83_FR_27182 83 FR 27070 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

83 FR 27070 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 83, Issue 112 (June 11, 2018)

Page Range27070-27076
FR Document2018-12473

FMCSA announces receipt of applications from 41 individuals for an exemption from the prohibition in the Federal Motor Carrier Safety Regulations (FMCSRs) against persons with insulin-treated diabetes mellitus (ITDM) operating a commercial motor vehicle (CMV) in interstate commerce. If granted, the exemptions would enable these individuals with ITDM to operate CMVs in interstate commerce.

Federal Register, Volume 83 Issue 112 (Monday, June 11, 2018)
[Federal Register Volume 83, Number 112 (Monday, June 11, 2018)]
[Notices]
[Pages 27070-27076]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-12473]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2018-0030]


Qualification of Drivers; Exemption Applications; Diabetes 
Mellitus

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

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

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SUMMARY: FMCSA announces receipt of applications from 41 individuals 
for an exemption from the prohibition in the Federal Motor Carrier 
Safety Regulations (FMCSRs) against persons with insulin-treated 
diabetes mellitus (ITDM) operating a commercial motor vehicle (CMV) in 
interstate commerce. If granted, the exemptions would enable these 
individuals with ITDM to operate CMVs in interstate commerce.

DATES: Comments must be received on or before July 11, 2018.

ADDRESSES: You may submit comments bearing the Federal Docket 
Management System (FDMS) Docket No. FMCSA-2018-0030 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.,

[[Page 27071]]

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 e.t., 
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, fmcsamedical@dot.gov, 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 41 individuals listed in this notice have requested an 
exemption from the diabetes prohibition in 49 CFR 391.41(b)(3). 
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 diabetes 
found in 49 CFR 391.41(b)(3) states that a person is physically 
qualified to drive a CMV if that person has no established medical 
history or clinical diagnosis of diabetes mellitus currently requiring 
insulin for control. The Agency established the current requirement for 
diabetes in 1970 because several risk studies indicated that drivers 
with diabetes had a higher rate of crash involvement than the general 
population.
    FMCSA established its diabetes exemption program, based on the 
Agency's July 2000 study entitled ``A Report to Congress on the 
Feasibility of a Program to Qualify Individuals with Insulin-Treated 
Diabetes Mellitus to Operate in Interstate Commerce as Directed by the 
Transportation Act for the 21st Century.'' The report concluded that a 
safe and practicable protocol to allow some drivers with ITDM to 
operate CMVs is feasible. The September 3, 2003 (68 FR 52441), Federal 
Register notice in conjunction with the November 8, 2005 (70 FR 67777), 
Federal Register notice provides the current protocol for allowing such 
drivers to operate CMVs in interstate commerce.
    FMCSA notes that section 4129 of the Safe, Accountable, Flexible 
and Efficient Transportation Equity Act: A Legacy for Users requires 
the Secretary to revise its diabetes exemption program established on 
September 3, 2003 (68 FR 52441). The revision must provide for 
individual assessment of drivers with diabetes mellitus, and be 
consistent with the criteria described in section 4018 of the 
Transportation Equity Act for the 21st Century (49 U.S.C. 31305). 
Section 4129 requires: (1) Elimination of the requirement for three 
years of experience operating CMVs while being treated with insulin; 
and (2) establishment of a specified minimum period of insulin use to 
demonstrate stable control of diabetes before being allowed to operate 
a CMV.
    In response to section 4129, FMCSA made immediate revisions to the 
diabetes exemption program established by the September 3, 2003 notice. 
FMCSA discontinued use of the three-year driving experience and 
fulfilled the requirements of section 4129 while continuing to ensure 
that operation of CMVs by drivers with ITDM will achieve the requisite 
level of safety required of all exemptions granted under 49 U.S.C. 
31136 (e). Section 4129(d) also directed FMCSA to ensure that drivers 
of CMVs with ITDM are not held to a higher standard than other drivers, 
with the exception of limited operating, monitoring and medical 
requirements that are deemed medically necessary. The FMCSA concluded 
that all of the operating, monitoring and medical requirements set out 
in the September 3, 2003, notice, except as modified, were in 
compliance with section 4129(d). Therefore, all of the requirements set 
out in the September 3, 2003, notice, except as modified by the notice 
in the Federal Register on November 8, 2005 (70 FR 67777), remain in 
effect.

II. Qualifications of Applicants

Gerardo Arredondo

    Mr. Arredondo, 56, has had ITDM since 2011. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Arredondo understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Arredondo meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2017 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
Texas.

Ammar H. Atieh

    Mr. Atieh, 22, has had ITDM since 2004. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Atieh understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Atieh meets the 
requirements of the vision standard at 49 CFR

[[Page 27072]]

391.41(b)(10). His ophthalmologist examined him in 2018 and certified 
that he does not have diabetic retinopathy. He holds an operator's 
license from New Jersey.

Robert P. Baker, Jr.

    Mr. Baker, 37, has had ITDM since 2002. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Baker understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Baker meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds an operator's from 
Indiana.

Jose A. Barron

    Mr. Barron, 62, has had ITDM since 2008. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Barron understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Barron meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Texas.

Michael D. Cash

    Mr. Cash, 51, has had ITDM since 2017. His endocrinologist examined 
him in 2018 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Cash understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Cash meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2018 and certified that he does not have diabetic retinopathy. He 
holds an operator's license from New York.

Travis A. Chandler

    Mr. Chandler, 31, has had ITDM since 1998. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Chandler understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Chandler meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Tennessee.

Curtis D. Dement

    Mr. Dement, 63, has had ITDM since 2018. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Dement understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Dement meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from North Dakota.

Mark A. Duncan

    Mr. Duncan, 56, has had ITDM since 2016. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Duncan understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Duncan meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Kansas.

Hugh J. Gallagher

    Mr. Gallagher, 57, has had ITDM since 2016. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Gallagher understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Gallagher meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2017 and certified that he does not 
have diabetic retinopathy. He holds a Class A CDL from Indiana.

Charles Gant

    Mr. Gant, 48, has had ITDM since 2016. His endocrinologist examined 
him in 2017 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Gant understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Gant meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2017 and certified that he does not have diabetic retinopathy. He 
holds an operator's license from Pennsylvania.

Gary D. Gudeman

    Mr. Gudeman, 60, has had ITDM since 2013. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist

[[Page 27073]]

certifies that Mr. Gudeman understands diabetes management and 
monitoring, has stable control of his diabetes using insulin, and is 
able to drive a CMV safely. Mr. Gudeman meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His ophthalmologist examined 
him in 2018 and certified that he does not have diabetic retinopathy. 
He holds an operator's license from Indiana.

Richard D. Hawkins

    Mr. Hawkins, 43, has had ITDM since 2007. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Hawkins understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Hawkins meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2017 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds an operator's license 
from Indiana.

Michael A. Hayes

    Mr. Hayes, 43, has had ITDM since 2018. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Hayes understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Hayes meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from North Carolina.4

Brent M. Howard

    Mr. Howard, 55, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Howard understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Howard meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
Iowa.

Herbert O. Jenkins

    Mr. Jenkins, 55, has had ITDM since 1992. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Jenkins understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Jenkins meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
proliferative diabetic retinopathy. He holds an operator's license from 
Kentucky.

Scott A. Kiel

    Mr. Kiel, 52, has had ITDM since 2018. His endocrinologist examined 
him in 2018 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Kiel understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Kiel meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2018 and certified that he does not have diabetic retinopathy. He 
holds a Class A CDL from North Dakota.

Barry T. Koch

    Mr. Koch, 59, has had ITDM since 2010. His endocrinologist examined 
him in 2017 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Koch understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Koch meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His ophthalmologist examined 
him in 2018 and certified that he has stable nonproliferative diabetic 
retinopathy. He holds an operator's license from Pennsylvania.

Jose Lares

    Mr. Lares, 59, has had ITDM since 2018. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Lares understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Lares meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he does not 
have diabetic retinopathy. He holds a Class B CDL from Arizona.

John A. Larson

    Mr. Larson, 67, has had ITDM since 2011. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Larson understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Larson meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Minnesota.

Brian T. Lewis

    Mr. Lewis, 52, has had ITDM since 2017. His endocrinologist 
examined him

[[Page 27074]]

in 2018 and certified that he has had no severe hypoglycemic reactions 
resulting in loss of consciousness, requiring the assistance of another 
person, or resulting in impaired cognitive function that occurred 
without warning in the past 12 months and no recurrent (two or more) 
severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Lewis understands diabetes 
management and monitoring, has stable control of his diabetes using 
insulin, and is able to drive a CMV safely. Mr. Lewis meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class B CDL from California.

Mark J. Longtin

    Mr. Longtin, 66, has had ITDM since 2017. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Longtin understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Longtin meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from South Dakota.

Christopher A. Marquette

    Mr. Marquette, 37, has had ITDM since 2016. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Marquette understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Marquette meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Minnesota.

Kasey J. Martin

    Mr. Martin, 28, has had ITDM since 2010. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Martin understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Martin meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Indiana.

David A. Martin

    Mr. Martin, 60, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Martin understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Martin meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he does not 
have diabetic retinopathy. He holds a Class A CDL from Illinois.

Ryan J. Matthews

    Mr. Matthews, 39, has had ITDM since 1995. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Matthews understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Matthews meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds an operator's license 
from Ohio.

Gion H. Mersha

    Mr. Mersha, 44, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Mersha understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Mersha meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Iowa.

Phillip A. Nass

    Mr. Nass, 65, has had ITDM since 2016. His endocrinologist examined 
him in 2018 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Nass understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Nass meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2017 and certified that he does not have diabetic retinopathy. He 
holds a Class A CDL from Wisconsin.

Frank T. Piper, Jr.

    Mr. Piper, 65, has had ITDM since 2013. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Piper understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV

[[Page 27075]]

safely. Mr. Piper meets the requirements of the vision standard at 49 
CFR 391.41(b)(10). His ophthalmologist examined him in 2017 and 
certified that he does not have diabetic retinopathy. He holds an 
operator's license from Connecticut.

James P. Renaud

    Mr. Renaud, 49, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Renaud understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Renaud meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from New 
Hampshire.

Charles D. Robison

    Mr. Robison, 56, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Robison understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Robison meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Iowa.

Michael A. Roosa

    Mr. Roosa, 53, has had ITDM since 2016. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Roosa understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Roosa meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2017 and certified that he does not 
have diabetic retinopathy. He holds an operator's license from 
Massachusetts.

Alan Sang

    Mr. Sang, 48, has had ITDM since 2015. His endocrinologist examined 
him in 2018 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Sang understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Sang meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His ophthalmologist examined 
him in 2018 and certified that he does not have diabetic retinopathy. 
He holds a Class B CDL from Florida.

James M. Sanicola

    Mr. Sanicola, 61, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Sanicola understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Sanicola meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds a Class B CDL from Wisconsin.

Michael J. Torrez

    Mr. Torrez, 58, has had ITDM since 2018. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Torrez understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Torrez meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Wisconsin.

Gerard N. Tremblay, Jr.

    Mr. Tremblay, 48, has had ITDM since 2010. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Tremblay understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Tremblay meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from 
Massachusetts.

John H. Turner

    Mr. Turner, 73, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Turner understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Turner meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Georgia.

Marcus D. Wade

    Mr. Wade, 24, has had ITDM since 2013. His endocrinologist examined 
him in 2018 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or

[[Page 27076]]

more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Wade understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Wade meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2017 and certified that he does not have diabetic retinopathy. He 
holds an operator's license from Illinois.

James A. White

    Mr. White, 55, has had ITDM since 2013. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. White understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. White meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Louisiana.

Theodore M. Wicks

    Mr. Wicks, 66, has had ITDM since 2016. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Wicks understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Wicks meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Wyoming.

Raymond L. Williamson

    Mr. Williamson, 66, has had ITDM since 2017. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Williamson understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Williamson meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2017 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Illinois.

Steve B. Winger

    Mr. Winger, 60, has had ITDM since 2012. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Winger understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Winger meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Montana.

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-2018-0030 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-2018-0030 and click ``Search.'' Next, click 
``Open Docket Folder'' and you will find all documents and comments 
related to this notice.

    Issued on: June 5, 2018.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2018-12473 Filed 6-8-18; 8:45 am]
 BILLING CODE 4910-EX-P



                                               27070                          Federal Register / Vol. 83, No. 112 / Monday, June 11, 2018 / Notices

                                               www.regulations.gov. Follow the                         attaching a document using an ‘‘upload                 comments USTR receives regarding the
                                               instructions for submitting comments in                 file’’ field. USTR prefers that comments               dispute. If a dispute settlement panel is
                                               section III below. The docket number is                 be provided in an attached document. If                convened, or in the event of an appeal
                                               USTR–2018–0014. For alternatives to                     a document is attached, it is sufficient               of a panel report, USTR will make the
                                               on-line submissions, please contact                     to type ‘‘see attached’’ in the ‘‘type                 following documents publicly available
                                               Sandy McKinzy at (202) 395–9483.                        comment’’ field. USTR prefers                          at www.ustr.gov: The U.S. submissions
                                               FOR FURTHER INFORMATION CONTACT:                        submissions in Microsoft Word (.doc) or                and any non-confidential summaries of
                                               Assistant General Counsel Juli Schwartz                 Adobe Acrobat (.pdf). If the submission                submissions received from other
                                               at (202) 395–3150.                                      is in an application other than those                  participants in the dispute. If a dispute
                                               SUPPLEMENTARY INFORMATION:                              two, please indicate the name of the                   settlement panel is convened, the report
                                                                                                       application in the ‘‘type comment’’                    of the panel, and, in the event of an
                                               I. Background                                           field.                                                 appeal of a panel report, the report of
                                                  USTR is providing notice that Korea                     For any comments submitted                          the Appellate Body, will also be
                                               has requested consultations pursuant to                 electronically containing business                     available on the website of the World
                                               the WTO Understanding on Rules and                      confidential information, the file name                Trade Organization, at www.wto.org.
                                               Procedures Governing the Settlement of                  of the business confidential version
                                                                                                       should begin with the characters ‘‘BC’’.               Juan Millan,
                                               Disputes (DSU), the General Agreement
                                               on Tariffs and Trade 1994, and the                      Any page containing business                           Assistant United States Trade Representative
                                                                                                       confidential information must be clearly               for Monitoring and Enforcement Office of the
                                               Agreement on Safeguards (SGA). If
                                                                                                       marked ‘‘BUSINESS CONFIDENTIAL’’                       U.S. Trade Representative.
                                               these consultations do not resolve the
                                                                                                       on the top of that page and the                        [FR Doc. 2018–12447 Filed 6–8–18; 8:45 am]
                                               matter, Korea could request that the
                                               WTO establish a dispute settlement                      submission should clearly indicate, via                BILLING CODE 3290–F8–P

                                               panel pursuant to the DSU, which                        brackets, highlighting, or other means,
                                               would hold its meetings in Geneva,                      the specific information that is business
                                               Switzerland, and issue a report on its                  confidential. If you request business                  DEPARTMENT OF TRANSPORTATION
                                               findings.                                               confidential treatment, you must certify
                                                                                                       in writing that disclosure of the                      Federal Motor Carrier Safety
                                               II. Major Issues Raised by Korea                        information would endanger trade                       Administration
                                                  On May 14, 2018, Korea requested                     secrets or profitability, and that the                 [Docket No. FMCSA–2018–0030]
                                               consultations concerning the safeguard                  information would not customarily be
                                               measure in effect pursuant to                           released to the public. Filers of                      Qualification of Drivers; Exemption
                                               Proclamation 9594 of January 23,                        submissions containing business                        Applications; Diabetes Mellitus
                                               2018—To Facilitate a Positive                           confidential information also must
                                               Adjustment to Competition from                          submit a public version of their                       AGENCY: Federal Motor Carrier Safety
                                               Imports of Large Residential Washers,                   comments. The file name of the public                  Administration (FMCSA), DOT.
                                               83 FR 3553 (Jan. 25, 2018). Korea alleges               version should begin with the character                ACTION: Notice of applications for
                                               that the United States’ safeguard action                ‘‘P’’. The ‘‘BC’’ and ‘‘P’’ should be                  exemption; request for comments.
                                               is inconsistent with Articles I:1, II, X:3,             followed by the name of the person or
                                                                                                                                                              SUMMARY:   FMCSA announces receipt of
                                               and XIX:1 of the GATT 1994 and                          entity submitting the comments or
                                               Articles 2.1, 2.2, 3.1, 3.2, 4.1, 4.2, 5.1,                                                                    applications from 41 individuals for an
                                                                                                       rebuttal comments. If these procedures
                                               7.1, 7.4, 8.1, 12.1, 12.2, and 12.3 of the              are not sufficient to protect business                 exemption from the prohibition in the
                                               SGA.                                                    confidential information or otherwise                  Federal Motor Carrier Safety
                                                                                                       protect business interests, please contact             Regulations (FMCSRs) against persons
                                               III. Public Comments: Requirements for                                                                         with insulin-treated diabetes mellitus
                                                                                                       Sandy McKinzy at (202) 395–9483 to
                                               Submissions                                                                                                    (ITDM) operating a commercial motor
                                                                                                       discuss whether alternative
                                                  USTR invites written comments                        arrangements are possible.                             vehicle (CMV) in interstate commerce. If
                                               concerning the issues raised in this                       USTR may determine that information                 granted, the exemptions would enable
                                               dispute. All submissions must be in                     or advice contained in a comment, other                these individuals with ITDM to operate
                                               English and sent electronically via                     than business confidential information,                CMVs in interstate commerce.
                                               www.regulations.gov. To submit                          is confidential in accordance with                     DATES: Comments must be received on
                                               comments via www.regulations.gov,                       section 135(g)(2) of the Trade Act of                  or before July 11, 2018.
                                               enter docket number USTR–2018–0014                      1974 (19 U.S.C. 2155(g)(2)). If a                      ADDRESSES: You may submit comments
                                               on the home page and click ‘‘search.’’                  submitter believes that information or                 bearing the Federal Docket Management
                                               The site will provide a search-results                  advice is confidential, s/he must clearly              System (FDMS) Docket No. FMCSA–
                                               page listing all documents associated                   designate the information or advice as                 2018–0030 using any of the following
                                               with this docket. Find a reference to this              confidential and mark it as                            methods:
                                               notice by selecting ‘‘notice’’ under                    ‘‘SUBMITTED IN CONFIDENCE’’ at the                        • Federal eRulemaking Portal: Go to
                                               ‘‘document type’’ on the left side of the               top and bottom of the cover page and                   http://www.regulations.gov. Follow the
                                               search-results page, and click on the                   each succeeding page, and provide a                    online instructions for submitting
                                               link entitled ‘‘comment now!’’ For                      non-confidential summary of the                        comments.
                                               further information on using the                        information or advice.                                    • Mail: Docket Management Facility;
                                               www.regulations.gov website, please                        Pursuant to section 127(e) of the                   U.S. Department of Transportation, 1200
daltland on DSKBBV9HB2PROD with NOTICES




                                               consult the resources provided on the                   Uruguay Round Agreements Act (19                       New Jersey Avenue SE, West Building
                                               website by clicking on ‘‘How to Use                     U.S.C. 3537(e)), USTR will maintain a                  Ground Floor, Room W12–140,
                                               Regulations.gov’’ on the bottom of the                  docket on this dispute settlement                      Washington, DC 20590–0001.
                                               home page.                                              proceeding, docket number USTR–                           • Hand Delivery: West Building
                                                  The www.regulations.gov website                      2018–0014, accessible to the public at                 Ground Floor, Room W12–140, 1200
                                               allows users to provide comments by                     www.regulations.gov. The public file                   New Jersey Avenue SE, Washington,
                                               filling in a ‘‘type comment’’ field, or by              will include non-confidential public                   DC, between 9 a.m. and 5 p.m., e.t.,


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                                                                              Federal Register / Vol. 83, No. 112 / Monday, June 11, 2018 / Notices                                              27071

                                               Monday through Friday, except Federal                   duration of a driver’s medical                         requirements of section 4129 while
                                               Holidays.                                               certification.                                         continuing to ensure that operation of
                                                  • Fax: 1–202–493–2251.                                  The 41 individuals listed in this                   CMVs by drivers with ITDM will
                                                  Instructions: Each submission must                   notice have requested an exemption                     achieve the requisite level of safety
                                               include the Agency name and the                         from the diabetes prohibition in 49 CFR                required of all exemptions granted
                                               docket number(s) for this notice. Note                  391.41(b)(3). Accordingly, the Agency                  under 49 U.S.C. 31136 (e). Section
                                               that all comments received will be                      will evaluate the qualifications of each               4129(d) also directed FMCSA to ensure
                                               posted without change to http://                        applicant to determine whether granting                that drivers of CMVs with ITDM are not
                                               www.regulations.gov, including any                      the exemption will achieve the required                held to a higher standard than other
                                               personal information provided. Please                   level of safety mandated by statute.                   drivers, with the exception of limited
                                               see the Privacy Act heading below for                      The physical qualification standard                 operating, monitoring and medical
                                               further information.                                    for drivers regarding diabetes found in                requirements that are deemed medically
                                                  Docket: For access to the docket to                  49 CFR 391.41(b)(3) states that a person               necessary. The FMCSA concluded that
                                               read background documents or                            is physically qualified to drive a CMV                 all of the operating, monitoring and
                                               comments, go to http://                                 if that person has no established                      medical requirements set out in the
                                               www.regulations.gov at any time or                      medical history or clinical diagnosis of               September 3, 2003, notice, except as
                                               Room W12–140 on the ground level of                     diabetes mellitus currently requiring                  modified, were in compliance with
                                               the West Building, 1200 New Jersey                      insulin for control. The Agency                        section 4129(d). Therefore, all of the
                                               Avenue SE, Washington, DC, between 9                    established the current requirement for                requirements set out in the September 3,
                                               a.m. and 5 p.m., e.t., Monday through                   diabetes in 1970 because several risk                  2003, notice, except as modified by the
                                               Friday, except Federal holidays. The                    studies indicated that drivers with                    notice in the Federal Register on
                                               FDMS is available 24 hours each day                     diabetes had a higher rate of crash                    November 8, 2005 (70 FR 67777),
                                               e.t., 365 days each year. If you want                   involvement than the general                           remain in effect.
                                               acknowledgment that we received your                    population.
                                               comments, please include a self-                           FMCSA established its diabetes                      II. Qualifications of Applicants
                                               addressed, stamped envelope or                          exemption program, based on the
                                                                                                                                                              Gerardo Arredondo
                                               postcard or print the acknowledgement                   Agency’s July 2000 study entitled ‘‘A
                                                                                                       Report to Congress on the Feasibility of                 Mr. Arredondo, 56, has had ITDM
                                               page that appears after submitting
                                                                                                       a Program to Qualify Individuals with                  since 2011. His endocrinologist
                                               comments online.
                                                                                                       Insulin-Treated Diabetes Mellitus to                   examined him in 2017 and certified that
                                                  Privacy Act: In accordance with 5
                                                                                                       Operate in Interstate Commerce as                      he has had no severe hypoglycemic
                                               U.S.C. 553(c), DOT solicits comments
                                                                                                       Directed by the Transportation Act for                 reactions resulting in loss of
                                               from the public to better inform its
                                                                                                       the 21st Century.’’ The report concluded               consciousness, requiring the assistance
                                               rulemaking process. DOT posts these
                                                                                                       that a safe and practicable protocol to                of another person, or resulting in
                                               comments, without edit, including any
                                                                                                       allow some drivers with ITDM to                        impaired cognitive function that
                                               personal information the commenter
                                                                                                       operate CMVs is feasible. The                          occurred without warning in the past 12
                                               provides, to http://www.regulations.gov,
                                                                                                       September 3, 2003 (68 FR 52441),                       months and no recurrent (two or more)
                                               as described in the system of records
                                                                                                       Federal Register notice in conjunction                 severe hypoglycemic episodes in the
                                               notice (DOT/ALL–14 FDMS), which can
                                                                                                       with the November 8, 2005 (70 FR                       last five years. His endocrinologist
                                               be reviewed at http://www.dot.gov/
                                                                                                       67777), Federal Register notice provides               certifies that Mr. Arredondo
                                               privacy.
                                                                                                       the current protocol for allowing such                 understands diabetes management and
                                               FOR FURTHER INFORMATION CONTACT:     Ms.                drivers to operate CMVs in interstate                  monitoring, has stable control of his
                                               Christine A. Hydock, Chief, Medical                     commerce.                                              diabetes using insulin, and is able to
                                               Programs Division, (202) 366–4001,                         FMCSA notes that section 4129 of the                drive a CMV safely. Mr. Arredondo
                                               fmcsamedical@dot.gov, FMCSA,                            Safe, Accountable, Flexible and                        meets the requirements of the vision
                                               Department of Transportation, 1200                      Efficient Transportation Equity Act: A                 standard at 49 CFR 391.41(b)(10). His
                                               New Jersey Avenue SE, Room W64–224,                     Legacy for Users requires the Secretary                ophthalmologist examined him in 2017
                                               Washington, DC 20590–0001. Office                       to revise its diabetes exemption program               and certified that he has stable
                                               hours are 8:30 a.m. to 5 p.m., e.t.,                    established on September 3, 2003 (68 FR                nonproliferative diabetic retinopathy.
                                               Monday through Friday, except Federal                   52441). The revision must provide for                  He holds a Class A CDL from Texas.
                                               holidays. If you have questions                         individual assessment of drivers with
                                               regarding viewing or submitting                         diabetes mellitus, and be consistent                   Ammar H. Atieh
                                               material to the docket, contact Docket                  with the criteria described in section                   Mr. Atieh, 22, has had ITDM since
                                               Services, telephone (202) 366–9826.                     4018 of the Transportation Equity Act                  2004. His endocrinologist examined him
                                               SUPPLEMENTARY INFORMATION:                              for the 21st Century (49 U.S.C. 31305).                in 2017 and certified that he has had no
                                                                                                       Section 4129 requires: (1) Elimination of              severe hypoglycemic reactions resulting
                                               I. Background                                           the requirement for three years of                     in loss of consciousness, requiring the
                                                  Under 49 U.S.C. 31136(e) and 31315,                  experience operating CMVs while being                  assistance of another person, or
                                               FMCSA may grant an exemption from                       treated with insulin; and (2)                          resulting in impaired cognitive function
                                               the FMCSRs for a five-year period if it                 establishment of a specified minimum                   that occurred without warning in the
                                               finds ‘‘such exemption would likely                     period of insulin use to demonstrate                   past 12 months and no recurrent (two or
                                               achieve a level of safety that is                       stable control of diabetes before being                more) severe hypoglycemic episodes in
daltland on DSKBBV9HB2PROD with NOTICES




                                               equivalent to or greater than the level                 allowed to operate a CMV.                              the last five years. His endocrinologist
                                               that would be achieved absent such                         In response to section 4129, FMCSA                  certifies that Mr. Atieh understands
                                               exemption.’’ The statute also allows the                made immediate revisions to the                        diabetes management and monitoring,
                                               Agency to renew exemptions at the end                   diabetes exemption program established                 has stable control of his diabetes using
                                               of the five-year period. FMCSA grants                   by the September 3, 2003 notice.                       insulin, and is able to drive a CMV
                                               exemptions from the FMCSRs for a two-                   FMCSA discontinued use of the three-                   safely. Mr. Atieh meets the requirements
                                               year period to align with the maximum                   year driving experience and fulfilled the              of the vision standard at 49 CFR


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                                               27072                          Federal Register / Vol. 83, No. 112 / Monday, June 11, 2018 / Notices

                                               391.41(b)(10). His ophthalmologist                      safely. Mr. Cash meets the requirements                has stable control of his diabetes using
                                               examined him in 2018 and certified that                 of the vision standard at 49 CFR                       insulin, and is able to drive a CMV
                                               he does not have diabetic retinopathy.                  391.41(b)(10). His optometrist examined                safely. Mr. Duncan meets the
                                               He holds an operator’s license from New                 him in 2018 and certified that he does                 requirements of the vision standard at
                                               Jersey.                                                 not have diabetic retinopathy. He holds                49 CFR 391.41(b)(10). His optometrist
                                                                                                       an operator’s license from New York.                   examined him in 2018 and certified that
                                               Robert P. Baker, Jr.
                                                                                                                                                              he does not have diabetic retinopathy.
                                                 Mr. Baker, 37, has had ITDM since                     Travis A. Chandler
                                                                                                                                                              He holds a Class A CDL from Kansas.
                                               2002. His endocrinologist examined him                    Mr. Chandler, 31, has had ITDM since
                                               in 2018 and certified that he has had no                1998. His endocrinologist examined him                 Hugh J. Gallagher
                                               severe hypoglycemic reactions resulting                 in 2018 and certified that he has had no                 Mr. Gallagher, 57, has had ITDM since
                                               in loss of consciousness, requiring the                 severe hypoglycemic reactions resulting                2016. His endocrinologist examined him
                                               assistance of another person, or                        in loss of consciousness, requiring the                in 2018 and certified that he has had no
                                               resulting in impaired cognitive function                assistance of another person, or                       severe hypoglycemic reactions resulting
                                               that occurred without warning in the                    resulting in impaired cognitive function               in loss of consciousness, requiring the
                                               past 12 months and no recurrent (two or                 that occurred without warning in the                   assistance of another person, or
                                               more) severe hypoglycemic episodes in                   past 12 months and no recurrent (two or                resulting in impaired cognitive function
                                               the last five years. His endocrinologist                more) severe hypoglycemic episodes in                  that occurred without warning in the
                                               certifies that Mr. Baker understands                    the last five years. His endocrinologist               past 12 months and no recurrent (two or
                                               diabetes management and monitoring,                     certifies that Mr. Chandler understands                more) severe hypoglycemic episodes in
                                               has stable control of his diabetes using                diabetes management and monitoring,                    the last five years. His endocrinologist
                                               insulin, and is able to drive a CMV                     has stable control of his diabetes using               certifies that Mr. Gallagher understands
                                               safely. Mr. Baker meets the                             insulin, and is able to drive a CMV                    diabetes management and monitoring,
                                               requirements of the vision standard at                  safely. Mr. Chandler meets the                         has stable control of his diabetes using
                                               49 CFR 391.41(b)(10). His                               requirements of the vision standard at                 insulin, and is able to drive a CMV
                                               ophthalmologist examined him in 2018                    49 CFR 391.41(b)(10). His optometrist                  safely. Mr. Gallagher meets the
                                               and certified that he has stable                        examined him in 2018 and certified that                requirements of the vision standard at
                                               nonproliferative diabetic retinopathy.                  he does not have diabetic retinopathy.                 49 CFR 391.41(b)(10). His
                                               He holds an operator’s from Indiana.                    He holds an operator’s license from                    ophthalmologist examined him in 2017
                                                                                                       Tennessee.                                             and certified that he does not have
                                               Jose A. Barron
                                                                                                                                                              diabetic retinopathy. He holds a Class A
                                                 Mr. Barron, 62, has had ITDM since                    Curtis D. Dement
                                                                                                                                                              CDL from Indiana.
                                               2008. His endocrinologist examined him                    Mr. Dement, 63, has had ITDM since
                                               in 2018 and certified that he has had no                2018. His endocrinologist examined him                 Charles Gant
                                               severe hypoglycemic reactions resulting                 in 2018 and certified that he has had no                 Mr. Gant, 48, has had ITDM since
                                               in loss of consciousness, requiring the                 severe hypoglycemic reactions resulting                2016. His endocrinologist examined him
                                               assistance of another person, or                        in loss of consciousness, requiring the                in 2017 and certified that he has had no
                                               resulting in impaired cognitive function                assistance of another person, or                       severe hypoglycemic reactions resulting
                                               that occurred without warning in the                    resulting in impaired cognitive function               in loss of consciousness, requiring the
                                               past 12 months and no recurrent (two or                 that occurred without warning in the                   assistance of another person, or
                                               more) severe hypoglycemic episodes in                   past 12 months and no recurrent (two or                resulting in impaired cognitive function
                                               the last five years. His endocrinologist                more) severe hypoglycemic episodes in                  that occurred without warning in the
                                               certifies that Mr. Barron understands                   the last five years. His endocrinologist               past 12 months and no recurrent (two or
                                               diabetes management and monitoring,                     certifies that Mr. Dement understands                  more) severe hypoglycemic episodes in
                                               has stable control of his diabetes using                diabetes management and monitoring,                    the last five years. His endocrinologist
                                               insulin, and is able to drive a CMV                     has stable control of his diabetes using               certifies that Mr. Gant understands
                                               safely. Mr. Barron meets the                            insulin, and is able to drive a CMV                    diabetes management and monitoring,
                                               requirements of the vision standard at                  safely. Mr. Dement meets the                           has stable control of his diabetes using
                                               49 CFR 391.41(b)(10). His optometrist                   requirements of the vision standard at                 insulin, and is able to drive a CMV
                                               examined him in 2017 and certified that                 49 CFR 391.41(b)(10). His optometrist                  safely. Mr. Gant meets the requirements
                                               he does not have diabetic retinopathy.                  examined him in 2018 and certified that                of the vision standard at 49 CFR
                                               He holds a Class A CDL from Texas.                      he does not have diabetic retinopathy.                 391.41(b)(10). His optometrist examined
                                                                                                       He holds a Class A CDL from North                      him in 2017 and certified that he does
                                               Michael D. Cash
                                                                                                       Dakota.                                                not have diabetic retinopathy. He holds
                                                 Mr. Cash, 51, has had ITDM since                                                                             an operator’s license from Pennsylvania.
                                               2017. His endocrinologist examined him                  Mark A. Duncan
                                               in 2018 and certified that he has had no                  Mr. Duncan, 56, has had ITDM since                   Gary D. Gudeman
                                               severe hypoglycemic reactions resulting                 2016. His endocrinologist examined him                   Mr. Gudeman, 60, has had ITDM
                                               in loss of consciousness, requiring the                 in 2018 and certified that he has had no               since 2013. His endocrinologist
                                               assistance of another person, or                        severe hypoglycemic reactions resulting                examined him in 2018 and certified that
                                               resulting in impaired cognitive function                in loss of consciousness, requiring the                he has had no severe hypoglycemic
                                               that occurred without warning in the                    assistance of another person, or                       reactions resulting in loss of
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                                               past 12 months and no recurrent (two or                 resulting in impaired cognitive function               consciousness, requiring the assistance
                                               more) severe hypoglycemic episodes in                   that occurred without warning in the                   of another person, or resulting in
                                               the last five years. His endocrinologist                past 12 months and no recurrent (two or                impaired cognitive function that
                                               certifies that Mr. Cash understands                     more) severe hypoglycemic episodes in                  occurred without warning in the past 12
                                               diabetes management and monitoring,                     the last five years. His endocrinologist               months and no recurrent (two or more)
                                               has stable control of his diabetes using                certifies that Mr. Duncan understands                  severe hypoglycemic episodes in the
                                               insulin, and is able to drive a CMV                     diabetes management and monitoring,                    last five years. His endocrinologist


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                                                                              Federal Register / Vol. 83, No. 112 / Monday, June 11, 2018 / Notices                                            27073

                                               certifies that Mr. Gudeman understands                  that occurred without warning in the                   in loss of consciousness, requiring the
                                               diabetes management and monitoring,                     past 12 months and no recurrent (two or                assistance of another person, or
                                               has stable control of his diabetes using                more) severe hypoglycemic episodes in                  resulting in impaired cognitive function
                                               insulin, and is able to drive a CMV                     the last five years. His endocrinologist               that occurred without warning in the
                                               safely. Mr. Gudeman meets the                           certifies that Mr. Howard understands                  past 12 months and no recurrent (two or
                                               requirements of the vision standard at                  diabetes management and monitoring,                    more) severe hypoglycemic episodes in
                                               49 CFR 391.41(b)(10). His                               has stable control of his diabetes using               the last five years. His endocrinologist
                                               ophthalmologist examined him in 2018                    insulin, and is able to drive a CMV                    certifies that Mr. Koch understands
                                               and certified that he does not have                     safely. Mr. Howard meets the                           diabetes management and monitoring,
                                               diabetic retinopathy. He holds an                       requirements of the vision standard at                 has stable control of his diabetes using
                                               operator’s license from Indiana.                        49 CFR 391.41(b)(10). His                              insulin, and is able to drive a CMV
                                                                                                       ophthalmologist examined him in 2018                   safely. Mr. Koch meets the requirements
                                               Richard D. Hawkins
                                                                                                       and certified that he has stable                       of the vision standard at 49 CFR
                                                 Mr. Hawkins, 43, has had ITDM since                   nonproliferative diabetic retinopathy.                 391.41(b)(10). His ophthalmologist
                                               2007. His endocrinologist examined him                  He holds a Class A CDL from Iowa.                      examined him in 2018 and certified that
                                               in 2018 and certified that he has had no                                                                       he has stable nonproliferative diabetic
                                               severe hypoglycemic reactions resulting                 Herbert O. Jenkins
                                                                                                                                                              retinopathy. He holds an operator’s
                                               in loss of consciousness, requiring the                   Mr. Jenkins, 55, has had ITDM since                  license from Pennsylvania.
                                               assistance of another person, or                        1992. His endocrinologist examined him
                                               resulting in impaired cognitive function                in 2018 and certified that he has had no               Jose Lares
                                               that occurred without warning in the                    severe hypoglycemic reactions resulting                  Mr. Lares, 59, has had ITDM since
                                               past 12 months and no recurrent (two or                 in loss of consciousness, requiring the                2018. His endocrinologist examined him
                                               more) severe hypoglycemic episodes in                   assistance of another person, or                       in 2018 and certified that he has had no
                                               the last five years. His endocrinologist                resulting in impaired cognitive function               severe hypoglycemic reactions resulting
                                               certifies that Mr. Hawkins understands                  that occurred without warning in the                   in loss of consciousness, requiring the
                                               diabetes management and monitoring,                     past 12 months and no recurrent (two or                assistance of another person, or
                                               has stable control of his diabetes using                more) severe hypoglycemic episodes in                  resulting in impaired cognitive function
                                               insulin, and is able to drive a CMV                     the last five years. His endocrinologist               that occurred without warning in the
                                               safely. Mr. Hawkins meets the                           certifies that Mr. Jenkins understands                 past 12 months and no recurrent (two or
                                               requirements of the vision standard at                  diabetes management and monitoring,                    more) severe hypoglycemic episodes in
                                               49 CFR 391.41(b)(10). His                               has stable control of his diabetes using               the last five years. His endocrinologist
                                               ophthalmologist examined him in 2017                    insulin, and is able to drive a CMV                    certifies that Mr. Lares understands
                                               and certified that he has stable                        safely. Mr. Jenkins meets the                          diabetes management and monitoring,
                                               nonproliferative diabetic retinopathy.                  requirements of the vision standard at                 has stable control of his diabetes using
                                               He holds an operator’s license from                     49 CFR 391.41(b)(10). His                              insulin, and is able to drive a CMV
                                               Indiana.                                                ophthalmologist examined him in 2018                   safely. Mr. Lares meets the requirements
                                                                                                       and certified that he has stable                       of the vision standard at 49 CFR
                                               Michael A. Hayes
                                                                                                       proliferative diabetic retinopathy. He                 391.41(b)(10). His ophthalmologist
                                                 Mr. Hayes, 43, has had ITDM since                     holds an operator’s license from                       examined him in 2018 and certified that
                                               2018. His endocrinologist examined him                  Kentucky.                                              he does not have diabetic retinopathy.
                                               in 2018 and certified that he has had no                                                                       He holds a Class B CDL from Arizona.
                                               severe hypoglycemic reactions resulting                 Scott A. Kiel
                                               in loss of consciousness, requiring the                   Mr. Kiel, 52, has had ITDM since                     John A. Larson
                                               assistance of another person, or                        2018. His endocrinologist examined him                   Mr. Larson, 67, has had ITDM since
                                               resulting in impaired cognitive function                in 2018 and certified that he has had no               2011. His endocrinologist examined him
                                               that occurred without warning in the                    severe hypoglycemic reactions resulting                in 2018 and certified that he has had no
                                               past 12 months and no recurrent (two or                 in loss of consciousness, requiring the                severe hypoglycemic reactions resulting
                                               more) severe hypoglycemic episodes in                   assistance of another person, or                       in loss of consciousness, requiring the
                                               the last five years. His endocrinologist                resulting in impaired cognitive function               assistance of another person, or
                                               certifies that Mr. Hayes understands                    that occurred without warning in the                   resulting in impaired cognitive function
                                               diabetes management and monitoring,                     past 12 months and no recurrent (two or                that occurred without warning in the
                                               has stable control of his diabetes using                more) severe hypoglycemic episodes in                  past 12 months and no recurrent (two or
                                               insulin, and is able to drive a CMV                     the last five years. His endocrinologist               more) severe hypoglycemic episodes in
                                               safely. Mr. Hayes meets the                             certifies that Mr. Kiel understands                    the last five years. His endocrinologist
                                               requirements of the vision standard at                  diabetes management and monitoring,                    certifies that Mr. Larson understands
                                               49 CFR 391.41(b)(10). His optometrist                   has stable control of his diabetes using               diabetes management and monitoring,
                                               examined him in 2017 and certified that                 insulin, and is able to drive a CMV                    has stable control of his diabetes using
                                               he does not have diabetic retinopathy.                  safely. Mr. Kiel meets the requirements                insulin, and is able to drive a CMV
                                               He holds a Class A CDL from North                       of the vision standard at 49 CFR                       safely. Mr. Larson meets the
                                               Carolina.4                                              391.41(b)(10). His optometrist examined                requirements of the vision standard at
                                                                                                       him in 2018 and certified that he does                 49 CFR 391.41(b)(10). His optometrist
                                               Brent M. Howard
                                                                                                       not have diabetic retinopathy. He holds                examined him in 2018 and certified that
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                                                 Mr. Howard, 55, has had ITDM since                    a Class A CDL from North Dakota.                       he does not have diabetic retinopathy.
                                               2017. His endocrinologist examined him                                                                         He holds a Class A CDL from
                                               in 2018 and certified that he has had no                Barry T. Koch
                                                                                                                                                              Minnesota.
                                               severe hypoglycemic reactions resulting                   Mr. Koch, 59, has had ITDM since
                                               in loss of consciousness, requiring the                 2010. His endocrinologist examined him                 Brian T. Lewis
                                               assistance of another person, or                        in 2017 and certified that he has had no                 Mr. Lewis, 52, has had ITDM since
                                               resulting in impaired cognitive function                severe hypoglycemic reactions resulting                2017. His endocrinologist examined him


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                                               27074                          Federal Register / Vol. 83, No. 112 / Monday, June 11, 2018 / Notices

                                               in 2018 and certified that he has had no                Kasey J. Martin                                        ophthalmologist examined him in 2018
                                               severe hypoglycemic reactions resulting                   Mr. Martin, 28, has had ITDM since                   and certified that he has stable
                                               in loss of consciousness, requiring the                 2010. His endocrinologist examined him                 nonproliferative diabetic retinopathy.
                                               assistance of another person, or                        in 2018 and certified that he has had no               He holds an operator’s license from
                                               resulting in impaired cognitive function                severe hypoglycemic reactions resulting                Ohio.
                                               that occurred without warning in the                    in loss of consciousness, requiring the                Gion H. Mersha
                                               past 12 months and no recurrent (two or                 assistance of another person, or
                                               more) severe hypoglycemic episodes in                                                                            Mr. Mersha, 44, has had ITDM since
                                                                                                       resulting in impaired cognitive function               2017. His endocrinologist examined him
                                               the last five years. His endocrinologist                that occurred without warning in the
                                               certifies that Mr. Lewis understands                                                                           in 2018 and certified that he has had no
                                                                                                       past 12 months and no recurrent (two or                severe hypoglycemic reactions resulting
                                               diabetes management and monitoring,                     more) severe hypoglycemic episodes in
                                               has stable control of his diabetes using                                                                       in loss of consciousness, requiring the
                                                                                                       the last five years. His endocrinologist               assistance of another person, or
                                               insulin, and is able to drive a CMV                     certifies that Mr. Martin understands
                                               safely. Mr. Lewis meets the                                                                                    resulting in impaired cognitive function
                                                                                                       diabetes management and monitoring,                    that occurred without warning in the
                                               requirements of the vision standard at                  has stable control of his diabetes using
                                               49 CFR 391.41(b)(10). His optometrist                                                                          past 12 months and no recurrent (two or
                                                                                                       insulin, and is able to drive a CMV                    more) severe hypoglycemic episodes in
                                               examined him in 2018 and certified that                 safely. Mr. Martin meets the
                                               he does not have diabetic retinopathy.                                                                         the last five years. His endocrinologist
                                                                                                       requirements of the vision standard at                 certifies that Mr. Mersha understands
                                               He holds a Class B CDL from California.                 49 CFR 391.41(b)(10). His optometrist                  diabetes management and monitoring,
                                               Mark J. Longtin                                         examined him in 2017 and certified that                has stable control of his diabetes using
                                                                                                       he does not have diabetic retinopathy.                 insulin, and is able to drive a CMV
                                                 Mr. Longtin, 66, has had ITDM since                   He holds an operator’s license from                    safely. Mr. Mersha meets the
                                               2017. His endocrinologist examined him                  Indiana.                                               requirements of the vision standard at
                                               in 2017 and certified that he has had no
                                                                                                       David A. Martin                                        49 CFR 391.41(b)(10). His optometrist
                                               severe hypoglycemic reactions resulting
                                                                                                                                                              examined him in 2018 and certified that
                                               in loss of consciousness, requiring the                   Mr. Martin, 60, has had ITDM since                   he does not have diabetic retinopathy.
                                               assistance of another person, or                        2017. His endocrinologist examined him                 He holds an operator’s license from
                                               resulting in impaired cognitive function                in 2018 and certified that he has had no               Iowa.
                                               that occurred without warning in the                    severe hypoglycemic reactions resulting
                                               past 12 months and no recurrent (two or                 in loss of consciousness, requiring the                Phillip A. Nass
                                               more) severe hypoglycemic episodes in                   assistance of another person, or                         Mr. Nass, 65, has had ITDM since
                                               the last five years. His endocrinologist                resulting in impaired cognitive function               2016. His endocrinologist examined him
                                               certifies that Mr. Longtin understands                  that occurred without warning in the                   in 2018 and certified that he has had no
                                               diabetes management and monitoring,                     past 12 months and no recurrent (two or                severe hypoglycemic reactions resulting
                                               has stable control of his diabetes using                more) severe hypoglycemic episodes in                  in loss of consciousness, requiring the
                                               insulin, and is able to drive a CMV                     the last five years. His endocrinologist               assistance of another person, or
                                               safely. Mr. Longtin meets the                           certifies that Mr. Martin understands                  resulting in impaired cognitive function
                                               requirements of the vision standard at                  diabetes management and monitoring,                    that occurred without warning in the
                                               49 CFR 391.41(b)(10). His optometrist                   has stable control of his diabetes using               past 12 months and no recurrent (two or
                                               examined him in 2017 and certified that                 insulin, and is able to drive a CMV                    more) severe hypoglycemic episodes in
                                               he does not have diabetic retinopathy.                  safely. Mr. Martin meets the                           the last five years. His endocrinologist
                                               He holds an operator’s license from                     requirements of the vision standard at                 certifies that Mr. Nass understands
                                               South Dakota.                                           49 CFR 391.41(b)(10). His                              diabetes management and monitoring,
                                               Christopher A. Marquette                                ophthalmologist examined him in 2018                   has stable control of his diabetes using
                                                                                                       and certified that he does not have                    insulin, and is able to drive a CMV
                                                 Mr. Marquette, 37, has had ITDM                       diabetic retinopathy. He holds a Class A               safely. Mr. Nass meets the requirements
                                               since 2016. His endocrinologist                         CDL from Illinois.                                     of the vision standard at 49 CFR
                                               examined him in 2018 and certified that                                                                        391.41(b)(10). His optometrist examined
                                               he has had no severe hypoglycemic                       Ryan J. Matthews
                                                                                                                                                              him in 2017 and certified that he does
                                               reactions resulting in loss of                            Mr. Matthews, 39, has had ITDM                       not have diabetic retinopathy. He holds
                                               consciousness, requiring the assistance                 since 1995. His endocrinologist                        a Class A CDL from Wisconsin.
                                               of another person, or resulting in                      examined him in 2018 and certified that
                                               impaired cognitive function that                        he has had no severe hypoglycemic                      Frank T. Piper, Jr.
                                               occurred without warning in the past 12                 reactions resulting in loss of                           Mr. Piper, 65, has had ITDM since
                                               months and no recurrent (two or more)                   consciousness, requiring the assistance                2013. His endocrinologist examined him
                                               severe hypoglycemic episodes in the                     of another person, or resulting in                     in 2017 and certified that he has had no
                                               last five years. His endocrinologist                    impaired cognitive function that                       severe hypoglycemic reactions resulting
                                               certifies that Mr. Marquette understands                occurred without warning in the past 12                in loss of consciousness, requiring the
                                               diabetes management and monitoring,                     months and no recurrent (two or more)                  assistance of another person, or
                                               has stable control of his diabetes using                severe hypoglycemic episodes in the                    resulting in impaired cognitive function
                                               insulin, and is able to drive a CMV                     last five years. His endocrinologist                   that occurred without warning in the
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                                               safely. Mr. Marquette meets the                         certifies that Mr. Matthews understands                past 12 months and no recurrent (two or
                                               requirements of the vision standard at                  diabetes management and monitoring,                    more) severe hypoglycemic episodes in
                                               49 CFR 391.41(b)(10). His optometrist                   has stable control of his diabetes using               the last five years. His endocrinologist
                                               examined him in 2018 and certified that                 insulin, and is able to drive a CMV                    certifies that Mr. Piper understands
                                               he does not have diabetic retinopathy.                  safely. Mr. Matthews meets the                         diabetes management and monitoring,
                                               He holds a Class A CDL from                             requirements of the vision standard at                 has stable control of his diabetes using
                                               Minnesota.                                              49 CFR 391.41(b)(10). His                              insulin, and is able to drive a CMV


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                                                                              Federal Register / Vol. 83, No. 112 / Monday, June 11, 2018 / Notices                                            27075

                                               safely. Mr. Piper meets the requirements                diabetes management and monitoring,                    certifies that Mr. Torrez understands
                                               of the vision standard at 49 CFR                        has stable control of his diabetes using               diabetes management and monitoring,
                                               391.41(b)(10). His ophthalmologist                      insulin, and is able to drive a CMV                    has stable control of his diabetes using
                                               examined him in 2017 and certified that                 safely. Mr. Roosa meets the                            insulin, and is able to drive a CMV
                                               he does not have diabetic retinopathy.                  requirements of the vision standard at                 safely. Mr. Torrez meets the
                                               He holds an operator’s license from                     49 CFR 391.41(b)(10). His                              requirements of the vision standard at
                                               Connecticut.                                            ophthalmologist examined him in 2017                   49 CFR 391.41(b)(10). His optometrist
                                                                                                       and certified that he does not have                    examined him in 2018 and certified that
                                               James P. Renaud
                                                                                                       diabetic retinopathy. He holds an                      he does not have diabetic retinopathy.
                                                 Mr. Renaud, 49, has had ITDM since                    operator’s license from Massachusetts.                 He holds a Class A CDL from
                                               2017. His endocrinologist examined him                                                                         Wisconsin.
                                               in 2018 and certified that he has had no                Alan Sang
                                               severe hypoglycemic reactions resulting                   Mr. Sang, 48, has had ITDM since                     Gerard N. Tremblay, Jr.
                                               in loss of consciousness, requiring the                 2015. His endocrinologist examined him                   Mr. Tremblay, 48, has had ITDM since
                                               assistance of another person, or                        in 2018 and certified that he has had no               2010. His endocrinologist examined him
                                               resulting in impaired cognitive function                severe hypoglycemic reactions resulting                in 2018 and certified that he has had no
                                               that occurred without warning in the                    in loss of consciousness, requiring the                severe hypoglycemic reactions resulting
                                               past 12 months and no recurrent (two or                 assistance of another person, or                       in loss of consciousness, requiring the
                                               more) severe hypoglycemic episodes in                   resulting in impaired cognitive function               assistance of another person, or
                                               the last five years. His endocrinologist                that occurred without warning in the                   resulting in impaired cognitive function
                                               certifies that Mr. Renaud understands                   past 12 months and no recurrent (two or                that occurred without warning in the
                                               diabetes management and monitoring,                     more) severe hypoglycemic episodes in                  past 12 months and no recurrent (two or
                                               has stable control of his diabetes using                the last five years. His endocrinologist               more) severe hypoglycemic episodes in
                                               insulin, and is able to drive a CMV                     certifies that Mr. Sang understands                    the last five years. His endocrinologist
                                               safely. Mr. Renaud meets the                            diabetes management and monitoring,                    certifies that Mr. Tremblay understands
                                               requirements of the vision standard at                  has stable control of his diabetes using               diabetes management and monitoring,
                                               49 CFR 391.41(b)(10). His                               insulin, and is able to drive a CMV                    has stable control of his diabetes using
                                               ophthalmologist examined him in 2018                    safely. Mr. Sang meets the requirements                insulin, and is able to drive a CMV
                                               and certified that he has stable                        of the vision standard at 49 CFR                       safely. Mr. Tremblay meets the
                                               nonproliferative diabetic retinopathy.                  391.41(b)(10). His ophthalmologist                     requirements of the vision standard at
                                               He holds a Class A CDL from New                         examined him in 2018 and certified that                49 CFR 391.41(b)(10). His optometrist
                                               Hampshire.                                              he does not have diabetic retinopathy.                 examined him in 2018 and certified that
                                                                                                       He holds a Class B CDL from Florida.                   he does not have diabetic retinopathy.
                                               Charles D. Robison
                                                                                                                                                              He holds an operator’s license from
                                                 Mr. Robison, 56, has had ITDM since                   James M. Sanicola
                                                                                                                                                              Massachusetts.
                                               2017. His endocrinologist examined him                    Mr. Sanicola, 61, has had ITDM since
                                               in 2018 and certified that he has had no                2017. His endocrinologist examined him                 John H. Turner
                                               severe hypoglycemic reactions resulting                 in 2018 and certified that he has had no                 Mr. Turner, 73, has had ITDM since
                                               in loss of consciousness, requiring the                 severe hypoglycemic reactions resulting                2017. His endocrinologist examined him
                                               assistance of another person, or                        in loss of consciousness, requiring the                in 2018 and certified that he has had no
                                               resulting in impaired cognitive function                assistance of another person, or                       severe hypoglycemic reactions resulting
                                               that occurred without warning in the                    resulting in impaired cognitive function               in loss of consciousness, requiring the
                                               past 12 months and no recurrent (two or                 that occurred without warning in the                   assistance of another person, or
                                               more) severe hypoglycemic episodes in                   past 12 months and no recurrent (two or                resulting in impaired cognitive function
                                               the last five years. His endocrinologist                more) severe hypoglycemic episodes in                  that occurred without warning in the
                                               certifies that Mr. Robison understands                  the last five years. His endocrinologist               past 12 months and no recurrent (two or
                                               diabetes management and monitoring,                     certifies that Mr. Sanicola understands                more) severe hypoglycemic episodes in
                                               has stable control of his diabetes using                diabetes management and monitoring,                    the last five years. His endocrinologist
                                               insulin, and is able to drive a CMV                     has stable control of his diabetes using               certifies that Mr. Turner understands
                                               safely. Mr. Robison meets the                           insulin, and is able to drive a CMV                    diabetes management and monitoring,
                                               requirements of the vision standard at                  safely. Mr. Sanicola meets the                         has stable control of his diabetes using
                                               49 CFR 391.41(b)(10). His optometrist                   requirements of the vision standard at                 insulin, and is able to drive a CMV
                                               examined him in 2018 and certified that                 49 CFR 391.41(b)(10). His optometrist                  safely. Mr. Turner meets the
                                               he does not have diabetic retinopathy.                  examined him in 2017 and certified that                requirements of the vision standard at
                                               He holds a Class A CDL from Iowa.                       he does not have diabetic retinopathy.                 49 CFR 391.41(b)(10). His optometrist
                                                                                                       He holds a Class B CDL from Wisconsin.                 examined him in 2018 and certified that
                                               Michael A. Roosa
                                                                                                                                                              he does not have diabetic retinopathy.
                                                 Mr. Roosa, 53, has had ITDM since                     Michael J. Torrez
                                                                                                                                                              He holds a Class A CDL from Georgia.
                                               2016. His endocrinologist examined him                    Mr. Torrez, 58, has had ITDM since
                                               in 2018 and certified that he has had no                2018. His endocrinologist examined him                 Marcus D. Wade
                                               severe hypoglycemic reactions resulting                 in 2018 and certified that he has had no                 Mr. Wade, 24, has had ITDM since
                                               in loss of consciousness, requiring the                 severe hypoglycemic reactions resulting                2013. His endocrinologist examined him
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                                               assistance of another person, or                        in loss of consciousness, requiring the                in 2018 and certified that he has had no
                                               resulting in impaired cognitive function                assistance of another person, or                       severe hypoglycemic reactions resulting
                                               that occurred without warning in the                    resulting in impaired cognitive function               in loss of consciousness, requiring the
                                               past 12 months and no recurrent (two or                 that occurred without warning in the                   assistance of another person, or
                                               more) severe hypoglycemic episodes in                   past 12 months and no recurrent (two or                resulting in impaired cognitive function
                                               the last five years. His endocrinologist                more) severe hypoglycemic episodes in                  that occurred without warning in the
                                               certifies that Mr. Roosa understands                    the last five years. His endocrinologist               past 12 months and no recurrent (two or


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                                               27076                          Federal Register / Vol. 83, No. 112 / Monday, June 11, 2018 / Notices

                                               more) severe hypoglycemic episodes in                   occurred without warning in the past 12                specific section of this document to
                                               the last five years. His endocrinologist                months and no recurrent (two or more)                  which each comment applies, and
                                               certifies that Mr. Wade understands                     severe hypoglycemic episodes in the                    provide a reason for each suggestion or
                                               diabetes management and monitoring,                     last five years. His endocrinologist                   recommendation. If you submit your
                                               has stable control of his diabetes using                certifies that Mr. Williamson                          comments by mail or hand delivery,
                                               insulin, and is able to drive a CMV                     understands diabetes management and                    submit them in an unbound format, no
                                               safely. Mr. Wade meets the                              monitoring, has stable control of his                  larger than 81⁄2 by 11 inches, suitable for
                                               requirements of the vision standard at                  diabetes using insulin, and is able to                 copying and electronic filing. If you
                                               49 CFR 391.41(b)(10). His optometrist                   drive a CMV safely. Mr. Williamson                     submit comments by mail and would
                                               examined him in 2017 and certified that                 meets the requirements of the vision                   like to know that they reached the
                                               he does not have diabetic retinopathy.                  standard at 49 CFR 391.41(b)(10). His                  facility, please enclose a stamped, self-
                                               He holds an operator’s license from                     optometrist examined him in 2017 and                   addressed postcard or envelope.
                                               Illinois.                                               certified that he does not have diabetic                  We will consider all comments and
                                                                                                       retinopathy. He holds a Class A CDL                    materials received during the comment
                                               James A. White                                                                                                 period. FMCSA may issue a final
                                                                                                       from Illinois.
                                                 Mr. White, 55, has had ITDM since                                                                            determination at any time after the close
                                               2013. His endocrinologist examined him                  Steve B. Winger                                        of the comment period.
                                               in 2018 and certified that he has had no                  Mr. Winger, 60, has had ITDM since
                                               severe hypoglycemic reactions resulting                 2012. His endocrinologist examined him                 V. Viewing Comments and Documents
                                               in loss of consciousness, requiring the                 in 2017 and certified that he has had no                 To view comments, as well as any
                                               assistance of another person, or                        severe hypoglycemic reactions resulting                documents mentioned in this preamble,
                                               resulting in impaired cognitive function                in loss of consciousness, requiring the                go to http://www.regulations.gov and in
                                               that occurred without warning in the                    assistance of another person, or                       the search box insert the docket number
                                               past 12 months and no recurrent (two or                 resulting in impaired cognitive function               FMCSA–2018–0030 and click ‘‘Search.’’
                                               more) severe hypoglycemic episodes in                   that occurred without warning in the                   Next, click ‘‘Open Docket Folder’’ and
                                               the last five years. His endocrinologist                past 12 months and no recurrent (two or                you will find all documents and
                                               certifies that Mr. White understands                    more) severe hypoglycemic episodes in                  comments related to this notice.
                                               diabetes management and monitoring,                     the last five years. His endocrinologist                 Issued on: June 5, 2018.
                                               has stable control of his diabetes using                certifies that Mr. Winger understands                  Larry W. Minor,
                                               insulin, and is able to drive a CMV                     diabetes management and monitoring,                    Associate Administrator for Policy.
                                               safely. Mr. White meets the                             has stable control of his diabetes using               [FR Doc. 2018–12473 Filed 6–8–18; 8:45 am]
                                               requirements of the vision standard at                  insulin, and is able to drive a CMV
                                                                                                                                                              BILLING CODE 4910–EX–P
                                               49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Winger meets the
                                               examined him in 2018 and certified that                 requirements of the vision standard at
                                               he does not have diabetic retinopathy.                  49 CFR 391.41(b)(10). His optometrist                  DEPARTMENT OF TRANSPORTATION
                                               He holds a Class A CDL from Louisiana.                  examined him in 2018 and certified that
                                               Theodore M. Wicks                                       he does not have diabetic retinopathy.                 Pipeline and Hazardous Materials
                                                                                                       He holds a Class A CDL from Montana.                   Safety Administration
                                                 Mr. Wicks, 66, has had ITDM since
                                               2016. His endocrinologist examined him                  III. Request for Comments                              Hazardous Materials: Notice of
                                               in 2018 and certified that he has had no                   In accordance with 49 U.S.C. 31136(e)               Applications for Special Permits
                                               severe hypoglycemic reactions resulting                 and 31315, FMCSA requests public
                                               in loss of consciousness, requiring the                 comment from all interested persons on                 AGENCY:  Pipeline and Hazardous
                                               assistance of another person, or                        the exemption petitions described in                   Materials Safety Administration
                                               resulting in impaired cognitive function                this notice. We will consider all                      (PHMSA), DOT.
                                               that occurred without warning in the                    comments received before the close of                  ACTION: List of applications for
                                               past 12 months and no recurrent (two or                 business on the closing date indicated                 modification of special permits.
                                               more) severe hypoglycemic episodes in                   in the dates section of the notice.                    SUMMARY:    In accordance with the
                                               the last five years. His endocrinologist                                                                       procedures governing the application
                                               certifies that Mr. Wicks understands                    IV. Submitting Comments
                                                                                                          You may submit your comments and                    for, and the processing of, special
                                               diabetes management and monitoring,                                                                            permits from the Department of
                                               has stable control of his diabetes using                material online or by fax, mail, or hand
                                                                                                       delivery, but please use only one of                   Transportation’s Hazardous Material
                                               insulin, and is able to drive a CMV                                                                            Regulations, notice is hereby given that
                                               safely. Mr. Wicks meets the                             these means. FMCSA recommends that
                                                                                                       you include your name and a mailing                    the Office of Hazardous Materials Safety
                                               requirements of the vision standard at                                                                         has received the application described
                                               49 CFR 391.41(b)(10). His optometrist                   address, an email address, or a phone
                                                                                                       number in the body of your document                    herein.
                                               examined him in 2017 and certified that
                                               he does not have diabetic retinopathy.                  so that FMCSA can contact you if there                 DATES: Comments must be received on
                                               He holds a Class A CDL from Wyoming.                    are questions regarding your                           or before June 26, 2018.
                                                                                                       submission.                                            ADDRESSES: Record Center, Pipeline and
                                               Raymond L. Williamson                                      To submit your comment online, go to                Hazardous Materials Safety
                                                 Mr. Williamson, 66, has had ITDM                      http://www.regulations.gov and in the                  Administration, U.S. Department of
daltland on DSKBBV9HB2PROD with NOTICES




                                               since 2017. His endocrinologist                         search box insert the docket number                    Transportation, Washington, DC 20590.
                                               examined him in 2017 and certified that                 FMCSA–2018–0030 and click the search                      Comments should refer to the
                                               he has had no severe hypoglycemic                       button. When the new screen appears,                   application number and be submitted in
                                               reactions resulting in loss of                          click on the blue ‘‘Comment Now!’’                     triplicate. If confirmation of receipt of
                                               consciousness, requiring the assistance                 button on the right hand side of the                   comments is desired, include a self-
                                               of another person, or resulting in                      page. On the new page, enter                           addressed stamped postcard showing
                                               impaired cognitive function that                        information required including the                     the special permit number.


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Document Created: 2018-11-02 11:59:26
Document Modified: 2018-11-02 11:59:26
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 July 11, 2018.
ContactMs. 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 Citation83 FR 27070 

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