83_FR_36809 83 FR 36663 - Agency Information Collection Activities; Request for Comments; Revision and Renewal of an Approved Information Collection: Medical Qualification Requirements

83 FR 36663 - Agency Information Collection Activities; Request for Comments; Revision and Renewal of an Approved Information Collection: Medical Qualification Requirements

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 83, Issue 146 (July 30, 2018)

Page Range36663-36666
FR Document2018-16224

In accordance with the Paperwork Reduction Act of 1995, FMCSA announces its plan to submit the Information Collection Request (ICR) described below to the Office of Management and Budget (OMB) for review and approval. The FMCSA requests to revise and renew an ICR titled, ``Medical Qualification Requirements,'' due to updated information for several of the Information Collections (ICs) discussed. This ICR is needed to ensure that drivers, motor carriers and the States are complying with the physical qualification requirements of commercial motor vehicle (CMV) drivers. The information collected is used to determine and certify driver medical fitness and must be collected in order for our highways to be safe. On April 27, 2018, FMCSA published a 60-day notice (83 FR 18640) requesting comment on the renewal of this ICR. In response to this notice, eight comments were received. However, none of the comments were related to information collection activities or the renewal of this ICR.

Federal Register, Volume 83 Issue 146 (Monday, July 30, 2018)
[Federal Register Volume 83, Number 146 (Monday, July 30, 2018)]
[Notices]
[Pages 36663-36666]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-16224]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2018-0119]


Agency Information Collection Activities; Request for Comments; 
Revision and Renewal of an Approved Information Collection: Medical 
Qualification Requirements

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

ACTION: Notice and request for comments.

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

SUMMARY: In accordance with the Paperwork Reduction Act of 1995, FMCSA 
announces its plan to submit the Information Collection Request (ICR) 
described below to the Office of Management and Budget (OMB) for review 
and approval. The FMCSA requests to revise and renew an ICR titled, 
``Medical Qualification Requirements,'' due to updated information for 
several of the Information Collections (ICs) discussed. This ICR is 
needed to ensure that drivers, motor carriers and the States are 
complying with the physical qualification requirements of commercial 
motor vehicle (CMV) drivers. The information collected is used to 
determine and certify driver medical fitness and must be collected in 
order for our highways to be safe. On April 27, 2018, FMCSA published a 
60-day notice (83 FR 18640) requesting comment on the renewal of this 
ICR. In response to this notice, eight comments were received. However, 
none of the comments were related to information collection activities 
or the renewal of this ICR.

DATES: Please send your comments by August 29, 2018. OMB must receive 
your comments by this date in order to act quickly on the ICR.

ADDRESSES: All comments should reference Federal Docket Management 
System (FDMS) Docket Number FMCSA-2018-0119. Interested persons are 
invited to submit written comments on the proposed information 
collection to the Office of Information and

[[Page 36664]]

Regulatory Affairs, Office of Management and Budget. Comments should be 
addressed to the attention of the Desk Officer, Department of 
Transportation/Federal Motor Carrier Safety Administration, and sent 
via electronic mail to [email protected], or faxed to (202) 
395-6974, or mailed to the Office of Information and Regulatory 
Affairs, Office of Management and Budget, Docket Library, Room 10102, 
725 17th Street NW, Washington, DC 20503.

FOR FURTHER INFORMATION CONTACT: Ms. Christine A. Hydock, Chief, 
Medical Programs Division, Department of Transportation, Federal Motor 
Carrier Safety Administration, 6th Floor, West Building, New Jersey 
Avenue SE, Washington, DC 20590-0001. Telephone: (202) 366-4001, Email 
Address: [email protected]. Office hours are 9 a.m. to 5 p.m., e.t., 
Monday through Friday, except Federal holidays.

SUPPLEMENTARY INFORMATION: 
    Title: Medical Qualification Requirements.
    OMB Control Number: 2126-0006.
    Type of Request: Revision and renewal of a current approved 
information collection.
    Respondents: Commercial motor vehicle drivers, motor carriers, 
medical examiners, testing centers.
    Estimated Number of Respondents: 65,503,280.
    Expiration Date: August 31, 2018.
    Estimated Total Annual Burden: 2,395,315 hours.
    This information collection is comprised of the following five 
information collection activities.

Physical Qualification Standards
    1,892,700 annual burden hours
    4,813,510 annual respondents
Resolution of Medical Conflict
    11 annual burden hours
    3 annual respondents
Medical Exemptions
    4,430 annual burden hours
    7,332 annual respondents
SPE Certificate Program
    2,714 annual burden hours
    2,426 annual respondents
National Registry of Certified Medical Examiners
    495,460 annual burden hours
    680,009 annual respondents

    Background: CMVs (trucks and buses) are longer, heavier, and more 
difficult to maneuver than automobiles, making them a threat to highway 
safety if not operated properly by qualified individuals. The public 
interest in, and right to have, safe highways requires the assurance 
that drivers of CMVs can safely perform the increased physical and 
mental demands of their duties. FMCSA's medical standards provide this 
assurance by requiring drivers to be examined and medically certified 
as physically and mentally qualified to drive. Therefore, information 
used to determine and certify driver medical fitness must be collected. 
FMCSA is the Federal government agency authorized to require the 
collection of this information. FMCSA is required by statute to 
establish standards for the physical qualifications of drivers who 
operate CMVs in interstate commerce for non-excepted industries [49 
U.S.C. 31136(a)(3) and 31502(b)]. The regulations discussing this 
collection are outlined in the Federal Motor Carrier Safety Regulations 
(FMCSRs) at 49 CFR 390-399.
    Below is a brief description of the included IC activities and how 
the information is used.

Physical Qualification Standards

    FMCSRs at 49 CFR 391.41 set forth the physical qualification 
standards that interstate CMV drivers who are subject to part 391 must 
meet, with the exception of commercial driver's license/commercial 
learner's permit (CDL/CLP) drivers transporting migrant workers (who 
must meet the physical qualification standards set forth in 49 CFR 
398.3). The FMCSRs covering driver physical qualification records are 
found at 49 CFR 391.43, which specify that a medical examination be 
performed on CMV drivers subject to part 391 who operate in interstate 
commerce. The results of the examination shall be recorded in 
accordance with the requirements set forth in that section. The current 
provisions of 49 CFR 391.51 and 398.3 require that a motor carrier 
retain the Medical Examiner's Certificate (MEC), Form MCSA-5876, in the 
driver's qualification (DQ) file for 3 years. The certificate affirms 
that the driver is physically qualified to drive a CMV in interstate 
commerce.
    Due to potential onset of new conditions or changes in existing 
conditions that may adversely affect a driver's ability to drive safely 
and/or cause incapacitation that could be a risk to public safety, 
periodic re-evaluation and recertification is required to assess driver 
physical qualification. MECs may be issued for up to 2 years after the 
date of examination. However, drivers with certain medical conditions 
must be certified more frequently than every 2 years. Medical Examiners 
(MEs) have discretion to certify for shorter time periods on a case-by-
case basis for medical conditions that require closer monitoring or 
that are more likely to change over time. In addition, the Safe, 
Accountable, Flexible, Efficient Transportation Act: A Legacy for Users 
requires MEs to transmit to FMCSA's Chief Medical Officer, 
electronically and on a monthly basis, driver information and results 
of any CMV driver medical examinations conducted during the previous 
month. MEs are required to maintain records of the CMV driver medical 
examinations they conduct. FMCSA does not require MEs to maintain these 
records electronically. However, there is nothing to preclude a ME from 
maintaining electronic records of the medical examinations he/she 
conducts. FMCSA is continuously evaluating new information technology 
in an attempt to decrease the burden on motor carriers and MEs. Less 
frequent collection of driver data, Medical Examination Report Forms, 
MCSA-5875, and MECs would compromise FMCSA's ability to determine ME 
compliance with FMCSA's physical qualification standards and guidelines 
in performing CMV driver medical examinations, which could result in 
MEs listed on the National Registry of Certified Medical Examiners who 
should be removed and possibly drivers that don't meet the physical 
qualification standards possessing an MEC. Less frequent data 
collection would also result in decreased validity of the data (i.e., 
less frequent data submission may increase the error rate due to 
unintentional omission of examination information). Therefore, less 
frequent collection of driver examination results is not an option.

Resolution of Medical Conflict

    The medical conflict provision provides a mechanism for drivers and 
motor carriers to request that FMCSA make a final decision to resolve 
conflicting medical evaluations when either party does not accept the 
decision of a medical specialist. If two MEs disagree about the medical 
certification of a driver, the requirements set forth in 49 CFR 391.47 
mandate that the applicant (driver or motor carrier) submit a copy of a 
report including results of all medical testing and the opinion of an 
impartial medical specialist in the field in which the medical conflict 
arose. The applicant may, if they choose to do so, submit the 
information above using fax and/or email. FMCSA uses the information 
collected from the applicant, including medical information, to 
determine if the driver should or should not be qualified. Without this 
provision and its incumbent driver medical information collection 
requirements, an unqualified person may be permitted to drive and

[[Page 36665]]

qualified persons may be prevented from driving.

Medical Exemptions and Skill Performance Evaluation (SPE) Certificates

    FMCSA may, on a case by case basis, grant a medical exemption from 
a physical qualification standard set forth in 49 CFR 391.41, if the 
Agency determines the exemption is in the interest of the public and 
would likely achieve a level of safety that is equivalent to, or 
greater than, the level that would be achieved by complying with the 
regulation. Individuals with limb impairments are permitted to operate 
a CMV, but only when they are otherwise qualified and are granted a 
Skill Performance Evaluation (SPE) certificate by FMCSA. Title 49 CFR 
381.310 establishes the procedures that persons must follow to request 
exemptions from FMCSA safety regulations. Without an exemption, 
individuals who do not meet the requirements in 49 CFR 391.41 would not 
be qualified to operate a CMV in interstate commerce. The application 
process for all exemptions currently provides for electronic collection 
of the application information by FMCSA for those applicants that 
choose to do so. They are able to fax or scan and email documents to 
FMCSA. In addition, the Diabetes and Vision Exemption Programs and the 
SPE Certificate Program maintain a database of application information. 
The Medical Programs Division maintains a database of application 
information for hearing and seizure exemptions. FMCSA must collect 
medical information about the driver's medical condition in order to 
determine eligibility to receive an exemption or an SPE certificate. 
The Agency requires all exemptions be renewed every 2 years to ensure 
that the granting of the exemption does not diminish safety under 49 
CFR 381.310. Exemption holders are required to submit annual medical 
information for review to ensure the driver continues to meet the 
physical qualification requirements. In the interest of highway safety, 
the medical examination, exemption, and SPE renewal should not be 
performed less frequently.

The National Registry of Certified Medical Examiners (National 
Registry)

    The National Registry requires MEs that conduct physical 
qualification examinations for interstate CMV drivers to complete 
training concerning FMCSA physical qualification standards, pass a 
certification test, and maintain competence through periodic training 
and testing, all of which require information collection. ME candidates 
submit demographic and eligibility data in order to register on the 
National Registry website to begin the certification process. This data 
is used to provide the public with contact information for those 
medical professionals who are certified by FMCSA to conduct interstate 
CMV driver medical examinations. Less frequent collection of ME 
candidate test results and identity and eligibility information means 
that there are less healthcare professionals attempting to become 
certified which would result in fewer certified MEs being available to 
the CMV driver and motor carrier population. This could place a huge 
burden on drivers and motor carriers to find certified MEs to perform 
their medical examinations. Therefore, less frequent collection of ME 
candidate test results and identity and eligibility information is not 
an option. MEs must provide specific driver medical examination 
information for every driver they examine on medical forms required by 
FMCSA and into the National Registry. Drivers must provide 
identification and health history information on medical forms required 
by FMCSA. The purpose for providing this information is to enable the 
ME to determine if the driver is medically qualified under 49 CFR 
391.41 and to ensure that there are no disqualifying medical conditions 
that could adversely affect their safe driving ability or cause 
incapacitation constituting a risk to the public. If this information 
was not required, the threat to public safety would be immense and 
unacceptable.
    The National Registry also requires motor carriers to verify the 
national registry number of the MEs who certify their drivers and place 
a note in the DQ file. Less frequent verification of the national 
registry numbers by motor carriers would mean drivers may not have been 
examined by a certified ME listed on the National Registry and they may 
no longer meet the physical qualifications standards of the FMCSRs even 
though they were previously certified as physically qualified.
    As a follow-on rule to the National Registry, the Medical 
Examiner's Certification Integration final rule, (80 FR 22790), 
modified several of the requirements adopted in the National Registry 
final rule, some of which have a scheduled compliance date of June 22, 
2018. Specifically, it requires (1) FMCSA to electronically transmit 
from the National Registry to the State Driver's Licensing Agencies 
(SDLAs) the driver identification information, examination results, and 
restriction information from examinations performed for holders of 
CLPs/CDLs (interstate and intrastate); (2) FMCSA to transmit 
electronically to the SDLAs the medical variance information for all 
CMV drivers; and (3) SDLAs to post the driver identification, 
examination results, and restriction information received 
electronically from FMCSA.
    However, as the Medical Examiner's Certification Integration final 
rule compliance date of June 22, 2018, approached, FMCSA reluctantly 
concluded that it would not be able to electronically transmit MEC 
information from the National Registry to the SDLAs nor would the SDLAs 
be able to electronically receive the MEC information from the National 
Registry for posting to the CDLIS driver record as intended by the 
Medical Examiner's Certification Integration final rule. Due to a 
number of delays including an incident that occurred in early December 
2017 causing the Agency to take the National Registry offline leading 
to interruptions in the development of the process for the electronic 
transmission of MEC information and medical variances, the final 
specifications for the electronic transmission of MEC information have 
not been completed. Under these circumstances, neither the Agency nor 
the stakeholders would be able to rely on the CDLIS driver record as 
official proof of medical certification unless MEs continue to issue 
the original paper MEC to qualified drivers and drivers continue to 
provide the MEC to the SDLAs, as is being done presently. All of the 
functions regarding electronic transmission of data that were to be 
implemented on June 22, 2018, are dependent upon the implementation of 
information technology infrastructure that was not available on June 
22, 2018. For this reason, on June 21, 2018, FMCSA published a notice 
(83 FR 28774) extending the compliance date for several of the 
provisions in the Medical Examiner's Certification Integration final 
rule (80 FR 22790) to June 22, 2021, to ensure that the SDLAs have 
sufficient time once the final specifications are released to make the 
necessary information technology programming changes. However, 
beginning on June 22, 2018, certified MEs are still required to report 
results of all completed CMV drivers' medical examinations (including 
the results of examinations where the driver was found not to be 
qualified) to FMCSA by midnight (local time) of the next calendar day 
following the examination but must continue issuing the original paper 
MEC to qualified drivers. All CMV drivers should continue to provide

[[Page 36666]]

the SDLA with their MEC as proof of medical certification. As a result 
of this extension, there are no additional annual burden hours or costs 
to respondents imposed by the Medical Examiner's Certification 
Integration final rule during the first 6 years of implementation of 
the final rule. Therefore, all the IC activities imposed on the MEs, 
drivers, and motor carriers over the first 6 years of implementing the 
Medical Examiner's Certification Integration final rule will remain 
unchanged.
    On April 27, 2018, FMCSA published a 60-day notice (83 FR 18640) 
requesting comment on the renewal of this ICR. In response to the 
notice, eight comments were received. However, none of the comments 
were related to information collection activities or the renewal of 
this ICR.
    Public Comments Invited: You are asked to comment on any aspect of 
this information collection, including: (1) Whether the proposed 
collection is necessary for the FMCSA to perform its functions; (2) the 
accuracy of the estimated burden; (3) ways for the FMCSA to enhance the 
quality, usefulness, and clarity of the collected information; and (4) 
ways that the burden could be minimized without reducing the quality of 
the collected information.

    Issued under the authority delegated in 49 CFR 1.87 on: July 20, 
2018.
G. Kelly Regal,
Associate Administrator for Office of Research and Information 
Technology.
[FR Doc. 2018-16224 Filed 7-27-18; 8:45 am]
 BILLING CODE 4910-EX-P



                                                                               Federal Register / Vol. 83, No. 146 / Monday, July 30, 2018 / Notices                                                   36663

                                               copy of the application is included in                   July 31, 2017, Groendyke had outfitted                 information that becomes available after
                                               the docket referenced at the beginning                   632 of its 1,440 trailers with pulsating               the comment closing date. Interested
                                               of this notice.                                          brake lamps.                                           persons should continue to examine the
                                                  Groendyke is a carrier of flammable                      Data gathered by Groendyke between                  public docket for new material.
                                               fuel and liquid hazardous materials.                     January 2015 and July 2017 show that                     Issued on: July 17, 2018.
                                               Groendyke has a fleet of approximately                   the pulsating brake lamps decreased the
                                                                                                                                                               Larry W. Minor,
                                               900 trucks and 1,440 trailers, and                       frequency of rear-end collisions by 33.7
                                                                                                                                                               Associate Administrator for Policy.
                                               employs over 1,200 individuals,                          percent. Groendyke also analyzed its
                                               including approximately 900 drivers. In                  data to determine whether the pulsating                [FR Doc. 2018–16223 Filed 7–27–18; 8:45 am]
                                               its application, Groendyke states                        brake lamps improved outcomes when                     BILLING CODE 4910–EX–P

                                               ‘‘Groendyke assessed what it could do                    drivers were slowing or stopping at
                                               to prevent other drivers from rear                       railroad crossings.1 Groendyke found
                                               ending Groendyke trailers, and                           that trailers equipped with the pulsating              DEPARTMENT OF TRANSPORTATION
                                               determined that increasing visibility of                 brake lamps were not involved in a rear-               Federal Motor Carrier Safety
                                               Groendyke trailers would be an efficient                 end crash at a railroad crossing during                Administration
                                               means to prevent rear ending accidents.                  the same time period. Groendyke states:
                                               To do this, Groendyke searched for                                                                              [Docket No. FMCSA–2018–0119]
                                                                                                           The results of the Groendyke Brake
                                               ways to cause its braking system to                      Warning Device Campaign are clear: The
                                               capture the attention of other drivers                   frequency of rear-end collisions is markedly           Agency Information Collection
                                               faster and more completely.’’                            lower when trailers are outfitted with                 Activities; Request for Comments;
                                                  In its application, Groendyke seeks an                pulsating brake lamps in addition to the               Revision and Renewal of an Approved
                                               exemption to include an amber brake-                     steady-burning lamps required by the                   Information Collection: Medical
                                               activated pulsating lamp to the rear of                  FMCSRs. The pulsating brake lamps draw                 Qualification Requirements
                                                                                                        other drivers’ attention to what is happening
                                               its trailers. The pulsating brake lamp                   with the vehicle in front more effectively and         AGENCY: Federal Motor Carrier Safety
                                               would be positioned in the upper center                  more quickly than steady burning lamps. In             Administration (FMCSA), DOT.
                                               portion of the trailer. In support of its                the interest of safety and productivity,               ACTION: Notice and request for
                                               application, Groendyke contends that                     Groendyke desires to implement the                     comments.
                                               the addition of the pulsating brake lamp                 Groendyke Brake Warning Device Campaign
                                               will improve safety, and states that (1)                 on the rest of its fleet without risking               SUMMARY:    In accordance with the
                                               research shows that pulsating brake                      violation of the FMCSRs.                               Paperwork Reduction Act of 1995,
                                               lamps in addition to steady burning red                    Exemptions for Other Classes of                      FMCSA announces its plan to submit
                                               brake lamps improves visibility and                      Vehicles. In its application, Groendyke                the Information Collection Request (ICR)
                                               prevents accidents, (2) its own                          notes that the current requirements of                 described below to the Office of
                                               experience has demonstrated that                         49 CFR 393.25(e) specifically exclude                  Management and Budget (OMB) for
                                               pulsating brake lamps in addition to                     tow trucks and CMVs from the                           review and approval. The FMCSA
                                               steady burning red brake lamps has                       requirements that all exterior lamps be                requests to revise and renew an ICR
                                               decreased the frequency of rear-end                      steady-burning. Groendyke contends                     titled, ‘‘Medical Qualification
                                               accidents involving its fleet, and (3)                   that ‘‘Allowing an exemption for drivers               Requirements,’’ due to updated
                                               similar exemptions exist for other                       of hazardous loads would be consistent                 information for several of the
                                               classes of vehicles.                                     with the intent of the regulation.’’                   Information Collections (ICs) discussed.
                                                  Research. Groendyke cites several                                                                            This ICR is needed to ensure that
                                               studies conducted by the National                        Request for Comments
                                                                                                                                                               drivers, motor carriers and the States are
                                               Highway Traffic Safety Administration,                      In accordance with 49 U.S.C. 31315                  complying with the physical
                                               another agency in the U.S. Department                    and 31136(e), FMCSA requests public                    qualification requirements of
                                               of Transportation, on the issues of rear-                comment from all interested persons on                 commercial motor vehicle (CMV)
                                               end crashes, distracted driving, and                     Groendyke’s application for an                         drivers. The information collected is
                                               braking signals. Groendyke states:                       exemption from the requirements of 49                  used to determine and certify driver
                                                  Research indicates that there are ways to             CFR 393.25(e). All comments received                   medical fitness and must be collected in
                                               improve the attention-getting qualities of               before the close of business on the                    order for our highways to be safe. On
                                               braking systems. Including a pulsating brake             comment closing date indicated at the                  April 27, 2018, FMCSA published a 60-
                                               lamp on a lead vehicle has quantifiable effect           beginning of this notice will be                       day notice (83 FR 18640) requesting
                                               on the drivers of following vehicles and                 considered and will be available for                   comment on the renewal of this ICR. In
                                               measurably reduces rear-end collisions.                  examination in the docket at the
                                               Drivers are redirected and altered faster and
                                                                                                                                                               response to this notice, eight comments
                                                                                                        location listed under the ADDRESSES                    were received. However, none of the
                                               more efficiently when a pulsating brake lamp
                                               draws their attention to the lead vehicle. As
                                                                                                        section of this notice. Comments                       comments were related to information
                                               a result, rear-end collisions, can be prevented          received after the comment closing date                collection activities or the renewal of
                                               or at least reduced.                                     will be filed in the public docket and                 this ICR.
                                                                                                        will be considered to the extent                       DATES: Please send your comments by
                                                 Groendyke Experience. Beginning in                     practicable. In addition to late
                                               the second quarter of 2015, Groendyke                                                                           August 29, 2018. OMB must receive
                                                                                                        comments, FMCSA will also continue to                  your comments by this date in order to
                                               began installing pulsating brake lamps                   file, in the public docket, relevant
                                               on some of its fleet without                                                                                    act quickly on the ICR.
daltland on DSKBBV9HB2PROD with NOTICES




                                               authorization from FMCSA to compare                        1 As cargo tank operators hauling hazardous          ADDRESSES: All comments should
                                               the frequency of rear-end collisions                     materials, Groendyke drivers are required to stop or   reference Federal Docket Management
                                               between (1) trailers equipped with                       slow significantly at railroad crossings (49 CFR       System (FDMS) Docket Number
                                               pulsating brake lamps and the required                   392.10–392.12). Groendyke notes that railroad          FMCSA–2018–0119. Interested persons
                                                                                                        crossings are a significant source of rear-end
                                               steady-burning lamps and (2) trailers                    collisions at Groendyke and elsewhere because non-
                                                                                                                                                               are invited to submit written comments
                                               equipped with only the steady-burning                    commercial drivers may not anticipate stops at         on the proposed information collection
                                               lamps required by the FMCSRs. As of                      railroad crossings.                                    to the Office of Information and


                                          VerDate Sep<11>2014   20:33 Jul 27, 2018   Jkt 244001   PO 00000   Frm 00151   Fmt 4703   Sfmt 4703   E:\FR\FM\30JYN1.SGM   30JYN1


                                               36664                           Federal Register / Vol. 83, No. 146 / Monday, July 30, 2018 / Notices

                                               Regulatory Affairs, Office of                            FMCSA’s medical standards provide                     Accountable, Flexible, Efficient
                                               Management and Budget. Comments                          this assurance by requiring drivers to be             Transportation Act: A Legacy for Users
                                               should be addressed to the attention of                  examined and medically certified as                   requires MEs to transmit to FMCSA’s
                                               the Desk Officer, Department of                          physically and mentally qualified to                  Chief Medical Officer, electronically
                                               Transportation/Federal Motor Carrier                     drive. Therefore, information used to                 and on a monthly basis, driver
                                               Safety Administration, and sent via                      determine and certify driver medical                  information and results of any CMV
                                               electronic mail to oira_submission@                      fitness must be collected. FMCSA is the               driver medical examinations conducted
                                               omb.eop.gov, or faxed to (202) 395–                      Federal government agency authorized                  during the previous month. MEs are
                                               6974, or mailed to the Office of                         to require the collection of this                     required to maintain records of the CMV
                                               Information and Regulatory Affairs,                      information. FMCSA is required by                     driver medical examinations they
                                               Office of Management and Budget,                         statute to establish standards for the                conduct. FMCSA does not require MEs
                                               Docket Library, Room 10102, 725 17th                     physical qualifications of drivers who                to maintain these records electronically.
                                               Street NW, Washington, DC 20503.                         operate CMVs in interstate commerce                   However, there is nothing to preclude a
                                               FOR FURTHER INFORMATION CONTACT: Ms.                     for non-excepted industries [49 U.S.C.                ME from maintaining electronic records
                                               Christine A. Hydock, Chief, Medical                      31136(a)(3) and 31502(b)]. The                        of the medical examinations he/she
                                               Programs Division, Department of                         regulations discussing this collection                conducts. FMCSA is continuously
                                               Transportation, Federal Motor Carrier                    are outlined in the Federal Motor                     evaluating new information technology
                                               Safety Administration, 6th Floor, West                   Carrier Safety Regulations (FMCSRs) at                in an attempt to decrease the burden on
                                               Building, New Jersey Avenue SE,                          49 CFR 390–399.                                       motor carriers and MEs. Less frequent
                                               Washington, DC 20590–0001.                                  Below is a brief description of the                collection of driver data, Medical
                                               Telephone: (202) 366–4001, Email                         included IC activities and how the                    Examination Report Forms, MCSA–
                                               Address: fmcsamedical@dot.gov. Office                    information is used.                                  5875, and MECs would compromise
                                               hours are 9 a.m. to 5 p.m., e.t., Monday                 Physical Qualification Standards                      FMCSA’s ability to determine ME
                                               through Friday, except Federal holidays.                                                                       compliance with FMCSA’s physical
                                                                                                           FMCSRs at 49 CFR 391.41 set forth
                                               SUPPLEMENTARY INFORMATION:                                                                                     qualification standards and guidelines
                                                                                                        the physical qualification standards that
                                                  Title: Medical Qualification                                                                                in performing CMV driver medical
                                                                                                        interstate CMV drivers who are subject
                                               Requirements.                                                                                                  examinations, which could result in
                                                                                                        to part 391 must meet, with the
                                                  OMB Control Number: 2126–0006.                                                                              MEs listed on the National Registry of
                                                                                                        exception of commercial driver’s
                                                  Type of Request: Revision and                                                                               Certified Medical Examiners who
                                                                                                        license/commercial learner’s permit
                                               renewal of a current approved                                                                                  should be removed and possibly drivers
                                                                                                        (CDL/CLP) drivers transporting migrant
                                               information collection.                                                                                        that don’t meet the physical
                                                                                                        workers (who must meet the physical
                                                  Respondents: Commercial motor                         qualification standards set forth in 49               qualification standards possessing an
                                               vehicle drivers, motor carriers, medical                 CFR 398.3). The FMCSRs covering                       MEC. Less frequent data collection
                                               examiners, testing centers.                              driver physical qualification records are             would also result in decreased validity
                                                  Estimated Number of Respondents:                      found at 49 CFR 391.43, which specify                 of the data (i.e., less frequent data
                                               65,503,280.                                              that a medical examination be                         submission may increase the error rate
                                                  Expiration Date: August 31, 2018.                     performed on CMV drivers subject to                   due to unintentional omission of
                                                  Estimated Total Annual Burden:                        part 391 who operate in interstate                    examination information). Therefore,
                                               2,395,315 hours.                                         commerce. The results of the                          less frequent collection of driver
                                                  This information collection is                        examination shall be recorded in                      examination results is not an option.
                                               comprised of the following five                          accordance with the requirements set                  Resolution of Medical Conflict
                                               information collection activities.                       forth in that section. The current
                                               Physical Qualification Standards                         provisions of 49 CFR 391.51 and 398.3                    The medical conflict provision
                                                  1,892,700 annual burden hours                         require that a motor carrier retain the               provides a mechanism for drivers and
                                                  4,813,510 annual respondents                          Medical Examiner’s Certificate (MEC),                 motor carriers to request that FMCSA
                                               Resolution of Medical Conflict                           Form MCSA–5876, in the driver’s                       make a final decision to resolve
                                                  11 annual burden hours                                qualification (DQ) file for 3 years. The              conflicting medical evaluations when
                                                  3 annual respondents                                  certificate affirms that the driver is                either party does not accept the decision
                                               Medical Exemptions                                       physically qualified to drive a CMV in                of a medical specialist. If two MEs
                                                  4,430 annual burden hours                             interstate commerce.                                  disagree about the medical certification
                                                  7,332 annual respondents                                 Due to potential onset of new                      of a driver, the requirements set forth in
                                               SPE Certificate Program                                  conditions or changes in existing                     49 CFR 391.47 mandate that the
                                                  2,714 annual burden hours                             conditions that may adversely affect a                applicant (driver or motor carrier)
                                                  2,426 annual respondents                              driver’s ability to drive safely and/or               submit a copy of a report including
                                               National Registry of Certified Medical                   cause incapacitation that could be a risk             results of all medical testing and the
                                                    Examiners                                           to public safety, periodic re-evaluation              opinion of an impartial medical
                                                  495,460 annual burden hours                           and recertification is required to assess             specialist in the field in which the
                                                  680,009 annual respondents                            driver physical qualification. MECs may               medical conflict arose. The applicant
                                                  Background: CMVs (trucks and buses)                   be issued for up to 2 years after the date            may, if they choose to do so, submit the
                                               are longer, heavier, and more difficult to               of examination. However, drivers with                 information above using fax and/or
                                               maneuver than automobiles, making                        certain medical conditions must be                    email. FMCSA uses the information
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                                               them a threat to highway safety if not                   certified more frequently than every 2                collected from the applicant, including
                                               operated properly by qualified                           years. Medical Examiners (MEs) have                   medical information, to determine if the
                                               individuals. The public interest in, and                 discretion to certify for shorter time                driver should or should not be qualified.
                                               right to have, safe highways requires the                periods on a case-by-case basis for                   Without this provision and its
                                               assurance that drivers of CMVs can                       medical conditions that require closer                incumbent driver medical information
                                               safely perform the increased physical                    monitoring or that are more likely to                 collection requirements, an unqualified
                                               and mental demands of their duties.                      change over time. In addition, the Safe,              person may be permitted to drive and


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                                                                               Federal Register / Vol. 83, No. 146 / Monday, July 30, 2018 / Notices                                           36665

                                               qualified persons may be prevented                       information collection. ME candidates                 performed for holders of CLPs/CDLs
                                               from driving.                                            submit demographic and eligibility data               (interstate and intrastate); (2) FMCSA to
                                                                                                        in order to register on the National                  transmit electronically to the SDLAs the
                                               Medical Exemptions and Skill
                                                                                                        Registry website to begin the                         medical variance information for all
                                               Performance Evaluation (SPE)
                                                                                                        certification process. This data is used              CMV drivers; and (3) SDLAs to post the
                                               Certificates
                                                                                                        to provide the public with contact                    driver identification, examination
                                                 FMCSA may, on a case by case basis,                    information for those medical                         results, and restriction information
                                               grant a medical exemption from a                         professionals who are certified by                    received electronically from FMCSA.
                                               physical qualification standard set forth                FMCSA to conduct interstate CMV                          However, as the Medical Examiner’s
                                               in 49 CFR 391.41, if the Agency                          driver medical examinations. Less                     Certification Integration final rule
                                               determines the exemption is in the                       frequent collection of ME candidate test              compliance date of June 22, 2018,
                                               interest of the public and would likely                  results and identity and eligibility                  approached, FMCSA reluctantly
                                               achieve a level of safety that is                        information means that there are less                 concluded that it would not be able to
                                               equivalent to, or greater than, the level                healthcare professionals attempting to                electronically transmit MEC information
                                               that would be achieved by complying                      become certified which would result in                from the National Registry to the SDLAs
                                               with the regulation. Individuals with                    fewer certified MEs being available to                nor would the SDLAs be able to
                                               limb impairments are permitted to                        the CMV driver and motor carrier                      electronically receive the MEC
                                               operate a CMV, but only when they are                    population. This could place a huge                   information from the National Registry
                                               otherwise qualified and are granted a                    burden on drivers and motor carriers to
                                               Skill Performance Evaluation (SPE)                                                                             for posting to the CDLIS driver record as
                                                                                                        find certified MEs to perform their                   intended by the Medical Examiner’s
                                               certificate by FMCSA. Title 49 CFR                       medical examinations. Therefore, less
                                               381.310 establishes the procedures that                                                                        Certification Integration final rule. Due
                                                                                                        frequent collection of ME candidate test              to a number of delays including an
                                               persons must follow to request                           results and identity and eligibility
                                               exemptions from FMCSA safety                                                                                   incident that occurred in early
                                                                                                        information is not an option. MEs must                December 2017 causing the Agency to
                                               regulations. Without an exemption,                       provide specific driver medical
                                               individuals who do not meet the                                                                                take the National Registry offline
                                                                                                        examination information for every                     leading to interruptions in the
                                               requirements in 49 CFR 391.41 would                      driver they examine on medical forms
                                               not be qualified to operate a CMV in                                                                           development of the process for the
                                                                                                        required by FMCSA and into the
                                               interstate commerce. The application                                                                           electronic transmission of MEC
                                                                                                        National Registry. Drivers must provide
                                               process for all exemptions currently                                                                           information and medical variances, the
                                                                                                        identification and health history
                                               provides for electronic collection of the                                                                      final specifications for the electronic
                                                                                                        information on medical forms required
                                               application information by FMCSA for                                                                           transmission of MEC information have
                                                                                                        by FMCSA. The purpose for providing
                                               those applicants that choose to do so.                                                                         not been completed. Under these
                                                                                                        this information is to enable the ME to
                                               They are able to fax or scan and email                                                                         circumstances, neither the Agency nor
                                                                                                        determine if the driver is medically
                                               documents to FMCSA. In addition, the                                                                           the stakeholders would be able to rely
                                                                                                        qualified under 49 CFR 391.41 and to
                                               Diabetes and Vision Exemption                                                                                  on the CDLIS driver record as official
                                                                                                        ensure that there are no disqualifying
                                               Programs and the SPE Certificate                         medical conditions that could adversely               proof of medical certification unless
                                               Program maintain a database of                           affect their safe driving ability or cause            MEs continue to issue the original paper
                                               application information. The Medical                     incapacitation constituting a risk to the             MEC to qualified drivers and drivers
                                               Programs Division maintains a database                   public. If this information was not                   continue to provide the MEC to the
                                               of application information for hearing                   required, the threat to public safety                 SDLAs, as is being done presently. All
                                               and seizure exemptions. FMCSA must                       would be immense and unacceptable.                    of the functions regarding electronic
                                               collect medical information about the                       The National Registry also requires                transmission of data that were to be
                                               driver’s medical condition in order to                   motor carriers to verify the national                 implemented on June 22, 2018, are
                                               determine eligibility to receive an                      registry number of the MEs who certify                dependent upon the implementation of
                                               exemption or an SPE certificate. The                     their drivers and place a note in the DQ              information technology infrastructure
                                               Agency requires all exemptions be                        file. Less frequent verification of the               that was not available on June 22, 2018.
                                               renewed every 2 years to ensure that the                 national registry numbers by motor                    For this reason, on June 21, 2018,
                                               granting of the exemption does not                       carriers would mean drivers may not                   FMCSA published a notice (83 FR
                                               diminish safety under 49 CFR 381.310.                    have been examined by a certified ME                  28774) extending the compliance date
                                               Exemption holders are required to                        listed on the National Registry and they              for several of the provisions in the
                                               submit annual medical information for                    may no longer meet the physical                       Medical Examiner’s Certification
                                               review to ensure the driver continues to                 qualifications standards of the FMCSRs                Integration final rule (80 FR 22790) to
                                               meet the physical qualification                          even though they were previously                      June 22, 2021, to ensure that the SDLAs
                                               requirements. In the interest of highway                 certified as physically qualified.                    have sufficient time once the final
                                               safety, the medical examination,                            As a follow-on rule to the National                specifications are released to make the
                                               exemption, and SPE renewal should not                    Registry, the Medical Examiner’s                      necessary information technology
                                               be performed less frequently.                            Certification Integration final rule, (80             programming changes. However,
                                                                                                        FR 22790), modified several of the                    beginning on June 22, 2018, certified
                                               The National Registry of Certified                       requirements adopted in the National                  MEs are still required to report results
                                               Medical Examiners (National Registry)                    Registry final rule, some of which have               of all completed CMV drivers’ medical
                                                 The National Registry requires MEs                     a scheduled compliance date of June 22,               examinations (including the results of
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                                               that conduct physical qualification                      2018. Specifically, it requires (1)                   examinations where the driver was
                                               examinations for interstate CMV drivers                  FMCSA to electronically transmit from                 found not to be qualified) to FMCSA by
                                               to complete training concerning FMCSA                    the National Registry to the State                    midnight (local time) of the next
                                               physical qualification standards, pass a                 Driver’s Licensing Agencies (SDLAs) the               calendar day following the examination
                                               certification test, and maintain                         driver identification information,                    but must continue issuing the original
                                               competence through periodic training                     examination results, and restriction                  paper MEC to qualified drivers. All
                                               and testing, all of which require                        information from examinations                         CMV drivers should continue to provide


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                                               36666                           Federal Register / Vol. 83, No. 146 / Monday, July 30, 2018 / Notices

                                               the SDLA with their MEC as proof of                      The exemption enables interstate CMV                  notice (DOT/ALL–14 FDMS), which can
                                               medical certification. As a result of this               drivers who are licensed in Virginia and              be reviewed at http://www.dot.gov/
                                               extension, there are no additional                       are subject to the Federal SPE                        privacy.
                                               annual burden hours or costs to                          requirements under 49 CFR 391.49 to                   FOR FURTHER INFORMATION CONTACT:     Ms.
                                               respondents imposed by the Medical                       continue to fulfill the Federal                       Eileen Nolan, Office of Carrier, Driver
                                               Examiner’s Certification Integration                     requirements with a State-issued SPE                  and Vehicle Safety, Medical Programs
                                               final rule during the first 6 years of                   and to operate CMVs in interstate                     Division, 202–366–4001,
                                               implementation of the final rule.                        commerce anywhere in the United                       fmcsamedical@dot.gov, FMCSA,
                                               Therefore, all the IC activities imposed                 States.                                               Department of Transportation, 1200
                                               on the MEs, drivers, and motor carriers                  DATES:  This decision is effective July 8,            New Jersey Avenue SE, Room W64–224,
                                               over the first 6 years of implementing                   2018, and will expire July 8, 2023, and               Washington, DC 20590–0001. Office
                                               the Medical Examiner’s Certification
                                                                                                        may be renewed. Comments must be                      hours are from 8:30 a.m. to 5:30 p.m.,
                                               Integration final rule will remain
                                                                                                        received on or before August 29, 2018.                e.t., Monday through Friday, except
                                               unchanged.
                                                                                                        ADDRESSES: You may submit comments                    Federal holidays. If you have questions
                                                  On April 27, 2018, FMCSA published
                                                                                                        bearing the Federal Docket Management                 regarding viewing or submitting
                                               a 60-day notice (83 FR 18640)
                                                                                                        System (FDMS) Docket No. FMCSA–                       material to the docket, contact Docket
                                               requesting comment on the renewal of
                                                                                                        2013–0147 using any of the following                  Services, telephone (202) 366–9826.
                                               this ICR. In response to the notice, eight
                                               comments were received. However,                         methods:                                              SUPPLEMENTARY INFORMATION:
                                               none of the comments were related to                        • Federal eRulemaking Portal: Go to
                                                                                                        http://www.regulations.gov. Follow the                I. Background
                                               information collection activities or the
                                               renewal of this ICR.                                     online instructions for submitting                       Under 49 U.S.C. 31136(e) and 31315,
                                                  Public Comments Invited: You are                      comments.                                             FMCSA may grant an exemption from
                                               asked to comment on any aspect of this                      • Mail: Docket Management Facility;                certain parts of the Federal Motor
                                               information collection, including: (1)                   U.S. Department of Transportation, 1200               Carrier Safety Regulations (FMCSRs) for
                                               Whether the proposed collection is                       New Jersey Avenue SE, West Building                   no longer than 5 years if it finds ‘‘such
                                               necessary for the FMCSA to perform its                   Ground Floor, Room W12–140,                           exemption would likely achieve a level
                                               functions; (2) the accuracy of the                       Washington, DC 20590–0001.                            of safety that is equivalent to or greater
                                               estimated burden; (3) ways for the                          • Hand Delivery: West Building                     than the level that would be achieved
                                               FMCSA to enhance the quality,                            Ground Floor, Room W12–140, 1200                      absent such exemption.’’ The statute
                                               usefulness, and clarity of the collected                 New Jersey Avenue SE, Washington,                     allows the Agency to renew exemptions
                                               information; and (4) ways that the                       DC, between 9 a.m. and 5 p.m., e.t.,                  at the end of the 5-year period.
                                               burden could be minimized without                        Monday through Friday, except Federal                    On July 8, 2014, FMCSA granted
                                               reducing the quality of the collected                    Holidays.                                             Virginia a 2-year exemption that enables
                                               information.                                                • Fax: 1–202–493–2251.                             interstate CMV drivers licensed in
                                                                                                           Instructions: Each submission must                 Virginia who are subject to the Federal
                                                 Issued under the authority delegated in 49             include the Agency name and the                       SPE requirements under 49 CFR 391.49
                                               CFR 1.87 on: July 20, 2018.                              docket number(s) for this notice. Note                to fulfill the Federal requirements with
                                               G. Kelly Regal,                                          that all comments received will be                    a State-issued SPE (79 FR 38659).
                                               Associate Administrator for Office of                    posted without change to http://                      Subsequently, a request for exemption
                                               Research and Information Technology.                     www.regulations.gov, including any                    renewal was received, and granted for a
                                               [FR Doc. 2018–16224 Filed 7–27–18; 8:45 am]              personal information provided. Please                 2-year period, beginning July 8, 2016
                                               BILLING CODE 4910–EX–P                                   see the Privacy Act heading below for                 and ending on July 8, 2018 (81 FR
                                                                                                        further information.                                  44674).
                                                                                                           Docket: For access to the docket to                   At the time the first exemption was
                                               DEPARTMENT OF TRANSPORTATION                             read background documents or                          granted, the term of temporary
                                                                                                        comments, go to http://                               exemptions was limited by statute to a
                                               Federal Motor Carrier Safety
                                                                                                        www.regulations.gov at any time or                    maximum of 2 years. However, on
                                               Administration
                                                                                                        Room W12–140 on the ground level of                   December 4, 2015, Congress enacted the
                                               [Docket No. FMCSA–2013–0147]                             the West Building, 1200 New Jersey                    Fixing America’s Surface Transportation
                                                                                                        Avenue SE, Washington, DC, between 9                  (FAST) Act, which now allows an
                                               Qualification of Drivers; Skill                          a.m. and 5 p.m., e.t., Monday through                 exemption to be granted for a period of
                                               Performance Evaluation; Virginia                         Friday, except Federal holidays. The                  5 years (49 U.S.C. 31315(b)(2)) if
                                               Department of Motor Vehicles                             FDMS is available 24 hours each day                   FMCSA finds ‘‘such exemption would
                                               Application for Renewal Exemption                        e.t., 365 days each year. If you want                 likely achieve a level of safety that is
                                               AGENCY:  Federal Motor Carrier Safety                    acknowledgment that we received your                  equivalent to, or greater than, the level
                                               Administration (FMCSA), DOT.                             comments, please include a self-                      that would be achieved absent such
                                               ACTION: Notice of renewal of exemption;                  addressed, stamped envelope or                        exemption.’’ Virginia has consistently
                                               request for comments.                                    postcard or print the acknowledgement                 maintained the statutory requirements
                                                                                                        page that appears after submitting                    associated with 49 U.S.C. 31136(e) and
                                               SUMMARY:   FMCSA announces its                           comments online.                                      31315 for their SPE program. Therefore,
                                               decision to renew a Virginia Department                     Privacy Act: In accordance with 5                  the Agency believes that extending the
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                                               of Motor Vehicles (DMV) exemption on                     U.S.C. 553(c), DOT solicits comments                  exemption period to a 5-year period will
                                               behalf of truck and bus drivers who are                  from the public to better inform its                  likely achieve a level of safety that is
                                               licensed in the Commonwealth of                          rulemaking process. DOT posts these                   equivalent to, or greater than, the level
                                               Virginia and need a Skill Performance                    comments, without edit, including any                 of safety achieved without the
                                               Evaluation (SPE) Certificate from                        personal information the commenter                    exemption.
                                               FMCSA to operate commercial motor                        provides, to http://www.regulations.gov,                 The requirements of the exemption
                                               vehicles (CMV) in interstate commerce.                   as described in the system of records                 were outlined in the prior notices and


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Document Created: 2018-07-28 01:44:50
Document Modified: 2018-07-28 01:44:50
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 and request for comments.
DatesPlease send your comments by August 29, 2018. OMB must receive your comments by this date in order to act quickly on the ICR.
ContactMs. Christine A. Hydock, Chief, Medical Programs Division, Department of Transportation, Federal Motor Carrier Safety Administration, 6th Floor, West Building, New Jersey Avenue SE, Washington, DC 20590-0001. Telephone: (202) 366-4001, Email
FR Citation83 FR 36663 

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