81_FR_52664 81 FR 52512 - Qualification of Drivers; Exemption Applications; Implantable Cardioverter Defibrillators

81 FR 52512 - Qualification of Drivers; Exemption Applications; Implantable Cardioverter Defibrillators

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 81, Issue 152 (August 8, 2016)

Page Range52512-52514
FR Document2016-18737

FMCSA announces receipt of applications from eleven individuals for exemptions from the rules prohibiting operation of a commercial motor vehicle (CMV) by persons with a current clinical diagnosis of myocardial infarction, angina pectoris, coronary insufficiency, thrombosis, or any other cardiovascular disease of a variety known to be accompanied by syncope, dyspnea, collapse, or congestive heart failure. If granted, the exemptions would enable these individuals to operate CMVs for up to two years in interstate commerce.

Federal Register, Volume 81 Issue 152 (Monday, August 8, 2016)
[Federal Register Volume 81, Number 152 (Monday, August 8, 2016)]
[Notices]
[Pages 52512-52514]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-18737]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2016-0175]


Qualification of Drivers; Exemption Applications; Implantable 
Cardioverter Defibrillators

AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT.

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

-----------------------------------------------------------------------

SUMMARY: FMCSA announces receipt of applications from eleven 
individuals for exemptions from the rules prohibiting operation of a 
commercial motor vehicle (CMV) by persons with a current clinical 
diagnosis of myocardial infarction, angina pectoris, coronary 
insufficiency, thrombosis, or any other cardiovascular disease of a 
variety known to be accompanied by syncope, dyspnea, collapse, or 
congestive heart failure. If granted, the exemptions would enable these 
individuals to operate CMVs for up to two years in interstate commerce.

DATES: Comments must be received on or before September 7, 2016.

ADDRESSES: You may submit comments bearing the Federal Docket 
Management System (FDMS) Docket ID FMCSA-2016-0175 using any of the 
following methods:
     Federal eRulemaking Portal: Go to www.regulations.gov. 
Follow the online 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 or Courier: 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 ID 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 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 online.
    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 http://www.regulations.gov, as described in 
the system records notice (DOT/ALL-14 FDMS), which can be reviewed at 
http://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 from 8:30 a.m. to 5 p.m., 
e.t., Monday through Friday, except Federal holidays.

I. Background

    Under 49 U.S.C. 31136(e) and 31315, FMCSA may grant an exemption 
from the Federal Motor Carrier Safety Regulations (FMCSRs) for a two-
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 two-year period. The eleven 
individuals listed in this notice have requested an exemption from 49 
CFR 391.41(b)(4), which applies to drivers who operates 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.
    The physical qualification standard found in 49 CFR 391.41(b)(4) 
states that a person is physically qualified to drive a CMV if that 
person

    Has no current clinical diagnosis of myocardial infarction, 
angina pectoris, coronary insufficiency, thrombosis, or any other 
cardiovascular disease of a variety known to be accompanied by 
syncope, dyspnea, collapse, or congestive cardiac failure.

    In addition to the regulations, FMCSA has published advisory 
criteria \1\ to

[[Page 52513]]

assist medical examiners in determining whether drivers with certain 
medical conditions are qualified to operate a CMV in interstate 
commerce. [49 CFR part 391, APPENDIX A TO PART 391--MEDICAL ADVISORY 
CRITERIA, section D. Cardiovascular: Sec.  391.41(b)(4), paragraph 4.] 
The advisory criteria states that ICDs are disqualifying due to risk of 
syncope.
---------------------------------------------------------------------------

    \1\ See http://www.ecfr.gov/cgi-bin/text-idx?SID=e47b48a9ea42dd67d999246e23d97970&mc=true&node=pt49.5.391&rgn=div5#ap49.5.391_171.a and https://www.thefederalregister.org/fdsys/pkg/CFR-2015-title49-vol5/pdf/CFR-2015-title49-vol5-part391-appA.pdf.
---------------------------------------------------------------------------

Qualifications of Applicants

Charles R. Allen
    Mr. Allen is a 47 year old commercial motor vehicle driver in 
Michigan. A report that he provided from July 2015 from the Veterans 
Administration Ann Arbor Healthcare System provider indicates, ``he has 
well compensated class-I-II congestive heart failure with and ICD. He 
has a normal ejection fraction of 50-55%''.
William Blake
    Mr. Blake is a 57 year old Class A CDL holder in New Hampshire. His 
ICD was implanted in June 2015 and has never deployed. A January 5, 
2016 cardiologist report indicates; ``No symptoms referable to ICD or 
underlying rhythm changes. I believe the risk of recurrent ventricular 
tachy-arrhythmias or syncope is very low, however, given the history of 
these abnormalities and the family history of arrhythmias I would favor 
continued ICD implantation''.
Roosevelt Tyrone Brown
    Mr. Brown is a 54 year old Class A CDL holder in South Carolina. A 
March 17, 2016 letter from his cardiologist states that Mr. Brown's ICD 
was implanted October 15, 2013, and that recent echocardiography 
demonstrated an ejection fraction in the 25-30 percent range and a 
calculated ejection fraction of 24% from nuclear stress testing. A 
March 10, 2016 report from his electrophysiologist indicates that Mr. 
Brown has reported one shock from his device. Overall he feels well and 
denies chest pain, shortness of breath, or dyspnea on exertion.
Kevin Coulter
    Mr. Coulter is a 60 year old Class A CDL holder in California. A 
June 2016 letter from his cardiologist states that his ICD was 
implanted in February 2015. No shock has deployed since implantation. 
He has been asymptomatic. He has an ejection fraction of 40-45%, most 
recently measured in April 2015.
John Dudar
    Mr. Dudar is a 55 year old Class A CDL holder in Connecticut. An 
undated cardiologist report indicates that the ICD has been in place 
since 2003. ``He has experienced several shocks from his device and 
around that time was upgraded to biventricular ICD. At least back to 
2009 he has not received any ICD discharges. His device is stable and 
at this point he really has no significant heart failure symptoms. His 
last ejection fraction was estimated at 25% in August 2013. His cardiac 
issues appear stable. He has had no recent ventricular arrhythmias and 
he has a normally functioning Biv-ICD''.
Timothy Godwin
    Mr. Godwin is a 51 year old Class A CDL holder in North Carolina. A 
March 30 2016 report from his cardiac electrophysiologist indicates 
knowledge of the driver and his condition since 2014 and that (Mr. 
Godwin) has not required any therapies before or after ICD implant, nor 
has he lost consciousness at any time. ``I consider him to be safer 
than most other commercial drives who have undiagnosed or untreated 
cardiovascular problems. I feel that rather than the presence or 
absence of an ICD in a patient what is most important is the underlying 
cardiac condition and risk for loss of consciousness. Treated, Mr. 
Godwin is at average risk''.
James Goslee
    Mr. Goslee is a 52 year old driver in Maryland. A May 2016 letter 
from his cardiologist states that his ICD was implanted in June 2104. 
His ICD has never delivered therapy. He follows up regularly in the 
office and is free of cardiac complaints. An April 2016 study shows an 
ejection fraction of 65-70% and an exercise tolerance at 10 minutes of 
Bruce protocol. The current status of underlying heart condition is low 
intermediate cardiovascular risk profile.
Richard Hacker
    Mr. Hacker is 62 year old Class A CDL holder in Maryland. Medical 
documents from June 2016 from his cardiologist state that his ICD was 
implanted in 2007. The device check in June 2016 indicated no events 
for 10.5 years. Mr. Hacker's ejection fraction is 53%. His medical 
documentation indicates that he has no symptoms.
Kathryn Kosse
    Ms. Kosse is a 63 year old Class D holder in Arizona. A May 2016 
letter from her cardiologist states that her defibrillator was 
implanted in October 2014. ``Her ICD has never deployed and her 
symptoms have completely resolved. Her left ventricular ejection 
fraction is normal. Ms. Kosse appears to be in stable cardiovascular 
health''.
Joseph Skrzyniarz
    Mr. Skrzyniarz is a 56 year old Class A CDL holder in Michigan. He 
possesses a one-year Michigan waiver dated October 22, 2015 for 
intrastate driving. A September 15, 2015 cardiologist-
electrophysiologist report indicates that his ICD has been implanted 
since February 2015. He has not received any ICD shocks from his device 
at this time. ``He had two episodes of asymptomatic non-sustained 
ventricular tachycardia. His condition is stable over the past year and 
unchanged. He has not had any ICD shocks or dangerous arrhythmias. He 
has been asymptomatic and is safe to operate a commercial vehicle in 
accordance to his job description which was provided. I have no 
reservations at this time''. A September 17 cardiologist report 
provides that, ``To date the device has not been activated and his 
underlying cardiac condition has been deemed stable.''
Wylanne Deon Stafford
    Mr. Stafford is a 48 year old driver in Illinois. An April 26, 2016 
report from his cardiologist indicates that Mr. Stafford's ICD was 
implanted in 2011 and has never fired. His cardiologist indicates that 
since ICD placement, his ejection fraction has normalized to 55% and he 
is asymptomatic and stable.

II. 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.

III. 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-2016-0175'' and 
click the search button. When the new screen appears, click on the blue 
``Comment

[[Page 52514]]

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 materials received during the 
comment period. FMCSA may issue a final determination any time after 
the close of the comment period.

IV. 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-2016-0175 and click ``Search.'' Next, click 
``Open Docket Folder'' and you will find all documents and comments 
related to this notice.

    Issued on: July 29, 2016.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2016-18737 Filed 8-5-16; 8:45 am]
 BILLING CODE 4910-EX-P



                                                  52512                         Federal Register / Vol. 81, No. 152 / Monday, August 8, 2016 / Notices

                                                    The FMCSA concluded that all of the                   DEPARTMENT OF TRANSPORTATION                          a.m. and 5 p.m., Monday through
                                                  operating, monitoring and medical                                                                             Friday, except Federal holidays. The
                                                  requirements set out in the September 3,                Federal Motor Carrier Safety                          FDMS is available 24 hours each day,
                                                  2003 notice, except as modified, were in                Administration                                        365 days each year. If you want
                                                  compliance with section 4129(d).                                                                              acknowledgment that we received your
                                                                                                          [Docket No. FMCSA–2016–0175]
                                                  Therefore, all of the requirements set                                                                        comments, please include a self-
                                                  out in the September 3, 2003 notice,                    Qualification of Drivers; Exemption                   addressed, stamped envelope or
                                                  except as modified by the notice in the                 Applications; Implantable Cardioverter                postcard or print the acknowledgement
                                                  Federal Register on November 8, 2005                    Defibrillators                                        page that appears after submitting
                                                                                                                                                                comments online.
                                                  (70 FR 67777), remain in effect.
                                                                                                          AGENCY: Federal Motor Carrier Safety                     Privacy Act: In accordance with 5
                                                  IV. Submitting Comments                                 Administration (FMCSA), DOT.                          U.S.C. 553(c), DOT solicits comments
                                                                                                          ACTION: Notice of applications for                    from the public to better inform its
                                                     You may submit your comments and                     exemption; request for comments.                      rulemaking process. DOT posts these
                                                  material online or by fax, mail, or hand                                                                      comments, without edit, including any
                                                  delivery, but please use only one of                    SUMMARY:    FMCSA announces receipt of                personal information the commenter
                                                  these means. FMCSA recommends that                      applications from eleven individuals for              provides, to http://www.regulations.gov,
                                                  you include your name and a mailing                     exemptions from the rules prohibiting                 as described in the system records
                                                  address, an email address, or a phone                   operation of a commercial motor vehicle               notice (DOT/ALL–14 FDMS), which can
                                                  number in the body of your document                     (CMV) by persons with a current                       be reviewed at http://www.dot.gov/
                                                  so that FMCSA can contact you if there                  clinical diagnosis of myocardial                      privacy.
                                                  are questions regarding your                            infarction, angina pectoris, coronary                 FOR FURTHER INFORMATION CONTACT:
                                                  submission.                                             insufficiency, thrombosis, or any other               Christine A. Hydock, Chief, Medical
                                                                                                          cardiovascular disease of a variety                   Programs Division, (202) 366–4001,
                                                     To submit your comment online, go to
                                                                                                          known to be accompanied by syncope,                   fmcsamedical@dot.gov, FMCSA,
                                                  http://www.regulations.gov and in the                   dyspnea, collapse, or congestive heart
                                                  search box insert the docket number                                                                           Department of Transportation, 1200
                                                                                                          failure. If granted, the exemptions                   New Jersey Avenue SE., Room W64–
                                                  FMCSA–2016–0218 and click the search                    would enable these individuals to                     113, Washington, DC 20590–0001.
                                                  button. When the new screen appears,                    operate CMVs for up to two years in                   Office hours are from 8:30 a.m. to 5
                                                  click on the blue ‘‘Comment Now!’’                      interstate commerce.                                  p.m., e.t., Monday through Friday,
                                                  button on the right hand side of the                    DATES: Comments must be received on                   except Federal holidays.
                                                  page. On the new page, enter                            or before September 7, 2016.
                                                  information required including the                                                                            I. Background
                                                                                                          ADDRESSES: You may submit comments
                                                  specific section of this document to                                                                             Under 49 U.S.C. 31136(e) and 31315,
                                                                                                          bearing the Federal Docket Management
                                                  which each comment applies, and                         System (FDMS) Docket ID FMCSA–                        FMCSA may grant an exemption from
                                                  provide a reason for each suggestion or                                                                       the Federal Motor Carrier Safety
                                                                                                          2016–0175 using any of the following
                                                  recommendation. If you submit your                                                                            Regulations (FMCSRs) for a two-year
                                                                                                          methods:
                                                  comments by mail or hand delivery,                                                                            period if it finds ‘‘such exemption
                                                                                                             • Federal eRulemaking Portal: Go to
                                                  submit them in an unbound format, no                                                                          would likely achieve a level of safety
                                                                                                          www.regulations.gov. Follow the online
                                                  larger than 81⁄2 by 11 inches, suitable for                                                                   that is equivalent to or greater than the
                                                                                                          instructions for submitting comments.
                                                                                                                                                                level that would be achieved absent
                                                  copying and electronic filing. If you                      • Mail: Docket Management Facility;
                                                  submit comments by mail and would                                                                             such exemption.’’ The statute also
                                                                                                          U.S. Department of Transportation, 1200
                                                  like to know that they reached the                                                                            allows the Agency to renew exemptions
                                                                                                          New Jersey Avenue SE., West Building
                                                  facility, please enclose a stamped, self-                                                                     at the end of the two-year period. The
                                                                                                          Ground Floor, Room W12–140,
                                                  addressed postcard or envelope.                                                                               eleven individuals listed in this notice
                                                                                                          Washington, DC 20590–0001.
                                                                                                                                                                have requested an exemption from 49
                                                     We will consider all comments and                       • Hand Delivery or Courier: West
                                                                                                                                                                CFR 391.41(b)(4), which applies to
                                                  material received during the comment                    Building Ground Floor, Room W12–140,
                                                                                                                                                                drivers who operates CMVs in interstate
                                                  period. FMCSA may issue a final                         1200 New Jersey Avenue SE.,
                                                                                                                                                                commerce. Accordingly, the Agency
                                                  determination at any time after the close               Washington, DC, between 9 a.m. and 5
                                                                                                                                                                will evaluate the qualifications of each
                                                  of the comment period.                                  p.m., Monday through Friday, except
                                                                                                                                                                applicant to determine whether granting
                                                                                                          Federal Holidays.
                                                                                                                                                                the exemption will achieve the required
                                                  V. Viewing Comments and Documents                          • Fax: 1–202–493–2251.
                                                                                                                                                                level of safety mandated by statute.
                                                                                                             Instructions: Each submission must                    The physical qualification standard
                                                    To view comments, as well as any                      include the Agency name and the
                                                  documents mentioned in this preamble,                                                                         found in 49 CFR 391.41(b)(4) states that
                                                                                                          docket ID for this Notice. Note that all              a person is physically qualified to drive
                                                  go to http://www.regulations.gov and in                 comments received will be posted
                                                  the search box insert the docket number                                                                       a CMV if that person
                                                                                                          without change to http://
                                                  FMCSA–2016–0218 and click ‘‘Search.’’                   www.regulations.gov, including any                       Has no current clinical diagnosis of
                                                  Next, click ‘‘Open Docket Folder’’ and                                                                        myocardial infarction, angina pectoris,
                                                                                                          personal information provided. Please
                                                                                                                                                                coronary insufficiency, thrombosis, or any
                                                  you will find all documents and                         see the Privacy Act heading below for                 other cardiovascular disease of a variety
                                                  comments related to this notice.                        further information.
mstockstill on DSK3G9T082PROD with NOTICES




                                                                                                                                                                known to be accompanied by syncope,
                                                    Issued on: July 27, 2016.                                Docket: For access to the docket to                dyspnea, collapse, or congestive cardiac
                                                                                                          read background documents or                          failure.
                                                  Larry W. Minor,
                                                                                                          comments, go to http://                                 In addition to the regulations, FMCSA
                                                  Associate Administrator for Policy.                     www.regulations.gov, at any time or                   has published advisory criteria 1 to
                                                  [FR Doc. 2016–18734 Filed 8–5–16; 8:45 am]              Room W12–140 on the ground level of
                                                  BILLING CODE 4910–EX–P                                  the West Building, 1200 New Jersey                      1 See http://www.ecfr.gov/cgi-bin/text-idx?SID=

                                                                                                          Avenue SE., Washington, DC, between 9                 e47b48a9ea42dd67d999246e23d97



                                             VerDate Sep<11>2014   22:23 Aug 05, 2016   Jkt 238001   PO 00000   Frm 00116   Fmt 4703   Sfmt 4703   E:\FR\FM\08AUN1.SGM   08AUN1


                                                                                Federal Register / Vol. 81, No. 152 / Monday, August 8, 2016 / Notices                                             52513

                                                  assist medical examiners in determining                 John Dudar                                            defibrillator was implanted in October
                                                  whether drivers with certain medical                       Mr. Dudar is a 55 year old Class A                 2014. ‘‘Her ICD has never deployed and
                                                  conditions are qualified to operate a                   CDL holder in Connecticut. An undated                 her symptoms have completely
                                                  CMV in interstate commerce. [49 CFR                     cardiologist report indicates that the ICD            resolved. Her left ventricular ejection
                                                  part 391, APPENDIX A TO PART 391—                       has been in place since 2003. ‘‘He has                fraction is normal. Ms. Kosse appears to
                                                  MEDICAL ADVISORY CRITERIA,                              experienced several shocks from his                   be in stable cardiovascular health’’.
                                                  section D. Cardiovascular:                              device and around that time was                       Joseph Skrzyniarz
                                                  § 391.41(b)(4), paragraph 4.] The                       upgraded to biventricular ICD. At least
                                                  advisory criteria states that ICDs are                  back to 2009 he has not received any                     Mr. Skrzyniarz is a 56 year old Class
                                                  disqualifying due to risk of syncope.                   ICD discharges. His device is stable and              A CDL holder in Michigan. He possesses
                                                                                                          at this point he really has no significant            a one-year Michigan waiver dated
                                                  Qualifications of Applicants                                                                                  October 22, 2015 for intrastate driving.
                                                                                                          heart failure symptoms. His last ejection
                                                  Charles R. Allen                                        fraction was estimated at 25% in August               A September 15, 2015 cardiologist-
                                                                                                          2013. His cardiac issues appear stable.               electrophysiologist report indicates that
                                                     Mr. Allen is a 47 year old commercial
                                                                                                          He has had no recent ventricular                      his ICD has been implanted since
                                                  motor vehicle driver in Michigan. A
                                                                                                          arrhythmias and he has a normally                     February 2015. He has not received any
                                                  report that he provided from July 2015
                                                                                                          functioning Biv-ICD’’.                                ICD shocks from his device at this time.
                                                  from the Veterans Administration Ann
                                                                                                                                                                ‘‘He had two episodes of asymptomatic
                                                  Arbor Healthcare System provider                        Timothy Godwin                                        non-sustained ventricular tachycardia.
                                                  indicates, ‘‘he has well compensated
                                                                                                             Mr. Godwin is a 51 year old Class A                His condition is stable over the past year
                                                  class-I–II congestive heart failure with
                                                                                                          CDL holder in North Carolina. A March                 and unchanged. He has not had any ICD
                                                  and ICD. He has a normal ejection
                                                                                                          30 2016 report from his cardiac                       shocks or dangerous arrhythmias. He
                                                  fraction of 50–55%’’.
                                                                                                          electrophysiologist indicates knowledge               has been asymptomatic and is safe to
                                                  William Blake                                           of the driver and his condition since                 operate a commercial vehicle in
                                                    Mr. Blake is a 57 year old Class A CDL                2014 and that (Mr. Godwin) has not                    accordance to his job description which
                                                  holder in New Hampshire. His ICD was                    required any therapies before or after                was provided. I have no reservations at
                                                  implanted in June 2015 and has never                    ICD implant, nor has he lost                          this time’’. A September 17 cardiologist
                                                  deployed. A January 5, 2016 cardiologist                consciousness at any time. ‘‘I consider               report provides that, ‘‘To date the device
                                                  report indicates; ‘‘No symptoms                         him to be safer than most other                       has not been activated and his
                                                  referable to ICD or underlying rhythm                   commercial drives who have                            underlying cardiac condition has been
                                                  changes. I believe the risk of recurrent                undiagnosed or untreated                              deemed stable.’’
                                                  ventricular tachy-arrhythmias or                        cardiovascular problems. I feel that
                                                                                                                                                                Wylanne Deon Stafford
                                                  syncope is very low, however, given the                 rather than the presence or absence of
                                                                                                          an ICD in a patient what is most                         Mr. Stafford is a 48 year old driver in
                                                  history of these abnormalities and the
                                                                                                          important is the underlying cardiac                   Illinois. An April 26, 2016 report from
                                                  family history of arrhythmias I would
                                                                                                          condition and risk for loss of                        his cardiologist indicates that Mr.
                                                  favor continued ICD implantation’’.
                                                                                                          consciousness. Treated, Mr. Godwin is                 Stafford’s ICD was implanted in 2011
                                                  Roosevelt Tyrone Brown                                  at average risk’’.                                    and has never fired. His cardiologist
                                                    Mr. Brown is a 54 year old Class A                                                                          indicates that since ICD placement, his
                                                                                                          James Goslee                                          ejection fraction has normalized to 55%
                                                  CDL holder in South Carolina. A March
                                                  17, 2016 letter from his cardiologist                     Mr. Goslee is a 52 year old driver in               and he is asymptomatic and stable.
                                                  states that Mr. Brown’s ICD was                         Maryland. A May 2016 letter from his
                                                                                                                                                                II. Request for Comments
                                                  implanted October 15, 2013, and that                    cardiologist states that his ICD was
                                                                                                          implanted in June 2104. His ICD has                      In accordance with 49 U.S.C. 31136(e)
                                                  recent echocardiography demonstrated                                                                          and 31315, FMCSA requests public
                                                  an ejection fraction in the 25–30 percent               never delivered therapy. He follows up
                                                                                                          regularly in the office and is free of                comment from all interested persons on
                                                  range and a calculated ejection fraction                                                                      the exemption petitions described in
                                                  of 24% from nuclear stress testing. A                   cardiac complaints. An April 2016
                                                                                                          study shows an ejection fraction of 65–               this notice. We will consider all
                                                  March 10, 2016 report from his                                                                                comments received before the close of
                                                  electrophysiologist indicates that Mr.                  70% and an exercise tolerance at 10
                                                                                                          minutes of Bruce protocol. The current                business on the closing date indicated
                                                  Brown has reported one shock from his                                                                         in the date section of the notice.
                                                  device. Overall he feels well and denies                status of underlying heart condition is
                                                  chest pain, shortness of breath, or                     low intermediate cardiovascular risk                  III. Submitting Comments
                                                  dyspnea on exertion.                                    profile.
                                                                                                                                                                   You may submit your comments and
                                                  Kevin Coulter                                           Richard Hacker                                        material online or by fax, mail, or hand
                                                                                                            Mr. Hacker is 62 year old Class A CDL               delivery, but please use only one of
                                                     Mr. Coulter is a 60 year old Class A                                                                       these means. FMCSA recommends that
                                                                                                          holder in Maryland. Medical documents
                                                  CDL holder in California. A June 2016                                                                         you include your name and a mailing
                                                                                                          from June 2016 from his cardiologist
                                                  letter from his cardiologist states that                                                                      address, an email address, or a phone
                                                                                                          state that his ICD was implanted in
                                                  his ICD was implanted in February                                                                             number in the body of your document
                                                                                                          2007. The device check in June 2016
                                                  2015. No shock has deployed since                                                                             so that FMCSA can contact you if there
                                                                                                          indicated no events for 10.5 years. Mr.
                                                  implantation. He has been                                                                                     are questions regarding your
mstockstill on DSK3G9T082PROD with NOTICES




                                                                                                          Hacker’s ejection fraction is 53%. His
                                                  asymptomatic. He has an ejection                                                                              submission.
                                                                                                          medical documentation indicates that
                                                  fraction of 40–45%, most recently                                                                                To submit your comment online, go to
                                                                                                          he has no symptoms.
                                                  measured in April 2015.                                                                                       http://www.regulations.gov and in the
                                                                                                          Kathryn Kosse                                         search box insert the docket number
                                                  970&mc=true&node=pt49.5.391&rgn=div5#
                                                  ap49.5.391_171.a and https://www.gpo.gov/fdsys/
                                                                                                            Ms. Kosse is a 63 year old Class D                  ‘‘FMCSA–2016–0175’’ and click the
                                                  pkg/CFR-2015-title49-vol5/pdf/CFR-2015-title49-         holder in Arizona. A May 2016 letter                  search button. When the new screen
                                                  vol5-part391-appA.pdf.                                  from her cardiologist states that her                 appears, click on the blue ‘‘Comment


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                                                  52514                         Federal Register / Vol. 81, No. 152 / Monday, August 8, 2016 / Notices

                                                  Now!’’ button on the right hand side of                 comments will be investigated by                      Monday through Friday, except Federal
                                                  the page. On the new page, enter                        FMCSA. The exemptions will be issued                  holidays. If you have questions
                                                  information required including the                      the day after the comment period closes.              regarding viewing or submitting
                                                  specific section of this document to                    ADDRESSES: You may submit comments                    material to the docket, contact Docket
                                                  which each comment applies, and                         bearing the Federal Docket Management                 Services, telephone (202) 366–9826.
                                                  provide a reason for each suggestion or                 System (FDMS) Docket No. FMCSA–
                                                  recommendation. If you submit your                                                                            SUPPLEMENTARY INFORMATION:
                                                                                                          2016–0031 using any of the following
                                                  comments by mail or hand delivery,                      methods:                                              I. Background
                                                  submit them in an unbound format, no                      • Federal eRulemaking Portal: Go to
                                                  larger than 81⁄2 by 11 inches, suitable for             http://www.regulations.gov. Follow the                   Under 49 U.S.C. 31136(e) and 31315,
                                                  copying and electronic filing. If you                   on-line instructions for submitting                   FMCSA may grant an exemption from
                                                  submit comments by mail and would                       comments.                                             the Federal Motor Carrier Safety
                                                  like to know that they reached the                        • Mail: Docket Management Facility;                 Regulations for a 2-year period if it finds
                                                  facility, please enclose a stamped, self-               U.S. Department of Transportation, 1200               ‘‘such exemption would likely achieve a
                                                  addressed postcard or envelope.                         New Jersey Avenue SE., West Building                  level of safety that is equivalent to or
                                                     We will consider all comments and                    Ground Floor, Room W12–140,                           greater than the level that would be
                                                  materials received during the comment                   Washington, DC 20590–0001.                            achieved absent such exemption.’’
                                                  period. FMCSA may issue a final                           • Hand Delivery: West Building                      FMCSA can renew exemptions at the
                                                  determination any time after the close of               Ground Floor, Room W12–140, 1200                      end of each 2-year period. The 11
                                                  the comment period.                                     New Jersey Avenue SE., Washington,                    individuals listed in this notice have
                                                  IV. Viewing Comments and Documents                      DC, between 9 a.m. and 5 p.m., Monday                 each requested such an exemption from
                                                                                                          through Friday, except Federal                        the vision requirement in 49 CFR
                                                    To view comments, as well as any                      Holidays.                                             391.41(b)(10), which applies to drivers
                                                  documents mentioned in this preamble,                     • Fax: 1–202–493–2251.                              of CMVs in interstate commerce.
                                                  go to http://www.regulations.gov and in                    Instructions: Each submission must                 Accordingly, the Agency will evaluate
                                                  the search box insert the docket number                 include the Agency name and the                       the qualifications of each applicant to
                                                  FMCSA–2016–0175 and click ‘‘Search.’’                   docket numbers for this notice. Note                  determine whether granting an
                                                  Next, click ‘‘Open Docket Folder’’ and                  that all comments received will be                    exemption will achieve the required
                                                  you will find all documents and                         posted without change to http://                      level of safety mandated by statute.
                                                  comments related to this notice.                        www.regulations.gov, including any
                                                    Issued on: July 29, 2016.                             personal information provided. Please                 II. Qualifications of Applicants
                                                  Larry W. Minor,                                         see the Privacy Act heading below for
                                                                                                                                                                Daniel S. Billig
                                                  Associate Administrator for Policy.                     further information.
                                                                                                             Docket: For access to the docket to                  Mr. Billig, 29, has had amblyopia in
                                                  [FR Doc. 2016–18737 Filed 8–5–16; 8:45 am]
                                                                                                          read background documents or                          his left eye since childhood. The visual
                                                  BILLING CODE 4910–EX–P
                                                                                                          comments, go to http://                               acuity in his right eye is 20/20, and in
                                                                                                          www.regulations.gov at any time or                    his left eye, 20/200. Following an
                                                  DEPARTMENT OF TRANSPORTATION                            Room W12–140 on the ground level of                   examination in 2015, his optometrist
                                                                                                          the West Building, 1200 New Jersey                    stated, ‘‘In my medical opinion, Daniel
                                                  Federal Motor Carrier Safety                            Avenue SE., Washington, DC, between 9                 has sufficient vision to perform the
                                                  Administration                                          a.m. and 5 p.m., Monday through                       driving tasks required to operate a
                                                                                                          Friday, except Federal holidays. The                  commercial vehicle.’’ Mr. Billig reported
                                                  [Docket No. FMCSA–2016–0031]                            FDMS is available 24 hours each day,                  that he has driven straight trucks for 3
                                                                                                          365 days each year. If you want
                                                  Qualification of Drivers; Exemption                                                                           years, accumulating 30,000 miles. He
                                                  Applications; Vision                                    acknowledgment that we received your
                                                                                                                                                                holds an operator’s license from
                                                                                                          comments, please include a self-
                                                                                                                                                                Minnesota. His driving record for the
                                                  AGENCY: Federal Motor Carrier Safety                    addressed, stamped envelope or
                                                                                                                                                                last 3 years shows no crashes and no
                                                  Administration (FMCSA), DOT.                            postcard or print the acknowledgement
                                                                                                                                                                convictions for moving violations in a
                                                  ACTION: Notice of applications for                      page that appears after submitting
                                                                                                          comments on-line.                                     CMV.
                                                  exemptions; request for comments.
                                                                                                             Privacy Act: In accordance with 5                  Duane N. Brojer
                                                  SUMMARY:   FMCSA announces receipt of                   U.S.C. 553(c), DOT solicits comments
                                                  applications from 11 individuals for                    from the public to better inform its                    Mr. Brojer, 50, has had amblyopia in
                                                  exemption from the vision requirement                   rulemaking process. DOT posts these                   his left eye since birth. The visual acuity
                                                  in the Federal Motor Carrier Safety                     comments, without edit, including any                 in his right eye is 20/20, and in his left
                                                  Regulations. They are unable to meet                    personal information the commenter                    eye, 20/100. Following an examination
                                                  the vision requirement in one eye for                   provides, to www.regulations.gov, as                  in 2016, his optometrist stated, ‘‘Dr. L.
                                                  various reasons. The exemptions will                    described in the system of records                    Victor Sandoval certifies that in his
                                                  enable these individuals to operate                     notice (DOT/ALL–14 FDMS), which can                   medical opinion, Duane has sufficient
                                                  commercial motor vehicles (CMVs) in                     be reviewed at www.dot.gov/privacy.                   vision to perform the driving tasks
                                                  interstate commerce without meeting                     FOR FURTHER INFORMATION CONTACT:                      required to operate a commercial
mstockstill on DSK3G9T082PROD with NOTICES




                                                  the prescribed vision requirement in                    Christine A. Hydock, Chief, Medical                   vehicle.’’ Mr. Brojer reported that he has
                                                  one eye. If granted, the exemptions                     Programs Division, (202) 366–4001,                    driven straight trucks for 21 years,
                                                  would enable these individuals to                       fmcsamedical@dot.gov, FMCSA,                          accumulating 756,000 miles. He holds
                                                  qualify as drivers of commercial motor                  Department of Transportation, 1200                    an operator’s license from New Mexico.
                                                  vehicles (CMVs) in interstate commerce.                 New Jersey Avenue SE., Room W64–                      His driving record for the last 3 years
                                                  DATES: Comments must be received on                     113, Washington, DC 20590–0001.                       shows no crashes and no convictions for
                                                  or before September 7, 2016. All                        Office hours are 8:30 a.m. to 5 p.m., e.t.,           moving violations in a CMV.


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Document Created: 2016-08-06 03:08:26
Document Modified: 2016-08-06 03:08:26
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 exemption; request for comments.
DatesComments must be received on or before September 7, 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 from 8:30 a.m. to 5 p.m., e.t., Monday through Friday, except Federal holidays.
FR Citation81 FR 52512 

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