examined him                He holds an operator’s license from
                                                  assistance of another person, or                        in 2016 and certified that he has had no              Illinois.
                                                  resulting in impaired cognitive function                severe hypoglycemic reactions resulting
                                                  that occurred without warning in the                    in loss of consciousness, requiring the               Lee A. Pulda
                                                  past 12 months and no recurrent (2 or                   assistance of another person, or                        Mr. Pulda, 58, has had ITDM since
                                                  more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              1998. His endocrinologist examined him
                                                  the last 5 years. His endocrinologist                   that occurred without warning in the                  in 2016 and certified that he has had no
                                                  certifies that Mr. Orellana understands                 past 12 months and no recurrent (2 or                 severe hypoglycemic reactions resulting
                                                  diabetes management and monitoring,                     more) severe hypoglycemic episodes in                 in loss of consciousness, requiring the
                                                  has stable control of his diabetes using                the last 5 years. His endocrinologist                 assistance of another person, or
                                                  insulin, and is able to drive a CMV                     certifies that Mr. Pennings understands               resulting in impaired cognitive function
                                                  safely. Mr. Orellana meets the                          diabetes management and monitoring,                   that occurred without warning in the
                                                  requirements of the vision standard at                  has stable control of his diabetes using              past 12 months and no recurrent (2 or
                                                  49 CFR 391.41(b)(10). His optometrist                   insulin, and is able to drive a CMV                   more) severe hypoglycemic episodes in
                                                  examined him in 2015 and certified that                 safely. Mr. Pennings meets the                        the last 5 years. His endocrinologist
                                                  he does not have diabetic retinopathy.                  requirements of the vision standard at                certifies that Mr. Pulda understands
                                                  He holds a Class A CDL from Rhode                       49 CFR 391.41(b)(10). His                             diabetes management and monitoring,
                                                  Island.                                                 ophthalmologist examined him in 2016                  has stable control of his diabetes using
                                                                                                          and certified that he has stable                      insulin, and is able to drive a CMV
                                                  Victor M. Orta
                                                                                                          nonproliferative diabetic retinopathy.                safely. Mr. Pulda meets the
                                                    Mr. Orta, 55, has had ITDM since                      He holds a Class A CDL from                           requirements of the vision standard at
                                                  2015. His endocrinologist examined him                  Minnesota.                                            49 CFR 391.41(b)(10). His
                                                  in 2016 and certified that he has had no                                                                      ophthalmologist examined him in 2016
                                                  severe hypoglycemic reactions resulting                 Tyler D. Pittsley
                                                                                                                                                                and certified that he has stable
                                                  in loss of consciousness, requiring the                   Mr. Pittsley, 24, has had ITDM since                nonproliferative diabetic retinopathy.
                                                  assistance of another person, or                        2004. His endocrinologist examined him                He holds a Class A CDL from
                                                  resulting in impaired cognitive function                in 2016 and certified that he has had no              Wisconsin.
                                                  that occurred without warning in the                    severe hypoglycemic reactions resulting
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                                                  past 12 months and no recurrent (2 or                   in loss of consciousness, requiring the               Dustin L. Renfroe
                                                  more) severe hypoglycemic episodes in                   assistance of another person, or                        Mr. Renfroe, 27, has had ITDM since
                                                  the last 5 years. His endocrinologist                   resulting in impaired cognitive function              2007. His endocrinologist examined him
                                                  certifies that Mr. Orta understands                     that occurred without warning in the                  in 2015 and certified that he has had no
                                                  diabetes management and monitoring,                     past 12 months and no recurrent (2 or                 severe hypoglycemic reactions resulting
                                                  has stable control of his diabetes using                more) severe hypoglycemic episodes in                 in loss of consciousness, requiring the
                                                  insulin, and is able to drive a CMV                     the last 5 years. His endocrinologist                 assistance of another person, or


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                                                  28128                           Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices

                                                  resulting in impaired cognitive function                severe hypoglycemic reactions resulting               Jeffrey J. Schnacker
                                                  that occurred without warning in the                    in loss of consciousness, requiring the                 Mr. Schnacker, 44, has had ITDM
                                                  past 12 months and no recurrent (2 or                   assistance of another person, or                      since 2013. His endocrinologist
                                                  more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              examined him in 2016 and certified that
                                                  the last 5 years. His endocrinologist                   that occurred without warning in the                  he has had no severe hypoglycemic
                                                  certifies that Mr. Renfroe understands                  past 12 months and no recurrent (2 or                 reactions resulting in loss of
                                                  diabetes management and monitoring,                     more) severe hypoglycemic episodes in                 consciousness, requiring the assistance
                                                  has stable control of his diabetes using                the last 5 years. His endocrinologist                 of another person, or resulting in
                                                  insulin, and is able to drive a CMV                     certifies that Mr. Robinson understands               impaired cognitive function that
                                                  safely. Mr. Renfroe meets the                           diabetes management and monitoring,                   occurred without warning in the past 12
                                                  requirements of the vision standard at                  has stable control of his diabetes using              months and no recurrent (2 or more)
                                                  49 CFR 391.41(b)(10). His optometrist                   insulin, and is able to drive a CMV                   severe hypoglycemic episodes in the
                                                  examined him in 2015 and certified that
                                                                                                          safely. Mr. Robinson meets the                        last 5 years. His endocrinologist certifies
                                                  he does not have diabetic retinopathy.
                                                                                                          requirements of the vision standard at                that Mr. Schnacker understands
                                                  He holds an operator’s license from
                                                                                                          49 CFR 391.41(b)(10). His                             diabetes management and monitoring,
                                                  Texas.
                                                                                                          ophthalmologist examined him in 2016                  has stable control of his diabetes using
                                                  Robert D. Risk                                          and certified that he does not have                   insulin, and is able to drive a CMV
                                                     Mr. Risk, 41, has had ITDM since                     diabetic retinopathy. He holds a Class A              safely. Mr. Schnacker meets the
                                                  2014. His endocrinologist examined him                  CDL from Michigan.                                    requirements of the vision standard at
                                                  in 2015 and certified that he has had no                                                                      49 CFR 391.41(b)(10). His optometrist
                                                                                                          Randy Rowe                                            examined him in 2015 and certified that
                                                  severe hypoglycemic reactions resulting
                                                  in loss of consciousness, requiring the                                                                       he does not have diabetic retinopathy.
                                                                                                            Mr. Rowe, 34, has had ITDM since
                                                  assistance of another person, or                                                                              He holds a Class A CDL from Nebraska.
                                                                                                          2015. His endocrinologist examined him
                                                  resulting in impaired cognitive function                in 2016 and certified that he has had no              Jeffrey D. Smith
                                                  that occurred without warning in the                    severe hypoglycemic reactions resulting
                                                  past 12 months and no recurrent (2 or                                                                           Mr. Smith, 47, has had ITDM since
                                                                                                          in loss of consciousness, requiring the               2015. His endocrinologist examined him
                                                  more) severe hypoglycemic episodes in                   assistance of another person, or
                                                  the last 5 years. His endocrinologist                                                                         in 2016 and certified that he has had no
                                                                                                          resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                                  certifies that Mr. Risk understands                     that occurred without warning in the
                                                  diabetes management and monitoring,                                                                           in loss of consciousness, requiring the
                                                                                                          past 12 months and no recurrent (2 or                 assistance of another person, or
                                                  has stable control of his diabetes using
                                                                                                          more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                                  insulin, and is able to drive a CMV
                                                                                                          the last 5 years. His endocrinologist                 that occurred without warning in the
                                                  safely. Mr. Risk meets the requirements
                                                  of the vision standard at 49 CFR                        certifies that Mr. Rowe understands                   past 12 months and no recurrent (2 or
                                                  391.41(b)(10). His ophthalmologist                      diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                                  examined him in 2016 and certified that                 has stable control of his diabetes using              the last 5 years. His endocrinologist
                                                  he has stable nonproliferative diabetic                 insulin, and is able to drive a CMV                   certifies that Mr. Smith understands
                                                  retinopathy. He holds a Class A CDL                     safely. Mr. Rowe meets the requirements               diabetes management and monitoring,
                                                  from Indiana.                                           of the vision standard at 49 CFR                      has stable control of his diabetes using
                                                                                                          391.41(b)(10). His optometrist examined               insulin, and is able to drive a CMV
                                                  David C. Roberts                                        him in 2015 and certified that he does                safely. Mr. Smith meets the
                                                    Mr. Roberts, 40, has had ITDM since                   not have diabetic retinopathy. He holds               requirements of the vision standard at
                                                  1988. His endocrinologist examined him                  an operator’s license from Illinois.                  49 CFR 391.41(b)(10). His optometrist
                                                  in 2016 and certified that he has had no                                                                      examined him in 2016 and certified that
                                                  severe hypoglycemic reactions resulting                 William K. Sawyer II                                  he does not have diabetic retinopathy.
                                                  in loss of consciousness, requiring the                                                                       He holds an operator’s license from
                                                                                                            Mr. Sawyer, 37, has had ITDM since
                                                  assistance of another person, or                                                                              Maryland.
                                                                                                          2002. His endocrinologist examined him
                                                  resulting in impaired cognitive function                in 2015 and certified that he has had no              Anthony G. Stellatos
                                                  that occurred without warning in the                    severe hypoglycemic reactions resulting
                                                  past 12 months and no recurrent (2 or                                                                           Mr. Stellatos, 52, has had ITDM since
                                                                                                          in loss of consciousness, requiring the               2010. His endocrinologist examined him
                                                  more) severe hypoglycemic episodes in
                                                                                                          assistance of another person, or                      in 2016 and certified that he has had no
                                                  the last 5 years. His endocrinologist
                                                                                                          resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                                  certifies that Mr. Roberts understands
                                                                                                          that occurred without warning in the                  in loss of consciousness, requiring the
                                                  diabetes management and monitoring,
                                                                                                          past 12 months and no recurrent (2 or                 assistance of another person, or
                                                  has stable control of his diabetes using
                                                                                                          more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                                  insulin, and is able to drive a CMV
                                                  safely. Mr. Roberts meets the                           the last 5 years. His endocrinologist                 that occurred without warning in the
                                                  requirements of the vision standard at                  certifies that Mr. Sawyer understands                 past 12 months and no recurrent (2 or
                                                  49 CFR 391.41(b)(10). His                               diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                                  ophthalmologist examined him in 2016                    has stable control of his diabetes using              the last 5 years. His endocrinologist
                                                                                                          insulin, and is able to drive a CMV                   certifies that Mr. Stellatos understands
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                                                  and certified that he does not have
                                                  diabetic retinopathy. He holds an                       safely. Mr. Sawyer meets the                          diabetes management and monitoring,
                                                  operator’s license from South Dakota.                   requirements of the vision standard at                has stable control of his diabetes using
                                                                                                          49 CFR 391.41(b)(10). His                             insulin, and is able to drive a CMV
                                                  Richard L. Robinson                                     ophthalmologist examined him in 2015                  safely. Mr. Stellatos meets the
                                                    Mr. Robinson, 62, has had ITDM since                  and certified that he does not have                   requirements of the vision standard at
                                                  2015. His endocrinologist examined him                  diabetic retinopathy. He holds an                     49 CFR 391.41(b)(10). His
                                                  in 2016 and certified that he has had no                operator’s license from New Mexico.                   ophthalmologist examined him in 2015


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                                                                                  Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices                                                        28129

                                                  and certified that he does not have                     examined him in 2016 and certified that               requirements of the vision standard at
                                                  diabetic retinopathy. He holds a Class A                he does not have diabetic retinopathy.                49 CFR 391.41(b)(10). His optometrist
                                                  CDL from New Jersey.                                    He holds an operator’s license from                   examined him in 2016 and certified that
                                                                                                          Minnesota.                                            he does not have diabetic retinopathy.
                                                  Trent A. Stuber
                                                                                                                                                                He holds a Class A CDL from Florida.
                                                    Mr. Stuber, 31, has had ITDM since                    Thomas J. Warren
                                                  2006. His endocrinologist examined him                    Mr. Warren, 60, has had ITDM since                  Karl S. Yauneridge
                                                  in 2016 and certified that he has had no                2016. His endocrinologist examined him                  Mr. Yauneridge, 24, has had ITDM
                                                  severe hypoglycemic reactions resulting                 in 2016 and certified that he has had no              since 2000. His endocrinologist
                                                  in loss of consciousness, requiring the                 severe hypoglycemic reactions resulting               examined him in 2015 and certified that
                                                  assistance of another person, or                        in loss of consciousness, requiring the               he has had no severe hypoglycemic
                                                  resulting in impaired cognitive function                assistance of another person, or                      reactions resulting in loss of
                                                  that occurred without warning in the                    resulting in impaired cognitive function              consciousness, requiring the assistance
                                                  past 12 months and no recurrent (2 or                   that occurred without warning in the                  of another person, or resulting in
                                                  more) severe hypoglycemic episodes in                   past 12 months and no recurrent (2 or                 impaired cognitive function that
                                                  the last 5 years. His endocrinologist                   more) severe hypoglycemic episodes in                 occurred without warning in the past 12
                                                  certifies that Mr. Stuber understands                   the last 5 years. His endocrinologist                 months and no recurrent (2 or more)
                                                  diabetes management and monitoring,                     certifies that Mr. Warren understands                 severe hypoglycemic episodes in the
                                                  has stable control of his diabetes using                diabetes management and monitoring,                   last 5 years. His endocrinologist certifies
                                                  insulin, and is able to drive a CMV                     has stable control of his diabetes using              that Mr. Yauneridge understands
                                                  safely. Mr. Stuber meets the                            insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                                  requirements of the vision standard at                  safely. Mr. Warren meets the                          has stable control of his diabetes using
                                                  49 CFR 391.41(b)(10). His optometrist                   requirements of the vision standard at                insulin, and is able to drive a CMV
                                                  examined him in 2015 and certified that                 49 CFR 391.41(b)(10). His                             safely. Mr. Yauneridge meets the
                                                  he does not have diabetic retinopathy.                  ophthalmologist examined him in 2016                  requirements of the vision standard at
                                                  He holds a Class A CDL from Illinois.                   and certified that he does not have                   49 CFR 391.41(b)(10). His
                                                                                                          diabetic retinopathy. He holds a Class A              ophthalmologist examined him in 2016
                                                  Samer M. Valle
                                                                                                          CDL from Minnesota.                                   and certified that he does not have
                                                    Mr. Valle, 51, has had ITDM since                                                                           diabetic retinopathy. He holds an
                                                  2015. His endocrinologist examined him                  Richard D. Webb
                                                                                                                                                                operator’s license from Maryland.
                                                  in 2016 and certified that he has had no                  Mr. Webb, 60, has had ITDM since
                                                  severe hypoglycemic reactions resulting                 2014. His endocrinologist examined him                III. Request for Comments
                                                  in loss of consciousness, requiring the                 in 2016 and certified that he has had no                 In accordance with 49 U.S.C. 31136(e)
                                                  assistance of another person, or                        severe hypoglycemic reactions resulting               and 31315, FMCSA requests public
                                                  resulting in impaired cognitive function                in loss of consciousness, requiring the               comment from all interested persons on
                                                  that occurred without warning in the                    assistance of another person, or                      the exemption petitions described in
                                                  past 12 months and no recurrent (2 or                   resulting in impaired cognitive function              this notice. We will consider all
                                                  more) severe hypoglycemic episodes in                   that occurred without warning in the                  comments received before the close of
                                                  the last 5 years. His endocrinologist                   past 12 months and no recurrent (2 or                 business on the closing date indicated
                                                  certifies that Mr. Valle understands                    more) severe hypoglycemic episodes in                 in the date section of the notice.
                                                  diabetes management and monitoring,                     the last 5 years. His endocrinologist                    FMCSA notes that section 4129 of the
                                                  has stable control of his diabetes using                certifies that Mr. Webb understands                   Safe, Accountable, Flexible and
                                                  insulin, and is able to drive a CMV                     diabetes management and monitoring,                   Efficient Transportation Equity Act: A
                                                  safely. Mr. Valle meets the requirements                has stable control of his diabetes using              Legacy for Users requires the Secretary
                                                  of the vision standard at 49 CFR                        insulin, and is able to drive a CMV                   to revise its diabetes exemption program
                                                  391.41(b)(10). His optometrist examined                 safely. Mr. Webb meets the                            established on September 3, 2003 (68 FR
                                                  him in 2016 and certified that he does                  requirements of the vision standard at                52441)1. The revision must provide for
                                                  not have diabetic retinopathy. He holds                 49 CFR 391.41(b)(10). His optometrist                 individual assessment of drivers with
                                                  a Class A CDL from Texas.                               examined him in 2016 and certified that               diabetes mellitus, and be consistent
                                                                                                          he does not have diabetic retinopathy.                with the criteria described in section
                                                  LaDon L. Wallin                                                                                               4018 of the Transportation Equity Act
                                                                                                          He holds a Class A CDL from New York.
                                                    Mr. Wallin, 46, has had ITDM since                                                                          for the 21st Century (49 U.S.C. 31305).
                                                  1990. His endocrinologist examined him                  Grady L. Wilson, Jr.                                     Section 4129 requires: (1) Elimination
                                                  in 2016 and certified that he has had no                  Mr. Wilson, 61, has had ITDM since                  of the requirement for 3 years of
                                                  severe hypoglycemic reactions resulting                 2013. His endocrinologist examined him                experience operating CMVs while being
                                                  in loss of consciousness, requiring the                 in 2016 and certified that he has had no              treated with insulin; and (2)
                                                  assistance of another person, or                        severe hypoglycemic reactions resulting               establishment of a specified minimum
                                                  resulting in impaired cognitive function                in loss of consciousness, requiring the               period of insulin use to demonstrate
                                                  that occurred without warning in the                    assistance of another person, or                      stable control of diabetes before being
                                                  past 12 months and no recurrent (2 or                   resulting in impaired cognitive function              allowed to operate a CMV.
                                                  more) severe hypoglycemic episodes in                   that occurred without warning in the                     In response to section 4129, FMCSA
                                                  the last 5 years. His endocrinologist                   past 12 months and no recurrent (2 or                 made immediate revisions to the
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                                                  certifies that Mr. Wallin understands                   more) severe hypoglycemic episodes in                 diabetes exemption program established
                                                  diabetes management and monitoring,                     the last 5 years. His endocrinologist                 by the September 3, 2003 notice.
                                                  has stable control of his diabetes using                certifies that Mr. Wilson understands
                                                                                                                                                                   1 Section 4129(a) refers to the 2003 notice as a
                                                  insulin, and is able to drive a CMV                     diabetes management and monitoring,
                                                                                                                                                                ‘‘final rule.’’ However, the 2003 notice did not issue
                                                  safely. Mr. Wallin meets the                            has stable control of his diabetes using              a ‘‘final rule’’ but did establish the procedures and
                                                  requirements of the vision standard at                  insulin, and is able to drive a CMV                   standards for issuing exemptions for drivers with
                                                  49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Wilson meets the                          ITDM.



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                                                  28130                           Federal Register / Vol. 81, No. 89 / Monday, May 9, 2016 / Notices

                                                  FMCSA discontinued use of the 3-year                    FMCSA–2016–0039 and click ‘‘Search.’’                 from the public to better inform its
                                                  driving experience and fulfilled the                    Next, click ‘‘Open Docket Folder’’ and                rulemaking process. DOT posts these
                                                  requirements of section 4129 while                      you will find all documents and                       comments, without edit, including any
                                                  continuing to ensure that operation of                  comments related to this notice.                      personal information the commenter
                                                  CMVs by drivers with ITDM will                            Issued on: May 2, 2016.                             provides, to www.regulations.gov, as
                                                  achieve the requisite level of safety                   Larry W. Minor,
                                                                                                                                                                described in the system of records
                                                  required of all exemptions granted                                                                            notice (DOT/ALL–14 FDMS), which can
                                                                                                          Associate Administrator for Policy.
                                                  under 49 U.S.C. 31136 (e).                                                                                    be reviewed at www.dot.gov/privacy.
                                                    Section 4129(d) also directed FMCSA                   [FR Doc. 2016–10873 Filed 5–6–16; 8:45 am]
                                                  to ensure that drivers of CMVs with                     BILLING CODE 4910–EX–P                                II. Background
                                                  ITDM are not held to a higher standard                                                                           On November 12, 2015, FMCSA
                                                  than other drivers, with the exception of                                                                     published a notice announcing receipt
                                                  limited operating, monitoring and                       DEPARTMENT OF TRANSPORTATION                          of applications from 13 individuals
                                                  medical requirements that are deemed                                                                          requesting an exemption from the
                                                                                                          Federal Motor Carrier Safety
                                                  medically necessary.                                                                                          prohibition against persons with a
                                                    The FMCSA concluded that all of the                   Administration
                                                                                                                                                                clinical diagnosis of epilepsy or any
                                                  operating, monitoring and medical                       [FMCSA Docket No. FMCSA–2015–0119]                    other condition that is likely to cause a
                                                  requirements set out in the September 3,                                                                      loss of consciousness or any loss of
                                                  2003 notice, except as modified, were in                Qualification of Drivers; Exemption                   ability to operate a CMV in interstate
                                                  compliance with section 4129(d).                        Applications; Epilepsy and Seizure                    commerce and requested comments
                                                  Therefore, all of the requirements set                  Disorders                                             from the public (80 FR 70065). The
                                                  out in the September 3, 2003 notice,                    AGENCY: Federal Motor Carrier Safety                  public comment period closed on
                                                  except as modified by the notice in the                 Administration (FMCSA), DOT.                          December 14, 2015, and seven
                                                  Federal Register on November 8, 2005                                                                          comments were received.
                                                                                                          ACTION: Notice of final disposition.
                                                  (70 FR 67777), remain in effect.                                                                                 FMCSA has evaluated the eligibility
                                                                                                          SUMMARY:    FMCSA announces its                       of these applicants and determined that
                                                  IV. Submitting Comments
                                                                                                          decision to exempt nine individuals                   granting the exemptions to nine
                                                     You may submit your comments and                     from the regulatory requirement that                  individuals would achieve a level of
                                                  material online or by fax, mail, or hand                interstate commercial motor vehicle                   safety equivalent to or greater than the
                                                  delivery, but please use only one of                    (CMV) drivers have ‘‘no established                   level that would be achieved by
                                                  these means. FMCSA recommends that                      medical history or clinical diagnosis of              complying with the current regulation
                                                  you include your name and a mailing                     epilepsy or any other condition which                 49 CFR 391.41(b)(8).
                                                  address, an email address, or a phone                   is likely to cause loss of consciousness                 The physical qualification standard
                                                  number in the body of your document                     or any loss of ability to control a CMV.’’            for drivers regarding epilepsy found in
                                                  so that FMCSA can contact you if there                  The exemptions enable these                           49 CFR 391.41(b)(8) states that a person
                                                  are questions regarding your                            individuals to operate CMVs in                        is physically qualified to drive a CMV
                                                  submission.                                             interstate commerce.                                  if that person
                                                     To submit your comment online, go to
                                                                                                          DATES: The exemptions were effective                     Has no established medical history or
                                                  http://www.regulations.gov and in the                                                                         clinical diagnosis of epilepsy or any other
                                                  search box insert the docket number                     on December 16, 2015. The exemptions
                                                                                                          expire on December 16, 2017.                          condition which is likely to cause the loss of
                                                  FMCSA–2016–0039 and click the search                                                                          consciousness or any loss of ability to control
                                                  button. When the new screen appears,                    FOR FURTHER INFORMATION CONTACT:                      a CMV.
                                                  click on the blue ‘‘Comment Now!’’                      Christine A. Hydock, Chief, Medical
                                                                                                          Programs Division, (202) 366–4001,                      In addition to the regulations, FMCSA
                                                  button on the right hand side of the                                                                          has published advisory criteria to assist
                                                  page. On the new page, enter                            fmcsamedical@dot.gov, FMCSA,
                                                                                                          Department of Transportation, 1200                    medical examiners in determining
                                                  information required including the                                                                            whether drivers with certain medical
                                                  specific section of this document to                    New Jersey Avenue SE., Room W64–
                                                                                                          113, Washington, DC 20590–0001.                       conditions are qualified to operate a
                                                  which each comment applies, and                                                                               CMV in interstate commerce. The
                                                  provide a reason for each suggestion or                 Office hours are from 8:30 a.m. to 5 p.m.
                                                                                                          e.t., Monday through Friday, except                   advisory criteria found in Appendix A
                                                  recommendation. If you submit your                                                                            to 49 CFR 391.41, states that:
                                                  comments by mail or hand delivery,                      Federal holidays.
                                                  submit them in an unbound format, no                    SUPPLEMENTARY INFORMATION:                              If an individual has had a sudden episode
                                                                                                                                                                of a non-epileptic seizure or loss of
                                                  larger than 81⁄2 by 11 inches, suitable for             I. Electronic Access                                  consciousness of unknown cause that did not
                                                  copying and electronic filing. If you                                                                         require anti-seizure medication, the decision
                                                  submit comments by mail and would                         You may see all the comments online                 whether that person’s condition is likely to
                                                  like to know that they reached the                      through the Federal Document                          cause the loss of consciousness or loss of
                                                  facility, please enclose a stamped, self-               Management System (FDMS) at: http://                  ability to control a CMV should be made on
                                                  addressed postcard or envelope.                         www.regulations.gov.                                  an individual basis by the medical examiner
                                                     We will consider all comments and                      Docket: For access to the docket to                 in consultation with the treating physician.
                                                  material received during the comment                    read background documents or                          Before certification is considered, it is
                                                  period. FMCSA may issue a final                         comments, go to http://                               suggested that a 6-month waiting period
                                                                                                          www.regulations.gov and/or Room                       elapse from the time of the episode.
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                                                  determination at any time after the close
                                                                                                          W12–140 on the ground level of the                    Following the waiting period, it is suggested
                                                  of the comment period.                                                                                        that the individual have a complete
                                                                                                          West Building, 1200 New Jersey Avenue
                                                  V. Viewing Comments and Documents                                                                             neurological examination. If the results of the
                                                                                                          SE., Washington, DC, between 9 a.m.                   examination are negative and anti-seizure
                                                    To view comments, as well as any                      and 5 p.m., Monday through Friday,                    medication is not required, then the driver
                                                  documents mentioned in this preamble,                   except Federal holidays.                              may be qualified.
                                                  go to http://www.regulations.gov and in                   Privacy Act: In accordance with 5                     In those individual cases where a driver
                                                  the search box insert the docket number                 U.S.C. 553(c), DOT solicits comments                  had a seizure or an episode of loss of



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Document Created: 2018-02-07 14:50:05
Document Modified: 2018-02-07 14:50:05
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of applications for exemptions; request for comments.
DatesComments must be received on or before June 8, 2016.
ContactChristine A. Hydock, Chief, Medical Programs Division, (202) 366-4001, [email protected], FMCSA, Department of Transportation, 1200 New Jersey Avenue SE., Room W64-113, Washington, DC 20590-0001. Office hours are 8:30 a.m. to 5 p.m., E.T., Monday through Friday, except Federal holidays.
FR Citation81 FR 28121 

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