83 FR 17879 - Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders
DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration Federal Register Volume 83, Issue 79 (April 24, 2018)
Federal Motor Carrier Safety Administration
Federal Register Volume 83, Issue 79 (April 24, 2018)
| Page Range | 17879-17880 | |
| FR Document | 2018-08508 |
[Federal Register Volume 83, Number 79 (Tuesday, April 24, 2018)] [Notices] [Pages 17879-17880] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-08508] [[Page 17879]] ----------------------------------------------------------------------- DEPARTMENT OF TRANSPORTATION Federal Motor Carrier Safety Administration [Docket No. FMCSA-2018-0051] Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT. ACTION: Notice of applications for exemption; request for comments. ----------------------------------------------------------------------- SUMMARY: FMCSA announces receipt of applications from eight individuals for an exemption from the prohibition in the Federal Motor Carrier Safety Regulations (FMCSRs) against persons with a clinical diagnosis of epilepsy or any other condition that is likely to cause a loss of consciousness or any loss of ability to control a commercial motor vehicle (CMV) to drive in interstate commerce. If granted, the exemptions would enable these individuals who have had one or more seizures and are taking anti-seizure medication to operate CMVs in interstate commerce. DATES: Comments must be received on or before May 24, 2018. ADDRESSES: You may submit comments bearing the Federal Docket Management System (FDMS) Docket No. FMCSA-2018-0051 using any of the following methods:Federal eRulemaking Portal: Go to http://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: West Building Ground Floor, Room W12-140, 1200 New Jersey Avenue SE, Washington, DC, between 9 a.m. and 5 p.m., e.t., Monday through Friday, except Federal Holidays. Fax: 1-202-493-2251. Instructions: Each submission must include the Agency name and the docket number(s) 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., e.t., 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 of records notice (DOT/ALL-14 FDMS), which can be reviewed at http://www.dot.gov/privacy. FOR FURTHER INFORMATION CONTACT: Ms. Christine A. Hydock, Chief, Medical Programs Division, (202) 366-4001, [email protected], FMCSA, Department of Transportation, 1200 New Jersey Avenue SE, Room W64-224, Washington, DC 20590-0001. Office hours are 8:30 a.m. to 5 p.m., e.t., Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Docket Services, telephone (202) 366-9826. SUPPLEMENTARY INFORMATION: I. Background Under 49 U.S.C. 31136(e) and 31315, FMCSA may grant an exemption from the FMCSRs for a five-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 five-year period. FMCSA grants exemptions from the FMCSRs for a two- year period to align with the maximum duration of a driver's medical certification. The eight individuals listed in this notice have requested an exemption from the epilepsy and seizure disorders prohibition in 49 CFR 391.41(b)(8). 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 for drivers regarding epilepsy found in 49 CFR 391.41(b)(8) states that a person is physically qualified to drive a CMV if that person has no established medical history or clinical diagnosis of epilepsy or any other condition which is likely to cause the loss of consciousness or any loss of ability to control a CMV. In addition to the regulations, FMCSA has published advisory criteria \1\ to 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 H. Epilepsy: Sec. 391.41(b)(8), paragraphs 3, 4, and 5.] --------------------------------------------------------------------------- \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. --------------------------------------------------------------------------- The advisory criteria states the following: If an individual has had a sudden episode of a non-epileptic seizure or loss of consciousness of unknown cause that did not require anti-seizure medication, the decision whether that person's condition is likely to cause the loss of consciousness or loss of ability to control a CMV should be made on an individual basis by the Medical Examiner in consultation with the treating physician. Before certification is considered, it is suggested that a six-month waiting period elapse from the time of the episode. Following the waiting period, it is suggested that the individual have a complete neurological examination. If the results of the examination are negative and anti-seizure medication is not required, then the driver may be qualified. In those individual cases where a driver had a seizure or an episode of loss of consciousness that resulted from a known medical condition (e.g., drug reaction, high temperature, acute infectious disease, dehydration, or acute metabolic disturbance), certification should be deferred until the driver has recovered fully from that condition, has no existing residual complications, and is not taking anti-seizure medication. Drivers who have a history of epilepsy/seizures, off anti-seizure medication and seizure-free for 10 years, may be qualified to operate a CMV in interstate commerce. Interstate drivers with a history of a single unprovoked seizure may be qualified to drive a CMV in interstate commerce if seizure-free and off anti-seizure medication for a five- year period or more. As a result of Medical Examiners misinterpreting advisory criteria as regulation, numerous drivers have been prohibited from operating a CMV in interstate commerce based on the fact that they have had one or more seizures and are taking anti-seizure medication, [[Page 17880]] rather than an individual analysis of their circumstances by a qualified Medical Examiner based on the physical qualification standards and medical best practices. On January 15, 2013, FMCSA announced in a Notice of Final Disposition titled, Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders, (78 FR 3069), its decision to grant requests from 22 individuals for exemptions from the regulatory requirement that interstate CMV drivers have ``no established medical history or clinical diagnosis of epilepsy or any other condition which is likely to cause loss of consciousness or any loss of ability to control a CMV.'' Since the January 15, 2013 notice, the Agency has published additional notices granting requests from individuals for exemptions from the regulatory requirement regarding epilepsy found in 49 CFR 391.41(b)(8). To be considered for an exemption from the epilepsy and seizure disorders prohibition in 49 CFR 391.41(b)(8), applicants must meet the criteria in the 2007 recommendations of the Agency's Medical Expert Panel (MEP) (78 FR 3069). II. Qualifications of Applicants Steven H. Ford Mr. Ford is a 59-year-old Class D driver in Wisconsin. He has a history of epilepsy and has been seizure free since 1995. He takes anti-seizure medication, with the dosage and frequency remaining the same since 1995. His physician states that he is supportive of Mr. Ford receiving an exemption. Scott Habeck Mr. Habeck is a 55-year-old Class A3 driver in South Dakota. He has a history of epilepsy and has been seizure free since 2006. He takes anti-seizure medication, with the dosage and frequency remaining the same since 2006. His physician states that he is supportive of Mr. Habeck receiving an exemption. Nathan E. Kanouff Mr. Kanouff is a 37-year-old Class AM driver in Georgia. He has a history of epilepsy and has been seizure free since 2009. He takes anti-seizure medication, with the dosage and frequency remaining the same since 2013. His physician states that he is supportive of Mr. Kanouff receiving an exemption. Richard L. Kienel, Jr. Mr. Kienel is a 36-year-old Class C driver in Georgia. He has a history of a seizure disorder and has been seizure free since 1999. He takes anti-seizure medication, with the dosage and frequency remaining the same since 2013. His physician states that he is supportive of Mr. Kienel receiving an exemption. Joe L. King, Jr. Mr. King is a 49-year-old Class C driver in North Carolina. He has a history of a single provoked seizure and has been seizure free since 2017. He stopped taking anti-seizure medication in 2017. His physician states that he is supportive of Mr. King receiving an exemption. Daniel L. Martin Mr. Martin is a 39-year-old Class B driver in Iowa. He has a history of a single unprovoked seizure and has been seizure free since 1994. He stopped taking anti-seizure medication in 1997. His physician states that he is supportive of Mr. Martin receiving an exemption. Phillip Moore Mr. Moore is a 57-year-old Class A driver in Connecticut. He has a history of a single unprovoked seizure and has been seizure free since 2013. He takes anti-seizure medication, with the dosage and frequency remaining the same since 2013. His physician states that he is supportive of Mr. Moore receiving an exemption. Joshua Thomas Mr. Thomas is a 29-year-old Class D driver in Minnesota. He has a history of a seizure disorder and has been seizure free since 2010. He takes anti-seizure medication, with the dosage and frequency remaining the same since 2012. His physician states that he is supportive of Mr. Thomas receiving an exemption. 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 dates section of the notice. 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-2018-0051 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 materials 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-2018-0051 and click ``Search.'' Next, click ``Open Docket Folder'' and you will find all documents and comments related to this notice. Issued on: April 18, 2018. Larry W. Minor, Associate Administrator for Policy. [FR Doc. 2018-08508 Filed 4-23-18; 8:45 am] BILLING CODE 4910-EX-P
![Federal Register / Vol. 83, No. 79 / Tuesday, April 24, 2018 / Notices 17879
DEPARTMENT OF TRANSPORTATION Avenue SE, Washington, DC, between 9 is likely to cause the loss of
a.m. and 5 p.m., e.t., Monday through consciousness or any loss of ability to
Federal Motor Carrier Safety Friday, except Federal holidays. The control a CMV.
Administration FDMS is available 24 hours each day, In addition to the regulations, FMCSA
365 days each year. If you want has published advisory criteria 1 to
[Docket No. FMCSA–2018–0051]
acknowledgment that we received your assist Medical Examiners in
Qualification of Drivers; Exemption comments, please include a self- determining whether drivers with
Applications; Epilepsy and Seizure addressed, stamped envelope or certain medical conditions are qualified
Disorders postcard or print the acknowledgement to operate a CMV in interstate
page that appears after submitting commerce. [49 CFR part 391,
AGENCY: Federal Motor Carrier Safety comments online. APPENDIX A TO PART 391—MEDICAL
Administration (FMCSA), DOT. Privacy Act: In accordance with 5 ADVISORY CRITERIA, section H.
ACTION: Notice of applications for U.S.C. 553(c), DOT solicits comments Epilepsy: § 391.41(b)(8), paragraphs 3, 4,
exemption; request for comments. from the public to better inform its and 5.]
rulemaking process. DOT posts these The advisory criteria states the
SUMMARY: FMCSA announces receipt of comments, without edit, including any following:
applications from eight individuals for personal information the commenter If an individual has had a sudden
an exemption from the prohibition in provides, to http://www.regulations.gov, episode of a non-epileptic seizure or
the Federal Motor Carrier Safety as described in the system of records loss of consciousness of unknown cause
Regulations (FMCSRs) against persons notice (DOT/ALL–14 FDMS), which can that did not require anti-seizure
with a clinical diagnosis of epilepsy or be reviewed at http://www.dot.gov/ medication, the decision whether that
any other condition that is likely to privacy. person’s condition is likely to cause the
cause a loss of consciousness or any loss loss of consciousness or loss of ability
FOR FURTHER INFORMATION CONTACT: Ms. to control a CMV should be made on an
of ability to control a commercial motor
Christine A. Hydock, Chief, Medical individual basis by the Medical
vehicle (CMV) to drive in interstate
Programs Division, (202) 366–4001, Examiner in consultation with the
commerce. If granted, the exemptions
fmcsamedical@dot.gov, FMCSA, treating physician. Before certification is
would enable these individuals who
Department of Transportation, 1200 considered, it is suggested that a six-
have had one or more seizures and are
New Jersey Avenue SE, Room W64–224, month waiting period elapse from the
taking anti-seizure medication to
Washington, DC 20590–0001. Office time of the episode. Following the
operate CMVs in interstate commerce.
hours are 8:30 a.m. to 5 p.m., e.t., waiting period, it is suggested that the
DATES: Comments must be received on Monday through Friday, except Federal individual have a complete neurological
or before May 24, 2018. holidays. If you have questions examination. If the results of the
ADDRESSES: You may submit comments regarding viewing or submitting examination are negative and anti-
bearing the Federal Docket Management material to the docket, contact Docket seizure medication is not required, then
System (FDMS) Docket No. FMCSA– Services, telephone (202) 366–9826. the driver may be qualified.
2018–0051 using any of the following SUPPLEMENTARY INFORMATION: In those individual cases where a
methods: driver had a seizure or an episode of
• Federal eRulemaking Portal: Go to I. Background loss of consciousness that resulted from
http://www.regulations.gov. Follow the Under 49 U.S.C. 31136(e) and 31315, a known medical condition (e.g., drug
online instructions for submitting FMCSA may grant an exemption from reaction, high temperature, acute
comments. the FMCSRs for a five-year period if it infectious disease, dehydration, or acute
• Mail: Docket Management Facility; finds ‘‘such exemption would likely metabolic disturbance), certification
U.S. Department of Transportation, 1200 achieve a level of safety that is should be deferred until the driver has
New Jersey Avenue SE, West Building equivalent to or greater than the level recovered fully from that condition, has
Ground Floor, Room W12–140, that would be achieved absent such no existing residual complications, and
Washington, DC 20590–0001. exemption.’’ The statute also allows the is not taking anti-seizure medication.
• Hand Delivery: West Building Agency to renew exemptions at the end Drivers who have a history of
Ground Floor, Room W12–140, 1200 of the five-year period. FMCSA grants epilepsy/seizures, off anti-seizure
New Jersey Avenue SE, Washington, exemptions from the FMCSRs for a two- medication and seizure-free for 10 years,
DC, between 9 a.m. and 5 p.m., e.t., year period to align with the maximum may be qualified to operate a CMV in
Monday through Friday, except Federal duration of a driver’s medical interstate commerce. Interstate drivers
Holidays. certification. with a history of a single unprovoked
• Fax: 1–202–493–2251. The eight individuals listed in this seizure may be qualified to drive a CMV
Instructions: Each submission must notice have requested an exemption in interstate commerce if seizure-free
include the Agency name and the from the epilepsy and seizure disorders and off anti-seizure medication for a
docket number(s) for this notice. Note prohibition in 49 CFR 391.41(b)(8). five-year period or more.
that all comments received will be Accordingly, the Agency will evaluate As a result of Medical Examiners
posted without change to http:// the qualifications of each applicant to misinterpreting advisory criteria as
www.regulations.gov, including any determine whether granting the regulation, numerous drivers have been
personal information provided. Please exemption will achieve the required prohibited from operating a CMV in
see the Privacy Act heading below for level of safety mandated by statute. interstate commerce based on the fact
daltland on DSKBBV9HB2PROD with NOTICES
further information. The physical qualification standard that they have had one or more seizures
Docket: For access to the docket to for drivers regarding epilepsy found in and are taking anti-seizure medication,
read background documents or 49 CFR 391.41(b)(8) states that a person
1 See http://www.ecfr.gov/cgi-bin/text-idx?SID=
comments, go to http:// is physically qualified to drive a CMV
e47b48a9ea42dd67d999246e23d97970&mc=true&
www.regulations.gov at any time or if that person has no established node=pt49.5.391&rgn=div5#ap49.5.391_171.a and
Room W12–140 on the ground level of medical history or clinical diagnosis of https://www.gpo.gov/fdsys/pkg/CFR-2015-title49-
the West Building, 1200 New Jersey epilepsy or any other condition which vol5/pdf/CFR-2015-title49-vol5-part391-appA.pdf.
VerDate Sep<11>2014 17:03 Apr 23, 2018 Jkt 244001 PO 00000 Frm 00092 Fmt 4703 Sfmt 4703 E:\FR\FM\24APN1.SGM 24APN1](https://thefederalregister.org/doc/83_FR_17958/page/1.svg)
![17880 Federal Register / Vol. 83, No. 79 / Tuesday, April 24, 2018 / Notices
rather than an individual analysis of medication, with the dosage and To submit your comment online, go to
their circumstances by a qualified frequency remaining the same since http://www.regulations.gov and in the
Medical Examiner based on the physical 2013. His physician states that he is search box insert the docket number
qualification standards and medical best supportive of Mr. Kienel receiving an FMCSA–2018–0051 and click the search
practices. exemption. button. When the new screen appears,
On January 15, 2013, FMCSA click on the blue ‘‘Comment Now!’’
announced in a Notice of Final Joe L. King, Jr. button on the right hand side of the
Disposition titled, Qualification of Mr. King is a 49-year-old Class C page. On the new page, enter
Drivers; Exemption Applications; driver in North Carolina. He has a information required including the
Epilepsy and Seizure Disorders, (78 FR history of a single provoked seizure and specific section of this document to
3069), its decision to grant requests from has been seizure free since 2017. He which each comment applies, and
22 individuals for exemptions from the stopped taking anti-seizure medication provide a reason for each suggestion or
regulatory requirement that interstate in 2017. His physician states that he is recommendation. If you submit your
CMV drivers have ‘‘no established supportive of Mr. King receiving an comments by mail or hand delivery,
medical history or clinical diagnosis of exemption. submit them in an unbound format, no
epilepsy or any other condition which larger than 81⁄2 by 11 inches, suitable for
is likely to cause loss of consciousness Daniel L. Martin
copying and electronic filing. If you
or any loss of ability to control a CMV.’’ Mr. Martin is a 39-year-old Class B submit comments by mail and would
Since the January 15, 2013 notice, the driver in Iowa. He has a history of a like to know that they reached the
Agency has published additional single unprovoked seizure and has been facility, please enclose a stamped, self-
notices granting requests from seizure free since 1994. He stopped addressed postcard or envelope.
individuals for exemptions from the taking anti-seizure medication in 1997. We will consider all comments and
regulatory requirement regarding His physician states that he is materials received during the comment
epilepsy found in 49 CFR 391.41(b)(8). supportive of Mr. Martin receiving an period. FMCSA may issue a final
To be considered for an exemption exemption. determination at any time after the close
from the epilepsy and seizure disorders of the comment period.
prohibition in 49 CFR 391.41(b)(8), Phillip Moore
applicants must meet the criteria in the Mr. Moore is a 57-year-old Class A V. Viewing Comments and Documents
2007 recommendations of the Agency’s driver in Connecticut. He has a history To view comments, as well as any
Medical Expert Panel (MEP) (78 FR of a single unprovoked seizure and has documents mentioned in this preamble,
3069). been seizure free since 2013. He takes go to http://www.regulations.gov and in
anti-seizure medication, with the dosage the search box insert the docket number
II. Qualifications of Applicants
and frequency remaining the same since FMCSA–2018–0051 and click ‘‘Search.’’
Steven H. Ford 2013. His physician states that he is Next, click ‘‘Open Docket Folder’’ and
Mr. Ford is a 59-year-old Class D supportive of Mr. Moore receiving an you will find all documents and
driver in Wisconsin. He has a history of exemption. comments related to this notice.
epilepsy and has been seizure free since Joshua Thomas Issued on: April 18, 2018.
1995. He takes anti-seizure medication, Larry W. Minor,
with the dosage and frequency Mr. Thomas is a 29-year-old Class D
Associate Administrator for Policy.
remaining the same since 1995. His driver in Minnesota. He has a history of
[FR Doc. 2018–08508 Filed 4–23–18; 8:45 am]
physician states that he is supportive of a seizure disorder and has been seizure
BILLING CODE 4910–EX–P
Mr. Ford receiving an exemption. free since 2010. He takes anti-seizure
medication, with the dosage and
Scott Habeck frequency remaining the same since
DEPARTMENT OF TRANSPORTATION
Mr. Habeck is a 55-year-old Class A3 2012. His physician states that he is
driver in South Dakota. He has a history supportive of Mr. Thomas receiving an Federal Motor Carrier Safety
of epilepsy and has been seizure free exemption. Administration
since 2006. He takes anti-seizure III. Request for Comments [Docket No. FMCSA–2017–0255]
medication, with the dosage and
frequency remaining the same since In accordance with 49 U.S.C. 31136(e)
and 31315, FMCSA requests public Qualification of Drivers; Exemption
2006. His physician states that he is Applications; Epilepsy and Seizure
supportive of Mr. Habeck receiving an comment from all interested persons on
the exemption petitions described in Disorders
exemption.
this notice. We will consider all AGENCY: Federal Motor Carrier Safety
Nathan E. Kanouff comments received before the close of Administration (FMCSA), DOT.
Mr. Kanouff is a 37-year-old Class AM business on the closing date indicated ACTION: Notice of denials.
driver in Georgia. He has a history of in the dates section of the notice.
epilepsy and has been seizure free since SUMMARY: FMCSA announces its
IV. Submitting Comments decision to deny applications from 28
2009. He takes anti-seizure medication,
with the dosage and frequency You may submit your comments and individuals who requested an
remaining the same since 2013. His material online or by fax, mail, or hand exemption from the Federal Motor
physician states that he is supportive of delivery, but please use only one of Carrier Safety Regulations (FMCSRs)
daltland on DSKBBV9HB2PROD with NOTICES
Mr. Kanouff receiving an exemption. these means. FMCSA recommends that prohibiting persons with a clinical
you include your name and a mailing diagnosis of epilepsy or any other
Richard L. Kienel, Jr. address, an email address, or a phone condition that is likely to cause a loss
Mr. Kienel is a 36-year-old Class C number in the body of your document of consciousness or any loss of ability to
driver in Georgia. He has a history of a so that FMCSA can contact you if there operate a commercial motor vehicle
seizure disorder and has been seizure are questions regarding your (CMV) from operating CMVs in
free since 1999. He takes anti-seizure submission. interstate commerce.
VerDate Sep<11>2014 17:03 Apr 23, 2018 Jkt 244001 PO 00000 Frm 00093 Fmt 4703 Sfmt 4703 E:\FR\FM\24APN1.SGM 24APN1](https://thefederalregister.org/doc/83_FR_17958/page/2.svg)
Document Created: 2018-04-24 00:39:12
Document Modified: 2018-04-24 00:39:12
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice of applications for exemption; request for comments. | |
| Dates | Comments must be received on or before May 24, 2018. | |
| Contact | Ms. Christine A. Hydock, Chief, Medical Programs Division, (202) 366-4001, [email protected], FMCSA, Department of Transportation, 1200 New Jersey Avenue SE, Room W64-224, Washington, DC 20590-0001. Office hours are 8:30 a.m. to 5 p.m., e.t., Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Docket Services, telephone (202) 366-9826. | |
| FR Citation | 83 FR 17879 |
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