81_FR_42159 81 FR 42035 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

81 FR 42035 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 81, Issue 124 (June 28, 2016)

Page Range42035-42043
FR Document2016-15223

FMCSA announces receipt of applications from 57 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 124 (Tuesday, June 28, 2016)
[Federal Register Volume 81, Number 124 (Tuesday, June 28, 2016)]
[Notices]
[Pages 42035-42043]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-15223]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2016-0041]


Qualification of Drivers; Exemption Applications; Diabetes 
Mellitus

AGENCY: Federal Motor Carrier Safety Administration (FMCSA), Department 
of Transportation.

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

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SUMMARY: FMCSA announces receipt of applications from 57 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 July 28, 2016.

ADDRESSES: You may submit comments bearing the Federal Docket 
Management System (FDMS) Docket No. FMCSA-2016-0041 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.
    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 57 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

David J. Ahlers

    Mr. Ahlers, 66, 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. Ahlers understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Ahlers 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 Minnesota.

George M. Antonopoulos

    Mr. Antonopoulos, 58, 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. Antonopoulos understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Antonopoulos 
meets the requirements of the vision standard at

[[Page 42036]]

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 Massachusetts.

Louis G. Babich

    Mr. Babich, 72, 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. Babich understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Babich 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 C CDL from New 
Jersey.

Scott R. Bailey

    Mr. Bailey, 49, 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. Bailey understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Bailey 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 Massachusetts.

Michael J. Beaver

    Mr. Beaver, 50, has had ITDM since 1989. 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. Beaver understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Beaver 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.

Jason C. Bradley

    Mr. Bradley, 41, 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. Bradley understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Bradley 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.

Joel P. Brown

    Mr. Brown, 57, 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. Brown understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Brown 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 Pennsylvania.

Larry D. Brown

    Mr. Brown, 57, 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. Brown understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Brown 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 Louisiana.

Garret L. Carter

    Mr. Carter, 30, 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. Carter understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Carter 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 Missouri.

Christopher D. Chapman

    Mr. Chapman, 55, 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. Chapman understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Chapman 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 Iowa.

Robert J. Chapman

    Mr. Chapman, 36, 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

[[Page 42037]]

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. 
Chapman understands diabetes management and monitoring, has stable 
control of his diabetes using insulin, and is able to drive a CMV 
safely. Mr. Chapman 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 Ohio.

Steven A. Crain

    Mr. Crain, 50, 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. Crain understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Crain 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 Louisiana.

Phillip Daquila III

    Mr. Daquila, 54, 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. Daquila understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Daquila 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.

Robert N. Drake

    Mr. Drake, 70, has had ITDM since 2008. 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. Drake understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Drake 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 C CDL from 
Texas.

Kirk A. Erickson

    Mr. Erickson, 57, 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. Erickson understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Erickson 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.

Raymond E. Fisher, Jr.

    Mr. Fisher, 58, has had ITDM since 2009. 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. Fisher understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Fisher 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 Pennsylvania.

Richard M. Frostig

    Mr. Frostig, 69, has had ITDM since 1995. 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. Frostig understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Frostig 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 Connecticut.

Lawrence M. Gates

    Mr. Gates, 43, 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. Gates understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Gates 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 B CDL from New York.

Alva E. Gladney

    Ms. Gladney, 34, 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. Gladney understands diabetes 
management and monitoring has stable control of her diabetes using 
insulin, and is able to drive a CMV safely. Ms. Gladney meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). Her 
ophthalmologist examined her in

[[Page 42038]]

2015 and certified that she does not have diabetic retinopathy. She 
holds an operator's license from Louisiana.

John J. Gonzalez

    Mr. Gonzalez, 55, 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. Gonzalez understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Gonzalez 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 Connecticut.

James M. Haight

    Mr. Haight, 58, 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. Haight understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Haight 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 North Carolina.

Bradley T. Hall

    Mr. Hall, 28, 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. Hall understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Hall 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 Alabama.

William C. Higgins

    Mr. Higgins, 60, 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. Higgins understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Higgins 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 North Carolina.

David R. Hodge

    Mr. Hodge, 61, 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. Hodge understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Hodge 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 CDL from Michigan.

James Holman

    Mr. Holman, 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. Holman understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Holman 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 Pennsylvania.

Kevin R. Holz

    Mr. Holz, 62, has had ITDM since 2015. 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. Holz understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Holz 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.

Jaemin Hwang

    Mr. Hwang, 56, 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. Hwang understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Hwang 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 C CDL from New York.

Willis A. Jergenson

    Mr. Jergenson, 66, 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

[[Page 42039]]

last 5 years. His endocrinologist certifies that Mr. Jergenson 
understands diabetes management and monitoring, has stable control of 
his diabetes using insulin, and is able to drive a CMV safely. Mr. 
Jergenson 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 Iowa.

Steven C. Jordan, Jr.

    Mr. Jordan, 46, 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. Jordan understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Jordan 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 Maryland.

Craig S. Kozlowski

    Mr. Kozlowski, 59, 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. Kozlowski understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Kozlowski 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.

Alan D. Kozy

    Mr. Kozy, 55, has had ITDM since 2015. 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. Kozy understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Kozy 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 B CDL from Florida.

Duane A. Leazott

    Mr. Leazott, 50, 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. Leazott understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Leazott 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.

Mark D. Lema

    Mr. Lema, 42, 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. Lema understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Lema 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 A CDL from California.

Robert A. Lewis

    Mr. Lewis, 59, 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. Lewis understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Lewis 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 Pennsylvania.

David A. Luchansky

    Mr. Luchansky, 65, 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. Luchansky understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely.
    Mr. Luchansky 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 Pennsylvania.

Jacob T. Marsee

    Mr. Marsee, 24, 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. Marsee understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Marsee 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 Ohio.

Richard E. Mellors

    Mr. Mellors, 68, has had ITDM since 2013. His endocrinologist 
examined him

[[Page 42040]]

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. Mellors understands diabetes management and 
monitoring, has stable control of his diabetes using insulin, and is 
able to drive a CMV safely. Mr. Mellors 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.

Ronald L. Mills

    Mr. Mills, 31, has had ITDM since 2004. 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. Mills understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Mills 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 Virginia.

Colton J. Nefzger

    Mr. Nefzger, 23, has had ITDM since 2002. 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. Nefzger understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Nefzger 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.

Dorian T. Papazikos

    Mr. Papazikos, 29, has had ITDM since 1997. 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. Papazikos understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Papazikos 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 Alabama.

Kurt A. Payne

    Mr. Payne, 45, 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. Payne understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Payne 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 an operator's license from 
California.

Carson A. Penny

    Mr. Penny, 24, 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. Penny understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Penny 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 California.

Wayne F. Pohlmeier

    Mr. Pohlmeier, 57, 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. Pohlmeier understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Pohlmeier 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 Nebraska.

Santos R. Rodriquez, Jr.

    Mr. Rodriquez, 25, 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. Rodriquez understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Rodriquez 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 Nebraska.

David E. Roth

    Mr. Roth, 57, 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. Roth understands diabetes management 
and monitoring, has stable control of his diabetes using

[[Page 42041]]

insulin, and is able to drive a CMV safely. Mr. Roth 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 Minnesota.

Kenneth R. Schleppy

    Mr. Schleppy, 50, 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. Schleppy understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Schleppy 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 Pennsylvania.

John J. Shedlock

    Mr. Shedlock, 36, 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. Shedlock understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Shedlock 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.

Jonathan W. Simoneau

    Mr. Simoneau, 31, 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. Simoneau understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Simoneau 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 Hampshire.

Kenneth R. Stephenson

    Mr. Stephenson, 55, 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. Stephenson understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely.
    Mr. Stephenson 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.

Jeffrey S. Toler

    Mr. Toler, 50, 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. Toler understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Toler 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 Indiana.

Herbert L. Turner

    Mr. Turner, 48, 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. Turner understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Turner 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 Florida.

Louis D. Valente

    Mr. Valente, 63, 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. Valente understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Valente 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 Massachusetts.

Robert L. Westergaard

    Mr. Westergaard, 28, 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. Westergaard understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely.
    Mr. Westergaard 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 New Jersey.

Mark A. Williams

    Mr. Williams, 62, has had ITDM since 2015. His endocrinologist 
examined him in 2016 and certified that he has had no

[[Page 42042]]

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. Williams understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Williams 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 Indiana.

Douglas J. Wood

    Mr. Wood, 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. Wood understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Wood 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 Kentucky.

Robert A. Yerges

    Mr. Yerges, 28, 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. Yerges understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Yerges 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 Wisconsin.

Kyle S. Yount

    Mr. Yount, 30, has had ITDM since 1994. 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. Yount understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Yount 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 Kentucky.

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. 
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-2016-0041 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-2016-0041 and click ``Search.'' Next, click 
``Open Docket Folder'' and you will find all documents and comments 
related to this notice.


[[Page 42043]]


    Issued on: June 20, 2016.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2016-15223 Filed 6-27-16; 8:45 am]
 BILLING CODE 4910-EX-P



                                                                                   Federal Register / Vol. 81, No. 124 / Tuesday, June 28, 2016 / Notices                                             42035

                                                    review and determined that the                          ADDRESSES:   You may submit comments                   SUPPLEMENTARY INFORMATION:
                                                    procedural and substantive                              bearing the Federal Docket Management
                                                                                                                                                                   I. Background
                                                    requirements of the Act and FAR part                    System (FDMS) Docket No. FMCSA–
                                                    150 have been satisfied. The overall                    2016–0041 using any of the following                      Under 49 U.S.C. 31136(e) and 31315,
                                                    program, therefore, was approved by the                 methods:                                               FMCSA may grant an exemption from
                                                    FAA effective June 2, 2015.                               • Federal eRulemaking Portal: Go to                  the Federal Motor Carrier Safety
                                                      Outright approval was granted for                     http://www.regulations.gov. Follow the                 Regulations for a 2-year period if it finds
                                                    both of the specific program elements.                  on-line instructions for submitting                    ‘‘such exemption would likely achieve a
                                                    San Antonio International Airport                       comments.                                              level of safety that is equivalent to or
                                                    intends to continue acoustical treatment                  • Mail: Docket Management Facility;                  greater than the level that would be
                                                    for noise-sensitive facilities, e.g.,                   U.S. Department of Transportation, 1200                achieved absent such exemption.’’ The
                                                    residences, schools and places of                       New Jersey Avenue SE., West Building                   statute also allows the Agency to renew
                                                    worship, that are located in areas                      Ground Floor, Room W12–140,                            exemptions at the end of the 2-year
                                                    exposed to aircraft noise of DNL 65 dB                  Washington, DC 20590–0001.                             period. The 57 individuals listed in this
                                                    and higher based on the FAA-accepted                      • Hand Delivery: West Building                       notice have recently requested such an
                                                    and current noise exposure map on file                  Ground Floor, Room W12–140, 1200                       exemption from the diabetes prohibition
                                                    with the FAA and not necessarily tied                   New Jersey Avenue SE., Washington,                     in 49 CFR 391.41(b) (3), which applies
                                                    specifically to the 2014 Noise Exposure                 DC, between 9 a.m. and 5 p.m., Monday                  to drivers of CMVs in interstate
                                                    Map.                                                    through Friday, except Federal                         commerce. Accordingly, the Agency
                                                      These determinations are set forth in                 Holidays.                                              will evaluate the qualifications of each
                                                    detail in a Record of Approval signed by                  • Fax: 1–202–493–2251.                               applicant to determine whether granting
                                                    the FAA Southwest Region Airports                          Instructions: Each submission must                  the exemption will achieve the required
                                                    Division Manager on June 2, 2015. The                   include the Agency name and the                        level of safety mandated by statute.
                                                    Record of Approval, as well as other                    docket numbers for this notice. Note                   II. Qualifications of Applicants
                                                    evaluation materials and the documents                  that all comments received will be
                                                    comprising the submittal, are available                 posted without change to http://                       David J. Ahlers
                                                    for review at the FAA office listed above               www.regulations.gov, including any                       Mr. Ahlers, 66, has had ITDM since
                                                    and at the administrative offices of San                personal information provided. Please                  2016. His endocrinologist examined him
                                                    Antonio International Airport. The                      see the Privacy Act heading below for                  in 2016 and certified that he has had no
                                                    Record of Approval also will be                         further information.                                   severe hypoglycemic reactions resulting
                                                    available on-line at https://www.faa.gov/                  Docket: For access to the docket to                 in loss of consciousness, requiring the
                                                    airports/environmental/airport_noise/                   read background documents or                           assistance of another person, or
                                                    part_150/states/tx/media/roa-texas-san-                 comments, go to http://                                resulting in impaired cognitive function
                                                    antonio-20150602.pdf.                                   www.regulations.gov at any time or                     that occurred without warning in the
                                                      Issued in Fort Worth, Texas, June 20, 2016.           Room W12–140 on the ground level of                    past 12 months and no recurrent (2 or
                                                    Ignacio Flores,                                         the West Building, 1200 New Jersey                     more) severe hypoglycemic episodes in
                                                    Manager, Airports Division.
                                                                                                            Avenue SE., Washington, DC, between 9                  the last 5 years. His endocrinologist
                                                                                                            a.m. and 5 p.m., Monday through                        certifies that Mr. Ahlers understands
                                                    [FR Doc. 2016–15183 Filed 6–27–16; 8:45 am]
                                                                                                            Friday, except Federal holidays. The                   diabetes management and monitoring,
                                                    BILLING CODE 4910–13–P
                                                                                                            Federal Docket Management System                       has stable control of his diabetes using
                                                                                                            (FDMS) is available 24 hours each day,                 insulin, and is able to drive a CMV
                                                    DEPARTMENT OF TRANSPORTATION                            365 days each year. If you want                        safely. Mr. Ahlers meets the
                                                                                                            acknowledgment that we received your                   requirements of the vision standard at
                                                    Federal Motor Carrier Safety                            comments, please include a self-                       49 CFR 391.41(b)(10). His optometrist
                                                    Administration                                          addressed, stamped envelope or                         examined him in 2015 and certified that
                                                                                                            postcard or print the acknowledgement                  he does not have diabetic retinopathy.
                                                    [Docket No. FMCSA–2016–0041]                            page that appears after submitting                     He holds a Class A CDL from
                                                                                                            comments on-line.                                      Minnesota.
                                                    Qualification of Drivers; Exemption
                                                                                                               Privacy Act: In accordance with 5
                                                    Applications; Diabetes Mellitus                                                                                George M. Antonopoulos
                                                                                                            U.S.C. 553(c), DOT solicits comments
                                                    AGENCY: Federal Motor Carrier Safety                    from the public to better inform its                     Mr. Antonopoulos, 58, has had ITDM
                                                    Administration (FMCSA), Department                      rulemaking process. DOT posts these                    since 1988. His endocrinologist
                                                    of Transportation.                                      comments, without edit, including any                  examined him in 2016 and certified that
                                                    ACTION: Notice of applications for                      personal information the commenter                     he has had no severe hypoglycemic
                                                    exemptions; request for comments.                       provides, to www.regulations.gov, as                   reactions resulting in loss of
                                                                                                            described in the system of records                     consciousness, requiring the assistance
                                                    SUMMARY:   FMCSA announces receipt of                   notice (DOT/ALL–14 FDMS), which can                    of another person, or resulting in
                                                    applications from 57 individuals for                    be reviewed at www.dot.gov/privacy.                    impaired cognitive function that
                                                    exemption from the prohibition against                  FOR FURTHER INFORMATION CONTACT:                       occurred without warning in the past 12
                                                    persons with insulin-treated diabetes                   Christine A. Hydock, Chief, Medical                    months and no recurrent (2 or more)
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    mellitus (ITDM) operating commercial                    Programs Division, (202) 366–4001,                     severe hypoglycemic episodes in the
                                                    motor vehicles (CMVs) in interstate                     fmcsamedical@dot.gov, FMCSA,                           last 5 years. His endocrinologist certifies
                                                    commerce. If granted, the exemptions                    Department of Transportation, 1200                     that Mr. Antonopoulos understands
                                                    would enable these individuals with                     New Jersey Avenue SE., Room W64–                       diabetes management and monitoring,
                                                    ITDM to operate CMVs in interstate                      113, Washington, DC 20590–0001.                        has stable control of his diabetes using
                                                    commerce.                                               Office hours are 8:30 a.m. to 5 p.m., e.t.,            insulin, and is able to drive a CMV
                                                    DATES: Comments must be received on                     Monday through Friday, except Federal                  safely. Mr. Antonopoulos meets the
                                                    or before July 28, 2016.                                holidays.                                              requirements of the vision standard at


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                                                    42036                          Federal Register / Vol. 81, No. 124 / Tuesday, June 28, 2016 / Notices

                                                    49 CFR 391.41(b)(10). His                               diabetes management and monitoring,                    past 12 months and no recurrent (2 or
                                                    ophthalmologist examined him in 2016                    has stable control of his diabetes using               more) severe hypoglycemic episodes in
                                                    and certified that he has stable                        insulin, and is able to drive a CMV                    the last 5 years. His endocrinologist
                                                    nonproliferative diabetic retinopathy.                  safely. Mr. Beaver meets the                           certifies that Mr. Brown understands
                                                    He holds an operator’s license from                     requirements of the vision standard at                 diabetes management and monitoring,
                                                    Massachusetts.                                          49 CFR 391.41(b)(10). His optometrist                  has stable control of his diabetes using
                                                                                                            examined him in 2016 and certified that                insulin, and is able to drive a CMV
                                                    Louis G. Babich
                                                                                                            he does not have diabetic retinopathy.                 safely. Mr. Brown meets the
                                                      Mr. Babich, 72, has had ITDM since                    He holds an operator’s license from                    requirements of the vision standard at
                                                    2014. 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                 Jason C. Bradley
                                                                                                                                                                   and certified that he does not have
                                                    in loss of consciousness, requiring the                   Mr. Bradley, 41, has had ITDM since                  diabetic retinopathy. He holds a Class A
                                                    assistance of another person, or                        2011. His endocrinologist examined him                 CDL from Louisiana.
                                                    resulting in impaired cognitive function                in 2016 and certified that he has had no
                                                    that occurred without warning in the                    severe hypoglycemic reactions resulting                Garret L. Carter
                                                    past 12 months and no recurrent (2 or                   in loss of consciousness, requiring the                  Mr. Carter, 30, has had ITDM since
                                                    more) severe hypoglycemic episodes in                   assistance of another person, or                       2013. His endocrinologist examined him
                                                    the last 5 years. His endocrinologist                   resulting in impaired cognitive function               in 2016 and certified that he has had no
                                                    certifies that Mr. Babich understands                   that occurred without warning in the                   severe hypoglycemic reactions resulting
                                                    diabetes management and monitoring,                     past 12 months and no recurrent (2 or                  in loss of consciousness, requiring the
                                                    has stable control of his diabetes using                more) severe hypoglycemic episodes in                  assistance of another person, or
                                                    insulin, and is able to drive a CMV                     the last 5 years. His endocrinologist                  resulting in impaired cognitive function
                                                    safely. Mr. Babich meets the                            certifies that Mr. Bradley understands                 that occurred without warning in the
                                                    requirements of the vision standard at                  diabetes management and monitoring,                    past 12 months and no recurrent (2 or
                                                    49 CFR 391.41(b)(10). His                               has stable control of his diabetes using               more) severe hypoglycemic episodes in
                                                    ophthalmologist examined him in 2016                    insulin, and is able to drive a CMV                    the last 5 years. His endocrinologist
                                                    and certified that he has stable                        safely. Mr. Bradley meets the                          certifies that Mr. Carter understands
                                                    nonproliferative diabetic retinopathy.                  requirements of the vision standard at                 diabetes management and monitoring,
                                                    He holds a Class C CDL from New                         49 CFR 391.41(b)(10). His                              has stable control of his diabetes using
                                                    Jersey.                                                 ophthalmologist examined him in 2016                   insulin, and is able to drive a CMV
                                                                                                            and certified that he does not have                    safely. Mr. Carter meets the
                                                    Scott R. Bailey
                                                                                                            diabetic retinopathy. He holds a Class A               requirements of the vision standard at
                                                      Mr. Bailey, 49, has had ITDM since                    CDL from New York.                                     49 CFR 391.41(b)(10). His optometrist
                                                    2004. His endocrinologist examined him                                                                         examined him in 2016 and certified that
                                                    in 2016 and certified that he has had no                Joel P. Brown
                                                                                                                                                                   he does not have diabetic retinopathy.
                                                    severe hypoglycemic reactions resulting                   Mr. Brown, 57, has had ITDM since                    He holds an operator’s license from
                                                    in loss of consciousness, requiring the                 2006. His endocrinologist examined him                 Missouri.
                                                    assistance of another person, or                        in 2016 and certified that he has had no
                                                    resulting in impaired cognitive function                severe hypoglycemic reactions resulting                Christopher D. Chapman
                                                    that occurred without warning in the                    in loss of consciousness, requiring the                  Mr. Chapman, 55, has had ITDM since
                                                    past 12 months and no recurrent (2 or                   assistance of another person, or                       2006. His endocrinologist examined him
                                                    more) severe hypoglycemic episodes in                   resulting in impaired cognitive function               in 2016 and certified that he has had no
                                                    the last 5 years. His endocrinologist                   that occurred without warning in the                   severe hypoglycemic reactions resulting
                                                    certifies that Mr. Bailey understands                   past 12 months and no recurrent (2 or                  in loss of consciousness, requiring the
                                                    diabetes management and monitoring,                     more) severe hypoglycemic episodes in                  assistance of another person, or
                                                    has stable control of his diabetes using                the last 5 years. His endocrinologist                  resulting in impaired cognitive function
                                                    insulin, and is able to drive a CMV                     certifies that Mr. Brown understands                   that occurred without warning in the
                                                    safely. Mr. Bailey meets the                            diabetes management and monitoring,                    past 12 months and no recurrent (2 or
                                                    requirements of the vision standard at                  has stable control of his diabetes using               more) severe hypoglycemic episodes in
                                                    49 CFR 391.41(b)(10). His optometrist                   insulin, and is able to drive a CMV                    the last 5 years. His endocrinologist
                                                    examined him in 2016 and certified that                 safely. Mr. Brown meets the                            certifies that Mr. Chapman understands
                                                    he does not have diabetic retinopathy.                  requirements of the vision standard at                 diabetes management and monitoring,
                                                    He holds a Class A CDL from                             49 CFR 391.41(b)(10). His                              has stable control of his diabetes using
                                                    Massachusetts.                                          ophthalmologist examined him in 2015                   insulin, and is able to drive a CMV
                                                                                                            and certified that he has stable                       safely. Mr. Chapman meets the
                                                    Michael J. Beaver
                                                                                                            nonproliferative diabetic retinopathy.                 requirements of the vision standard at
                                                      Mr. Beaver, 50, has had ITDM since                    He holds an operator’s license from                    49 CFR 391.41(b)(10). His optometrist
                                                    1989. His endocrinologist examined him                  Pennsylvania.                                          examined him in 2016 and certified that
                                                    in 2016 and certified that he has had no                                                                       he does not have diabetic retinopathy.
                                                    severe hypoglycemic reactions resulting                 Larry D. Brown
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                                                                                   He holds a Class A CDL from Iowa.
                                                    in loss of consciousness, requiring the                   Mr. Brown, 57, has had ITDM since
                                                    assistance of another person, or                        2014. His endocrinologist examined him                 Robert J. Chapman
                                                    resulting in impaired cognitive function                in 2016 and certified that he has had no                 Mr. Chapman, 36, has had ITDM since
                                                    that occurred without warning in the                    severe hypoglycemic reactions resulting                2013. His endocrinologist examined him
                                                    past 12 months and no recurrent (2 or                   in loss of consciousness, requiring the                in 2016 and certified that he has had no
                                                    more) severe hypoglycemic episodes in                   assistance of another person, or                       severe hypoglycemic reactions resulting
                                                    the last 5 years. His endocrinologist                   resulting in impaired cognitive function               in loss of consciousness, requiring the
                                                    certifies that Mr. Beaver understands                   that occurred without warning in the                   assistance of another person, or


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                                                                                   Federal Register / Vol. 81, No. 124 / Tuesday, June 28, 2016 / Notices                                           42037

                                                    resulting in impaired cognitive function                assistance of another person, or                       Richard M. Frostig
                                                    that occurred without warning in the                    resulting in impaired cognitive function                 Mr. Frostig, 69, has had ITDM since
                                                    past 12 months and no recurrent (2 or                   that occurred without warning in the                   1995. His endocrinologist examined him
                                                    more) severe hypoglycemic episodes in                   past 12 months and no recurrent (2 or                  in 2015 and certified that he has had no
                                                    the last 5 years. His endocrinologist                   more) severe hypoglycemic episodes in                  severe hypoglycemic reactions resulting
                                                    certifies that Mr. Chapman understands                  the last 5 years. His endocrinologist                  in loss of consciousness, requiring the
                                                    diabetes management and monitoring,                     certifies that Mr. Drake understands                   assistance of another person, or
                                                    has stable control of his diabetes using                diabetes management and monitoring,                    resulting in impaired cognitive function
                                                    insulin, and is able to drive a CMV                     has stable control of his diabetes using               that occurred without warning in the
                                                    safely. Mr. Chapman meets the                           insulin, and is able to drive a CMV                    past 12 months and no recurrent (2 or
                                                    requirements of the vision standard at                  safely. Mr. Drake meets the                            more) severe hypoglycemic episodes in
                                                    49 CFR 391.41(b)(10). His optometrist                   requirements of the vision standard at                 the last 5 years. His endocrinologist
                                                    examined him in 2015 and certified that
                                                                                                            49 CFR 391.41(b)(10). His                              certifies that Mr. Frostig understands
                                                    he does not have diabetic retinopathy.
                                                                                                            ophthalmologist examined him in 2016                   diabetes management and monitoring,
                                                    He holds an operator’s license from
                                                                                                            and certified that he has stable                       has stable control of his diabetes using
                                                    Ohio.
                                                                                                            nonproliferative diabetic retinopathy.                 insulin, and is able to drive a CMV
                                                    Steven A. Crain                                         He holds a Class C CDL from Texas.                     safely. Mr. Frostig meets the
                                                      Mr. Crain, 50, has had ITDM since                                                                            requirements of the vision standard at
                                                                                                            Kirk A. Erickson                                       49 CFR 391.41(b)(10). His
                                                    2014. His endocrinologist examined him
                                                    in 2016 and certified that he has had no                  Mr. Erickson, 57, has had ITDM since                 ophthalmologist examined him in 2016
                                                    severe hypoglycemic reactions resulting                 2014. His endocrinologist examined him                 and certified that he has stable
                                                    in loss of consciousness, requiring the                                                                        nonproliferative diabetic retinopathy.
                                                                                                            in 2016 and certified that he has had no
                                                    assistance of another person, or                                                                               He holds an operator’s license from
                                                                                                            severe hypoglycemic reactions resulting
                                                    resulting in impaired cognitive function                                                                       Connecticut.
                                                                                                            in loss of consciousness, requiring the
                                                    that occurred without warning in the                    assistance of another person, or                       Lawrence M. Gates
                                                    past 12 months and no recurrent (2 or                   resulting in impaired cognitive function
                                                    more) severe hypoglycemic episodes in                                                                            Mr. Gates, 43, has had ITDM since
                                                                                                            that occurred without warning in the                   2015. His endocrinologist examined him
                                                    the last 5 years. His endocrinologist                   past 12 months and no recurrent (2 or
                                                    certifies that Mr. Crain understands                                                                           in 2016 and certified that he has had no
                                                                                                            more) severe hypoglycemic episodes in                  severe hypoglycemic reactions resulting
                                                    diabetes management and monitoring,
                                                                                                            the last 5 years. His endocrinologist                  in loss of consciousness, requiring the
                                                    has stable control of his diabetes using
                                                                                                            certifies that Mr. Erickson understands                assistance of another person, or
                                                    insulin, and is able to drive a CMV
                                                                                                            diabetes management and monitoring,                    resulting in impaired cognitive function
                                                    safely. Mr. Crain meets the requirements
                                                    of the vision standard at 49 CFR                        has stable control of his diabetes using               that occurred without warning in the
                                                    391.41(b)(10). His ophthalmologist                      insulin, and is able to drive a CMV                    past 12 months and no recurrent (2 or
                                                    examined him in 2016 and certified that                 safely. Mr. Erickson meets the                         more) severe hypoglycemic episodes in
                                                    he does not have diabetic retinopathy.                  requirements of the vision standard at                 the last 5 years. His endocrinologist
                                                    He holds a Class A CDL from Louisiana.                  49 CFR 391.41(b)(10). His optometrist                  certifies that Mr. Gates understands
                                                                                                            examined him in 2016 and certified that                diabetes management and monitoring,
                                                    Phillip Daquila III                                     he does not have diabetic retinopathy.                 has stable control of his diabetes using
                                                      Mr. Daquila, 54, has had ITDM since                   He holds a Class A CDL from                            insulin, and is able to drive a CMV
                                                    2016. His endocrinologist examined him                  Minnesota.                                             safely. Mr. Gates meets the requirements
                                                    in 2016 and certified that he has had no                                                                       of the vision standard at 49 CFR
                                                    severe hypoglycemic reactions resulting                 Raymond E. Fisher, Jr.                                 391.41(b)(10). His ophthalmologist
                                                    in loss of consciousness, requiring the                   Mr. Fisher, 58, has had ITDM since                   examined him in 2016 and certified that
                                                    assistance of another person, or                                                                               he does not have diabetic retinopathy.
                                                                                                            2009. His endocrinologist examined him
                                                    resulting in impaired cognitive function                                                                       He holds a Class B CDL from New York.
                                                                                                            in 2015 and certified that he has had no
                                                    that occurred without warning in the                    severe hypoglycemic reactions resulting                Alva E. Gladney
                                                    past 12 months and no recurrent (2 or                   in loss of consciousness, requiring the
                                                    more) severe hypoglycemic episodes in                                                                            Ms. Gladney, 34, has had ITDM since
                                                                                                            assistance of another person, or                       2015. Her endocrinologist examined her
                                                    the last 5 years. His endocrinologist
                                                                                                            resulting in impaired cognitive function               in 2016 and certified that she has had
                                                    certifies that Mr. Daquila understands
                                                                                                            that occurred without warning in the                   no severe hypoglycemic reactions
                                                    diabetes management and monitoring,
                                                                                                            past 12 months and no recurrent (2 or                  resulting in loss of consciousness,
                                                    has stable control of his diabetes using
                                                                                                            more) severe hypoglycemic episodes in                  requiring the assistance of another
                                                    insulin, and is able to drive a CMV
                                                                                                            the last 5 years. His endocrinologist                  person, or resulting in impaired
                                                    safely. Mr. Daquila meets the
                                                    requirements of the vision standard at                  certifies that Mr. Fisher understands                  cognitive function that occurred without
                                                    49 CFR 391.41(b)(10). His optometrist                   diabetes management and monitoring,                    warning in the past 12 months and no
                                                    examined him in 2016 and certified that                 has stable control of his diabetes using               recurrent (2 or more) severe
                                                                                                            insulin, and is able to drive a CMV                    hypoglycemic episodes in the last 5
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    he does not have diabetic retinopathy.
                                                    He holds a Class A CDL from Illinois.                   safely. Mr. Fisher meets the                           years. Her endocrinologist certifies that
                                                                                                            requirements of the vision standard at                 Ms. Gladney understands diabetes
                                                    Robert N. Drake                                         49 CFR 391.41(b)(10). His                              management and monitoring has stable
                                                      Mr. Drake, 70, has had ITDM since                     ophthalmologist examined him in 2016                   control of her diabetes using insulin,
                                                    2008. His endocrinologist examined him                  and certified that he has stable                       and is able to drive a CMV safely. Ms.
                                                    in 2015 and certified that he has had no                nonproliferative diabetic retinopathy.                 Gladney meets the requirements of the
                                                    severe hypoglycemic reactions resulting                 He holds an operator’s license from                    vision standard at 49 CFR 391.41(b)(10).
                                                    in loss of consciousness, requiring the                 Pennsylvania.                                          Her ophthalmologist examined her in


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                                                    42038                          Federal Register / Vol. 81, No. 124 / Tuesday, June 28, 2016 / Notices

                                                    2015 and certified that she does not                    of the vision standard at 49 CFR                       insulin, and is able to drive a CMV
                                                    have diabetic retinopathy. She holds an                 391.41(b)(10). His optometrist examined                safely. Mr. Holman meets the
                                                    operator’s license from Louisiana.                      him in 2015 and certified that he does                 requirements of the vision standard at
                                                                                                            not have diabetic retinopathy. He holds                49 CFR 391.41(b)(10). His optometrist
                                                    John J. Gonzalez
                                                                                                            an operator’s license from Alabama.                    examined him in 2016 and certified that
                                                      Mr. Gonzalez, 55, has had ITDM since                                                                         he does not have diabetic retinopathy.
                                                    2012. His endocrinologist examined him                  William C. Higgins
                                                                                                                                                                   He holds an operator’s license from
                                                    in 2016 and certified that he has had no                  Mr. Higgins, 60, has had ITDM since                  Pennsylvania.
                                                    severe hypoglycemic reactions resulting                 2011. His endocrinologist examined him
                                                    in loss of consciousness, requiring the                 in 2016 and certified that he has had no               Kevin R. Holz
                                                    assistance of another person, or                        severe hypoglycemic reactions resulting                  Mr. Holz, 62, has had ITDM since
                                                    resulting in impaired cognitive function                in loss of consciousness, requiring the                2015. 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. Gonzalez 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. Higgins 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. Gonzalez 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. Holz understands
                                                    49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Higgins meets the                          diabetes management and monitoring,
                                                    examined him in 2016 and certified that                 requirements of the vision standard at                 has stable control of his diabetes using
                                                    he does not have diabetic retinopathy.                  49 CFR 391.41(b)(10). His optometrist                  insulin, and is able to drive a CMV
                                                    He holds a Class A CDL from                             examined him in 2016 and certified that                safely. Mr. Holz meets the requirements
                                                    Connecticut.                                            he does not have diabetic retinopathy.                 of the vision standard at 49 CFR
                                                                                                            He holds a Class B CDL from North                      391.41(b)(10). His ophthalmologist
                                                    James M. Haight
                                                                                                            Carolina.                                              examined him in 2016 and certified that
                                                      Mr. Haight, 58, has had ITDM since                                                                           he does not have diabetic retinopathy.
                                                    2013. His endocrinologist examined him                  David R. Hodge
                                                                                                                                                                   He holds a Class A CDL from
                                                    in 2016 and certified that he has had no                  Mr. Hodge, 61, has had ITDM since                    Minnesota.
                                                    severe hypoglycemic reactions resulting                 2010. His endocrinologist examined him
                                                    in loss of consciousness, requiring the                 in 2016 and certified that he has had no               Jaemin Hwang
                                                    assistance of another person, or                        severe hypoglycemic reactions resulting                  Mr. Hwang, 56, has had ITDM since
                                                    resulting in impaired cognitive function                in loss of consciousness, requiring the                2015. 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. Haight 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. Hodge 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. Haight 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. Hwang understands
                                                    49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Hodge meets the                            diabetes management and monitoring,
                                                    examined him in 2016 and certified that                 requirements of the vision standard at                 has stable control of his diabetes using
                                                    he does not have diabetic retinopathy.                  49 CFR 391.41(b)(10). His                              insulin, and is able to drive a CMV
                                                    He holds a Class A CDL from North                       ophthalmologist examined him in 2016                   safely. Mr. Hwang meets the
                                                    Carolina.                                               and certified that he does not have                    requirements of the vision standard at
                                                                                                            diabetic retinopathy. He holds a CDL                   49 CFR 391.41(b)(10). His
                                                    Bradley T. Hall
                                                                                                            from Michigan.                                         ophthalmologist examined him in 2016
                                                      Mr. Hall, 28, has had ITDM since                                                                             and certified that he does not have
                                                    2011. His endocrinologist examined him                  James Holman
                                                                                                                                                                   diabetic retinopathy. He holds a Class C
                                                    in 2016 and certified that he has had no                  Mr. Holman, 56, has had ITDM since                   CDL from New York.
                                                    severe hypoglycemic reactions resulting                 2014. His endocrinologist examined him
                                                    in loss of consciousness, requiring the                 in 2016 and certified that he has had no               Willis A. Jergenson
                                                    assistance of another person, or                        severe hypoglycemic reactions resulting                  Mr. Jergenson, 66, has had ITDM
                                                    resulting in impaired cognitive function                in loss of consciousness, requiring the                since 2016. His endocrinologist
                                                    that occurred without warning in the                    assistance of another person, or                       examined him in 2016 and certified that
asabaliauskas on DSK3SPTVN1PROD with NOTICES




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


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                                                                                   Federal Register / Vol. 81, No. 124 / Tuesday, June 28, 2016 / Notices                                             42039

                                                    last 5 years. His endocrinologist certifies             past 12 months and no recurrent (2 or                  that occurred without warning in the
                                                    that Mr. Jergenson understands diabetes                 more) severe hypoglycemic episodes in                  past 12 months and no recurrent (2 or
                                                    management and monitoring, has stable                   the last 5 years. His endocrinologist                  more) severe hypoglycemic episodes in
                                                    control of his diabetes using insulin,                  certifies that Mr. Kozy understands                    the last 5 years. His endocrinologist
                                                    and is able to drive a CMV safely. Mr.                  diabetes management and monitoring,                    certifies that Mr. Lewis understands
                                                    Jergenson meets the requirements of the                 has stable control of his diabetes using               diabetes management and monitoring,
                                                    vision standard at 49 CFR 391.41(b)(10).                insulin, and is able to drive a CMV                    has stable control of his diabetes using
                                                    His ophthalmologist examined him in                     safely. Mr. Kozy meets the requirements                insulin, and is able to drive a CMV
                                                    2016 and certified that he has stable                   of the vision standard at 49 CFR                       safely. Mr. Lewis meets the
                                                    nonproliferative diabetic retinopathy.                  391.41(b)(10). His ophthalmologist                     requirements of the vision standard at
                                                    He holds a Class A CDL from Iowa.                       examined him in 2016 and certified that                49 CFR 391.41(b)(10). His optometrist
                                                                                                            he does not have diabetic retinopathy.                 examined him in 2016 and certified that
                                                    Steven C. Jordan, Jr.
                                                                                                            He holds a Class B CDL from Florida.                   he does not have diabetic retinopathy.
                                                      Mr. Jordan, 46, has had ITDM since                                                                           He holds an operator’s license from
                                                    2014. His endocrinologist examined him                  Duane A. Leazott
                                                                                                                                                                   Pennsylvania.
                                                    in 2016 and certified that he has had no                  Mr. Leazott, 50, has had ITDM since
                                                    severe hypoglycemic reactions resulting                 2010. His endocrinologist examined him                 David A. Luchansky
                                                    in loss of consciousness, requiring the                 in 2016 and certified that he has had no                 Mr. Luchansky, 65, has had ITDM
                                                    assistance of another person, or                        severe hypoglycemic reactions resulting                since 2013. His endocrinologist
                                                    resulting in impaired cognitive function                in loss of consciousness, requiring the                examined him in 2016 and certified that
                                                    that occurred without warning in the                    assistance of another person, or                       he has had no severe hypoglycemic
                                                    past 12 months and no recurrent (2 or                   resulting in impaired cognitive function               reactions resulting in loss of
                                                    more) severe hypoglycemic episodes in                   that occurred without warning in the                   consciousness, requiring the assistance
                                                    the last 5 years. His endocrinologist                   past 12 months and no recurrent (2 or                  of another person, or resulting in
                                                    certifies that Mr. Jordan understands                   more) severe hypoglycemic episodes in                  impaired cognitive function that
                                                    diabetes management and monitoring,                     the last 5 years. His endocrinologist                  occurred without warning in the past 12
                                                    has stable control of his diabetes using                certifies that Mr. Leazott understands                 months and no recurrent (2 or more)
                                                    insulin, and is able to drive a CMV                     diabetes management and monitoring,                    severe hypoglycemic episodes in the
                                                    safely. Mr. Jordan meets the                            has stable control of his diabetes using               last 5 years. His endocrinologist certifies
                                                    requirements of the vision standard at                  insulin, and is able to drive a CMV                    that Mr. Luchansky understands
                                                    49 CFR 391.41(b)(10). His                               safely. Mr. Leazott meets the                          diabetes management and monitoring,
                                                    ophthalmologist examined him in 2016                    requirements of the vision standard at                 has stable control of his diabetes using
                                                    and certified that he does not have                     49 CFR 391.41(b)(10). His optometrist                  insulin, and is able to drive a CMV
                                                    diabetic retinopathy. He holds a Class A                examined him in 2016 and certified that                safely.
                                                    CDL from Maryland.                                      he does not have diabetic retinopathy.                   Mr. Luchansky meets the
                                                                                                            He holds an operator’s license from                    requirements of the vision standard at
                                                    Craig S. Kozlowski
                                                                                                            Minnesota.                                             49 CFR 391.41(b)(10). His optometrist
                                                      Mr. Kozlowski, 59, has had ITDM                                                                              examined him in 2016 and certified that
                                                    since 2015. His endocrinologist                         Mark D. Lema
                                                                                                                                                                   he does not have diabetic retinopathy.
                                                    examined him in 2016 and certified that                   Mr. Lema, 42, has had ITDM since                     He holds an operator’s license from
                                                    he has had no severe hypoglycemic                       2016. His endocrinologist examined him                 Pennsylvania.
                                                    reactions resulting in loss of                          in 2016 and certified that he has had no
                                                    consciousness, requiring the assistance                 severe hypoglycemic reactions resulting                Jacob T. Marsee
                                                    of another person, or resulting in                      in loss of consciousness, requiring the                  Mr. Marsee, 24, has had ITDM since
                                                    impaired cognitive function that                        assistance of another person, or                       2006. His endocrinologist examined him
                                                    occurred without warning in the past 12                 resulting in impaired cognitive function               in 2016 and certified that he has had no
                                                    months and no recurrent (2 or more)                     that occurred without warning in the                   severe hypoglycemic reactions resulting
                                                    severe hypoglycemic episodes in the                     past 12 months and no recurrent (2 or                  in loss of consciousness, requiring the
                                                    last 5 years. His endocrinologist certifies             more) severe hypoglycemic episodes in                  assistance of another person, or
                                                    that Mr. Kozlowski understands                          the last 5 years. His endocrinologist                  resulting in impaired cognitive function
                                                    diabetes management and monitoring,                     certifies that Mr. Lema understands                    that occurred without warning in the
                                                    has stable control of his diabetes using                diabetes management and monitoring,                    past 12 months and no recurrent (2 or
                                                    insulin, and is able to drive a CMV                     has stable control of his diabetes using               more) severe hypoglycemic episodes in
                                                    safely. Mr. Kozlowski meets the                         insulin, and is able to drive a CMV                    the last 5 years. His endocrinologist
                                                    requirements of the vision standard at                  safely. Mr. Lema meets the requirements                certifies that Mr. Marsee understands
                                                    49 CFR 391.41(b)(10). His optometrist                   of the vision standard at 49 CFR                       diabetes management and monitoring,
                                                    examined him in 2016 and certified that                 391.41(b)(10). His ophthalmologist                     has stable control of his diabetes using
                                                    he does not have diabetic retinopathy.                  examined him in 2015 and certified that                insulin, and is able to drive a CMV
                                                    He holds a Class B CDL from New York.                   he does not have diabetic retinopathy.                 safely. Mr. Marsee meets the
                                                                                                            He holds a Class A CDL from California.                requirements of the vision standard at
                                                    Alan D. Kozy
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                                                                                   49 CFR 391.41(b)(10). His optometrist
                                                      Mr. Kozy, 55, has had ITDM since                      Robert A. Lewis
                                                                                                                                                                   examined him in 2016 and certified that
                                                    2015. His endocrinologist examined him                    Mr. Lewis, 59, has had ITDM since                    he does not have diabetic retinopathy.
                                                    in 2015 and certified that he has had no                2014. His endocrinologist examined him                 He holds an operator’s license from
                                                    severe hypoglycemic reactions resulting                 in 2015 and certified that he has had no               Ohio.
                                                    in loss of consciousness, requiring the                 severe hypoglycemic reactions resulting
                                                    assistance of another person, or                        in loss of consciousness, requiring the                Richard E. Mellors
                                                    resulting in impaired cognitive function                assistance of another person, or                         Mr. Mellors, 68, has had ITDM since
                                                    that occurred without warning in the                    resulting in impaired cognitive function               2013. His endocrinologist examined him


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                                                    42040                          Federal Register / Vol. 81, No. 124 / Tuesday, June 28, 2016 / Notices

                                                    in 2016 and certified that he has had no                Dorian T. Papazikos                                    49 CFR 391.41(b)(10). His optometrist
                                                    severe hypoglycemic reactions resulting                   Mr. Papazikos, 29, has had ITDM                      examined him in 2016 and certified that
                                                    in loss of consciousness, requiring the                 since 1997. His endocrinologist                        he does not have diabetic retinopathy.
                                                    assistance of another person, or                        examined him in 2016 and certified that                He holds an operator’s license from
                                                    resulting in impaired cognitive function                he has had no severe hypoglycemic                      California.
                                                    that occurred without warning in the                    reactions resulting in loss of                         Wayne F. Pohlmeier
                                                    past 12 months and no recurrent (2 or                   consciousness, requiring the assistance                  Mr. Pohlmeier, 57, has had ITDM
                                                    more) severe hypoglycemic episodes in                   of another person, or resulting in                     since 2015. His endocrinologist
                                                    the last 5 years. His endocrinologist                   impaired cognitive function that                       examined him in 2016 and certified that
                                                    certifies that Mr. Mellors understands                  occurred without warning in the past 12                he has had no severe hypoglycemic
                                                    diabetes management and monitoring,                     months and no recurrent (2 or more)                    reactions resulting in loss of
                                                    has stable control of his diabetes using                severe hypoglycemic episodes in the                    consciousness, requiring the assistance
                                                    insulin, and is able to drive a CMV                     last 5 years. His endocrinologist certifies            of another person, or resulting in
                                                    safely. Mr. Mellors meets the                           that Mr. Papazikos understands diabetes                impaired cognitive function that
                                                    requirements of the vision standard at                  management and monitoring, has stable                  occurred without warning in the past 12
                                                    49 CFR 391.41(b)(10). His optometrist                   control of his diabetes using insulin,                 months and no recurrent (2 or more)
                                                    examined him in 2016 and certified that                 and is able to drive a CMV safely. Mr.                 severe hypoglycemic episodes in the
                                                    he does not have diabetic retinopathy.                  Papazikos meets the requirements of the                last 5 years. His endocrinologist certifies
                                                    He holds a Class A CDL from New York.                   vision standard at 49 CFR 391.41(b)(10).               that Mr. Pohlmeier understands diabetes
                                                                                                            His ophthalmologist examined him in                    management and monitoring, has stable
                                                    Ronald L. Mills                                         2016 and certified that he has stable                  control of his diabetes using insulin,
                                                                                                            nonproliferative diabetic retinopathy.                 and is able to drive a CMV safely. Mr.
                                                      Mr. Mills, 31, has had ITDM since
                                                                                                            He holds an operator’s license from                    Pohlmeier meets the requirements of the
                                                    2004. His endocrinologist examined him
                                                                                                            Alabama.                                               vision standard at 49 CFR 391.41(b)(10).
                                                    in 2015 and certified that he has had no
                                                    severe hypoglycemic reactions resulting                 Kurt A. Payne                                          His optometrist examined him in 2016
                                                    in loss of consciousness, requiring the                                                                        and certified that he does not have
                                                                                                              Mr. Payne, 45, has had ITDM since                    diabetic retinopathy. He holds a Class A
                                                    assistance of another person, or                        1981. His endocrinologist examined him
                                                    resulting in impaired cognitive function                                                                       CDL from Nebraska.
                                                                                                            in 2016 and certified that he has had no
                                                    that occurred without warning in the                    severe hypoglycemic reactions resulting                Santos R. Rodriquez, Jr.
                                                    past 12 months and no recurrent (2 or                   in loss of consciousness, requiring the                  Mr. Rodriquez, 25, has had ITDM
                                                    more) severe hypoglycemic episodes in                   assistance of another person, or                       since 2015. His endocrinologist
                                                    the last 5 years. His endocrinologist                   resulting in impaired cognitive function               examined him in 2016 and certified that
                                                    certifies that Mr. Mills understands                    that occurred without warning in the                   he has had no severe hypoglycemic
                                                    diabetes management and monitoring,                     past 12 months and no recurrent (2 or                  reactions resulting in loss of
                                                    has stable control of his diabetes using                more) severe hypoglycemic episodes in                  consciousness, requiring the assistance
                                                    insulin, and is able to drive a CMV                     the last 5 years. His endocrinologist                  of another person, or resulting in
                                                    safely. Mr. Mills meets the requirements                certifies that Mr. Payne understands                   impaired cognitive function that
                                                    of the vision standard at 49 CFR                        diabetes management and monitoring,                    occurred without warning in the past 12
                                                    391.41(b)(10). His optometrist examined                 has stable control of his diabetes using               months and no recurrent (2 or more)
                                                    him in 2015 and certified that he does                  insulin, and is able to drive a CMV                    severe hypoglycemic episodes in the
                                                    not have diabetic retinopathy. He holds                 safely. Mr. Payne meets the                            last 5 years. His endocrinologist certifies
                                                    an operator’s license from Virginia.                    requirements of the vision standard at                 that Mr. Rodriquez understands diabetes
                                                                                                            49 CFR 391.41(b)(10). His                              management and monitoring, has stable
                                                    Colton J. Nefzger                                       ophthalmologist examined him in 2016                   control of his diabetes using insulin,
                                                                                                            and certified that he has stable                       and is able to drive a CMV safely. Mr.
                                                      Mr. Nefzger, 23, has had ITDM since
                                                                                                            proliferative diabetic retinopathy. He                 Rodriquez meets the requirements of the
                                                    2002. His endocrinologist examined him
                                                                                                            holds an operator’s license from                       vision standard at 49 CFR 391.41(b)(10).
                                                    in 2016 and certified that he has had no
                                                                                                            California.                                            His optometrist examined him in 2016
                                                    severe hypoglycemic reactions resulting
                                                                                                            Carson A. Penny                                        and certified that he does not have
                                                    in loss of consciousness, requiring the
                                                                                                                                                                   diabetic retinopathy. He holds a Class B
                                                    assistance of another person, or                          Mr. Penny, 24, has had ITDM since                    CDL from Nebraska.
                                                    resulting in impaired cognitive function                2011. His endocrinologist examined him
                                                    that occurred without warning in the                    in 2016 and certified that he has had no               David E. Roth
                                                    past 12 months and no recurrent (2 or                   severe hypoglycemic reactions resulting                  Mr. Roth, 57, has had ITDM since
                                                    more) severe hypoglycemic episodes in                   in loss of consciousness, requiring the                2004. His endocrinologist examined him
                                                    the last 5 years. His endocrinologist                   assistance of another person, or                       in 2016 and certified that he has had no
                                                    certifies that Mr. Nefzger understands                  resulting in impaired cognitive function               severe hypoglycemic reactions resulting
                                                    diabetes management and monitoring,                     that occurred without warning in the                   in loss of consciousness, requiring the
                                                    has stable control of his diabetes using                past 12 months and no recurrent (2 or                  assistance of another person, or
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                                                    insulin, and is able to drive a CMV                     more) severe hypoglycemic episodes in                  resulting in impaired cognitive function
                                                    safely. Mr. Nefzger meets the                           the last 5 years. His endocrinologist                  that occurred without warning in the
                                                    requirements of the vision standard at                  certifies that Mr. Penny understands                   past 12 months and no recurrent (2 or
                                                    49 CFR 391.41(b)(10). His optometrist                   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 does not have diabetic retinopathy.                  insulin, and is able to drive a CMV                    certifies that Mr. Roth understands
                                                    He holds an operator’s license from                     safely. Mr. Penny meets the                            diabetes management and monitoring,
                                                    North Dakota.                                           requirements of the vision standard at                 has stable control of his diabetes using


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                                                                                   Federal Register / Vol. 81, No. 124 / Tuesday, June 28, 2016 / Notices                                             42041

                                                    insulin, and is able to drive a CMV                     that Mr. Simoneau understands diabetes                 that occurred without warning in the
                                                    safely. Mr. Roth meets the requirements                 management and monitoring, has stable                  past 12 months and no recurrent (2 or
                                                    of the vision standard at 49 CFR                        control of his diabetes using insulin,                 more) severe hypoglycemic episodes in
                                                    391.41(b)(10). His optometrist examined                 and is able to drive a CMV safely. Mr.                 the last 5 years. His endocrinologist
                                                    him in 2016 and certified that he does                  Simoneau meets the requirements of the                 certifies that Mr. Turner understands
                                                    not have diabetic retinopathy. He holds                 vision standard at 49 CFR 391.41(b)(10).               diabetes management and monitoring,
                                                    a Class B CDL from Minnesota.                           His ophthalmologist examined him in                    has stable control of his diabetes using
                                                                                                            2016 and certified that he has stable                  insulin, and is able to drive a CMV
                                                    Kenneth R. Schleppy
                                                                                                            nonproliferative diabetic retinopathy.                 safely. Mr. Turner meets the
                                                      Mr. Schleppy, 50, has had ITDM since                  He holds an operator’s license from New                requirements of the vision standard at
                                                    2015. His endocrinologist examined him                  Hampshire.                                             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                 Kenneth R. Stephenson
                                                                                                                                                                   he does not have diabetic retinopathy.
                                                    in loss of consciousness, requiring the                   Mr. Stephenson, 55, has had ITDM                     He holds a Class B CDL from Florida.
                                                    assistance of another person, or                        since 2016. His endocrinologist
                                                    resulting in impaired cognitive function                examined him in 2016 and certified that                Louis D. Valente
                                                    that occurred without warning in the                    he has had no severe hypoglycemic                        Mr. Valente, 63, has had ITDM since
                                                    past 12 months and no recurrent (2 or                   reactions resulting in loss of                         2015. His endocrinologist examined him
                                                    more) severe hypoglycemic episodes in                   consciousness, requiring the assistance                in 2016 and certified that he has had no
                                                    the last 5 years. His endocrinologist                   of another person, or resulting in                     severe hypoglycemic reactions resulting
                                                    certifies that Mr. Schleppy understands                 impaired cognitive function that                       in loss of consciousness, requiring the
                                                    diabetes management and monitoring,                     occurred without warning in the past 12                assistance of another person, or
                                                    has stable control of his diabetes using                months and no recurrent (2 or more)                    resulting in impaired cognitive function
                                                    insulin, and is able to drive a CMV                     severe hypoglycemic episodes in the                    that occurred without warning in the
                                                    safely. Mr. Schleppy meets the                          last 5 years. His endocrinologist certifies            past 12 months and no recurrent (2 or
                                                    requirements of the vision standard at                  that Mr. Stephenson understands                        more) severe hypoglycemic episodes in
                                                    49 CFR 391.41(b)(10). His optometrist                   diabetes management and monitoring,                    the last 5 years. His endocrinologist
                                                    examined him in 2016 and certified that                 has stable control of his diabetes using               certifies that Mr. Valente understands
                                                    he does not have diabetic retinopathy.                  insulin, and is able to drive a CMV                    diabetes management and monitoring,
                                                    He holds a Class B CDL from                             safely.                                                has stable control of his diabetes using
                                                    Pennsylvania.                                             Mr. Stephenson meets the                             insulin, and is able to drive a CMV
                                                                                                            requirements of the vision standard at                 safely. Mr. Valente meets the
                                                    John J. Shedlock
                                                                                                            49 CFR 391.41(b)(10). His optometrist                  requirements of the vision standard at
                                                      Mr. Shedlock, 36, has had ITDM since                  examined him in 2015 and certified that                49 CFR 391.41(b)(10). His optometrist
                                                    2015. His endocrinologist examined him                  he does not have diabetic retinopathy.                 examined him in 2016 and certified that
                                                    in 2016 and certified that he has had no                He holds an operator’s license from                    he does not have diabetic retinopathy.
                                                    severe hypoglycemic reactions resulting                 Texas.                                                 He holds a Class A CDL from
                                                    in loss of consciousness, requiring the                                                                        Massachusetts.
                                                    assistance of another person, or                        Jeffrey S. Toler
                                                    resulting in impaired cognitive function                   Mr. Toler, 50, has had ITDM since                   Robert L. Westergaard
                                                    that occurred without warning in the                    2016. His endocrinologist examined him                   Mr. Westergaard, 28, has had ITDM
                                                    past 12 months and no recurrent (2 or                   in 2016 and certified that he has had no               since 1998. His endocrinologist
                                                    more) severe hypoglycemic episodes in                   severe hypoglycemic reactions resulting                examined him in 2016 and certified that
                                                    the last 5 years. His endocrinologist                   in loss of consciousness, requiring the                he has had no severe hypoglycemic
                                                    certifies that Mr. Shedlock understands                 assistance of another person, or                       reactions resulting in loss of
                                                    diabetes management and monitoring,                     resulting in impaired cognitive function               consciousness, requiring the assistance
                                                    has stable control of his diabetes using                that occurred without warning in the                   of another person, or resulting in
                                                    insulin, and is able to drive a CMV                     past 12 months and no recurrent (2 or                  impaired cognitive function that
                                                    safely. Mr. Shedlock meets the                          more) severe hypoglycemic episodes in                  occurred without warning in the past 12
                                                    requirements of the vision standard at                  the last 5 years. His endocrinologist                  months and no recurrent (2 or more)
                                                    49 CFR 391.41(b)(10). His optometrist                   certifies that Mr. Toler understands                   severe hypoglycemic episodes in the
                                                    examined him in 2016 and certified that                 diabetes management and monitoring,                    last 5 years. His endocrinologist certifies
                                                    he does not have diabetic retinopathy.                  has stable control of his diabetes using               that Mr. Westergaard understands
                                                    He holds a Class A CDL from                             insulin, and is able to drive a CMV                    diabetes management and monitoring,
                                                    Pennsylvania.                                           safely. Mr. Toler meets the requirements               has stable control of his diabetes using
                                                                                                            of the vision standard at 49 CFR                       insulin, and is able to drive a CMV
                                                    Jonathan W. Simoneau
                                                                                                            391.41(b)(10). His optometrist examined                safely.
                                                      Mr. Simoneau, 31, has had ITDM                        him in 2016 and certified that he does                   Mr. Westergaard meets the
                                                    since 1996. His endocrinologist                         not have diabetic retinopathy. He holds                requirements of the vision standard at
                                                    examined him in 2016 and certified that                 a Class A CDL from Indiana.                            49 CFR 391.41(b)(10). His optometrist
                                                    he has had no severe hypoglycemic
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                                                                                                                                                                   examined him in 2016 and certified that
                                                    reactions resulting in loss of                          Herbert L. Turner
                                                                                                                                                                   he does not have diabetic retinopathy.
                                                    consciousness, requiring the assistance                   Mr. Turner, 48, has had ITDM since                   He holds an operator’s license from New
                                                    of another person, or resulting in                      2015. His endocrinologist examined him                 Jersey.
                                                    impaired cognitive function that                        in 2016 and certified that he has had no
                                                    occurred without warning in the past 12                 severe hypoglycemic reactions resulting                Mark A. Williams
                                                    months and no recurrent (2 or more)                     in loss of consciousness, requiring the                  Mr. Williams, 62, has had ITDM since
                                                    severe hypoglycemic episodes in the                     assistance of another person, or                       2015. His endocrinologist examined him
                                                    last 5 years. His endocrinologist certifies             resulting in impaired cognitive function               in 2016 and certified that he has had no


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                                                    42042                          Federal Register / Vol. 81, No. 124 / Tuesday, June 28, 2016 / Notices

                                                    severe hypoglycemic reactions resulting                 Kyle S. Yount                                            required of all exemptions granted
                                                    in loss of consciousness, requiring the                   Mr. Yount, 30, has had ITDM since                      under 49 U.S.C. 31136 (e).
                                                    assistance of another person, or                        1994. His endocrinologist examined him                     Section 4129(d) also directed FMCSA
                                                    resulting in impaired cognitive function                in 2016 and certified that he has had no                 to ensure that drivers of CMVs with
                                                    that occurred without warning in the                    severe hypoglycemic reactions resulting                  ITDM are not held to a higher standard
                                                    past 12 months and no recurrent (2 or                   in loss of consciousness, requiring the                  than other drivers, with the exception of
                                                    more) severe hypoglycemic episodes in                   assistance of another person, or                         limited operating, monitoring and
                                                    the last 5 years. His endocrinologist                   resulting in impaired cognitive function                 medical requirements that are deemed
                                                    certifies that Mr. Williams understands                 that occurred without warning in the                     medically necessary.
                                                    diabetes management and monitoring,                     past 12 months and no recurrent (2 or                      The FMCSA concluded that all of the
                                                    has stable control of his diabetes using                more) severe hypoglycemic episodes in                    operating, monitoring and medical
                                                    insulin, and is able to drive a CMV                     the last 5 years. His endocrinologist                    requirements set out in the September 3,
                                                    safely. Mr. Williams meets the                          certifies that Mr. Yount understands                     2003 notice, except as modified, were in
                                                    requirements of the vision standard at                  diabetes management and monitoring,                      compliance with section 4129(d).
                                                    49 CFR 391.41(b)(10). His optometrist                   has stable control of his diabetes using                 Therefore, all of the requirements set
                                                    examined him in 2016 and certified that                 insulin, and is able to drive a CMV                      out in the September 3, 2003 notice,
                                                    he does not have diabetic retinopathy.                  safely. Mr. Yount meets the                              except as modified by the notice in the
                                                    He holds a Class B CDL from Indiana.                    requirements of the vision standard at                   Federal Register on November 8, 2005
                                                                                                            49 CFR 391.41(b)(10). His optometrist                    (70 FR 67777), remain in effect.
                                                    Douglas J. Wood                                         examined him in 2015 and certified that
                                                                                                            he does not have diabetic retinopathy.                   IV. Submitting Comments
                                                      Mr. Wood, 49, has had ITDM since
                                                                                                            He holds an operator’s license from                         You may submit your comments and
                                                    2015. His endocrinologist examined him
                                                                                                            Kentucky.                                                material online or by fax, mail, or hand
                                                    in 2016 and certified that he has had no
                                                    severe hypoglycemic reactions resulting                 III. Request for Comments                                delivery, but please use only one of
                                                    in loss of consciousness, requiring the                                                                          these means. FMCSA recommends that
                                                                                                               In accordance with 49 U.S.C. 31136(e)                 you include your name and a mailing
                                                    assistance of another person, or                        and 31315, FMCSA requests public
                                                    resulting in impaired cognitive function                                                                         address, an email address, or a phone
                                                                                                            comment from all interested persons on                   number in the body of your document
                                                    that occurred without warning in the                    the exemption petitions described in
                                                    past 12 months and no recurrent (2 or                                                                            so that FMCSA can contact you if there
                                                                                                            this notice. We will consider all                        are questions regarding your
                                                    more) severe hypoglycemic episodes in                   comments received before the close of                    submission.
                                                    the last 5 years. His endocrinologist                   business on the closing date indicated
                                                    certifies that Mr. Wood understands                     in the date section of the notice.                          To submit your comment online, go to
                                                    diabetes management and monitoring,                        FMCSA notes that section 4129 of the                  http://www.regulations.gov and in the
                                                    has stable control of his diabetes using                Safe, Accountable, Flexible and                          search box insert the docket number
                                                    insulin, and is able to drive a CMV                     Efficient Transportation Equity Act: A                   FMCSA–2016–0041 and click the search
                                                    safely. Mr. Wood meets the                              Legacy for Users requires the Secretary                  button. When the new screen appears,
                                                    requirements of the vision standard at                  to revise its diabetes exemption program                 click on the blue ‘‘Comment Now!’’
                                                                                                            established on September 3, 2003 (68 FR                  button on the right hand side of the
                                                    49 CFR 391.41(b)(10). His
                                                                                                            52441).1 The revision must provide for                   page. On the new page, enter
                                                    ophthalmologist examined him in 2016
                                                                                                            individual assessment of drivers with                    information required including the
                                                    and certified that he does not have
                                                                                                            diabetes mellitus, and be consistent                     specific section of this document to
                                                    diabetic retinopathy. He holds an                                                                                which each comment applies, and
                                                    operator’s license from Kentucky.                       with the criteria described in section
                                                                                                            4018 of the Transportation Equity Act                    provide a reason for each suggestion or
                                                    Robert A. Yerges                                        for the 21st Century (49 U.S.C. 31305).                  recommendation. If you submit your
                                                                                                               Section 4129 requires: (1) Elimination                comments by mail or hand delivery,
                                                      Mr. Yerges, 28, has had ITDM since                    of the requirement for 3 years of                        submit them in an unbound format, no
                                                    2016. His endocrinologist examined him                  experience operating CMVs while being                    larger than 81⁄2 by 11 inches, suitable for
                                                    in 2016 and certified that he has had no                treated with insulin; and (2)                            copying and electronic filing. If you
                                                    severe hypoglycemic reactions resulting                 establishment of a specified minimum                     submit comments by mail and would
                                                    in loss of consciousness, requiring the                 period of insulin use to demonstrate                     like to know that they reached the
                                                    assistance of another person, or                        stable control of diabetes before being                  facility, please enclose a stamped, self-
                                                    resulting in impaired cognitive function                allowed to operate a CMV.                                addressed postcard or envelope.
                                                    that occurred without warning in the                       In response to section 4129, FMCSA                       We will consider all comments and
                                                    past 12 months and no recurrent (2 or                   made immediate revisions to the                          material received during the comment
                                                    more) severe hypoglycemic episodes in                   diabetes exemption program established                   period. FMCSA may issue a final
                                                    the last 5 years. His endocrinologist                   by the September 3, 2003 notice.                         determination at any time after the close
                                                    certifies that Mr. Yerges understands                   FMCSA discontinued use of the 3-year                     of the comment period.
                                                    diabetes management and monitoring,                     driving experience and fulfilled the
                                                                                                                                                                     V. Viewing Comments and Documents
                                                    has stable control of his diabetes using                requirements of section 4129 while
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                                                    insulin, and is able to drive a CMV                     continuing to ensure that operation of                     To view comments, as well as any
                                                    safely. Mr. Yerges meets the                            CMVs by drivers with ITDM will                           documents mentioned in this preamble,
                                                    requirements of the vision standard at                  achieve the requisite level of safety                    go to http://www.regulations.gov and in
                                                    49 CFR 391.41(b)(10). His optometrist                                                                            the search box insert the docket number
                                                    examined him in 2016 and certified that                    1 Section 4129(a) refers to the 2003 notice as a
                                                                                                                                                                     FMCSA–2016–0041 and click ‘‘Search.’’
                                                    he does not have diabetic retinopathy.                  ‘‘final rule.’’ However, the 2003 notice did not issue
                                                                                                            a ‘‘final rule’’ but did establish the procedures and
                                                                                                                                                                     Next, click ‘‘Open Docket Folder’’ and
                                                    He holds a Class A CDL from                             standards for issuing exemptions for drivers with        you will find all documents and
                                                    Wisconsin.                                              ITDM.                                                    comments related to this notice.


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                                                                                   Federal Register / Vol. 81, No. 124 / Tuesday, June 28, 2016 / Notices                                            42043

                                                      Issued on: June 20, 2016.                             II. Background                                         diabetes management, and is on a stable
                                                    Larry W. Minor,                                            On March 16, 2016, FMCSA                            insulin regimen. These drivers report no
                                                    Associate Administrator for Policy.                     published a notice of receipt of Federal               other disqualifying conditions,
                                                    [FR Doc. 2016–15223 Filed 6–27–16; 8:45 am]             diabetes exemption applications from                   including diabetes-related
                                                    BILLING CODE 4910–EX–P                                  74 individuals and requested comments                  complications. Each meets the vision
                                                                                                            from the public (81 FR 14179. The                      requirement at 49 CFR 391.41(b)(10).
                                                                                                                                                                     The qualifications and medical
                                                                                                            public comment period closed on April
                                                    DEPARTMENT OF TRANSPORTATION                                                                                   condition of each applicant were stated
                                                                                                            15, 2016, and 3 comments were
                                                                                                                                                                   and discussed in detail in the March 16,
                                                                                                            received.
                                                    Federal Motor Carrier Safety                               FMCSA has evaluated the eligibility                 2016, Federal Register notice and they
                                                    Administration                                          of the 74 applicants and determined that               will not be repeated in this notice.
                                                                                                            granting the exemptions to these                       III. Discussion of Comments
                                                    [FMCSA Docket No. FMCSA–2016–0034]                      individuals would achieve a level of                      FMCSA received 3 comments in this
                                                                                                            safety equivalent to or greater than the               proceeding. Jill Lewis believes
                                                    Qualification of Drivers; Exemption                     level that would be achieved by
                                                    Applications; Diabetes Mellitus                                                                                exemptions should not be granted to
                                                                                                            complying with the current regulation                  those over the age of 70. Irene Medina
                                                    AGENCY: Federal Motor Carrier Safety                    49 CFR 391.41(b)(3).                                   and Daniel Adams believe exemptions
                                                    Administration (FMCSA), DOT.                            Diabetes Mellitus and Driving                          should be granted to all listed in the
                                                    ACTION: Notice of final disposition.                    Experience of the Applicants                           notice. FMCSA’s response to Jill Lewis’s
                                                                                                                                                                   comment; ‘‘All drivers that are granted
                                                    SUMMARY:   FMCSA confirms its decision                     The Agency established the current
                                                                                                                                                                   exemptions from the diabetes standard
                                                    to exempt 74 individuals from its rule                  requirement for diabetes in 1970
                                                                                                                                                                   must be examined by a certified medical
                                                    prohibiting persons with insulin-treated                because several risk studies indicated
                                                                                                                                                                   examiner, endocrinologist, and eye
                                                    diabetes mellitus (ITDM) from operating                 that drivers with diabetes had a higher
                                                                                                                                                                   doctor, who determine if the driver is
                                                    commercial motor vehicles (CMVs) in                     rate of crash involvement than the
                                                                                                                                                                   medically qualified to operate a CMV in
                                                    interstate commerce. The exemptions                     general population. The diabetes rule
                                                                                                                                                                   interstate commerce. Therefore, if
                                                    enable these individuals to operate                     provides that ‘‘A person is physically
                                                                                                                                                                   applicants over the age of 70 are
                                                    CMVs in interstate commerce.                            qualified to drive a commercial motor
                                                                                                                                                                   determined to be medically qualified,
                                                                                                            vehicle if that person has no established
                                                    DATES: The exemptions were effective                                                                           there is no basis for denying them
                                                                                                            medical history or clinical diagnosis of
                                                    on April 16, 2016. The exemptions                                                                              exemptions.’’
                                                                                                            diabetes mellitus currently requiring
                                                    expire on April 16, 2018.                               insulin for control’’ (49 CFR                          IV. Basis for Exemption Determination
                                                    FOR FURTHER INFORMATION CONTACT:                        391.41(b)(3)).                                            Under 49 U.S.C. 31136(e) and 31315,
                                                    Christine A. Hydock, Chief, Medical                        FMCSA established its diabetes                      FMCSA may grant an exemption from
                                                    Programs Division, (202) 366–4001,                      exemption program, based on the                        the diabetes requirement in 49 CFR
                                                    fmcsamedical@dot.gov, FMCSA,                            Agency’s July 2000 study entitled ‘‘A                  391.41(b)(3) if the exemption is likely to
                                                    Department of Transportation, 1200                      Report to Congress on the Feasibility of               achieve an equivalent or greater level of
                                                    New Jersey Avenue SE., Room W64–                        a Program to Qualify Individuals with                  safety than would be achieved without
                                                    113, Washington, DC 20590–0001.                         Insulin-Treated Diabetes Mellitus to                   the exemption. The exemption allows
                                                    Office hours are from 8:30 a.m. to 5 p.m.               Operate in Interstate Commerce as                      the applicants to operate CMVs in
                                                    e.t., Monday through Friday, except                     Directed by the Transportation Act for                 interstate commerce.
                                                    Federal holidays.                                       the 21st Century.’’ The report concluded                  To evaluate the effect of these
                                                    SUPPLEMENTARY INFORMATION:                              that a safe and practicable protocol to                exemptions on safety, FMCSA
                                                                                                            allow some drivers with ITDM to                        considered medical reports about the
                                                    I. Electronic Access
                                                                                                            operate CMVs is feasible. The                          applicants’ ITDM and vision, and
                                                       You may see all the comments online                  September 3, 2003 (68 FR 52441),                       reviewed the treating endocrinologists’
                                                    through the Federal Document                            Federal Register notice in conjunction                 medical opinion related to the ability of
                                                    Management System (FDMS) at: http://                    with the November 8, 2005 (70 FR                       the driver to safely operate a CMV while
                                                    www.regulations.gov.                                    67777), Federal Register notice provides               using insulin.
                                                       Docket: For access to the docket to                  the current protocol for allowing such                    Consequently, FMCSA finds that in
                                                    read background documents or                            drivers to operate CMVs in interstate                  each case exempting these applicants
                                                    comments, go to http://                                 commerce.                                              from the diabetes requirement in 49 CFR
                                                    www.regulations.gov and/or Room                            These 74 applicants have had ITDM                   391.41(b)(3) is likely to achieve a level
                                                    W12–140 on the ground level of the                      over a range of 1 to 36 years. These                   of safety equal to that existing without
                                                    West Building, 1200 New Jersey Avenue                   applicants report no severe                            the exemption.
                                                    SE., Washington, DC, between 9 a.m.                     hypoglycemic reactions resulting in loss
                                                    and 5 p.m., Monday through Friday,                      of consciousness or seizure, requiring                 V. Conditions and Requirements
                                                    except Federal holidays.                                the assistance of another person, or                      The terms and conditions of the
                                                       Privacy Act: In accordance with 5                    resulting in impaired cognitive function               exemption will be provided to the
                                                    U.S.C. 553(c), DOT solicits comments                    that occurred without warning                          applicants in the exemption document
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    from the public to better inform its                    symptoms, in the past 12 months and no                 and they include the following: (1) That
                                                    rulemaking process. DOT posts these                     recurrent (2 or more) severe                           each individual submit a quarterly
                                                    comments, without edit, including any                   hypoglycemic episodes in the past 5                    monitoring checklist completed by the
                                                    personal information the commenter                      years. In each case, an endocrinologist                treating endocrinologist as well as an
                                                    provides, to www.regulations.gov, as                    verified that the driver has                           annual checklist with a comprehensive
                                                    described in the system of records                      demonstrated a willingness to properly                 medical evaluation; (2) that each
                                                    notice (DOT/ALL–14 FDMS), which can                     monitor and manage his/her diabetes                    individual reports within 2 business
                                                    be reviewed at www.dot.gov/privacy.                     mellitus, received education related to                days of occurrence, all episodes of


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Document Created: 2016-06-28 00:53:50
Document Modified: 2016-06-28 00:53:50
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 July 28, 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 42035 

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