83_FR_28427 83 FR 28310 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

83 FR 28310 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 83, Issue 117 (June 18, 2018)

Page Range28310-28317
FR Document2018-13016

FMCSA announces receipt of applications from 53 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 117 (Monday, June 18, 2018)
[Federal Register Volume 83, Number 117 (Monday, June 18, 2018)]
[Notices]
[Pages 28310-28317]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-13016]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2018-0031]


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 53 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 18, 2018.

ADDRESSES: You may submit comments bearing the Federal Docket 
Management System (FDMS) Docket No. FMCSA-2018-0031 using any of the 
following methods:
     Federal eRulemaking Portal: Go to http://www.regulations.gov. Follow the online instructions for submitting 
comments.
     Mail: Docket Management Facility; U.S. Department of 
Transportation, 1200 New Jersey Avenue SE, West Building Ground Floor, 
Room W12-140, Washington, DC 20590-0001.
     Hand Delivery: West Building Ground Floor, Room W12-140, 
1200 New Jersey Avenue SE, Washington, DC, between 9 a.m. and 5 p.m., 
e.t., Monday through Friday, except Federal Holidays.
     Fax: 1-202-493-2251.
    Instructions: Each submission must include the Agency name and the 
docket number(s) for this notice. Note that all comments received will 
be posted without change to http://www.regulations.gov, including any 
personal information provided. Please see the Privacy Act heading below 
for further information.
    Docket: For access to the docket to read background documents or 
comments, go to http://www.regulations.gov at any time or Room W12-140 
on the ground level of the West Building, 1200 New Jersey Avenue SE, 
Washington, DC, between 9 a.m. and 5 p.m., e.t., Monday through Friday, 
except Federal holidays. The FDMS is available 24 hours each day 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, [email protected], FMCSA, 
Department of Transportation, 1200 New Jersey Avenue SE, Room W64-224, 
Washington, DC 20590-0001. Office hours are 8:30 a.m. to 5 p.m., e.t., 
Monday through Friday, except Federal holidays. If you have questions 
regarding viewing or submitting material to the docket, contact Docket 
Services, telephone (202) 366-9826.

SUPPLEMENTARY INFORMATION: 

I. Background

    Under 49 U.S.C. 31136(e) and 31315, FMCSA may grant an exemption 
from the FMCSRs for a five-year period if it finds ``such exemption 
would likely achieve a level of safety that is equivalent to or greater 
than the level that would be achieved absent such exemption.'' The 
statute also allows the Agency to renew exemptions at the end of the 
five-year period. FMCSA grants exemptions from the FMCSRs for a two-
year period to align with the maximum duration of a driver's medical 
certification.
    The 53 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).

[[Page 28311]]

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

Jason M. Abbott

    Mr. Abbott, 39, 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. Abbott understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Abbott 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 Ohio.

Casey L. Alt

    Mr. Alt, 46, has had ITDM since 1984. 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. Alt understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Alt 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 Colorado.

Joseph E. Beach

    Mr. Beach, 71, has had ITDM since 2014. 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. Beach understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Beach 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 Ohio.

Eli A. Berkowitz

    Mr. Berkowitz, 61, 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. Berkowitz understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Berkowitz 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 New Jersey.

Todd O. Blackwell

    Mr. Blackwell, 50, has had ITDM since 2001. 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. Blackwell understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Blackwell 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 
Idaho.

Joel H. Blancett, Jr.

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

Robert H. Blowers

    Mr. Blowers, 68, 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. Blowers understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Blowers meets the 
requirements of the vision standard at

[[Page 28312]]

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 Ohio.

David R. Booth

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

Travis W. Bradford

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

Darrel L. Burke

    Mr. Burke, 73, 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. Burke understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Burke 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 South Dakota.

Bryan D. Cash

    Mr. Cash, 53, 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. 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 ophthalmologist examined 
him in 2018 and certified that he does not have diabetic retinopathy. 
He holds a Class A CDL from Michigan.

Marty A. Collins

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

Gino R. Couch

    Mr. Couch, 61, has had ITDM since 2014. 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. Couch understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Couch 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 Indiana.

James D. Denison

    Mr. Denison, 42, has had ITDM since 2001. 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. Denison understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Denison 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 Iowa.

David L. Derossett, Jr.

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

John L. Enterkin

    Mr. Enterkin, 53, 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. Enterkin understands

[[Page 28313]]

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

William H. Ervin

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

Scot A. Etgen

    Mr. Etgen, 56, 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. Etgen understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Etgen 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 Ohio.

Zachary D. Fairbanks

    Mr. Fairbanks, 23, has had ITDM since 2005. 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. Fairbanks understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Fairbanks 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 Ohio.

Ward W. Genzel

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

Kasey D. Green

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

Justin A. Hamic

    Mr. Hamic, 30, has had ITDM since 1990. 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. Hamic understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Hamic 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 Alabama.

Philip F. Headington

    Mr. Headington, 38, 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. Headington understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Headington 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.

Jason A. Hendrickson

    Mr. Hendrickson, 40, 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. Hendrickson understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Hendrickson 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 Washington.

Bobby R. Isaacson

    Mr. Isaacson, 42, has had ITDM since 2013. His endocrinologist 
examined him in 2018 and certified that he has had no

[[Page 28314]]

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

John W. Johnson

    Mr. Johnson, 64, has had ITDM since 2009. 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. Johnson understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Johnson 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 B CDL from 
Florida.

Douglas E. Kanesky, Jr.

    Mr. Kanesky, 27, 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. Kanesky understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Kanesky 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 Arizona.

William D. Kincaid, Jr.

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

David W. Koch

    Mr. Koch, 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. 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 optometrist examined him 
in 2017 and certified that he does not have diabetic retinopathy. He 
holds a Class A CDL from Pennsylvania.

Christopher N. Lacy

    Mr. Lacy, 43, 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. Lacy understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Lacy 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 West Virginia.

John G. Lopez

    Mr. Lopez, 27, 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. Lopez understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Lopez 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 Texas.

David E. Marvin

    Mr. Marvin, 68, 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. Marvin understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Marvin 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 Iowa.

Bruce R. McDaniel

    Mr. McDaniel, 69, 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. McDaniel understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. McDaniel meets 
the

[[Page 28315]]

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 
Oklahoma.

Edward A. Oikemus, Jr.

    Mr. Oikemus, 53, 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. Oikemus understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Oikemus 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 
Maryland.

Tony L. Pennywell

    Mr. Pennywell, 56, 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. Pennywell understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Pennywell 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 Florida.

Blake T. Pinkston

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

Dustin C. Riley

    Mr. Riley, 27, has had ITDM since 2006. 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. Riley understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Riley 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 New York.

Wes D. Rodrigue

    Mr. Rodrigue, 52, 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. Rodrigue understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Rodrigue 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 New Hampshire.

Johnathan C. Schutz

    Mr. Schutz, 64, 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. Schutz understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Schutz 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 P. Scott

    Mr. Scott, 34, 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. Scott understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Scott 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 South 
Carolina.

Patrick E. Sevier

    Mr. Sevier, 70, 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. Sevier understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Sevier 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 Iowa.

Keith O. Shaw, Sr.

    Mr. Shaw, 45, 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

[[Page 28316]]

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

Rosalie A. Silva

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

James R. Sizemore

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

David A. Stedford

    Mr. Stedford, 48, 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. Stedford understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Stedford 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 B CDL from 
Connecticut.

Geraldine St-Germain

    Ms. St-Germain, 31, has had ITDM since 2000. Her endocrinologist 
examined her in 2018 and certified that she has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. Her endocrinologist certifies that Ms. St-Germain understands 
diabetes management and monitoring, has stable control of her diabetes 
using insulin, and is able to drive a CMV safely. Ms. St-Germain meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). Her 
optometrist examined her in 2018 and certified that she does not have 
diabetic retinopathy. She holds an operator's license from New Jersey.

Theodore F. Stuard II

    Mr. Stuard, 68, 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. Stuard understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Stuard 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 Indiana.

Richard J. Taylor

    Mr. Taylor, 65, has had ITDM since 2014. 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. Taylor understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Taylor 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 
Illinois.

Chris A. Voelker

    Mr. Voelker, 58, has had ITDM since 2012. 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. Voelker understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Voelker 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.

Benjamin B. Webb

    Mr. Webb, 55, has had ITDM since 1989. 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. Webb understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Webb meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2017 and certified that he does not have diabetic retinopathy. He 
holds an operator's license from North Carolina.

[[Page 28317]]

Donnie E. Winters

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

Heath A. Woodiwiss

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

Anthony K. Zelinsky

    Mr. Zelinsky, 21, has had ITDM since 2014. 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. Zelinsky understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Zelinsky 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 Jersey.

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-2018-0031 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-2018-0031 and click ``Search.'' Next, click 
``Open Docket Folder'' and you will find all documents and comments 
related to this notice.

    Issued on: June 11, 2018.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2018-13016 Filed 6-15-18; 8:45 am]
 BILLING CODE 4910-EX-P



                                              28310                          Federal Register / Vol. 83, No. 117 / Monday, June 18, 2018 / Notices

                                              authorized Federal, State, or local                        • Federal eRulemaking Portal: Go to                 I. Background
                                              enforcement official. The exemption                     http://www.regulations.gov. Follow the                    Under 49 U.S.C. 31136(e) and 31315,
                                              will be rescinded if: (1) The person fails              online instructions for submitting                     FMCSA may grant an exemption from
                                              to comply with the terms and                            comments.                                              the FMCSRs for a five-year period if it
                                              conditions of the exemption; (2) the                       • Mail: Docket Management Facility;                 finds ‘‘such exemption would likely
                                              exemption has resulted in a lower level                 U.S. Department of Transportation, 1200                achieve a level of safety that is
                                              of safety than was maintained before it                 New Jersey Avenue SE, West Building                    equivalent to or greater than the level
                                              was granted; or (3) continuation of the                 Ground Floor, Room W12–140,                            that would be achieved absent such
                                              exemption would not be consistent with                  Washington, DC 20590–0001.                             exemption.’’ The statute also allows the
                                              the goals and objectives of 49 U.S.C.                      • Hand Delivery: West Building                      Agency to renew exemptions at the end
                                              31136(e) and 31315.                                     Ground Floor, Room W12–140, 1200                       of the five-year period. FMCSA grants
                                              V. Preemption                                           New Jersey Avenue SE, Washington,                      exemptions from the FMCSRs for a two-
                                                                                                      DC, between 9 a.m. and 5 p.m., e.t.,                   year period to align with the maximum
                                                 During the period the exemption is in                Monday through Friday, except Federal                  duration of a driver’s medical
                                              effect, no State shall enforce any law or               Holidays.                                              certification.
                                              regulation that conflicts with this                        • Fax: 1–202–493–2251.                                 The 53 individuals listed in this
                                              exemption with respect to a person                         Instructions: Each submission must                  notice have requested an exemption
                                              operating under the exemption.                          include the Agency name and the                        from the diabetes prohibition in 49 CFR
                                              VI. Conclusion                                          docket number(s) for this notice. Note                 391.41(b)(3). Accordingly, the Agency
                                                Based upon its evaluation of the 86                   that all comments received will be                     will evaluate the qualifications of each
                                              exemption applications, FMCSA renews                    posted without change to http://                       applicant to determine whether granting
                                              the exemptions of the aforementioned                    www.regulations.gov, including any                     the exemption will achieve the required
                                              drivers from the vision requirement in                  personal information provided. Please                  level of safety mandated by statute.
                                                                                                      see the Privacy Act heading below for                     The physical qualification standard
                                              49 CFR 391.41(b)(10), subject to the
                                                                                                      further information.                                   for drivers regarding diabetes found in
                                              requirements cited above. In accordance
                                                                                                         Docket: For access to the docket to                 49 CFR 391.41(b)(3) states that a person
                                              with 49 U.S.C. 31136(e) and 31315, each
                                                                                                      read background documents or                           is physically qualified to drive a CMV
                                              exemption will be valid for two years
                                                                                                      comments, go to http://                                if that person has no established
                                              unless revoked earlier by FMCSA.
                                                                                                      www.regulations.gov at any time or                     medical history or clinical diagnosis of
                                                Issued on: June 11, 2018.                             Room W12–140 on the ground level of                    diabetes mellitus currently requiring
                                              Larry W. Minor,                                         the West Building, 1200 New Jersey                     insulin for control. The Agency
                                              Associate Administrator for Policy.                     Avenue SE, Washington, DC, between 9                   established the current requirement for
                                              [FR Doc. 2018–12999 Filed 6–15–18; 8:45 am]             a.m. and 5 p.m., e.t., Monday through                  diabetes in 1970 because several risk
                                              BILLING CODE 4910–EX–P                                  Friday, except Federal holidays. The                   studies indicated that drivers with
                                                                                                      FDMS is available 24 hours each day                    diabetes had a higher rate of crash
                                                                                                      e.t., 365 days each year. If you want                  involvement than the general
                                              DEPARTMENT OF TRANSPORTATION                            acknowledgment that we received your                   population.
                                                                                                      comments, please include a self-                          FMCSA established its diabetes
                                              Federal Motor Carrier Safety                            addressed, stamped envelope or                         exemption program, based on the
                                              Administration                                          postcard or print the acknowledgement                  Agency’s July 2000 study entitled ‘‘A
                                              [Docket No. FMCSA–2018–0031]                            page that appears after submitting                     Report to Congress on the Feasibility of
                                                                                                      comments online.                                       a Program to Qualify Individuals with
                                              Qualification of Drivers; Exemption                        Privacy Act: In accordance with 5                   Insulin-Treated Diabetes Mellitus to
                                              Applications; Diabetes Mellitus                         U.S.C. 553(c), DOT solicits comments                   Operate in Interstate Commerce as
                                                                                                      from the public to better inform its                   Directed by the Transportation Act for
                                              AGENCY: Federal Motor Carrier Safety                                                                           the 21st Century.’’ The report concluded
                                                                                                      rulemaking process. DOT posts these
                                              Administration (FMCSA), DOT.                                                                                   that a safe and practicable protocol to
                                                                                                      comments, without edit, including any
                                              ACTION: Notice of applications for                      personal information the commenter                     allow some drivers with ITDM to
                                              exemption; request for comments.                        provides, to http://www.regulations.gov,               operate CMVs is feasible. The
                                                                                                      as described in the system of records                  September 3, 2003 (68 FR 52441),
                                              SUMMARY:   FMCSA announces receipt of                                                                          Federal Register notice in conjunction
                                              applications from 53 individuals for an                 notice (DOT/ALL–14 FDMS), which can
                                                                                                      be reviewed at http://www.dot.gov/                     with the November 8, 2005 (70 FR
                                              exemption from the prohibition in the                                                                          67777), Federal Register notice provides
                                              Federal Motor Carrier Safety                            privacy.
                                                                                                                                                             the current protocol for allowing such
                                              Regulations (FMCSRs) against persons                    FOR FURTHER INFORMATION CONTACT:     Ms.               drivers to operate CMVs in interstate
                                              with insulin-treated diabetes mellitus                  Christine A. Hydock, Chief, Medical                    commerce.
                                              (ITDM) operating a commercial motor                     Programs Division, (202) 366–4001,                        FMCSA notes that section 4129 of the
                                              vehicle (CMV) in interstate commerce. If                fmcsamedical@dot.gov, FMCSA,                           Safe, Accountable, Flexible and
                                              granted, the exemptions would enable                    Department of Transportation, 1200                     Efficient Transportation Equity Act: A
                                              these individuals with ITDM to operate                  New Jersey Avenue SE, Room W64–224,                    Legacy for Users requires the Secretary
                                              CMVs in interstate commerce.                            Washington, DC 20590–0001. Office                      to revise its diabetes exemption program
amozie on DSK3GDR082PROD with NOTICES1




                                              DATES: Comments must be received on                     hours are 8:30 a.m. to 5 p.m., e.t.,                   established on September 3, 2003 (68 FR
                                              or before July 18, 2018.                                Monday through Friday, except Federal                  52441). The revision must provide for
                                              ADDRESSES: You may submit comments                      holidays. If you have questions                        individual assessment of drivers with
                                              bearing the Federal Docket Management                   regarding viewing or submitting                        diabetes mellitus, and be consistent
                                              System (FDMS) Docket No. FMCSA–                         material to the docket, contact Docket                 with the criteria described in section
                                              2018–0031 using any of the following                    Services, telephone (202) 366–9826.                    4018 of the Transportation Equity Act
                                              methods:                                                SUPPLEMENTARY INFORMATION:                             for the 21st Century (49 U.S.C. 31305).


                                         VerDate Sep<11>2014   18:00 Jun 15, 2018   Jkt 244001   PO 00000   Frm 00129   Fmt 4703   Sfmt 4703   E:\FR\FM\18JNN1.SGM   18JNN1


                                                                             Federal Register / Vol. 83, No. 117 / Monday, June 18, 2018 / Notices                                            28311

                                              Section 4129 requires: (1) Elimination of               in loss of consciousness, requiring the                Todd O. Blackwell
                                              the requirement for three years of                      assistance of another person, or                         Mr. Blackwell, 50, has had ITDM
                                              experience operating CMVs while being                   resulting in impaired cognitive function               since 2001. His endocrinologist
                                              treated with insulin; and (2)                           that occurred without warning in the                   examined him in 2018 and certified that
                                              establishment of a specified minimum                    past 12 months and no recurrent (two or                he has had no severe hypoglycemic
                                              period of insulin use to demonstrate                    more) severe hypoglycemic episodes in                  reactions resulting in loss of
                                              stable control of diabetes before being                 the last five years. His endocrinologist               consciousness, requiring the assistance
                                              allowed to operate a CMV.                               certifies that Mr. Alt understands                     of another person, or resulting in
                                                 In response to section 4129, FMCSA                   diabetes management and monitoring,                    impaired cognitive function that
                                              made immediate revisions to the                         has stable control of his diabetes using               occurred without warning in the past 12
                                              diabetes exemption program established                  insulin, and is able to drive a CMV                    months and no recurrent (two or more)
                                              by the September 3, 2003 notice.                        safely. Mr. Alt meets the requirements                 severe hypoglycemic episodes in the
                                              FMCSA discontinued use of the three-                    of the vision standard at 49 CFR                       last five years. His endocrinologist
                                              year driving experience and fulfilled the               391.41(b)(10). His ophthalmologist                     certifies that Mr. Blackwell understands
                                              requirements of section 4129 while                      examined him in 2018 and certified that                diabetes management and monitoring,
                                              continuing to ensure that operation of                  he has stable nonproliferative diabetic                has stable control of his diabetes using
                                              CMVs by drivers with ITDM will                          retinopathy. He holds a Class A CDL                    insulin, and is able to drive a CMV
                                              achieve the requisite level of safety                   from Colorado.                                         safely. Mr. Blackwell meets the
                                              required of all exemptions granted                                                                             requirements of the vision standard at
                                                                                                      Joseph E. Beach
                                              under 49 U.S.C. 31136 (e). Section                                                                             49 CFR 391.41(b)(10). His
                                              4129(d) also directed FMCSA to ensure                     Mr. Beach, 71, has had ITDM since                    ophthalmologist examined him in 2018
                                              that drivers of CMVs with ITDM are not                  2014. His endocrinologist examined him                 and certified that he has stable
                                              held to a higher standard than other                    in 2018 and certified that he has had no               nonproliferative diabetic retinopathy.
                                              drivers, with the exception of limited                  severe hypoglycemic reactions resulting                He holds a Class A CDL from Idaho.
                                              operating, monitoring and medical                       in loss of consciousness, requiring the
                                              requirements that are deemed medically                  assistance of another person, or                       Joel H. Blancett, Jr.
                                              necessary. The FMCSA concluded that                     resulting in impaired cognitive function                 Mr. Blancett, 59, has had ITDM since
                                              all of the operating, monitoring and                    that occurred without warning in the                   2012. His endocrinologist examined him
                                              medical requirements set out in the                     past 12 months and no recurrent (two or                in 2017 and certified that he has had no
                                              September 3, 2003, notice, except as                    more) severe hypoglycemic episodes in                  severe hypoglycemic reactions resulting
                                              modified, were in compliance with                       the last five years. His endocrinologist               in loss of consciousness, requiring the
                                              section 4129(d). Therefore, all of the                  certifies that Mr. Beach understands                   assistance of another person, or
                                              requirements set out in the September 3,                diabetes management and monitoring,                    resulting in impaired cognitive function
                                              2003, notice, except as modified by the                 has stable control of his diabetes using               that occurred without warning in the
                                              notice in the Federal Register on                       insulin, and is able to drive a CMV                    past 12 months and no recurrent (two or
                                              November 8, 2005 (70 FR 67777),                         safely. Mr. Beach meets the                            more) severe hypoglycemic episodes in
                                              remain in effect.                                       requirements of the vision standard at                 the last five years. His endocrinologist
                                              II. Qualifications of Applicants                        49 CFR 391.41(b)(10). His optometrist                  certifies that Mr. Blancett understands
                                                                                                      examined him in 2018 and certified that                diabetes management and monitoring,
                                              Jason M. Abbott                                         he does not have diabetic retinopathy.                 has stable control of his diabetes using
                                                Mr. Abbott, 39, has had ITDM since                    He holds an operator’s license from                    insulin, and is able to drive a CMV
                                              2015. His endocrinologist examined him                  Ohio.                                                  safely. Mr. Blancett meets the
                                              in 2018 and certified that he has had no                Eli A. Berkowitz                                       requirements of the vision standard at
                                              severe hypoglycemic reactions resulting                                                                        49 CFR 391.41(b)(10). His
                                              in loss of consciousness, requiring the                   Mr. Berkowitz, 61, has had ITDM                      ophthalmologist examined him in 2018
                                              assistance of another person, or                        since 2013. His endocrinologist                        and certified that he has stable
                                              resulting in impaired cognitive function                examined him in 2018 and certified that                nonproliferative diabetic retinopathy.
                                              that occurred without warning in the                    he has had no severe hypoglycemic                      He holds an operator’s license from New
                                              past 12 months and no recurrent (two or                 reactions resulting in loss of                         Mexico.
                                              more) severe hypoglycemic episodes in                   consciousness, requiring the assistance
                                                                                                      of another person, or resulting in                     Robert H. Blowers
                                              the last five years. His endocrinologist
                                              certifies that Mr. Abbott understands                   impaired cognitive function that                         Mr. Blowers, 68, has had ITDM since
                                              diabetes management and monitoring,                     occurred without warning in the past 12                2013. His endocrinologist examined him
                                              has stable control of his diabetes using                months and no recurrent (two or more)                  in 2018 and certified that he has had no
                                              insulin, and is able to drive a CMV                     severe hypoglycemic episodes in the                    severe hypoglycemic reactions resulting
                                              safely. Mr. Abbott meets the                            last five years. His endocrinologist                   in loss of consciousness, requiring the
                                              requirements of the vision standard at                  certifies that Mr. Berkowitz understands               assistance of another person, or
                                              49 CFR 391.41(b)(10). His optometrist                   diabetes management and monitoring,                    resulting in impaired cognitive function
                                              examined him in 2018 and certified that                 has stable control of his diabetes using               that occurred without warning in the
                                              he does not have diabetic retinopathy.                  insulin, and is able to drive a CMV                    past 12 months and no recurrent (two or
                                              He holds an operator’s license from                     safely. Mr. Berkowitz meets the                        more) severe hypoglycemic episodes in
amozie on DSK3GDR082PROD with NOTICES1




                                              Ohio.                                                   requirements of the vision standard at                 the last five years. His endocrinologist
                                                                                                      49 CFR 391.41(b)(10). His                              certifies that Mr. Blowers understands
                                              Casey L. Alt                                            ophthalmologist examined him in 2018                   diabetes management and monitoring,
                                                Mr. Alt, 46, has had ITDM since 1984.                 and certified that he has stable                       has stable control of his diabetes using
                                              His endocrinologist examined him in                     nonproliferative diabetic retinopathy.                 insulin, and is able to drive a CMV
                                              2018 and certified that he has had no                   He holds an operator’s license from New                safely. Mr. Blowers meets the
                                              severe hypoglycemic reactions resulting                 Jersey.                                                requirements of the vision standard at


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                                              28312                          Federal Register / Vol. 83, No. 117 / Monday, June 18, 2018 / Notices

                                              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. Couch meets the
                                              he does not have diabetic retinopathy.                  examined him in 2018 and certified that                requirements of the vision standard at
                                              He holds a Class A CDL from Ohio.                       he does not have diabetic retinopathy.                 49 CFR 391.41(b)(10). His optometrist
                                                                                                      He holds a Class A CDL from South                      examined him in 2018 and certified that
                                              David R. Booth
                                                                                                      Dakota.                                                he does not have diabetic retinopathy.
                                                Mr. Booth, 61, has had ITDM since                                                                            He holds a Class A CDL from Indiana.
                                              2017. His endocrinologist examined him                  Bryan D. Cash
                                              in 2018 and certified that he has had no                  Mr. Cash, 53, has had ITDM since                     James D. Denison
                                              severe hypoglycemic reactions resulting                 2018. His endocrinologist examined him                   Mr. Denison, 42, has had ITDM since
                                              in loss of consciousness, requiring the                 in 2018 and certified that he has had no               2001. His endocrinologist examined him
                                              assistance of another person, or                        severe hypoglycemic reactions resulting                in 2018 and certified that he has had no
                                              resulting in impaired cognitive function                in loss of consciousness, requiring the                severe hypoglycemic reactions resulting
                                              that occurred without warning in the                    assistance of another person, or                       in loss of consciousness, requiring the
                                              past 12 months and no recurrent (two or                 resulting in impaired cognitive function               assistance of another person, or
                                              more) severe hypoglycemic episodes in                   that occurred without warning in the                   resulting in impaired cognitive function
                                              the last five years. His endocrinologist                past 12 months and no recurrent (two or                that occurred without warning in the
                                              certifies that Mr. Booth understands                    more) severe hypoglycemic episodes in                  past 12 months and no recurrent (two or
                                              diabetes management and monitoring,                     the last five years. His endocrinologist               more) severe hypoglycemic episodes in
                                              has stable control of his diabetes using                certifies that Mr. Cash understands                    the last five years. His endocrinologist
                                              insulin, and is able to drive a CMV                     diabetes management and monitoring,                    certifies that Mr. Denison understands
                                              safely. Mr. Booth meets the                             has stable control of his diabetes using               diabetes management and monitoring,
                                              requirements of the vision standard at                  insulin, and is able to drive a CMV                    has stable control of his diabetes using
                                              49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Cash meets the requirements                insulin, and is able to drive a CMV
                                              examined him in 2017 and certified that                 of the vision standard at 49 CFR                       safely. Mr. Denison meets the
                                              he does not have diabetic retinopathy.                  391.41(b)(10). His ophthalmologist                     requirements of the vision standard at
                                              He holds a Class A CDL from                             examined him in 2018 and certified that                49 CFR 391.41(b)(10). His
                                              Connecticut.                                            he does not have diabetic retinopathy.                 ophthalmologist examined him in 2018
                                                                                                      He holds a Class A CDL from Michigan.                  and certified that he has stable
                                              Travis W. Bradford
                                                                                                                                                             nonproliferative diabetic retinopathy.
                                                Mr. Bradford, 46, has had ITDM since                  Marty A. Collins
                                                                                                                                                             He holds an operator’s license from
                                              2015. His endocrinologist examined him                    Mr. Collins, 55, has had ITDM since                  Iowa.
                                              in 2018 and certified that he has had no                2017. His endocrinologist examined him
                                              severe hypoglycemic reactions resulting                 in 2018 and certified that he has had no               David L. Derossett, Jr.
                                              in loss of consciousness, requiring the                 severe hypoglycemic reactions resulting                  Mr. Derossett, 50, has had ITDM since
                                              assistance of another person, or                        in loss of consciousness, requiring the                2018. His endocrinologist examined him
                                              resulting in impaired cognitive function                assistance of another person, or                       in 2018 and certified that he has had no
                                              that occurred without warning in the                    resulting in impaired cognitive function               severe hypoglycemic reactions resulting
                                              past 12 months and no recurrent (two or                 that occurred without warning in the                   in loss of consciousness, requiring the
                                              more) severe hypoglycemic episodes in                   past 12 months and no recurrent (two or                assistance of another person, or
                                              the last five years. His endocrinologist                more) severe hypoglycemic episodes in                  resulting in impaired cognitive function
                                              certifies that Mr. Bradford understands                 the last five years. His endocrinologist               that occurred without warning in the
                                              diabetes management and monitoring,                     certifies that Mr. Collins understands                 past 12 months and no recurrent (two or
                                              has stable control of his diabetes using                diabetes management and monitoring,                    more) severe hypoglycemic episodes in
                                              insulin, and is able to drive a CMV                     has stable control of his diabetes using               the last five years. His endocrinologist
                                              safely. Mr. Bradford meets the                          insulin, and is able to drive a CMV                    certifies that Mr. Derossett understands
                                              requirements of the vision standard at                  safely. Mr. Collins meets the                          diabetes management and monitoring,
                                              49 CFR 391.41(b)(10). His optometrist                   requirements of the vision standard at                 has stable control of his diabetes using
                                              examined him in 2018 and certified that                 49 CFR 391.41(b)(10). His optometrist                  insulin, and is able to drive a CMV
                                              he does not have diabetic retinopathy.                  examined him in 2018 and certified that                safely. Mr. Derossett meets the
                                              He holds a Class A CDL from Kentucky.                   he does not have diabetic retinopathy.                 requirements of the vision standard at
                                                                                                      He holds an operator’s license from                    49 CFR 391.41(b)(10). His optometrist
                                              Darrel L. Burke
                                                                                                      Oklahoma.                                              examined him in 2018 and certified that
                                                Mr. Burke, 73, has had ITDM since                                                                            he does not have diabetic retinopathy.
                                              2007. His endocrinologist examined him                  Gino R. Couch
                                                                                                                                                             He holds a Class A CDL from Indiana.
                                              in 2018 and certified that he has had no                  Mr. Couch, 61, has had ITDM since
                                              severe hypoglycemic reactions resulting                 2014. His endocrinologist examined him                 John L. Enterkin
                                              in loss of consciousness, requiring the                 in 2018 and certified that he has had no                 Mr. Enterkin, 53, has had ITDM since
                                              assistance of another person, or                        severe hypoglycemic reactions resulting                2017. His endocrinologist examined him
                                              resulting in impaired cognitive function                in loss of consciousness, requiring the                in 2018 and certified that he has had no
                                              that occurred without warning in the                    assistance of another person, or                       severe hypoglycemic reactions resulting
                                              past 12 months and no recurrent (two or                 resulting in impaired cognitive function               in loss of consciousness, requiring the
amozie on DSK3GDR082PROD with NOTICES1




                                              more) severe hypoglycemic episodes in                   that occurred without warning in the                   assistance of another person, or
                                              the last five years. His endocrinologist                past 12 months and no recurrent (two or                resulting in impaired cognitive function
                                              certifies that Mr. Burke understands                    more) severe hypoglycemic episodes in                  that occurred without warning in the
                                              diabetes management and monitoring,                     the last five years. His endocrinologist               past 12 months and no recurrent (two or
                                              has stable control of his diabetes using                certifies that Mr. Couch understands                   more) severe hypoglycemic episodes in
                                              insulin, and is able to drive a CMV                     diabetes management and monitoring,                    the last five years. His endocrinologist
                                              safely. Mr. Burke meets the                             has stable control of his diabetes using               certifies that Mr. Enterkin understands


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                                                                             Federal Register / Vol. 83, No. 117 / Monday, June 18, 2018 / Notices                                            28313

                                              diabetes management and monitoring,                     last five years. His endocrinologist                   past 12 months and no recurrent (two or
                                              has stable control of his diabetes using                certifies that Mr. Fairbanks understands               more) severe hypoglycemic episodes in
                                              insulin, and is able to drive a CMV                     diabetes management and monitoring,                    the last five years. His endocrinologist
                                              safely. Mr. Enterkin meets the                          has stable control of his diabetes using               certifies that Mr. Hamic understands
                                              requirements of the vision standard at                  insulin, and is able to drive a CMV                    diabetes management and monitoring,
                                              49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Fairbanks meets the                        has stable control of his diabetes using
                                              examined him in 2018 and certified that                 requirements of the vision standard at                 insulin, and is able to drive a CMV
                                              he does not have diabetic retinopathy.                  49 CFR 391.41(b)(10). His optometrist                  safely. Mr. Hamic meets the
                                              He holds a Class A CDL from Indiana.                    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
                                              William H. Ervin
                                                                                                      He holds a Class B CDL from Ohio.                      examined him in 2018 and certified that
                                                Mr. Ervin, 59, has had ITDM since                                                                            he does not have diabetic retinopathy.
                                              2015. His endocrinologist examined him                  Ward W. Genzel
                                                                                                                                                             He holds an operator’s license from
                                              in 2018 and certified that he has had no                  Mr. Genzel, 57, has had ITDM since                   Alabama.
                                              severe hypoglycemic reactions resulting                 2018. His endocrinologist examined him
                                              in loss of consciousness, requiring the                 in 2018 and certified that he has had no               Philip F. Headington
                                              assistance of another person, or                        severe hypoglycemic reactions resulting                   Mr. Headington, 38, has had ITDM
                                              resulting in impaired cognitive function                in loss of consciousness, requiring the                since 2016. His endocrinologist
                                              that occurred without warning in the                    assistance of another person, or                       examined him in 2018 and certified that
                                              past 12 months and no recurrent (two or                 resulting in impaired cognitive function               he has had no severe hypoglycemic
                                              more) severe hypoglycemic episodes in                   that occurred without warning in the                   reactions resulting in loss of
                                              the last five years. His endocrinologist                past 12 months and no recurrent (two or                consciousness, requiring the assistance
                                              certifies that Mr. Ervin understands                    more) severe hypoglycemic episodes in                  of another person, or resulting in
                                              diabetes management and monitoring,                     the last five years. His endocrinologist               impaired cognitive function that
                                              has stable control of his diabetes using                certifies that Mr. Genzel understands                  occurred without warning in the past 12
                                              insulin, and is able to drive a CMV                     diabetes management and monitoring,                    months and no recurrent (two or more)
                                              safely. Mr. Ervin meets the requirements                has stable control of his diabetes using               severe hypoglycemic episodes in the
                                              of the vision standard at 49 CFR                        insulin, and is able to drive a CMV                    last five years. His endocrinologist
                                              391.41(b)(10). His ophthalmologist                      safely. Mr. Genzel meets the                           certifies that Mr. Headington
                                              examined him in 2018 and certified that                 requirements of the vision standard at                 understands diabetes management and
                                              he does not have diabetic retinopathy.                  49 CFR 391.41(b)(10). His                              monitoring, has stable control of his
                                              He holds a Class A CDL from North                       ophthalmologist examined him in 2018                   diabetes using insulin, and is able to
                                              Carolina.                                               and certified that he does not have                    drive a CMV safely. Mr. Headington
                                                                                                      diabetic retinopathy. He holds a Class A               meets the requirements of the vision
                                              Scot A. Etgen
                                                                                                      CDL from Montana.                                      standard at 49 CFR 391.41(b)(10). His
                                                Mr. Etgen, 56, has had ITDM since                                                                            optometrist examined him in 2018 and
                                              2015. His endocrinologist examined him                  Kasey D. Green
                                                                                                                                                             certified that he does not have diabetic
                                              in 2018 and certified that he has had no                  Mr. Green, 31, has had ITDM since                    retinopathy. He holds a Class A CDL
                                              severe hypoglycemic reactions resulting                 2016. His endocrinologist examined him                 from Iowa.
                                              in loss of consciousness, requiring the                 in 2018 and certified that he has had no
                                              assistance of another person, or                        severe hypoglycemic reactions resulting                Jason A. Hendrickson
                                              resulting in impaired cognitive function                in loss of consciousness, requiring the                   Mr. Hendrickson, 40, has had ITDM
                                              that occurred without warning in the                    assistance of another person, or                       since 2018. His endocrinologist
                                              past 12 months and no recurrent (two or                 resulting in impaired cognitive function               examined him in 2018 and certified that
                                              more) severe hypoglycemic episodes in                   that occurred without warning in the                   he has had no severe hypoglycemic
                                              the last five years. His endocrinologist                past 12 months and no recurrent (two or                reactions resulting in loss of
                                              certifies that Mr. Etgen understands                    more) severe hypoglycemic episodes in                  consciousness, requiring the assistance
                                              diabetes management and monitoring,                     the last five years. His endocrinologist               of another person, or resulting in
                                              has stable control of his diabetes using                certifies that Mr. Green understands                   impaired cognitive function that
                                              insulin, and is able to drive a CMV                     diabetes management and monitoring,                    occurred without warning in the past 12
                                              safely. Mr. Etgen meets the requirements                has stable control of his diabetes using               months and no recurrent (two or more)
                                              of the vision standard at 49 CFR                        insulin, and is able to drive a CMV                    severe hypoglycemic episodes in the
                                              391.41(b)(10). His optometrist examined                 safely. Mr. Green meets the                            last five years. His endocrinologist
                                              him in 2018 and certified that he does                  requirements of the vision standard at                 certifies that Mr. Hendrickson
                                              not have diabetic retinopathy. He holds                 49 CFR 391.41(b)(10). His optometrist                  understands diabetes management and
                                              a Class A CDL from Ohio.                                examined him in 2018 and certified that                monitoring, has stable control of his
                                                                                                      he does not have diabetic retinopathy.                 diabetes using insulin, and is able to
                                              Zachary D. Fairbanks
                                                                                                      He holds an operator’s license from                    drive a CMV safely. Mr. Hendrickson
                                                Mr. Fairbanks, 23, has had ITDM                       California.                                            meets the requirements of the vision
                                              since 2005. His endocrinologist                                                                                standard at 49 CFR 391.41(b)(10). His
                                              examined him in 2018 and certified that                 Justin A. Hamic
                                                                                                                                                             optometrist examined him in 2018 and
                                              he has had no severe hypoglycemic                         Mr. Hamic, 30, has had ITDM since                    certified that he does not have diabetic
amozie on DSK3GDR082PROD with NOTICES1




                                              reactions resulting in loss of                          1990. His endocrinologist examined him                 retinopathy. He holds a Class A CDL
                                              consciousness, requiring the assistance                 in 2018 and certified that he has had no               from Washington.
                                              of another person, or resulting in                      severe hypoglycemic reactions resulting
                                              impaired cognitive function that                        in loss of consciousness, requiring the                Bobby R. Isaacson
                                              occurred without warning in the past 12                 assistance of another person, or                         Mr. Isaacson, 42, has had ITDM since
                                              months and no recurrent (two or more)                   resulting in impaired cognitive function               2013. His endocrinologist examined him
                                              severe hypoglycemic episodes in the                     that occurred without warning in the                   in 2018 and certified that he has had no


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                                              28314                          Federal Register / Vol. 83, No. 117 / Monday, June 18, 2018 / Notices

                                              severe hypoglycemic reactions resulting                 William D. Kincaid, Jr.                                He holds a Class A CDL from West
                                              in loss of consciousness, requiring the                   Mr. Kincaid, 58, has had ITDM since                  Virginia.
                                              assistance of another person, or                        2018. His endocrinologist examined him                 John G. Lopez
                                              resulting in impaired cognitive function                in 2018 and certified that he has had no
                                              that occurred without warning in the                                                                             Mr. Lopez, 27, has had ITDM since
                                                                                                      severe hypoglycemic reactions resulting                2018. His endocrinologist examined him
                                              past 12 months and no recurrent (two or                 in loss of consciousness, requiring the
                                              more) severe hypoglycemic episodes in                                                                          in 2018 and certified that he has had no
                                                                                                      assistance of another person, or                       severe hypoglycemic reactions resulting
                                              the last five years. His endocrinologist                resulting in impaired cognitive function
                                              certifies that Mr. Isaacson understands                                                                        in loss of consciousness, requiring the
                                                                                                      that occurred without warning in the                   assistance of another person, or
                                              diabetes management and monitoring,                     past 12 months and no recurrent (two or
                                              has stable control of his diabetes using                                                                       resulting in impaired cognitive function
                                                                                                      more) severe hypoglycemic episodes in                  that occurred without warning in the
                                              insulin, and is able to drive a CMV                     the last five years. His endocrinologist
                                              safely. Mr. Isaacson meets the                                                                                 past 12 months and no recurrent (two or
                                                                                                      certifies that Mr. Kincaid understands                 more) severe hypoglycemic episodes in
                                              requirements of the vision standard at                  diabetes management and monitoring,                    the last five years. His endocrinologist
                                              49 CFR 391.41(b)(10). His optometrist                   has stable control of his diabetes using               certifies that Mr. Lopez understands
                                              examined him in 2018 and certified that                 insulin, and is able to drive a CMV                    diabetes management and monitoring,
                                              he does not have diabetic retinopathy.                  safely. Mr. Kincaid meets the                          has stable control of his diabetes using
                                              He holds a Class A CDL from                             requirements of the vision standard at                 insulin, and is able to drive a CMV
                                              Minnesota.                                              49 CFR 391.41(b)(10). His                              safely. Mr. Lopez meets the
                                              John W. Johnson                                         ophthalmologist examined him in 2018                   requirements of the vision standard at
                                                                                                      and certified that he does not have                    49 CFR 391.41(b)(10). His
                                                Mr. Johnson, 64, has had ITDM since                   diabetic retinopathy. He holds a Class A               ophthalmologist examined him in 2018
                                              2009. His endocrinologist examined him                  CDL from Massachusetts.                                and certified that he does not have
                                              in 2018 and certified that he has had no                David W. Koch                                          diabetic retinopathy. He holds a Class A
                                              severe hypoglycemic reactions resulting                                                                        CDL from Texas.
                                              in loss of consciousness, requiring the                   Mr. Koch, 55, has had ITDM since
                                                                                                      2017. His endocrinologist examined him                 David E. Marvin
                                              assistance of another person, or
                                              resulting in impaired cognitive function                in 2018 and certified that he has had no                 Mr. Marvin, 68, has had ITDM since
                                              that occurred without warning in the                    severe hypoglycemic reactions resulting                2017. His endocrinologist examined him
                                              past 12 months and no recurrent (two or                 in loss of consciousness, requiring the                in 2018 and certified that he has had no
                                              more) severe hypoglycemic episodes in                   assistance of another person, or                       severe hypoglycemic reactions resulting
                                              the last five years. His endocrinologist                resulting in impaired cognitive function               in loss of consciousness, requiring the
                                              certifies that Mr. Johnson understands                  that occurred without warning in the                   assistance of another person, or
                                              diabetes management and monitoring,                     past 12 months and no recurrent (two or                resulting in impaired cognitive function
                                              has stable control of his diabetes using                more) severe hypoglycemic episodes in                  that occurred without warning in the
                                              insulin, and is able to drive a CMV                     the last five years. His endocrinologist               past 12 months and no recurrent (two or
                                              safely. Mr. Johnson meets the                           certifies that Mr. Koch understands                    more) severe hypoglycemic episodes in
                                              requirements of the vision standard at                  diabetes management and monitoring,                    the last five years. His endocrinologist
                                              49 CFR 391.41(b)(10). His                               has stable control of his diabetes using               certifies that Mr. Marvin understands
                                              ophthalmologist examined him in 2018                    insulin, and is able to drive a CMV                    diabetes management and monitoring,
                                              and certified that he has stable                        safely. Mr. Koch meets the requirements                has stable control of his diabetes using
                                              nonproliferative diabetic retinopathy.                  of the vision standard at 49 CFR                       insulin, and is able to drive a CMV
                                              He holds a Class B CDL from Florida.                    391.41(b)(10). His optometrist examined                safely. Mr. Marvin meets the
                                                                                                      him in 2017 and certified that he does                 requirements of the vision standard at
                                              Douglas E. Kanesky, Jr.                                 not have diabetic retinopathy. He holds                49 CFR 391.41(b)(10). His
                                                                                                      a Class A CDL from Pennsylvania.                       ophthalmologist examined him in 2018
                                                Mr. Kanesky, 27, has had ITDM since                                                                          and certified that he does not have
                                              2016. His endocrinologist examined him                  Christopher N. Lacy
                                                                                                                                                             diabetic retinopathy. He holds a Class A
                                              in 2018 and certified that he has had no                  Mr. Lacy, 43, has had ITDM since                     CDL from Iowa.
                                              severe hypoglycemic reactions resulting                 2017. His endocrinologist examined him
                                              in loss of consciousness, requiring the                 in 2018 and certified that he has had no               Bruce R. McDaniel
                                              assistance of another person, or                        severe hypoglycemic reactions resulting                  Mr. McDaniel, 69, has had ITDM
                                              resulting in impaired cognitive function                in loss of consciousness, requiring the                since 2011. His endocrinologist
                                              that occurred without warning in the                    assistance of another person, or                       examined him in 2018 and certified that
                                              past 12 months and no recurrent (two or                 resulting in impaired cognitive function               he has had no severe hypoglycemic
                                              more) severe hypoglycemic episodes in                   that occurred without warning in the                   reactions resulting in loss of
                                              the last five years. His endocrinologist                past 12 months and no recurrent (two or                consciousness, requiring the assistance
                                              certifies that Mr. Kanesky understands                  more) severe hypoglycemic episodes in                  of another person, or resulting in
                                              diabetes management and monitoring,                     the last five years. His endocrinologist               impaired cognitive function that
                                              has stable control of his diabetes using                certifies that Mr. Lacy understands                    occurred without warning in the past 12
                                              insulin, and is able to drive a CMV                     diabetes management and monitoring,                    months and no recurrent (two or more)
amozie on DSK3GDR082PROD with NOTICES1




                                              safely. Mr. Kanesky meets the                           has stable control of his diabetes using               severe hypoglycemic episodes in the
                                              requirements of the vision standard at                  insulin, and is able to drive a CMV                    last five years. His endocrinologist
                                              49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Lacy meets the requirements                certifies that Mr. McDaniel understands
                                              examined him in 2018 and certified that                 of the vision standard at 49 CFR                       diabetes management and monitoring,
                                              he does not have diabetic retinopathy.                  391.41(b)(10). His ophthalmologist                     has stable control of his diabetes using
                                              He holds an operator’s license from                     examined him in 2018 and certified that                insulin, and is able to drive a CMV
                                              Arizona.                                                he does not have diabetic retinopathy.                 safely. Mr. McDaniel meets the


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                                                                             Federal Register / Vol. 83, No. 117 / Monday, June 18, 2018 / Notices                                            28315

                                              requirements of the vision standard at                  diabetes management and monitoring,                    certifies that Mr. Schutz understands
                                              49 CFR 391.41(b)(10). His                               has stable control of his diabetes using               diabetes management and monitoring,
                                              ophthalmologist examined him in 2018                    insulin, and is able to drive a CMV                    has stable control of his diabetes using
                                              and certified that he has stable                        safely. Mr. Pinkston meets the                         insulin, and is able to drive a CMV
                                              nonproliferative diabetic retinopathy.                  requirements of the vision standard at                 safely. Mr. Schutz meets the
                                              He holds a Class A CDL from Oklahoma.                   49 CFR 391.41(b)(10). His optometrist                  requirements of the vision standard at
                                                                                                      examined him in 2018 and certified that                49 CFR 391.41(b)(10). His optometrist
                                              Edward A. Oikemus, Jr.
                                                                                                      he does not have diabetic retinopathy.                 examined him in 2018 and certified that
                                                Mr. Oikemus, 53, has had ITDM since                   He holds a Class A CDL from Indiana.                   he does not have diabetic retinopathy.
                                              2010. His endocrinologist examined him                                                                         He holds a Class A CDL from Iowa.
                                              in 2018 and certified that he has had no                Dustin C. Riley
                                              severe hypoglycemic reactions resulting                   Mr. Riley, 27, has had ITDM since                    Michael P. Scott
                                              in loss of consciousness, requiring the                 2006. His endocrinologist examined him                   Mr. Scott, 34, 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. Oikemus 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. Riley understands                   the last five years. His endocrinologist
                                              safely. Mr. Oikemus meets the                           diabetes management and monitoring,                    certifies that Mr. Scott 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. Riley 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. Scott meets the requirements
                                              nonproliferative diabetic retinopathy.                  391.41(b)(10). His optometrist examined                of the vision standard at 49 CFR
                                              He holds a Class A CDL from Maryland.                   him in 2017 and certified that he does                 391.41(b)(10). His optometrist examined
                                                                                                      not have diabetic retinopathy. He holds                him in 2018 and certified that he does
                                              Tony L. Pennywell
                                                                                                      an operator’s license from New York.                   not have diabetic retinopathy. He holds
                                                 Mr. Pennywell, 56, has had ITDM                                                                             an operator’s license from South
                                              since 2013. His endocrinologist                         Wes D. Rodrigue
                                                                                                                                                             Carolina.
                                              examined him in 2018 and certified that                   Mr. Rodrigue, 52, has had ITDM since
                                              he has had no severe hypoglycemic                       2017. His endocrinologist examined him                 Patrick E. Sevier
                                              reactions resulting in loss of                          in 2018 and certified that he has had no                 Mr. Sevier, 70, has had ITDM since
                                              consciousness, requiring the assistance                 severe hypoglycemic reactions resulting                2012. His endocrinologist examined him
                                              of another person, or resulting in                      in loss of consciousness, requiring the                in 2017 and certified that he has had no
                                              impaired cognitive function that                        assistance of another person, or                       severe hypoglycemic reactions resulting
                                              occurred without warning in the past 12                 resulting in impaired cognitive function               in loss of consciousness, requiring the
                                              months and no recurrent (two or more)                   that occurred without warning in the                   assistance of another person, or
                                              severe hypoglycemic episodes in the                     past 12 months and no recurrent (two or                resulting in impaired cognitive function
                                              last five years. His endocrinologist                    more) severe hypoglycemic episodes in                  that occurred without warning in the
                                              certifies that Mr. Pennywell                            the last five years. His endocrinologist               past 12 months and no recurrent (two or
                                              understands diabetes management and                     certifies that Mr. Rodrigue understands                more) severe hypoglycemic episodes in
                                              monitoring, has stable control of his                   diabetes management and monitoring,                    the last five years. His endocrinologist
                                              diabetes using insulin, and is able to                  has stable control of his diabetes using               certifies that Mr. Sevier understands
                                              drive a CMV safely. Mr. Pennywell                       insulin, and is able to drive a CMV                    diabetes management and monitoring,
                                              meets the requirements of the vision                    safely. Mr. Rodrigue meets the                         has stable control of his diabetes using
                                              standard at 49 CFR 391.41(b)(10). His                   requirements of the vision standard at                 insulin, and is able to drive a CMV
                                              optometrist examined him in 2018 and                    49 CFR 391.41(b)(10). His optometrist                  safely. Mr. Sevier meets the
                                              certified that he does not have diabetic                examined him in 2018 and certified that                requirements of the vision standard at
                                              retinopathy. He holds a Class A CDL                     he does not have diabetic retinopathy.                 49 CFR 391.41(b)(10). His optometrist
                                              from Florida.                                           He holds a Class A CDL from New                        examined him in 2018 and certified that
                                                                                                      Hampshire.                                             he does not have diabetic retinopathy.
                                              Blake T. Pinkston
                                                                                                                                                             He holds a Class B CDL from Iowa.
                                                Mr. Pinkston, 44, has had ITDM since                  Johnathan C. Schutz
                                              2017. His endocrinologist examined him                    Mr. Schutz, 64, has had ITDM since                   Keith O. Shaw, Sr.
                                              in 2018 and certified that he has had no                2018. His endocrinologist examined him                   Mr. Shaw, 45, has had ITDM since
                                              severe hypoglycemic reactions resulting                 in 2018 and certified that he has had no               2016. His endocrinologist examined him
                                              in loss of consciousness, requiring the                 severe hypoglycemic reactions resulting                in 2018 and certified that he has had no
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                                              assistance of another person, or                        in loss of consciousness, requiring the                severe hypoglycemic reactions resulting
                                              resulting in impaired cognitive function                assistance of another person, or                       in loss of consciousness, requiring the
                                              that occurred without warning in the                    resulting in impaired cognitive function               assistance of another person, or
                                              past 12 months and no recurrent (two or                 that occurred without warning in the                   resulting in impaired cognitive function
                                              more) severe hypoglycemic episodes in                   past 12 months and no recurrent (two or                that occurred without warning in the
                                              the last five years. His endocrinologist                more) severe hypoglycemic episodes in                  past 12 months and no recurrent (two or
                                              certifies that Mr. Pinkston understands                 the last five years. His endocrinologist               more) severe hypoglycemic episodes in


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                                              28316                          Federal Register / Vol. 83, No. 117 / Monday, June 18, 2018 / Notices

                                              the last five years. His endocrinologist                past 12 months and no recurrent (two or                severe hypoglycemic reactions resulting
                                              certifies that Mr. Shaw understands                     more) severe hypoglycemic episodes in                  in loss of consciousness, requiring the
                                              diabetes management and monitoring,                     the last five years. His endocrinologist               assistance of another person, or
                                              has stable control of his diabetes using                certifies that Mr. Stedford understands                resulting in impaired cognitive function
                                              insulin, and is able to drive a CMV                     diabetes management and monitoring,                    that occurred without warning in the
                                              safely. Mr. Shaw meets the requirements                 has stable control of his diabetes using               past 12 months and no recurrent (two or
                                              of the vision standard at 49 CFR                        insulin, and is able to drive a CMV                    more) severe hypoglycemic episodes in
                                              391.41(b)(10). His optometrist examined                 safely. Mr. Stedford meets the                         the last five years. His endocrinologist
                                              him in 2018 and certified that he does                  requirements of the vision standard at                 certifies that Mr. Taylor understands
                                              not have diabetic retinopathy. He holds                 49 CFR 391.41(b)(10). His                              diabetes management and monitoring,
                                              a Class B CDL from Illinois.                            ophthalmologist examined him in 2018                   has stable control of his diabetes using
                                                                                                      and certified that he has stable                       insulin, and is able to drive a CMV
                                              Rosalie A. Silva
                                                                                                      nonproliferative diabetic retinopathy.
                                                Ms. Silva, 63, has had ITDM since                                                                            safely. Mr. Taylor meets the
                                                                                                      He holds a Class B CDL from
                                              2018. Her endocrinologist examined her                                                                         requirements of the vision standard at
                                                                                                      Connecticut.
                                              in 2018 and certified that she has had                                                                         49 CFR 391.41(b)(10). His
                                              no severe hypoglycemic reactions                        Geraldine St-Germain                                   ophthalmologist examined him in 2018
                                              resulting in loss of consciousness,                        Ms. St-Germain, 31, has had ITDM                    and certified that he does not have
                                              requiring the assistance of another                     since 2000. Her endocrinologist                        diabetic retinopathy. He holds an
                                              person, or resulting in impaired                        examined her in 2018 and certified that                operator’s license from Illinois.
                                              cognitive function that occurred without                she has had no severe hypoglycemic
                                                                                                                                                             Chris A. Voelker
                                              warning in the past 12 months and no                    reactions resulting in loss of
                                              recurrent (two or more) severe                          consciousness, requiring the assistance                  Mr. Voelker, 58, has had ITDM since
                                              hypoglycemic episodes in the last five                  of another person, or resulting in                     2012. His endocrinologist examined him
                                              years. Her endocrinologist certifies that               impaired cognitive function that                       in 2018 and certified that he has had no
                                              Ms. Silva understands diabetes                          occurred without warning in the past 12                severe hypoglycemic reactions resulting
                                              management and monitoring, has stable                   months and no recurrent (two or more)                  in loss of consciousness, requiring the
                                              control of her diabetes using insulin,                  severe hypoglycemic episodes in the                    assistance of another person, or
                                              and is able to drive a CMV safely. Ms.                  last five years. Her endocrinologist                   resulting in impaired cognitive function
                                              Silva meets the requirements of the                     certifies that Ms. St-Germain                          that occurred without warning in the
                                              vision standard at 49 CFR 391.41(b)(10).                understands diabetes management and
                                                                                                                                                             past 12 months and no recurrent (two or
                                              Her optometrist examined her in 2018                    monitoring, has stable control of her
                                                                                                                                                             more) severe hypoglycemic episodes in
                                              and certified that she does not have                    diabetes using insulin, and is able to
                                                                                                                                                             the last five years. His endocrinologist
                                              diabetic retinopathy. She holds a Class                 drive a CMV safely. Ms. St-Germain
                                              B CDL from California.                                  meets the requirements of the vision                   certifies that Mr. Voelker understands
                                                                                                      standard at 49 CFR 391.41(b)(10). Her                  diabetes management and monitoring,
                                              James R. Sizemore                                                                                              has stable control of his diabetes using
                                                                                                      optometrist examined her in 2018 and
                                                Mr. Sizemore, 59, has had ITDM since                  certified that she does not have diabetic              insulin, and is able to drive a CMV
                                              2010. His endocrinologist examined him                  retinopathy. She holds an operator’s                   safely. Mr. Voelker meets the
                                              in 2018 and certified that he has had no                license from New Jersey.                               requirements of the vision standard at
                                              severe hypoglycemic reactions resulting                                                                        49 CFR 391.41(b)(10). His optometrist
                                              in loss of consciousness, requiring the                 Theodore F. Stuard II                                  examined him in 2018 and certified that
                                              assistance of another person, or                          Mr. Stuard, 68, has had ITDM since                   he does not have diabetic retinopathy.
                                              resulting in impaired cognitive function                2017. His endocrinologist examined him                 He holds a Class A CDL from Iowa.
                                              that occurred without warning in the                    in 2018 and certified that he has had no
                                              past 12 months and no recurrent (two or                 severe hypoglycemic reactions resulting                Benjamin B. Webb
                                              more) severe hypoglycemic episodes in                   in loss of consciousness, requiring the                  Mr. Webb, 55, has had ITDM since
                                              the last five years. His endocrinologist                assistance of another person, or                       1989. His endocrinologist examined him
                                              certifies that Mr. Sizemore understands                 resulting in impaired cognitive function               in 2018 and certified that he has had no
                                              diabetes management and monitoring,                     that occurred without warning in the                   severe hypoglycemic reactions resulting
                                              has stable control of his diabetes using                past 12 months and no recurrent (two or                in loss of consciousness, requiring the
                                              insulin, and is able to drive a CMV                     more) severe hypoglycemic episodes in
                                                                                                                                                             assistance of another person, or
                                              safely. Mr. Sizemore meets the                          the last five years. His endocrinologist
                                                                                                                                                             resulting in impaired cognitive function
                                              requirements of the vision standard at                  certifies that Mr. Stuard understands
                                                                                                                                                             that occurred without warning in the
                                              49 CFR 391.41(b)(10). His optometrist                   diabetes management and monitoring,
                                                                                                                                                             past 12 months and no recurrent (two or
                                              examined him in 2018 and certified that                 has stable control of his diabetes using
                                                                                                                                                             more) severe hypoglycemic episodes in
                                              he does not have diabetic retinopathy.                  insulin, and is able to drive a CMV
                                              He holds an operator’s license from                     safely. Mr. Stuard meets the                           the last five years. His endocrinologist
                                              Virginia.                                               requirements of the vision standard at                 certifies that Mr. Webb understands
                                                                                                      49 CFR 391.41(b)(10). His optometrist                  diabetes management and monitoring,
                                              David A. Stedford                                                                                              has stable control of his diabetes using
                                                                                                      examined him in 2018 and certified that
                                                Mr. Stedford, 48, has had ITDM since                  he does not have diabetic retinopathy.                 insulin, and is able to drive a CMV
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                                              2017. His endocrinologist examined him                  He holds an operator’s license from                    safely. Mr. Webb meets the
                                              in 2018 and certified that he has had no                Indiana.                                               requirements of the vision standard at
                                              severe hypoglycemic reactions resulting                                                                        49 CFR 391.41(b)(10). His optometrist
                                              in loss of consciousness, requiring the                 Richard J. Taylor                                      examined him in 2017 and certified that
                                              assistance of another person, or                          Mr. Taylor, 65, has had ITDM since                   he does not have diabetic retinopathy.
                                              resulting in impaired cognitive function                2014. His endocrinologist examined him                 He holds an operator’s license from
                                              that occurred without warning in the                    in 2018 and certified that he has had no               North Carolina.


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                                                                             Federal Register / Vol. 83, No. 117 / Monday, June 18, 2018 / Notices                                           28317

                                              Donnie E. Winters                                       examined him in 2018 and certified that                DEPARTMENT OF TRANSPORTATION
                                                Mr. Winters, 65, has had ITDM since                   he does not have diabetic retinopathy.
                                                                                                      He holds an operator’s license from New                Federal Motor Carrier Safety
                                              2007. His endocrinologist examined him
                                                                                                      Jersey.                                                Administration
                                              in 2018 and certified that he has had no
                                              severe hypoglycemic reactions resulting                 III. Request for Comments                              [Docket No. FMCSA–2011–0382; FMCSA–
                                              in loss of consciousness, requiring the                                                                        2011–0383; FMCSA–2013–0194; FMCSA–
                                              assistance of another person, or                          In accordance with 49 U.S.C. 31136(e)                2014–0012; FMCSA–2014–0013; FMCSA–
                                              resulting in impaired cognitive function                and 31315, FMCSA requests public                       2015–0342; FMCSA–2015–0343; FMCSA–
                                                                                                      comment from all interested persons on                 2016–0034]
                                              that occurred without warning in the
                                              past 12 months and no recurrent (two or                 the exemption petitions described in
                                                                                                      this notice. We will consider all                      Qualification of Drivers; Exemption
                                              more) severe hypoglycemic episodes in                                                                          Applications; Diabetes
                                              the last five years. His endocrinologist                comments received before the close of
                                              certifies that Mr. Winters understands                  business on the closing date indicated                 AGENCY: Federal Motor Carrier Safety
                                              diabetes management and monitoring,                     in the dates section of the notice.                    Administration (FMCSA), DOT.
                                              has stable control of his diabetes using                IV. Submitting Comments                                ACTION: Notice of final disposition.
                                              insulin, and is able to drive a CMV
                                              safely. Mr. Winters meets the                              You may submit your comments and                    SUMMARY:   FMCSA announces its
                                              requirements of the vision standard at                  material online or by fax, mail, or hand               decision to renew exemptions for 191
                                              49 CFR 391.41(b)(10). His optometrist                   delivery, but please use only one of                   individuals from its prohibition in the
                                              examined him in 2018 and certified that                 these means. FMCSA recommends that                     Federal Motor Carrier Safety
                                              he does not have diabetic retinopathy.                  you include your name and a mailing                    Regulations (FMCSRs) against persons
                                              He holds an operator’s license from                     address, an email address, or a phone                  with insulin-treated diabetes mellitus
                                              Mississippi.                                            number in the body of your document                    (ITDM) from operating commercial
                                                                                                      so that FMCSA can contact you if there                 motor vehicles (CMVs) in interstate
                                              Heath A. Woodiwiss                                      are questions regarding your                           commerce. The exemptions enable these
                                                 Mr. Woodiwiss, 48, has had ITDM                      submission.                                            individuals with ITDM to continue to
                                              since 2017. His endocrinologist                            To submit your comment online, go to                operate CMVs in interstate commerce.
                                              examined him in 2018 and certified that                 http://www.regulations.gov and in the                  DATES: Each group of renewed
                                              he has had no severe hypoglycemic                       search box insert the docket number                    exemptions were applicable on the
                                              reactions resulting in loss of                          FMCSA–2018–0031 and click the search                   dates stated in the discussions below
                                              consciousness, requiring the assistance                 button. When the new screen appears,                   and will expire on the dates stated in
                                              of another person, or resulting in                      click on the blue ‘‘Comment Now!’’                     the discussions below.
                                              impaired cognitive function that                        button on the right hand side of the                   FOR FURTHER INFORMATION CONTACT: Ms.
                                              occurred without warning in the past 12                 page. On the new page, enter                           Christine A. Hydock, Chief, Medical
                                              months and no recurrent (two or more)                   information required including the                     Programs Division, 202–366–4001,
                                              severe hypoglycemic episodes in the                     specific section of this document to                   fmcsamedical@dot.gov, FMCSA,
                                              last five years. His endocrinologist                    which each comment applies, and                        Department of Transportation, 1200
                                              certifies that Mr. Woodiwiss                            provide a reason for each suggestion or                New Jersey Avenue SE, Room W64–224,
                                              understands diabetes management and                     recommendation. If you submit your                     Washington, DC 20590–0001. Office
                                              monitoring, has stable control of his                   comments by mail or hand delivery,                     hours are from 8:30 a.m. to 5:30 p.m.,
                                              diabetes using insulin, and is able to                  submit them in an unbound format, no                   e.t., Monday through Friday, except
                                              drive a CMV safely. Mr. Woodiwiss                       larger than 81⁄2 by 11 inches, suitable for            Federal holidays. If you have questions
                                              meets the requirements of the vision                    copying and electronic filing. If you                  regarding viewing or submitting
                                              standard at 49 CFR 391.41(b)(10). His                   submit comments by mail and would                      material to the docket, contact Docket
                                              optometrist examined him in 2018 and                    like to know that they reached the                     Services, telephone (202) 366–9826.
                                              certified that he does not have diabetic                facility, please enclose a stamped, self-              SUPPLEMENTARY INFORMATION:
                                              retinopathy. He holds a Class A CDL                     addressed postcard or envelope.
                                              from Minnesota.                                                                                                I. Electronic Access
                                                                                                         We will consider all comments and
                                                                                                      materials received during the comment                     You may see all the comments online
                                              Anthony K. Zelinsky
                                                                                                      period. FMCSA may issue a final                        through the Federal Document
                                                Mr. Zelinsky, 21, has had ITDM since                  determination at any time after the close              Management System (FDMS) at: http://
                                              2014. His endocrinologist examined him                  of the comment period.                                 www.regulations.gov.
                                              in 2018 and certified that he has had no                                                                          Docket: For access to the docket to
                                              severe hypoglycemic reactions resulting                 V. Viewing Comments and Documents                      read background documents or
                                              in loss of consciousness, requiring the                   To view comments, as well as any                     comments, go to http//
                                              assistance of another person, or                        documents mentioned in this preamble,                  www.regulations.gov and/or Room
                                              resulting in impaired cognitive function                go to http://www.regulations.gov and in                W12–140 on the ground level of the
                                              that occurred without warning in the                    the search box insert the docket number                West Building, 1200 New Jersey Avenue
                                              past 12 months and no recurrent (two or                 FMCSA–2018–0031 and click ‘‘Search.’’                  SE, Washington, DC, between 9 a.m. and
                                              more) severe hypoglycemic episodes in                   Next, click ‘‘Open Docket Folder’’ and                 5 p.m., e.t., Monday through Friday,
                                              the last five years. His endocrinologist                you will find all documents and                        except Federal holidays.
amozie on DSK3GDR082PROD with NOTICES1




                                              certifies that Mr. Zelinsky understands                 comments related to this notice.                          Privacy Act: In accordance with 5
                                              diabetes management and monitoring,                                                                            U.S.C. 553(c), DOT solicits comments
                                              has stable control of his diabetes using                  Issued on: June 11, 2018.                            from the public to better inform its
                                              insulin, and is able to drive a CMV                     Larry W. Minor,                                        rulemaking process. DOT posts these
                                              safely. Mr. Zelinsky meets the                          Associate Administrator for Policy.                    comments, without edit, including any
                                              requirements of the vision standard at                  [FR Doc. 2018–13016 Filed 6–15–18; 8:45 am]            personal information the commenter
                                              49 CFR 391.41(b)(10). His optometrist                   BILLING CODE 4910–EX–P                                 provides, to http://www.regulations.gov,


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Document Created: 2018-06-18 15:49:53
Document Modified: 2018-06-18 15:49:53
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 18, 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 28310 

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