83_FR_33434 83 FR 33297 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

83 FR 33297 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 83, Issue 137 (July 17, 2018)

Page Range33297-33304
FR Document2018-15262

FMCSA announces receipt of applications from 54 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 137 (Tuesday, July 17, 2018)
[Federal Register Volume 83, Number 137 (Tuesday, July 17, 2018)]
[Notices]
[Pages 33297-33304]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-15262]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2018-0032]


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 54 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 August 16, 2018.

ADDRESSES: You may submit comments bearing the Federal Docket 
Management System (FDMS) Docket No. FMCSA-2018-0032 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 54 individuals listed in this notice have requested an 
exemption from the diabetes prohibition in 49 CFR 391.41(b)(3). 
Accordingly, the Agency will evaluate the qualifications of each 
applicant to determine whether granting the exemption will achieve the 
required level of safety mandated by statute.
    The physical qualification standard for drivers regarding diabetes 
found in 49 CFR 391.41(b)(3) states that a person is physically 
qualified to drive a CMV if that person has no established medical 
history or clinical diagnosis of diabetes mellitus currently requiring 
insulin for control. The Agency established the current requirement for 
diabetes in 1970 because several risk studies indicated that drivers 
with diabetes had a higher rate of crash involvement than the general 
population.
    FMCSA established its diabetes exemption program, based on the 
Agency's July 2000 study entitled ``A Report to Congress on the 
Feasibility of a Program to Qualify Individuals with Insulin-Treated 
Diabetes Mellitus to Operate in Interstate Commerce as Directed by the 
Transportation Act for the 21st Century.'' The report concluded that a 
safe and practicable protocol to allow some drivers with ITDM to 
operate CMVs is feasible. The September 3, 2003 (68 FR 52441), Federal 
Register notice in conjunction with the November 8, 2005 (70 FR 67777), 
Federal Register notice provides the current protocol for allowing such 
drivers to operate CMVs in interstate commerce.
    FMCSA notes that section 4129 of the Safe, Accountable, Flexible 
and Efficient Transportation Equity Act: A Legacy for Users requires 
the Secretary to revise its diabetes exemption program established on 
September 3, 2003 (68 FR 52441). The revision must provide for 
individual assessment of drivers with diabetes mellitus, and be 
consistent with the criteria described in section 4018 of the 
Transportation Equity Act for the 21st Century (49 U.S.C. 31305). 
Section 4129 requires: (1) Elimination of the requirement for three 
years of experience operating CMVs while being treated with insulin; 
and (2) establishment of a specified minimum period of insulin use to 
demonstrate stable control of diabetes before being allowed to operate 
a CMV.
    In response to section 4129, FMCSA made immediate revisions to the 
diabetes exemption program established by the September 3, 2003 notice. 
FMCSA discontinued use of the three-year driving experience and 
fulfilled the requirements of section 4129 while continuing to ensure 
that operation of CMVs by drivers with ITDM will achieve the requisite 
level of safety required of all exemptions granted under 49 U.S.C. 
31136 (e). Section

[[Page 33298]]

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

David V. Amado

    Mr. Amado, 45, 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. Amado understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Amado 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.

Allan D. Arcand

    Mr. Arcand, 60, has had ITDM since 1972. 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. Arcand understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Arcand meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2017 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds an operator's license 
from Wisconsin.

Nickie D. Archuleta

    Mr. Archuleta, 58, has had ITDM since 2004. 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. Archuleta understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Archuleta 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 Pennsylvania.

Mathew B. Bartlett

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

Sean S. Bateman

    Mr. Bateman, 28, 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. Bateman understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Bateman meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from New York.

Marvin E. Battle, Jr.

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

Gordon R. Bayles

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

Kirk W. Behrer

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

[[Page 33299]]

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

Benjamin J. Boeding

    Mr. Boeding, 39, has had ITDM since 1980. 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. Boeding understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Boeding meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he does not 
have diabetic retinopathy. He holds a Class B CDL from Minnesota.

Robert A. Bowman

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

Michael G. Cohen

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

John R. Delucca

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

James M. Dubay

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

Larry I. Frizell

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

Gerson A. Gonzalez

    Mr. Gonzalez, 32, 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. Gonzalez understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Gonzalez meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from New Jersey.

David D. Gross

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

Ricky A. Kirby

    Mr. Kirby, 58, has had ITDM since 2008. 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

[[Page 33300]]

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

Dustin M. Kirkland

    Mr. Kirkland, 37, 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. Kirkland understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Kirkland 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.

Scott M. Kiser

    Mr. Kiser, 45, has had ITDM since 2016. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Kiser understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Kiser 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 Georgia.

Lee E. Koehn

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

Wayne L. Kracht

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

Jeffrey L. Kramer

    Mr. Kramer, 56, has had ITDM since 1992. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Kramer understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Kramer 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 
Ohio.

Brad M. Ligols

    Mr. Ligols, 54, has had ITDM since 2000. 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. Ligols understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Ligols 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 Massachusetts.

Kenneth J. Lubanski

    Mr. Lubanski, 29, has had ITDM since 2011. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Lubanski understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Lubanski 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 New Jersey.

Thomas W. Markham

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

Richard T. McAtee II

    Mr. McAtee, 49, 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

[[Page 33301]]

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

John T. McEntire III

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

Jonathan D. Miles

    Mr. Miles, 45, 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. Miles understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Miles 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.

Brian J. Morgan

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

Cecil M. Morris, Jr.

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

Nicholas C. O'Connor

    Mr. O'Connor, 32, has had ITDM since 2004. 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. O'Connor understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. O'Connor 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.

Rowdy V. Orr

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

Neal J. Pangrazio

    Mr. Pangrazio, 60, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Pangrazio understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Pangrazio 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 New York.

William T. Phipps, Jr.

    Mr. Phipps, 48, has had ITDM since 2010. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Phipps understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Phipps meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018

[[Page 33302]]

and certified that he has stable nonproliferative and stable 
proliferative diabetic retinopathy. He holds a Class A CDL from 
Maryland.

Robert A. Pope

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

Micky J. Powers

    Mr. Powers, 71, 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. Powers understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Powers 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 Missouri.

Shawn K. Richardson

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

Joselito Rosario

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

Gregory L. Ryan

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

Howard G. Schrepp

    Mr. Schrepp, 63, has had ITDM since 2013. His endocrinologist 
examined him in 2017 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Schrepp understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Schrepp 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 Georgia.

James W. Shirk

    Mr. Shirk, 59, 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. Shirk understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Shirk meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2017 and certified that he does not 
have diabetic retinopathy. He holds a Class A CDL from Pennsylvania.

Michael J. Simko

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

Roderick Q. Smith

    Mr. Smith, 57, 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

[[Page 33303]]

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

Walter C. Snodgrass, Jr.

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

Robert W. Stewart

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

Joseph W. Symons

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

Felipe D. Torres

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

James J. Triplett

    Mr. Triplett, 77, has had ITDM since 2004. 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. Triplett understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Triplett 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 Tennessee.

Amos L. Trujillo

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

Lynda D. Vance

    Ms. Vance, 34, 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. Vance understands 
diabetes management and monitoring, has stable control of her diabetes 
using insulin, and is able to drive a CMV safely. Ms. Vance 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 Tennessee.

Christopher E. Vazquez

    Mr. Vazquez, 21, has had ITDM since 1997. 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. Vazquez understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Vazquez 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 Connecticut.

Michael J. Vigna

    Mr. Vigna, 61, has had ITDM since 2017. His endocrinologist 
examined him

[[Page 33304]]

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

Brian P. Walsh

    Mr. Walsh, 47, has had ITDM since 1998. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Walsh understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Walsh 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 Iowa.

Nathan L. Watson

    Mr. Watson, 25, has had ITDM since 1994. 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. Watson understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Watson 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 Texas.

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-2018-0032 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-2018-0032 and click ``Search.'' Next, click 
``Open Docket Folder'' and you will find all documents and comments 
related to this notice.

    Issued on: July 12, 2018.
Larry W. Minor,
Associate Administrator for Policy.
[FR Doc. 2018-15262 Filed 7-16-18; 8:45 am]
 BILLING CODE 4910-EX-P



                                                                               Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices                                          33297

                                               VI. Conclusion                                           that all comments received will be                    will evaluate the qualifications of each
                                                 Based upon its evaluation of the 94                    posted without change to http://                      applicant to determine whether granting
                                               exemption applications, FMCSA renews                     www.regulations.gov, including any                    the exemption will achieve the required
                                               the exemptions of the aforementioned                     personal information provided. Please                 level of safety mandated by statute.
                                               drivers from the rule prohibiting drivers                see the Privacy Act heading below for                    The physical qualification standard
                                                                                                        further information.                                  for drivers regarding diabetes found in
                                               with ITDM from driving CMVs in
                                                                                                           Docket: For access to the docket to                49 CFR 391.41(b)(3) states that a person
                                               interstate commerce. In accordance with
                                                                                                        read background documents or                          is physically qualified to drive a CMV
                                               49 U.S.C. 31136(e) and 31315, each
                                                                                                        comments, go to http://                               if that person has no established
                                               exemption will be valid for two years
                                                                                                        www.regulations.gov at any time or                    medical history or clinical diagnosis of
                                               unless revoked earlier by FMCSA.
                                                                                                        Room W12–140 on the ground level of                   diabetes mellitus currently requiring
                                                 Issued on: July 12, 2018.                              the West Building, 1200 New Jersey                    insulin for control. The Agency
                                               Larry W. Minor,                                          Avenue, SE, Washington, DC, between 9                 established the current requirement for
                                               Associate Administrator for Policy.                      a.m. and 5 p.m., e.t., Monday through                 diabetes in 1970 because several risk
                                               [FR Doc. 2018–15263 Filed 7–16–18; 8:45 am]              Friday, except Federal holidays. The                  studies indicated that drivers with
                                               BILLING CODE 4910–EX–P                                   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
                                                                                                        acknowledgment that we received your                  population.
                                               DEPARTMENT OF TRANSPORTATION                             comments, please include a self-                         FMCSA established its diabetes
                                                                                                        addressed, stamped envelope or                        exemption program, based on the
                                               Federal Motor Carrier Safety                             postcard or print the acknowledgement                 Agency’s July 2000 study entitled ‘‘A
                                               Administration                                           page that appears after submitting                    Report to Congress on the Feasibility of
                                                                                                        comments online.                                      a Program to Qualify Individuals with
                                               [Docket No. FMCSA–2018–0032]
                                                                                                           Privacy Act: In accordance with 5                  Insulin-Treated Diabetes Mellitus to
                                               Qualification of Drivers; Exemption                      U.S.C. 553(c), DOT solicits comments                  Operate in Interstate Commerce as
                                               Applications; Diabetes Mellitus                          from the public to better inform its                  Directed by the Transportation Act for
                                                                                                        rulemaking process. DOT posts these                   the 21st Century.’’ The report concluded
                                               AGENCY: Federal Motor Carrier Safety                                                                           that a safe and practicable protocol to
                                                                                                        comments, without edit, including any
                                               Administration (FMCSA), DOT.                                                                                   allow some drivers with ITDM to
                                                                                                        personal information the commenter
                                               ACTION: Notice of applications for                       provides, to http://www.regulations.gov,              operate CMVs is feasible. The
                                               exemption; request for comments.                         as described in the system of records                 September 3, 2003 (68 FR 52441),
                                                                                                        notice (DOT/ALL–14 FDMS), which can                   Federal Register notice in conjunction
                                               SUMMARY:    FMCSA announces receipt of                                                                         with the November 8, 2005 (70 FR
                                               applications from 54 individuals for an                  be reviewed at http://www.dot.gov/
                                                                                                        privacy.                                              67777), Federal Register notice provides
                                               exemption from the prohibition in the                                                                          the current protocol for allowing such
                                               Federal Motor Carrier Safety                             FOR FURTHER INFORMATION CONTACT:     Ms.              drivers to operate CMVs in interstate
                                               Regulations (FMCSRs) against persons                     Christine A. Hydock, Chief, Medical                   commerce.
                                               with insulin-treated diabetes mellitus                   Programs Division, (202) 366–4001,                       FMCSA notes that section 4129 of the
                                               (ITDM) operating a commercial motor                      fmcsamedical@dot.gov, FMCSA,                          Safe, Accountable, Flexible and
                                               vehicle (CMV) in interstate commerce. If                 Department of Transportation, 1200                    Efficient Transportation Equity Act: A
                                               granted, the exemptions would enable                     New Jersey Avenue SE, Room W64–224,                   Legacy for Users requires the Secretary
                                               these individuals with ITDM to operate                   Washington, DC 20590–0001. Office                     to revise its diabetes exemption program
                                               CMVs in interstate commerce.                             hours are 8:30 a.m. to 5 p.m., e.t.,                  established on September 3, 2003 (68 FR
                                               DATES: Comments must be received on                      Monday through Friday, except Federal                 52441). The revision must provide for
                                               or before August 16, 2018.                               holidays. If you have questions                       individual assessment of drivers with
                                               ADDRESSES: You may submit comments                       regarding viewing or submitting                       diabetes mellitus, and be consistent
                                               bearing the Federal Docket Management                    material to the docket, contact Docket                with the criteria described in section
                                               System (FDMS) Docket No. FMCSA–                          Services, telephone (202) 366–9826.                   4018 of the Transportation Equity Act
                                               2018–0032 using any of the following                     SUPPLEMENTARY INFORMATION:                            for the 21st Century (49 U.S.C. 31305).
                                               methods:                                                                                                       Section 4129 requires: (1) Elimination of
                                                                                                        I. Background
                                                  • Federal eRulemaking Portal: Go to                                                                         the requirement for three years of
                                               http://www.regulations.gov. Follow the                      Under 49 U.S.C. 31136(e) and 31315,                experience operating CMVs while being
                                               online instructions for submitting                       FMCSA may grant an exemption from                     treated with insulin; and (2)
                                               comments.                                                the FMCSRs for a five-year period if it               establishment of a specified minimum
                                                  • Mail: Docket Management Facility;                   finds ‘‘such exemption would likely                   period of insulin use to demonstrate
                                               U.S. Department of Transportation, 1200                  achieve a level of safety that is                     stable control of diabetes before being
                                               New Jersey Avenue SE, West Building                      equivalent to or greater than the level               allowed to operate a CMV.
                                               Ground Floor, Room W12–140,                              that would be achieved absent such                       In response to section 4129, FMCSA
                                               Washington, DC 20590–0001.                               exemption.’’ The statute also allows the              made immediate revisions to the
                                                  • Hand Delivery: West Building                        Agency to renew exemptions at the end                 diabetes exemption program established
                                               Ground Floor, Room W12–140, 1200                         of the five-year period. FMCSA grants                 by the September 3, 2003 notice.
                                               New Jersey Avenue SE, Washington,                        exemptions from the FMCSRs for a two-                 FMCSA discontinued use of the three-
daltland on DSKBBV9HB2PROD with NOTICES




                                               DC, between 9 a.m. and 5 p.m., e.t.,                     year period to align with the maximum                 year driving experience and fulfilled the
                                               Monday through Friday, except Federal                    duration of a driver’s medical                        requirements of section 4129 while
                                               Holidays.                                                certification.                                        continuing to ensure that operation of
                                                  • Fax: 1–202–493–2251.                                   The 54 individuals listed in this                  CMVs by drivers with ITDM will
                                                  Instructions: Each submission must                    notice have requested an exemption                    achieve the requisite level of safety
                                               include the Agency name and the                          from the diabetes prohibition in 49 CFR               required of all exemptions granted
                                               docket number(s) for this notice. Note                   391.41(b)(3). Accordingly, the Agency                 under 49 U.S.C. 31136 (e). Section


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                                               33298                           Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices

                                               4129(d) also directed FMCSA to ensure                    Nickie D. Archuleta                                   he does not have diabetic retinopathy.
                                               that drivers of CMVs with ITDM are not                     Mr. Archuleta, 58, has had ITDM                     He holds an operator’s license from New
                                               held to a higher standard than other                     since 2004. His endocrinologist                       York.
                                               drivers, with the exception of limited                   examined him in 2018 and certified that               Marvin E. Battle, Jr.
                                               operating, monitoring and medical                        he has had no severe hypoglycemic
                                               requirements that are deemed medically                                                                           Mr. Battle, 40, has had ITDM since
                                                                                                        reactions resulting in loss of                        2017. His endocrinologist examined him
                                               necessary. The FMCSA concluded that                      consciousness, requiring the assistance
                                               all of the operating, monitoring and                                                                           in 2018 and certified that he has had no
                                                                                                        of another person, or resulting in                    severe hypoglycemic reactions resulting
                                               medical requirements set out in the                      impaired cognitive function that
                                               September 3, 2003, notice, except as                                                                           in loss of consciousness, requiring the
                                                                                                        occurred without warning in the past 12               assistance of another person, or
                                               modified, were in compliance with                        months and no recurrent (two or more)
                                               section 4129(d). Therefore, all of the                                                                         resulting in impaired cognitive function
                                                                                                        severe hypoglycemic episodes in the                   that occurred without warning in the
                                               requirements set out in the September 3,                 last five years. His endocrinologist
                                               2003, notice, except as modified by the                                                                        past 12 months and no recurrent (two or
                                                                                                        certifies that Mr. Archuleta understands              more) severe hypoglycemic episodes in
                                               notice in the Federal Register on                        diabetes management and monitoring,
                                               November 8, 2005 (70 FR 67777),                                                                                the last five years. His endocrinologist
                                                                                                        has stable control of his diabetes using              certifies that Mr. Battle, Jr. understands
                                               remain in effect.                                        insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                               II. Qualifications of Applicants                         safely. Mr. Archuleta meets the                       has stable control of his diabetes using
                                                                                                        requirements of the vision standard at                insulin, and is able to drive a CMV
                                               David V. Amado                                           49 CFR 391.41(b)(10). His optometrist                 safely. Mr. Battle, Jr. meets the
                                                                                                        examined him in 2018 and certified that               requirements of the vision standard at
                                                 Mr. Amado, 45, has had ITDM since
                                                                                                        he does not have diabetic retinopathy.                49 CFR 391.41(b)(10). His
                                               2015. His endocrinologist examined him
                                                                                                        He holds a Class B CDL from                           ophthalmologist examined him in 2018
                                               in 2018 and certified that he has had no
                                                                                                        Pennsylvania.                                         and certified that he has stable
                                               severe hypoglycemic reactions resulting
                                               in loss of consciousness, requiring the                  Mathew B. Bartlett                                    nonproliferative diabetic retinopathy.
                                               assistance of another person, or                                                                               He holds a Class A CDL from Georgia
                                                                                                          Mr. Bartlett, 28, has had ITDM since
                                               resulting in impaired cognitive function                 2005. His endocrinologist examined him                Gordon R. Bayles
                                               that occurred without warning in the                     in 2018 and certified that he has had no                Mr. Bayles, 66, has had ITDM since
                                               past 12 months and no recurrent (two or                  severe hypoglycemic reactions resulting               2015. His endocrinologist examined him
                                               more) severe hypoglycemic episodes in                    in loss of consciousness, requiring the               in 2018 and certified that he has had no
                                               the last five years. His endocrinologist                 assistance of another person, or                      severe hypoglycemic reactions resulting
                                               certifies that Mr. Amado understands                     resulting in impaired cognitive function              in loss of consciousness, requiring the
                                               diabetes management and monitoring,                      that occurred without warning in the                  assistance of another person, or
                                               has stable control of his diabetes using                 past 12 months and no recurrent (two or               resulting in impaired cognitive function
                                               insulin, and is able to drive a CMV                      more) severe hypoglycemic episodes in                 that occurred without warning in the
                                               safely. Mr. Amado meets the                              the last five years. His endocrinologist              past 12 months and no recurrent (two or
                                               requirements of the vision standard at                   certifies that Mr. Bartlett understands               more) severe hypoglycemic episodes in
                                               49 CFR 391.41(b)(10). His optometrist                    diabetes management and monitoring,                   the last five years. His endocrinologist
                                               examined him in 2018 and certified that                  has stable control of his diabetes using              certifies that Mr. Bayles understands
                                               he does not have diabetic retinopathy.                   insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                               He holds an operator’s license from                      safely. Mr. Bartlett meets the                        has stable control of his diabetes using
                                               California.                                              requirements of the vision standard at                insulin, and is able to drive a CMV
                                               Allan D. Arcand                                          49 CFR 391.41(b)(10). His optometrist                 safely. Mr. Bayles meets the
                                                                                                        examined him in 2017 and certified that               requirements of the vision standard at
                                                 Mr. Arcand, 60, has had ITDM since                     he does not have diabetic retinopathy.                49 CFR 391.41(b)(10). His optometrist
                                               1972. His endocrinologist examined him                   He holds a Class A CDL from Iowa                      examined him in 2018 and certified that
                                               in 2018 and certified that he has had no                                                                       he does not have diabetic retinopathy.
                                               severe hypoglycemic reactions resulting                  Sean S. Bateman
                                                                                                                                                              He holds an operator’s license from
                                               in loss of consciousness, requiring the                    Mr. Bateman, 28, has had ITDM since                 Utah.
                                               assistance of another person, or                         2005. His endocrinologist examined him
                                               resulting in impaired cognitive function                 in 2018 and certified that he has had no              Kirk W. Behrer
                                               that occurred without warning in the                     severe hypoglycemic reactions resulting                 Mr. Behrer, 55, has had ITDM since
                                               past 12 months and no recurrent (two or                  in loss of consciousness, requiring the               2017. His endocrinologist examined him
                                               more) severe hypoglycemic episodes in                    assistance of another person, or                      in 2018 and certified that he has had no
                                               the last five years. His endocrinologist                 resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                               certifies that Mr. Arcand understands                    that occurred without warning in the                  in loss of consciousness, requiring the
                                               diabetes management and monitoring,                      past 12 months and no recurrent (two or               assistance of another person, or
                                               has stable control of his diabetes using                 more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                               insulin, and is able to drive a CMV                      the last five years. His endocrinologist              that occurred without warning in the
                                               safely. Mr. Arcand meets the                             certifies that Mr. Bateman understands                past 12 months and no recurrent (two or
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                                               requirements of the vision standard at                   diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                               49 CFR 391.41(b)(10). His                                has stable control of his diabetes using              the last five years. His endocrinologist
                                               ophthalmologist examined him in 2017                     insulin, and is able to drive a CMV                   certifies that Mr. Behrer understands
                                               and certified that he has stable                         safely. Mr. Bateman meets the                         diabetes management and monitoring,
                                               nonproliferative diabetic retinopathy.                   requirements of the vision standard at                has stable control of his diabetes using
                                               He holds an operator’s license from                      49 CFR 391.41(b)(10). His optometrist                 insulin, and is able to drive a CMV
                                               Wisconsin.                                               examined him in 2018 and certified that               safely. Mr. Behrer meets the


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                                                                               Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices                                          33299

                                               requirements of the vision standard at                   has stable control of his diabetes using              certifies that Mr. Frizell understands
                                               49 CFR 391.41(b)(10). His optometrist                    insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                               examined him in 2017 and certified that                  safely. Mr. Cohen meets the                           has stable control of his diabetes using
                                               he does not have diabetic retinopathy.                   requirements of the vision standard at                insulin, and is able to drive a CMV
                                               He holds an operator’s license from                      49 CFR 391.41(b)(10). His optometrist                 safely. Mr. Frizell meets the
                                               Pennsylvania.                                            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
                                               Benjamin J. Boeding
                                                                                                        He holds a Class A CDL from New York.                 examined him in 2018 and certified that
                                                 Mr. Boeding, 39, has had ITDM since                                                                          he does not have diabetic retinopathy.
                                               1980. His endocrinologist examined him                   John R. Delucca
                                                                                                                                                              He holds a Class A CDL from Iowa.
                                               in 2018 and certified that he has had no                   Mr. Delucca, 69, has had ITDM since
                                               severe hypoglycemic reactions resulting                  2015. His endocrinologist examined him                Gerson A. Gonzalez
                                               in loss of consciousness, requiring the                  in 2018 and certified that he has had no                Mr. Gonzalez, 32, 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
                                               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. Boeding 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. Delucca 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. Boeding meets the                            has stable control of his diabetes using              certifies that Mr. Gonzalez 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                                safely. Mr. Delucca meets the                         has stable control of his diabetes using
                                               ophthalmologist examined him in 2018                     requirements of the vision standard at                insulin, and is able to drive a CMV
                                               and certified that he does not have                      49 CFR 391.41(b)(10). His optometrist                 safely. Mr. Gonzalez meets the
                                               diabetic retinopathy. He holds a Class B                 examined him in 2018 and certified that               requirements of the vision standard at
                                               CDL from Minnesota.                                      he does not have diabetic retinopathy.                49 CFR 391.41(b)(10). His optometrist
                                                                                                        He holds an operator’s license from                   examined him in 2018 and certified that
                                               Robert A. Bowman
                                                                                                        Indiana.                                              he does not have diabetic retinopathy.
                                                 Mr. Bowman, 61, has had ITDM since                                                                           He holds an operator’s license from New
                                               2017. His endocrinologist examined him                   James M. Dubay
                                                                                                                                                              Jersey.
                                               in 2018 and certified that he has had no                   Mr. Dubay, 57, has had ITDM since
                                               severe hypoglycemic reactions resulting                  2018. His endocrinologist examined him                David D. Gross
                                               in loss of consciousness, requiring the                  in 2018 and certified that he has had no                Mr. Gross, 57, has had ITDM since
                                               assistance of another person, or                         severe hypoglycemic reactions resulting               2018. 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
                                               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. Bowman 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. Dubay 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. Bowman meets the                             has stable control of his diabetes using              certifies that Mr. Gross 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                                safely. Mr. Dubay meets the                           has stable control of his diabetes using
                                               ophthalmologist examined him in 2018                     requirements of the vision standard at                insulin, and is able to drive a CMV
                                               and certified that he does not have                      49 CFR 391.41(b)(10). His optometrist                 safely. Mr. Gross meets the requirements
                                               diabetic retinopathy. He holds an                        examined him in 2018 and certified that               of the vision standard at 49 CFR
                                               operator’s license from Kentucky.                        he does not have diabetic retinopathy.                391.41(b)(10). His optometrist examined
                                                                                                        He holds an operator’s license from                   him in 2018 and certified that he does
                                               Michael G. Cohen
                                                                                                        Michigan.                                             not have diabetic retinopathy. He holds
                                                 Mr. Cohen, 48, has had ITDM since                                                                            a Class A CDL from Pennsylvania.
                                               2014. His endocrinologist examined him                   Larry I. Frizell
                                               in 2018 and certified that he has had no                   Mr. Frizell, 57, has had ITDM since                 Ricky A. Kirby
                                               severe hypoglycemic reactions resulting                  2015. His endocrinologist examined him                  Mr. Kirby, 58, has had ITDM since
                                               in loss of consciousness, requiring the                  in 2018 and certified that he has had no              2008. His endocrinologist examined him
                                               assistance of another person, or                         severe hypoglycemic reactions resulting               in 2017 and certified that he has had no
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                                               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. Cohen 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


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                                               33300                           Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices

                                               the last five years. His endocrinologist                 the last five years. His endocrinologist              past 12 months and no recurrent (two or
                                               certifies that Mr. Kirby understands                     certifies that Mr. Koehn understands                  more) severe hypoglycemic episodes in
                                               diabetes management and monitoring,                      diabetes management and monitoring,                   the last five years. His endocrinologist
                                               has stable control of his diabetes using                 has stable control of his diabetes using              certifies that Mr. Ligols understands
                                               insulin, and is able to drive a CMV                      insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                               safely. Mr. Kirby meets the requirements                 safely. Mr. Koehn meets the                           has stable control of his diabetes using
                                               of the vision standard at 49 CFR                         requirements of the vision standard at                insulin, and is able to drive a CMV
                                               391.41(b)(10). His optometrist examined                  49 CFR 391.41(b)(10). His optometrist                 safely. Mr. Ligols meets the
                                               him in 2018 and certified that he does                   examined him in 2018 and certified that               requirements of the vision standard at
                                               not have diabetic retinopathy. He holds                  he does not have diabetic retinopathy.                49 CFR 391.41(b)(10). His optometrist
                                               an operator’s license from Kentucky.                     He holds a Class A CDL from Alabama.                  examined him in 2018 and certified that
                                                                                                                                                              he does not have diabetic retinopathy.
                                               Dustin M. Kirkland                                       Wayne L. Kracht
                                                                                                                                                              He holds a Class B CDL from
                                                 Mr. Kirkland, 37, has had ITDM since                     Mr. Kracht, 48, has had ITDM since                  Massachusetts.
                                               2018. His endocrinologist examined him                   2015. His endocrinologist examined him
                                               in 2018 and certified that he has had no                 in 2018 and certified that he has had no              Kenneth J. Lubanski
                                               severe hypoglycemic reactions resulting                  severe hypoglycemic reactions resulting                 Mr. Lubanski, 29, has had ITDM since
                                               in loss of consciousness, requiring the                  in loss of consciousness, requiring the               2011. His endocrinologist examined him
                                               assistance of another person, or                         assistance of another person, or                      in 2017 and certified that he has had no
                                               resulting in impaired cognitive function                 resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                               that occurred without warning in the                     that occurred without warning in the                  in loss of consciousness, requiring the
                                               past 12 months and no recurrent (two or                  past 12 months and no recurrent (two or               assistance of another person, or
                                               more) severe hypoglycemic episodes in                    more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                               the last five years. His endocrinologist                 the last five years. His endocrinologist              that occurred without warning in the
                                               certifies that Mr. Kirkland understands                  certifies that Mr. Kracht understands                 past 12 months and no recurrent (two or
                                               diabetes management and monitoring,                      diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                               has stable control of his diabetes using                 has stable control of his diabetes using              the last five years. His endocrinologist
                                               insulin, and is able to drive a CMV                      insulin, and is able to drive a CMV                   certifies that Mr. Lubanski understands
                                               safely. Mr. Kirkland meets the                           safely. Mr. Kracht meets the                          diabetes management and monitoring,
                                               requirements of the vision standard at                   requirements of the vision standard at                has stable control of his diabetes using
                                               49 CFR 391.41(b)(10). His optometrist                    49 CFR 391.41(b)(10). His optometrist                 insulin, and is able to drive a CMV
                                               examined him in 2018 and certified that                  examined him in 2018 and certified that               safely. Mr. Lubanski meets the
                                               he does not have diabetic retinopathy.                   he does not have diabetic retinopathy.                requirements of the vision standard at
                                               He holds a Class A CDL from Ohio.                        He holds an operator’s license from                   49 CFR 391.41(b)(10). His optometrist
                                                                                                        Iowa.                                                 examined him in 2018 and certified that
                                               Scott M. Kiser
                                                                                                                                                              he does not have diabetic retinopathy.
                                                 Mr. Kiser, 45, has had ITDM since                      Jeffrey L. Kramer
                                                                                                                                                              He holds a Class B CDL from New
                                               2016. His endocrinologist examined him                      Mr. Kramer, 56, has had ITDM since                 Jersey.
                                               in 2017 and certified that he has had no                 1992. His endocrinologist examined him
                                               severe hypoglycemic reactions resulting                  in 2018 and certified that he has had no              Thomas W. Markham
                                               in loss of consciousness, requiring the                  severe hypoglycemic reactions resulting                 Mr. Markham, 61, has had ITDM since
                                               assistance of another person, or                         in loss of consciousness, requiring the               2017. 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. Kiser understands                     the last five years. His endocrinologist              that occurred without warning in the
                                               diabetes management and monitoring,                      certifies that Mr. Kramer 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. Kiser meets the requirements                 insulin, and is able to drive a CMV                   certifies that Mr. Markham understands
                                               of the vision standard at 49 CFR                         safely. Mr. Kramer meets the                          diabetes management and monitoring,
                                               391.41(b)(10). His optometrist examined                  requirements of the vision standard at                has stable control of his diabetes using
                                               him in 2017 and certified that he does                   49 CFR 391.41(b)(10). His                             insulin, and is able to drive a CMV
                                               not have diabetic retinopathy. He holds                  ophthalmologist examined him in 2018                  safely. Mr. Markham meets the
                                               a Class A CDL from Georgia.                              and certified that he has stable                      requirements of the vision standard at
                                                                                                        nonproliferative diabetic retinopathy.                49 CFR 391.41(b)(10). His optometrist
                                               Lee E. Koehn
                                                                                                        He holds a Class B CDL from Ohio.                     examined him in 2017 and certified that
                                                 Mr. Koehn, 68, has had ITDM since                                                                            he does not have diabetic retinopathy.
                                               2017. His endocrinologist examined him                   Brad M. Ligols
                                                                                                                                                              He holds a Class A CDL from
                                               in 2018 and certified that he has had no                   Mr. Ligols, 54, has had ITDM since                  Minnesota.
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                                               severe hypoglycemic reactions resulting                  2000. His endocrinologist examined him
                                               in loss of consciousness, requiring the                  in 2018 and certified that he has had no              Richard T. McAtee II
                                               assistance of another person, or                         severe hypoglycemic reactions resulting                 Mr. McAtee, 49, has had ITDM since
                                               resulting in impaired cognitive function                 in loss of consciousness, requiring the               2014. His endocrinologist examined him
                                               that occurred without warning in the                     assistance of another person, or                      in 2018 and certified that he has had no
                                               past 12 months and no recurrent (two or                  resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                               more) severe hypoglycemic episodes in                    that occurred without warning in the                  in loss of consciousness, requiring the


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                                                                               Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices                                          33301

                                               assistance of another person, or                         severe hypoglycemic reactions resulting               Rowdy V. Orr
                                               resulting in impaired cognitive function                 in loss of consciousness, requiring the                 Mr. Orr, 38, has had ITDM since 2010.
                                               that occurred without warning in the                     assistance of another person, or                      His endocrinologist examined him in
                                               past 12 months and no recurrent (two or                  resulting in impaired cognitive function              2018 and certified that he has had no
                                               more) severe hypoglycemic episodes in                    that occurred without warning in the                  severe hypoglycemic reactions resulting
                                               the last five years. His endocrinologist                 past 12 months and no recurrent (two or               in loss of consciousness, requiring the
                                               certifies that Mr. McAtee understands                    more) severe hypoglycemic episodes in                 assistance of another person, or
                                               diabetes management and monitoring,                      the last five years. His endocrinologist              resulting in impaired cognitive function
                                               has stable control of his diabetes using                 certifies that Mr. Morgan understands                 that occurred without warning in the
                                               insulin, and is able to drive a CMV                      diabetes management and monitoring,                   past 12 months and no recurrent (two or
                                               safely. Mr. McAtee meets the                             has stable control of his diabetes using              more) severe hypoglycemic episodes in
                                               requirements of the vision standard at                   insulin, and is able to drive a CMV                   the last five years. His endocrinologist
                                               49 CFR 391.41(b)(10). His optometrist                    safely. Mr. Morgan meets the                          certifies that Mr. Orr understands
                                               examined him in 2018 and certified that                  requirements of the vision standard at                diabetes management and monitoring,
                                               he does not have diabetic retinopathy.                   49 CFR 391.41(b)(10). His optometrist                 has stable control of his diabetes using
                                               He holds a Class A CDL from Ohio.                        examined him in 2018 and certified that               insulin, and is able to drive a CMV
                                               John T. McEntire III                                     he does not have diabetic retinopathy.                safely. Mr. Orr meets the requirements
                                                                                                        He holds an operator’s license from                   of the vision standard at 49 CFR
                                                 Mr. McEntire, 24, has had ITDM since                   Vermont.
                                               2007. His endocrinologist examined him                                                                         391.41(b)(10). His optometrist examined
                                               in 2018 and certified that he has had no                 Cecil M. Morris, Jr.                                  him in 2018 and certified that he does
                                               severe hypoglycemic reactions resulting                                                                        not have diabetic retinopathy. He holds
                                                                                                          Mr. Morris, 60, has had ITDM since                  an operator’s license from Texas.
                                               in loss of consciousness, requiring the
                                                                                                        2014. His endocrinologist examined him
                                               assistance of another person, or                                                                               Neal J. Pangrazio
                                                                                                        in 2018 and certified that he has had no
                                               resulting in impaired cognitive function
                                                                                                        severe hypoglycemic reactions resulting                 Mr. Pangrazio, 60, has had ITDM
                                               that occurred without warning in the
                                                                                                        in loss of consciousness, requiring the               since 2017. His endocrinologist
                                               past 12 months and no recurrent (two or
                                                                                                        assistance of another person, or                      examined him in 2018 and certified that
                                               more) severe hypoglycemic episodes in
                                                                                                        resulting in impaired cognitive function              he has had no severe hypoglycemic
                                               the last five years. His endocrinologist
                                                                                                        that occurred without warning in the                  reactions resulting in loss of
                                               certifies that Mr. McEntire understands
                                                                                                        past 12 months and no recurrent (two or               consciousness, requiring the assistance
                                               diabetes management and monitoring,
                                                                                                        more) severe hypoglycemic episodes in                 of another person, or resulting in
                                               has stable control of his diabetes using
                                                                                                        the last five years. His endocrinologist              impaired cognitive function that
                                               insulin, and is able to drive a CMV
                                                                                                        certifies that Mr. Morris understands                 occurred without warning in the past 12
                                               safely. Mr. McEntire meets the
                                                                                                        diabetes management and monitoring,                   months and no recurrent (two or more)
                                               requirements of the vision standard at
                                                                                                        has stable control of his diabetes using              severe hypoglycemic episodes in the
                                               49 CFR 391.41(b)(10). His
                                                                                                        insulin, and is able to drive a CMV                   last five years. His endocrinologist
                                               ophthalmologist examined him in 2018
                                                                                                        safely. Mr. Morris meets the                          certifies that Mr. Pangrazio understands
                                               and certified that he has stable
                                                                                                        requirements of the vision standard at                diabetes management and monitoring,
                                               nonproliferative diabetic retinopathy.
                                                                                                        49 CFR 391.41(b)(10). His                             has stable control of his diabetes using
                                               He holds an operator’s license from
                                                                                                        ophthalmologist examined him in 2018                  insulin, and is able to drive a CMV
                                               South Carolina.
                                                                                                        and certified that he does not have                   safely. Mr. Pangrazio meets the
                                               Jonathan D. Miles                                        diabetic retinopathy. He holds an                     requirements of the vision standard at
                                                 Mr. Miles, 45, has had ITDM since                      operator’s license from Kentucky.                     49 CFR 391.41(b)(10). His
                                               2017. His endocrinologist examined him                   Nicholas C. O’Connor                                  ophthalmologist examined him in 2018
                                               in 2018 and certified that he has had no                                                                       and certified that he does not have
                                               severe hypoglycemic reactions resulting                    Mr. O’Connor, 32, has had ITDM                      diabetic retinopathy. He holds a Class A
                                               in loss of consciousness, requiring the                  since 2004. His endocrinologist                       CDL from New York.
                                               assistance of another person, or                         examined him in 2018 and certified that
                                                                                                        he has had no severe hypoglycemic                     William T. Phipps, Jr.
                                               resulting in impaired cognitive function
                                               that occurred without warning in the                     reactions resulting in loss of                          Mr. Phipps, 48, has had ITDM since
                                               past 12 months and no recurrent (two or                  consciousness, requiring the assistance               2010. His endocrinologist examined him
                                               more) severe hypoglycemic episodes in                    of another person, or resulting in                    in 2018 and certified that he has had no
                                               the last five years. His endocrinologist                 impaired cognitive function that                      severe hypoglycemic reactions resulting
                                               certifies that Mr. Miles understands                     occurred without warning in the past 12               in loss of consciousness, requiring the
                                               diabetes management and monitoring,                      months and no recurrent (two or more)                 assistance of another person, or
                                               has stable control of his diabetes using                 severe hypoglycemic episodes in the                   resulting in impaired cognitive function
                                               insulin, and is able to drive a CMV                      last five years. His endocrinologist                  that occurred without warning in the
                                               safely. Mr. Miles meets the requirements                 certifies that Mr. O’Connor understands               past 12 months and no recurrent (two or
                                               of the vision standard at 49 CFR                         diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                               391.41(b)(10). His optometrist examined                  has stable control of his diabetes using              the last five years. His endocrinologist
                                               him in 2018 and certified that he does                   insulin, and is able to drive a CMV                   certifies that Mr. Phipps understands
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                                               not have diabetic retinopathy. He holds                  safely. Mr. O’Connor meets the                        diabetes management and monitoring,
                                               a Class A CDL from Indiana.                              requirements of the vision standard at                has stable control of his diabetes using
                                                                                                        49 CFR 391.41(b)(10). His                             insulin, and is able to drive a CMV
                                               Brian J. Morgan                                          ophthalmologist examined him in 2018                  safely. Mr. Phipps meets the
                                                 Mr. Morgan, 46, has had ITDM since                     and certified that he does not have                   requirements of the vision standard at
                                               2001. His endocrinologist examined him                   diabetic retinopathy. He holds a Class A              49 CFR 391.41(b)(10). His
                                               in 2018 and certified that he has had no                 CDL from Massachusetts.                               ophthalmologist examined him in 2018


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                                               33302                           Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices

                                               and certified that he has stable                         meets the requirements of the vision                  has stable control of his diabetes using
                                               nonproliferative and stable proliferative                standard at 49 CFR 391.41(b)(10). His                 insulin, and is able to drive a CMV
                                               diabetic retinopathy. He holds a Class A                 ophthalmologist examined him in 2018                  safely. Mr. Schrepp meets the
                                               CDL from Maryland.                                       and certified that he has stable                      requirements of the vision standard at
                                                                                                        nonproliferative diabetic retinopathy.                49 CFR 391.41(b)(10). His optometrist
                                               Robert A. Pope
                                                                                                        He holds a Class A CDL from                           examined him in 2018 and certified that
                                                 Mr. Pope, 53, has had ITDM since                       Washington.                                           he does not have diabetic retinopathy.
                                               2017. His endocrinologist examined him                                                                         He holds a Class B CDL from Georgia.
                                               in 2018 and certified that he has had no                 Joselito Rosario
                                               severe hypoglycemic reactions resulting                    Mr. Rosario, 49, has had ITDM since                 James W. Shirk
                                               in loss of consciousness, requiring the                  2004. His endocrinologist examined him                  Mr. Shirk, 59, has had ITDM since
                                               assistance of another person, or                         in 2017 and certified that he has had no              2017. 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. Pope 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. Rosario understands                the last five years. His endocrinologist
                                               safely. Mr. Pope meets the requirements                  diabetes management and monitoring,                   certifies that Mr. Shirk understands
                                               of the vision standard at 49 CFR                         has stable control of his diabetes using              diabetes management and monitoring,
                                               391.41(b)(10). His optometrist examined                  insulin, and is able to drive a CMV                   has stable control of his diabetes using
                                               him in 2018 and certified that he does                   safely. Mr. Rosario meets the                         insulin, and is able to drive a CMV
                                               not have diabetic retinopathy. He holds                  requirements of the vision standard at                safely. Mr. Shirk meets the requirements
                                               a Class A CDL from Iowa.                                 49 CFR 391.41(b)(10). His optometrist                 of the vision standard at 49 CFR
                                                                                                        examined him in 2018 and certified that               391.41(b)(10). His ophthalmologist
                                               Micky J. Powers
                                                                                                        he does not have diabetic retinopathy.                examined him in 2017 and certified that
                                                 Mr. Powers, 71, has had ITDM since                     He holds a Class A CDL from                           he does not have diabetic retinopathy.
                                               2017. His endocrinologist examined him                   Massachusetts.                                        He holds a Class A CDL from
                                               in 2018 and certified that he has had no                                                                       Pennsylvania.
                                               severe hypoglycemic reactions resulting                  Gregory L. Ryan
                                               in loss of consciousness, requiring the                    Mr. Ryan, 61, has had ITDM since                    Michael J. Simko
                                               assistance of another person, or                         2018. His endocrinologist examined him                  Mr. Simko, 28, has had ITDM since
                                               resulting in impaired cognitive function                 in 2018 and certified that he has had no              2013. His endocrinologist examined him
                                               that occurred without warning in the                     severe hypoglycemic reactions resulting               in 2018 and certified that he has had no
                                               past 12 months and no recurrent (two or                  in loss of consciousness, requiring the               severe hypoglycemic reactions resulting
                                               more) severe hypoglycemic episodes in                    assistance of another person, or                      in loss of consciousness, requiring the
                                               the last five years. His endocrinologist                 resulting in impaired cognitive function              assistance of another person, or
                                               certifies that Mr. Powers understands                    that occurred without warning in the                  resulting in impaired cognitive function
                                               diabetes management and monitoring,                      past 12 months and no recurrent (two or               that occurred without warning in the
                                               has stable control of his diabetes using                 more) severe hypoglycemic episodes in                 past 12 months and no recurrent (two or
                                               insulin, and is able to drive a CMV                      the last five years. His endocrinologist              more) severe hypoglycemic episodes in
                                               safely. Mr. Powers meets the                             certifies that Mr. Ryan understands                   the last five years. His endocrinologist
                                               requirements of the vision standard at                   diabetes management and monitoring,                   certifies that Mr. Simko understands
                                               49 CFR 391.41(b)(10). His optometrist                    has stable control of his diabetes using              diabetes management and monitoring,
                                               examined him in 2018 and certified that                  insulin, and is able to drive a CMV                   has stable control of his diabetes using
                                               he does not have diabetic retinopathy.                   safely. Mr. Ryan meets the requirements               insulin, and is able to drive a CMV
                                               He holds a Class A CDL from Missouri.                    of the vision standard at 49 CFR                      safely. Mr. Simko meets the
                                                                                                        391.41(b)(10). His optometrist examined               requirements of the vision standard at
                                               Shawn K. Richardson
                                                                                                        him in 2018 and certified that he does                49 CFR 391.41(b)(10). His optometrist
                                                 Mr. Richardson, 54, has had ITDM                       not have diabetic retinopathy. He holds               examined him in 2018 and certified that
                                               since 2012. His endocrinologist                          a Class A CDL from Delaware.                          he does not have diabetic retinopathy.
                                               examined him in 2018 and certified that                                                                        He holds an operator’s license from
                                               he has had no severe hypoglycemic                        Howard G. Schrepp
                                                                                                                                                              Pennsylvania.
                                               reactions resulting in loss of                             Mr. Schrepp, 63, has had ITDM since
                                               consciousness, requiring the assistance                  2013. His endocrinologist examined him                Roderick Q. Smith
                                               of another person, or resulting in                       in 2017 and certified that he has had no                Mr. Smith, 57, has had ITDM since
                                               impaired cognitive function that                         severe hypoglycemic reactions resulting               2005. His endocrinologist examined him
                                               occurred without warning in the past 12                  in loss of consciousness, requiring the               in 2018 and certified that he has had no
                                               months and no recurrent (two or more)                    assistance of another person, or                      severe hypoglycemic reactions resulting
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                                               severe hypoglycemic episodes in the                      resulting in impaired cognitive function              in loss of consciousness, requiring the
                                               last five years. His endocrinologist                     that occurred without warning in the                  assistance of another person, or
                                               certifies that Mr. Richardson                            past 12 months and no recurrent (two or               resulting in impaired cognitive function
                                               understands diabetes management and                      more) severe hypoglycemic episodes in                 that occurred without warning in the
                                               monitoring, has stable control of his                    the last five years. His endocrinologist              past 12 months and no recurrent (two or
                                               diabetes using insulin, and is able to                   certifies that Mr. Schrepp understands                more) severe hypoglycemic episodes in
                                               drive a CMV safely. Mr. Richardson                       diabetes management and monitoring,                   the last five years. His endocrinologist


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                                                                               Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices                                          33303

                                               certifies that Mr. Smith understands                     past 12 months and no recurrent (two or               assistance of another person, or
                                               diabetes management and monitoring,                      more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                               has stable control of his diabetes using                 the last five years. His endocrinologist              that occurred without warning in the
                                               insulin, and is able to drive a CMV                      certifies that Mr. Symons understands                 past 12 months and no recurrent (two or
                                               safely. Mr. Smith meets the                              diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                               requirements of the vision standard at                   has stable control of his diabetes using              the last five years. His endocrinologist
                                               49 CFR 391.41(b)(10). His                                insulin, and is able to drive a CMV                   certifies that Mr. Trujillo understands
                                               ophthalmologist examined him in 2018                     safely. Mr. Symons meets the                          diabetes management and monitoring,
                                               and certified that he does not have                      requirements of the vision standard at                has stable control of his diabetes using
                                               diabetic retinopathy. He holds an                        49 CFR 391.41(b)(10). His optometrist                 insulin, and is able to drive a CMV
                                               operator’s license from Illinois.                        examined him in 2018 and certified that               safely. Mr. Trujillo meets the
                                                                                                        he does not have diabetic retinopathy.                requirements of the vision standard at
                                               Walter C. Snodgrass, Jr.
                                                                                                        He holds an operator’s license from                   49 CFR 391.41(b)(10). His optometrist
                                                 Mr. Snodgrass, 57, has had ITDM                        Michigan.                                             examined him in 2018 and certified that
                                               since 2017. His endocrinologist                                                                                he does not have diabetic retinopathy.
                                               examined him in 2018 and certified that                  Felipe D. Torres
                                                                                                                                                              He holds a Class A CDL from New
                                               he has had no severe hypoglycemic                          Mr. Torres, 48, has had ITDM since                  Mexico.
                                               reactions resulting in loss of                           2013. His endocrinologist examined him
                                               consciousness, requiring the assistance                  in 2018 and certified that he has had no              Lynda D. Vance
                                               of another person, or resulting in                       severe hypoglycemic reactions resulting                 Ms. Vance, 34, has had ITDM since
                                               impaired cognitive function that                         in loss of consciousness, requiring the               2018. Her endocrinologist examined her
                                               occurred without warning in the past 12                  assistance of another person, or                      in 2018 and certified that she has had
                                               months and no recurrent (two or more)                    resulting in impaired cognitive function              no severe hypoglycemic reactions
                                               severe hypoglycemic episodes in the                      that occurred without warning in the                  resulting in loss of consciousness,
                                               last five years. His endocrinologist                     past 12 months and no recurrent (two or               requiring the assistance of another
                                               certifies that Mr. Snodgrass understands                 more) severe hypoglycemic episodes in                 person, or resulting in impaired
                                               diabetes management and monitoring,                      the last five years. His endocrinologist              cognitive function that occurred without
                                               has stable control of his diabetes using                 certifies that Mr. Torres understands                 warning in the past 12 months and no
                                               insulin, and is able to drive a CMV                      diabetes management and monitoring,                   recurrent (two or more) severe
                                               safely. Mr. Snodgrass meets the                          has stable control of his diabetes using              hypoglycemic episodes in the last five
                                               requirements of the vision standard at                   insulin, and is able to drive a CMV                   years. Her endocrinologist certifies that
                                               49 CFR 391.41(b)(10). His optometrist                    safely. Mr. Torres meets the                          Ms. Vance understands diabetes
                                               examined him in 2018 and certified that                  requirements of the vision standard at                management and monitoring, has stable
                                               he does not have diabetic retinopathy.                   49 CFR 391.41(b)(10). His optometrist                 control of her diabetes using insulin,
                                               He holds a Class A CDL from Indiana.                     examined him in 2018 and certified that               and is able to drive a CMV safely. Ms.
                                                                                                        he does not have diabetic retinopathy.                Vance meets the requirements of the
                                               Robert W. Stewart
                                                                                                        He holds an operator’s license from                   vision standard at 49 CFR 391.41(b)(10).
                                                 Mr. Stewart, 70, has had ITDM since                    Texas.                                                Her optometrist examined her in 2018
                                               2017. His endocrinologist examined him                                                                         and certified that she does not have
                                               in 2018 and certified that he has had no                 James J. Triplett
                                                                                                                                                              diabetic retinopathy. She holds an
                                               severe hypoglycemic reactions resulting                    Mr. Triplett, 77, has had ITDM since                operator’s license from Tennessee.
                                               in loss of consciousness, requiring the                  2004. His endocrinologist examined him
                                               assistance of another person, or                         in 2018 and certified that he has had no              Christopher E. Vazquez
                                               resulting in impaired cognitive function                 severe hypoglycemic reactions resulting                 Mr. Vazquez, 21, has had ITDM since
                                               that occurred without warning in the                     in loss of consciousness, requiring the               1997. His endocrinologist examined him
                                               past 12 months and no recurrent (two or                  assistance of another person, or                      in 2018 and certified that he has had no
                                               more) severe hypoglycemic episodes in                    resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                               the last five years. His endocrinologist                 that occurred without warning in the                  in loss of consciousness, requiring the
                                               certifies that Mr. Stewart understands                   past 12 months and no recurrent (two or               assistance of another person, or
                                               diabetes management and monitoring,                      more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                               has stable control of his diabetes using                 the last five years. His endocrinologist              that occurred without warning in the
                                               insulin, and is able to drive a CMV                      certifies that Mr. Triplett understands               past 12 months and no recurrent (two or
                                               safely. Mr. Stewart meets the                            diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                               requirements of the vision standard at                   has stable control of his diabetes using              the last five years. His endocrinologist
                                               49 CFR 391.41(b)(10). His                                insulin, and is able to drive a CMV                   certifies that Mr. Vazquez understands
                                               ophthalmologist examined him in 2018                     safely. Mr. Triplett meets the                        diabetes management and monitoring,
                                               and certified that he does not have                      requirements of the vision standard at                has stable control of his diabetes using
                                               diabetic retinopathy. He holds a Class A                 49 CFR 391.41(b)(10). His                             insulin, and is able to drive a CMV
                                               CDL from North Carolina.                                 ophthalmologist examined him in 2018                  safely. Mr. Vazquez meets the
                                                                                                        and certified that he does not have                   requirements of the vision standard at
                                               Joseph W. Symons
                                                                                                        diabetic retinopathy. He holds a Class A              49 CFR 391.41(b)(10). His optometrist
                                                 Mr. Symons, 36, has had ITDM since                     CDL from Tennessee.                                   examined him in 2018 and certified that
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                                               2018. His endocrinologist examined him                                                                         he does not have diabetic retinopathy.
                                               in 2018 and certified that he has had no                 Amos L. Trujillo
                                                                                                                                                              He holds a Class A CDL from
                                               severe hypoglycemic reactions resulting                    Mr. Trujillo, 50, has had ITDM since                Connecticut.
                                               in loss of consciousness, requiring the                  2012. His endocrinologist examined him
                                               assistance of another person, or                         in 2018 and certified that he has had no              Michael J. Vigna
                                               resulting in impaired cognitive function                 severe hypoglycemic reactions resulting                 Mr. Vigna, 61, has had ITDM since
                                               that occurred without warning in the                     in loss of consciousness, requiring the               2017. His endocrinologist examined him


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                                               33304                           Federal Register / Vol. 83, No. 137 / Tuesday, July 17, 2018 / Notices

                                               in 2018 and certified that he has had no                 III. Request for Comments                             DEPARTMENT OF TRANSPORTATION
                                               severe hypoglycemic reactions resulting
                                               in loss of consciousness, requiring the                    In accordance with 49 U.S.C. 31136(e)               National Highway Traffic Safety
                                               assistance of another person, or                         and 31315, FMCSA requests public                      Administration
                                               resulting in impaired cognitive function                 comment from all interested persons on
                                               that occurred without warning in the                     the exemption petitions described in                  Reports, Forms, and Record Keeping
                                               past 12 months and no recurrent (two or                  this notice. We will consider all                     Requirements Agency Information
                                               more) severe hypoglycemic episodes in                    comments received before the close of                 Collection Activity Under OMB Review
                                               the last five years. His endocrinologist                 business on the closing date indicated                AGENCY: National Highway Traffic
                                               certifies that Mr. Vigna understands                     in the dates section of the notice.                   Safety Administration (NHTSA), DOT.
                                               diabetes management and monitoring,                                                                            ACTION: Notice of the OMB review of
                                                                                                        IV. Submitting Comments
                                               has stable control of his diabetes using                                                                       information collection; request for
                                               insulin, and is able to drive a CMV                         You may submit your comments and                   comments.
                                               safely. Mr. Vigna meets the                              material online or by fax, mail, or hand
                                               requirements of the vision standard at                   delivery, but please use only one of                  SUMMARY:    In compliance with the
                                               49 CFR 391.41(b)(10). His optometrist                    these means. FMCSA recommends that                    Paperwork Reduction Act of 1995, this
                                               examined him in 2018 and certified that                  you include your name and a mailing                   notice announces that the Information
                                               he does not have diabetic retinopathy.                                                                         Collection Request (ICR) abstracted
                                                                                                        address, an email address, or a phone
                                               He holds a Class A CDL from Illinois.                                                                          below will be submitted to the Office of
                                                                                                        number in the body of your document
                                                                                                                                                              Management and Budget (OMB) for
                                               Brian P. Walsh                                           so that FMCSA can contact you if there                review. A Federal Register Notice with
                                                                                                        are questions regarding your                          a 60-day comment period soliciting
                                                 Mr. Walsh, 47, has had ITDM since                      submission.                                           public comments on this information
                                               1998. His endocrinologist examined him
                                                                                                           To submit your comment online, go to               collection was published on August 24,
                                               in 2018 and certified that he has had no
                                                                                                        http://www.regulations.gov and in the                 2017 (Federal Register/Vol. 82, No. 109/
                                               severe hypoglycemic reactions resulting
                                                                                                        search box insert the docket number                   pp. 34152–34154).
                                               in loss of consciousness, requiring the
                                               assistance of another person, or                         FMCSA–2018–0032 and click the search                  DATES: Submit comments on or before
                                               resulting in impaired cognitive function                 button. When the new screen appears,                  August 16, 2018.
                                               that occurred without warning in the                     click on the blue ‘‘Comment Now!’’                    ADDRESSES: Submit comments through
                                               past 12 months and no recurrent (two or                  button on the right hand side of the                  one of the following methods:
                                               more) severe hypoglycemic episodes in                    page. On the new page, enter                             • Electronically through http://
                                               the last five years. His endocrinologist                 information required including the                    www.regulations.gov. Follow the on-line
                                               certifies that Mr. Walsh understands                     specific section of this document to                  instructions for submitting comments.
                                               diabetes management and monitoring,                      which each comment applies, and                          • Mail and Hand Delivery/Courier to:
                                               has stable control of his diabetes using                 provide a reason for each suggestion or               Office of Information and Regulatory
                                                                                                        recommendation. If you submit your                    Affairs, Office of Management and
                                               insulin, and is able to drive a CMV
                                                                                                        comments by mail or hand delivery,                    Budget (OMB), 725 17th Street NW,
                                               safely. Mr. Walsh meets the
                                                                                                        submit them in an unbound format, no                  Washington, DC 20503, Attention
                                               requirements of the vision standard at
                                                                                                        larger than 81⁄2 by 11 inches, suitable for           NHTSA Desk Officer.
                                               49 CFR 391.41(b)(10). His
                                               ophthalmologist examined him in 2018                     copying and electronic filing. If you                 FOR FURTHER INFORMATION CONTACT:
                                               and certified that he does not have                      submit comments by mail and would                     Kathryn Wochinger, Office of
                                               diabetic retinopathy. He holds an                        like to know that they reached the                    Behavioral Safety Research (NPD–310),
                                               operator’s license from Iowa.                            facility, please enclose a stamped, self-             NHTSA, W46–487, 1200 New Jersey
                                                                                                                                                              Avenue SE, Washington, DC 20590. Dr.
                                                                                                        addressed postcard or envelope.
                                               Nathan L. Watson                                                                                               Wochinger’s phone number is (202)
                                                                                                           We will consider all comments and                  366–4300, and email address is
                                                 Mr. Watson, 25, has had ITDM since                     materials received during the comment                 kathryn.wochinger@dot.gov.
                                               1994. His endocrinologist examined him                   period. FMCSA may issue a final                       SUPPLEMENTARY INFORMATION:
                                               in 2018 and certified that he has had no                 determination at any time after the close                Title: State of the Practice of Ignition
                                               severe hypoglycemic reactions resulting                  of the comment period.                                Interlock Programs.
                                               in loss of consciousness, requiring the                                                                           Form No.: NHTSA Form 1450
                                               assistance of another person, or                         V. Viewing Comments and Documents
                                                                                                                                                              (questionnaire) and 1451 (discussion
                                               resulting in impaired cognitive function                                                                       guide).
                                                                                                          To view comments, as well as any
                                               that occurred without warning in the                                                                              Type of Review: Regular.
                                                                                                        documents mentioned in this preamble,
                                               past 12 months and no recurrent (two or                                                                           Abstract: Alcohol impairment is one
                                               more) severe hypoglycemic episodes in                    go to http://www.regulations.gov and in
                                                                                                                                                              of the primary causes of motor vehicle
                                               the last five years. His endocrinologist                 the search box insert the docket number
                                                                                                                                                              crashes on the Nation’s highways. For
                                               certifies that Mr. Watson understands                    FMCSA–2018–0032 and click ‘‘Search.’’
                                                                                                                                                              example, 28 percent of all motor vehicle
                                               diabetes management and monitoring,                      Next, click ‘‘Open Docket Folder’’ and                traffic fatalities in 2016 involved
                                               has stable control of his diabetes using                 you will find all documents and                       alcohol-impairment. One
                                               insulin, and is able to drive a CMV                      comments related to this notice.                      countermeasure to alcohol-impaired
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                                               safely. Mr. Watson meets the                               Issued on: July 12, 2018.                           driving is the ignition interlock, and
                                               requirements of the vision standard at                   Larry W. Minor,                                       nearly every State, the District of
                                               49 CFR 391.41(b)(10). His optometrist                    Associate Administrator for Policy.                   Columbia and Puerto Rico deliver
                                               examined him in 2017 and certified that                                                                        interlock services for Driving While
                                                                                                        [FR Doc. 2018–15262 Filed 7–16–18; 8:45 am]
                                               he does not have diabetic retinopathy.                                                                         Impaired (DWI) offenders. Highway
                                                                                                        BILLING CODE 4910–EX–P
                                               He holds an operator’s license from                                                                            safety officials and traffic safety
                                               Texas.                                                                                                         advocates identified a need for an


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Document Created: 2018-07-17 01:38:53
Document Modified: 2018-07-17 01:38:53
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 August 16, 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 33297 

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