83 FR 45724 - Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders
DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration Federal Register Volume 83, Issue 175 (September 10, 2018)
Federal Motor Carrier Safety Administration
Federal Register Volume 83, Issue 175 (September 10, 2018)
| Page Range | 45724-45726 | |
| FR Document | 2018-19643 |
[Federal Register Volume 83, Number 175 (Monday, September 10, 2018)] [Notices] [Pages 45724-45726] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-19643] ----------------------------------------------------------------------- DEPARTMENT OF TRANSPORTATION Federal Motor Carrier Safety Administration [Docket No. FMCSA-2018-0054] Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT. ACTION: Notice of applications for exemption; request for comments. ----------------------------------------------------------------------- SUMMARY: FMCSA announces receipt of applications from 11 individuals for an exemption from the prohibition in the Federal Motor Carrier Safety Regulations (FMCSRs) against persons with a clinical diagnosis of epilepsy or any other condition that is likely to cause a loss of consciousness or any loss of ability to control a commercial motor vehicle (CMV) in interstate commerce. If granted, the exemptions would enable these individuals who have had one or more seizures and are taking anti-seizure medication to operate CMVs in interstate commerce. DATES: Comments must be received on or before October 10, 2018. ADDRESSES: You may submit comments bearing the Federal Docket Management System (FDMS) Docket No. FMCSA-2018-0054 using any of the following methods:Federal eRulemaking Portal: Go to http://www.regulations.gov. Follow the online instructions for submitting comments. Mail: Docket Management Facility; U.S. Department of Transportation, 1200 New Jersey Avenue SE, West Building Ground Floor, Room W12-140, Washington, DC 20590-0001. Hand Delivery: West Building Ground Floor, Room W12-140, 1200 New Jersey Avenue SE, Washington, DC, between 9 a.m. and 5 p.m., E.T., Monday through Friday, except Federal Holidays. Fax: 1-202-493-2251. Instructions: Each submission must include the Agency name and the docket number(s) for this notice. Note that all comments received will be posted without change to http://www.regulations.gov, including any personal information provided. Please see the Privacy Act heading below for further information. Docket: For access to the docket to read background documents or comments, go to http://www.regulations.gov at any time or Room W12-140 on the ground level of the West Building, 1200 New Jersey Avenue SE, Washington, DC, between 9 a.m. and 5 p.m., E.T., Monday through Friday, except Federal holidays. The FDMS is available 24 hours each day, 365 days each year. If you want acknowledgment that we received your comments, please include a self-addressed, stamped envelope or postcard or print the acknowledgement page that appears after submitting comments online. Privacy Act: In accordance with 5 U.S.C. 553(c), DOT solicits comments from the public to better inform its rulemaking process. DOT posts these comments, without edit, including any personal information the commenter provides, to http://www.regulations.gov, as described in the system of records notice (DOT/ALL-14 FDMS), which can be reviewed at http://www.dot.gov/privacy. FOR FURTHER INFORMATION CONTACT: Ms. Christine A. Hydock, Chief, Medical Programs Division, (202) 366-4001, [email protected], FMCSA, Department of Transportation, 1200 New Jersey Avenue SE, Room W64-224, Washington, DC 20590-0001. Office hours are 8:30 a.m. to 5 p.m., E.T., Monday through Friday, except Federal holidays. If you have questions [[Page 45725]] 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 11 individuals listed in this notice have requested an exemption from the epilepsy and seizure disorders prohibition in 49 CFR 391.41(b)(8). Accordingly, the Agency will evaluate the qualifications of each applicant to determine whether granting the exemption will achieve the required level of safety mandated by statute. The physical qualification standard for drivers regarding epilepsy found in 49 CFR 391.41(b)(8) states that a person is physically qualified to drive a CMV if that person has no established medical history or clinical diagnosis of epilepsy or any other condition which is likely to cause the loss of consciousness or any loss of ability to control a CMV. In addition to the regulations, FMCSA has published advisory criteria \1\ to assist Medical Examiners in determining whether drivers with certain medical conditions are qualified to operate a CMV in interstate commerce. [49 CFR part 391, APPENDIX A TO PART 391--MEDICAL ADVISORY CRITERIA, section H. Epilepsy: Sec. 391.41(b)(8), paragraphs 3, 4, and 5.] --------------------------------------------------------------------------- \1\ See http://www.ecfr.gov/cgi-bin/text-idx?SID=e47b48a9ea42dd67d999246e23d97970&mc=true&node=pt49.5.391&rgn=div5#ap49.5.391_171.a and https://www.thefederalregister.org/fdsys/pkg/CFR-2015-title49-vol5/pdf/CFR-2015-title49-vol5-part391-appA.pdf. --------------------------------------------------------------------------- The advisory criteria states the following: If an individual has had a sudden episode of a non-epileptic seizure or loss of consciousness of unknown cause that did not require anti-seizure medication, the decision whether that person's condition is likely to cause the loss of consciousness or loss of ability to control a CMV should be made on an individual basis by the Medical Examiner in consultation with the treating physician. Before certification is considered, it is suggested that a six-month waiting period elapse from the time of the episode. Following the waiting period, it is suggested that the individual have a complete neurological examination. If the results of the examination are negative and anti-seizure medication is not required, then the driver may be qualified. In those individual cases where a driver had a seizure or an episode of loss of consciousness that resulted from a known medical condition (e.g., drug reaction, high temperature, acute infectious disease, dehydration, or acute metabolic disturbance), certification should be deferred until the driver has recovered fully from that condition, has no existing residual complications, and is not taking anti-seizure medication. Drivers who have a history of epilepsy/seizures, off anti-seizure medication and seizure-free for 10 years, may be qualified to operate a CMV in interstate commerce. Interstate drivers with a history of a single unprovoked seizure may be qualified to drive a CMV in interstate commerce if seizure-free and off anti-seizure medication for a five- year period or more. As a result of Medical Examiners misinterpreting advisory criteria as regulation, numerous drivers have been prohibited from operating a CMV in interstate commerce based on the fact that they have had one or more seizures and are taking anti-seizure medication, rather than an individual analysis of their circumstances by a qualified Medical Examiner based on the physical qualification standards and medical best practices. On January 15, 2013, FMCSA announced in a Notice of Final Disposition titled, Qualification of Drivers; Exemption Applications; Epilepsy and Seizure Disorders, (78 FR 3069), its decision to grant requests from 22 individuals for exemptions from the regulatory requirement that interstate CMV drivers have ``no established medical history or clinical diagnosis of epilepsy or any other condition which is likely to cause loss of consciousness or any loss of ability to control a CMV.'' Since the January 15, 2013 notice, the Agency has published additional notices granting requests from individuals for exemptions from the regulatory requirement regarding epilepsy found in 49 CFR 391.41(b)(8). To be considered for an exemption from the epilepsy and seizure disorders prohibition in 49 CFR 391.41(b)(8), applicants must meet the criteria in the 2007 recommendations of the Agency's Medical Expert Panel (MEP) (78 FR 3069). II. Qualifications of Applicants Jonathan A. Arrieta Mr. Arrieta is a 35-year-old Class A CDL holder in Florida. He has a history of epilepsy and has been seizure free since 2008. He takes anti-seizure medication with the dosage and frequency remaining the same since 2009. His physician states that he is supportive of Mr. Arrieta receiving an exemption. Jose F.J. Cabrera Maciel Mr. Cabrera Maciel is a 27-year-old Class C driver in California. He has a history of a single unprovoked seizure and has been seizure free since 2012. He stopped taking anti-seizure medication in 2014. His physician states that he is supportive of Mr. Cabrera Maciel receiving an exemption. Pietro Capobianco Mr. Capobianco is a 48-year-old Class D driver in New Jersey. He has a history of epilepsy and has been seizure free since 2010. He takes anti-seizure medication with the dosage and frequency remaining the same since 2010. His physician states that he is supportive of Mr. Capobianco receiving an exemption. Armando B. Castro Jr. Mr. Castro is a 59-year-old Class A CDL holder in Nevada. He has a history of epilepsy and has been seizure free since 1986. He takes anti-seizure medication with the dosage and frequency remaining the same since March 2014. His physician states that he is supportive of Mr. Castro receiving an exemption. Joshua Cirilo Mr. Cirilo is a 39-year-old Class D driver in Minnesota. He has a history of epilepsy and has been seizure free since 1997. He stopped taking anti-seizure medication in 1997. His physician states that he is supportive of Mr. Cirilo receiving an exemption. Barbara A. Cruz Ms. Cruz is a 37-year-old driver in Indiana. She has a history of a single provoked seizure and has been seizure free since 2008. She stopped taking anti-seizure medications in 2009. Her physician states that he is supportive of Ms. Cruz receiving an exemption. Gail A. Hackathorn Mr. Hackathorn is a 55-year-old Class A CDL holder in Iowa. He has a history of epilepsy and has been seizure free since 1985. He takes anti-seizure medication with the dosage and [[Page 45726]] frequency remaining the same since 1985. His physician states that he is supportive of Mr. Hackathorn receiving an exemption. Jose G. Lara-Ramirez Mr. Lara-Ramirez is a 47-year-old Class A driver in Nevada. He has a history of epilepsy and has been seizure free since 2001. He takes anti-seizure medication with the dosage and frequency remaining the same since 2001. His physician states that she is supportive of Mr. Lara-Ramirez receiving an exemption. Bryan F. Sheehan Mr. Sheehan is a 34-year-old Class E driver in Florida. He has a history of epilepsy and has been seizure free since May 2010. He takes anti-seizure medication with the dosage and frequency remaining the same since 2010. His physician states that he is supportive of Mr. Sheehan receiving an exemption. Francis L. Stimpson Mr. Stimpson is a 66-year-old Class A CDL holder in Idaho. He has a history of epilepsy and has been seizure free since 1983. He takes anti-seizure medication with the dosage and frequency remaining the same since 2003. His physician states that he is supportive of Mr. Stimpson receiving an exemption. Christopher A. Steinke Mr. Steinke is a 26-year-old Class D driver in Wisconsin. He has a history of seizure disorder and has been seizure free since 2004. He stopped taking anti-seizure medication in 2009. His physician states that he is supportive of Mr. Steinke receiving an exemption. III. Request for Comments In accordance with 49 U.S.C. 31136(e) and 31315, FMCSA requests public comment from all interested persons on the exemption petitions described in this notice. We will consider all comments received before the close of business on the closing date indicated in the dates section of the notice. IV. Submitting Comments You may submit your comments and material online or by fax, mail, or hand delivery, but please use only one of these means. FMCSA recommends that you include your name and a mailing address, an email address, or a phone number in the body of your document so that FMCSA can contact you if there are questions regarding your submission. To submit your comment online, go to http://www.regulations.gov and in the search box insert the docket number FMCSA-2018-0054 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-2018-0054 and click ``Search.'' Next, click ``Open Docket Folder'' and you will find all documents and comments related to this notice. Issued on: August 30, 2018. Larry W. Minor, Associate Administrator for Policy. [FR Doc. 2018-19643 Filed 9-7-18; 8:45 am] BILLING CODE 4910-EX-P
![45724 Federal Register / Vol. 83, No. 175 / Monday, September 10, 2018 / Notices
intrastate inspections recorded in the VII. Conclusion ADDRESSES: You may submit comments
Motor Carrier Management Information Based upon its evaluation of the eight bearing the Federal Docket Management
System (MCMIS). For non-CDL holders, exemption applications, FMCSA System (FDMS) Docket No. FMCSA–
the Agency reviewed the driving records exempts the following drivers from the 2018–0054 using any of the following
from the State Driver’s Licensing epilepsy and seizure disorder methods:
Agency (SDLA). A summary of each prohibition, 49 CFR 391.41(b)(8), subject • Federal eRulemaking Portal: Go to
applicant’s seizure history was to the requirements cited above: http://www.regulations.gov. Follow the
discussed in the June 21, 2018 Federal online instructions for submitting
Ricky B. Alegre (NJ)
Register notice (83 FR 28896) and will Stephen M. Christner (PA) comments.
not be repeated in this notice. Paul J. Gomez (CA) • Mail: Docket Management Facility;
These eight applicants have been Lawrence J. Knox (MA) U.S. Department of Transportation, 1200
seizure-free over a range of 4 to 40 years Thomas A. Ork (NY) New Jersey Avenue SE, West Building
while taking anti-seizure medication Constance Seale (DE) Ground Floor, Room W12–140,
and maintained a stable medication Anne M. Spencer-Brown (WV) Washington, DC 20590–0001.
treatment regimen for the last two years. Floyd C. Williams (VA) • Hand Delivery: West Building
In each case, the applicant’s treating In accordance with 49 U.S.C. Ground Floor, Room W12–140, 1200
physician verified his or her seizure 31315(b)(1), each exemption will be New Jersey Avenue SE, Washington,
history and supports the ability to drive valid for two years from the effective DC, between 9 a.m. and 5 p.m., E.T.,
commercially. date unless revoked earlier by FMCSA. Monday through Friday, except Federal
The exemption will be revoked if the Holidays.
The Agency acknowledges the • Fax: 1–202–493–2251.
potential consequences of a driver following occurs: (1) The person fails to
comply with the terms and conditions Instructions: Each submission must
experiencing a seizure while operating a include the Agency name and the
CMV. However, the Agency believes the of the exemption; (2) the exemption has
resulted in a lower level of safety than docket number(s) for this notice. Note
drivers granted this exemption have that all comments received will be
demonstrated that they are unlikely to was maintained prior to being granted;
or (3) continuation of the exemption posted without change to http://
have a seizure and their medical www.regulations.gov, including any
condition does not pose a risk to public would not be consistent with the goals
and objectives of 49 U.S.C. 31136 and personal information provided. Please
safety. see the Privacy Act heading below for
31315.
Consequently, FMCSA finds that in further information.
each case exempting these applicants Issued on: August 30, 2018. Docket: For access to the docket to
from the epilepsy and seizure disorder Larry W. Minor, read background documents or
prohibition in 49 CFR 391.41(b)(8) is Associate Administrator for Policy. comments, go to http://
likely to achieve a level of safety equal [FR Doc. 2018–19644 Filed 9–7–18; 8:45 am] www.regulations.gov at any time or
to that existing without the exemption. BILLING CODE 4910–EX–P Room W12–140 on the ground level of
the West Building, 1200 New Jersey
V. Conditions and Requirements
Avenue SE, Washington, DC, between 9
The terms and conditions of the DEPARTMENT OF TRANSPORTATION a.m. and 5 p.m., E.T., Monday through
exemption are provided to the Friday, except Federal holidays. The
Federal Motor Carrier Safety FDMS is available 24 hours each day,
applicants in the exemption document
Administration 365 days each year. If you want
and includes the following: (1) Each
driver must remain seizure-free and [Docket No. FMCSA–2018–0054] acknowledgment that we received your
maintain a stable treatment during the comments, please include a self-
two-year exemption period; (2) each Qualification of Drivers; Exemption addressed, stamped envelope or
driver must submit annual reports from Applications; Epilepsy and Seizure postcard or print the acknowledgement
their treating physicians attesting to the Disorders page that appears after submitting
stability of treatment and that the driver AGENCY: Federal Motor Carrier Safety comments online.
has remained seizure-free; (3) each Administration (FMCSA), DOT. Privacy Act: In accordance with 5
driver must undergo an annual medical U.S.C. 553(c), DOT solicits comments
ACTION: Notice of applications for
examination by a certified Medical from the public to better inform its
exemption; request for comments. rulemaking process. DOT posts these
Examiner, as defined by 49 CFR 390.5;
and (4) each driver must provide a copy SUMMARY: FMCSA announces receipt of comments, without edit, including any
of the annual medical certification to applications from 11 individuals for an personal information the commenter
the employer for retention in the exemption from the prohibition in the provides, to http://www.regulations.gov,
driver’s qualification file, or keep a copy Federal Motor Carrier Safety as described in the system of records
of his/her driver’s qualification file if Regulations (FMCSRs) against persons notice (DOT/ALL–14 FDMS), which can
he/she is self-employed. The driver with a clinical diagnosis of epilepsy or be reviewed at http://www.dot.gov/
must also have a copy of the exemption any other condition that is likely to privacy.
when driving, for presentation to a duly cause a loss of consciousness or any loss FOR FURTHER INFORMATION CONTACT: Ms.
authorized Federal, State, or local of ability to control a commercial motor Christine A. Hydock, Chief, Medical
enforcement official. vehicle (CMV) in interstate commerce. If Programs Division, (202) 366–4001,
daltland on DSKBBV9HB2PROD with NOTICES
granted, the exemptions would enable fmcsamedical@dot.gov, FMCSA,
VI. Preemption
these individuals who have had one or Department of Transportation, 1200
During the period the exemption is in more seizures and are taking anti- New Jersey Avenue SE, Room W64–224,
effect, no State shall enforce any law or seizure medication to operate CMVs in Washington, DC 20590–0001. Office
regulation that conflicts with this interstate commerce. hours are 8:30 a.m. to 5 p.m., E.T.,
exemption with respect to a person DATES: Comments must be received on Monday through Friday, except Federal
operating under the exemption. or before October 10, 2018. holidays. If you have questions
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![Federal Register / Vol. 83, No. 175 / Monday, September 10, 2018 / Notices 45725
regarding viewing or submitting considered, it is suggested that a six- II. Qualifications of Applicants
material to the docket, contact Docket month waiting period elapse from the
Jonathan A. Arrieta
Services, telephone (202) 366–9826. time of the episode. Following the
SUPPLEMENTARY INFORMATION: waiting period, it is suggested that the Mr. Arrieta is a 35-year-old Class A
individual have a complete neurological CDL holder in Florida. He has a history
I. Background examination. If the results of the of epilepsy and has been seizure free
Under 49 U.S.C. 31136(e) and 31315, examination are negative and anti- since 2008. He takes anti-seizure
FMCSA may grant an exemption from seizure medication is not required, then medication with the dosage and
the FMCSRs for a five-year period if it the driver may be qualified. frequency remaining the same since
finds ‘‘such exemption would likely In those individual cases where a 2009. His physician states that he is
achieve a level of safety that is driver had a seizure or an episode of supportive of Mr. Arrieta receiving an
equivalent to or greater than the level loss of consciousness that resulted from exemption.
that would be achieved absent such a known medical condition (e.g., drug Jose F.J. Cabrera Maciel
exemption.’’ The statute also allows the reaction, high temperature, acute
Agency to renew exemptions at the end infectious disease, dehydration, or acute Mr. Cabrera Maciel is a 27-year-old
of the five-year period. FMCSA grants metabolic disturbance), certification Class C driver in California. He has a
exemptions from the FMCSRs for a two- should be deferred until the driver has history of a single unprovoked seizure
year period to align with the maximum recovered fully from that condition, has and has been seizure free since 2012. He
duration of a driver’s medical no existing residual complications, and stopped taking anti-seizure medication
certification. is not taking anti-seizure medication. in 2014. His physician states that he is
The 11 individuals listed in this Drivers who have a history of supportive of Mr. Cabrera Maciel
notice have requested an exemption epilepsy/seizures, off anti-seizure receiving an exemption.
from the epilepsy and seizure disorders medication and seizure-free for 10 years, Pietro Capobianco
prohibition in 49 CFR 391.41(b)(8). may be qualified to operate a CMV in
interstate commerce. Interstate drivers Mr. Capobianco is a 48-year-old Class
Accordingly, the Agency will evaluate
with a history of a single unprovoked D driver in New Jersey. He has a history
the qualifications of each applicant to
seizure may be qualified to drive a CMV of epilepsy and has been seizure free
determine whether granting the
in interstate commerce if seizure-free since 2010. He takes anti-seizure
exemption will achieve the required
and off anti-seizure medication for a medication with the dosage and
level of safety mandated by statute.
five-year period or more. frequency remaining the same since
The physical qualification standard
2010. His physician states that he is
for drivers regarding epilepsy found in As a result of Medical Examiners
supportive of Mr. Capobianco receiving
49 CFR 391.41(b)(8) states that a person misinterpreting advisory criteria as
an exemption.
is physically qualified to drive a CMV regulation, numerous drivers have been
if that person has no established prohibited from operating a CMV in Armando B. Castro Jr.
medical history or clinical diagnosis of interstate commerce based on the fact Mr. Castro is a 59-year-old Class A
epilepsy or any other condition which that they have had one or more seizures CDL holder in Nevada. He has a history
is likely to cause the loss of and are taking anti-seizure medication, of epilepsy and has been seizure free
consciousness or any loss of ability to rather than an individual analysis of since 1986. He takes anti-seizure
control a CMV. their circumstances by a qualified medication with the dosage and
In addition to the regulations, FMCSA Medical Examiner based on the physical frequency remaining the same since
has published advisory criteria 1 to qualification standards and medical best March 2014. His physician states that he
assist Medical Examiners in practices. is supportive of Mr. Castro receiving an
determining whether drivers with On January 15, 2013, FMCSA exemption.
certain medical conditions are qualified announced in a Notice of Final
to operate a CMV in interstate Disposition titled, Qualification of Joshua Cirilo
commerce. [49 CFR part 391, Drivers; Exemption Applications; Mr. Cirilo is a 39-year-old Class D
APPENDIX A TO PART 391—MEDICAL Epilepsy and Seizure Disorders, (78 FR driver in Minnesota. He has a history of
ADVISORY CRITERIA, section H. 3069), its decision to grant requests from epilepsy and has been seizure free since
Epilepsy: § 391.41(b)(8), paragraphs 3, 4, 22 individuals for exemptions from the 1997. He stopped taking anti-seizure
and 5.] regulatory requirement that interstate medication in 1997. His physician states
The advisory criteria states the CMV drivers have ‘‘no established that he is supportive of Mr. Cirilo
following: medical history or clinical diagnosis of receiving an exemption.
If an individual has had a sudden epilepsy or any other condition which
episode of a non-epileptic seizure or is likely to cause loss of consciousness Barbara A. Cruz
loss of consciousness of unknown cause or any loss of ability to control a CMV.’’ Ms. Cruz is a 37-year-old driver in
that did not require anti-seizure Since the January 15, 2013 notice, the Indiana. She has a history of a single
medication, the decision whether that Agency has published additional provoked seizure and has been seizure
person’s condition is likely to cause the notices granting requests from free since 2008. She stopped taking anti-
loss of consciousness or loss of ability individuals for exemptions from the seizure medications in 2009. Her
to control a CMV should be made on an regulatory requirement regarding physician states that he is supportive of
individual basis by the Medical epilepsy found in 49 CFR 391.41(b)(8). Ms. Cruz receiving an exemption.
daltland on DSKBBV9HB2PROD with NOTICES
Examiner in consultation with the To be considered for an exemption
treating physician. Before certification is from the epilepsy and seizure disorders Gail A. Hackathorn
prohibition in 49 CFR 391.41(b)(8), Mr. Hackathorn is a 55-year-old Class
1 See http://www.ecfr.gov/cgi-bin/text-idx?SID= applicants must meet the criteria in the A CDL holder in Iowa. He has a history
e47b48a9ea42dd67d999246e23d97970&mc=true&
node=pt49.5.391&rgn=div5#ap49.5.391_171.a and
2007 recommendations of the Agency’s of epilepsy and has been seizure free
https://www.gpo.gov/fdsys/pkg/CFR-2015-title49- Medical Expert Panel (MEP) (78 FR since 1985. He takes anti-seizure
vol5/pdf/CFR-2015-title49-vol5-part391-appA.pdf. 3069). medication with the dosage and
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![45726 Federal Register / Vol. 83, No. 175 / Monday, September 10, 2018 / Notices
frequency remaining the same since To submit your comment online, go to individuals with ITDM to continue to
1985. His physician states that he is http://www.regulations.gov and in the operate CMVs in interstate commerce.
supportive of Mr. Hackathorn receiving search box insert the docket number DATES: Each group of renewed
an exemption. FMCSA–2018–0054 and click the search exemptions were applicable on the
button. When the new screen appears, dates stated in the discussions below
Jose G. Lara-Ramirez
click on the blue ‘‘Comment Now!’’ and will expire on the dates stated in
Mr. Lara-Ramirez is a 47-year-old button on the right hand side of the the discussions below. Comments must
Class A driver in Nevada. He has a page. On the new page, enter be received on or before October 10,
history of epilepsy and has been seizure information required including the 2018.
free since 2001. He takes anti-seizure specific section of this document to
ADDRESSES: You may submit comments
medication with the dosage and which each comment applies, and
bearing the Federal Docket Management
frequency remaining the same since provide a reason for each suggestion or
System (FDMS) Docket No. FMCSA–
2001. His physician states that she is recommendation. If you submit your
2010–0247; FMCSA–2012–0128;
supportive of Mr. Lara-Ramirez comments by mail or hand delivery,
FMCSA–2012–0217; FMCSA–2012–
receiving an exemption. submit them in an unbound format, no
0219; FMCSA–2014–0021; FMCSA–
larger than 81⁄2 by 11 inches, suitable for
Bryan F. Sheehan 2016–0220 using any of the following
copying and electronic filing. If you
methods:
Mr. Sheehan is a 34-year-old Class E submit comments by mail and would • Federal eRulemaking Portal: Go to
driver in Florida. He has a history of like to know that they reached the http://www.regulations.gov. Follow the
epilepsy and has been seizure free since facility, please enclose a stamped, self- online instructions for submitting
May 2010. He takes anti-seizure addressed postcard or envelope. comments.
medication with the dosage and We will consider all comments and
• Mail: Docket Management Facility;
frequency remaining the same since materials received during the comment
U.S. Department of Transportation, 1200
2010. His physician states that he is period. FMCSA may issue a final
New Jersey Avenue SE, West Building
supportive of Mr. Sheehan receiving an determination at any time after the close
Ground Floor, Room W12–140,
exemption. of the comment period.
Washington, DC 20590–0001.
Francis L. Stimpson V. Viewing Comments and Documents • Hand Delivery: West Building
To view comments, as well as any Ground Floor, Room W12–140, 1200
Mr. Stimpson is a 66-year-old Class A New Jersey Avenue SE, Washington,
CDL holder in Idaho. He has a history documents mentioned in this preamble,
go to http://www.regulations.gov and in DC, between 9 a.m. and 5 p.m., E.T.,
of epilepsy and has been seizure free Monday through Friday, except Federal
since 1983. He takes anti-seizure the search box insert the docket number
FMCSA–2018–0054 and click ‘‘Search.’’ Holidays.
medication with the dosage and
Next, click ‘‘Open Docket Folder’’ and • Fax: 1–202–493–2251.
frequency remaining the same since Instructions: Each submission must
2003. His physician states that he is you will find all documents and
comments related to this notice. include the Agency name and the
supportive of Mr. Stimpson receiving an docket number(s) for this notice. Note
exemption. Issued on: August 30, 2018. that all comments received will be
Larry W. Minor, posted without change to http://
Christopher A. Steinke
Associate Administrator for Policy. www.regulations.gov, including any
Mr. Steinke is a 26-year-old Class D [FR Doc. 2018–19643 Filed 9–7–18; 8:45 am] personal information provided. Please
driver in Wisconsin. He has a history of BILLING CODE 4910–EX–P see the Privacy Act heading below for
seizure disorder and has been seizure further information.
free since 2004. He stopped taking anti- Docket: For access to the docket to
seizure medication in 2009. His DEPARTMENT OF TRANSPORTATION read background documents or
physician states that he is supportive of comments, go to http://
Mr. Steinke receiving an exemption. Federal Motor Carrier Safety www.regulations.gov at any time or
Administration Room W12–140 on the ground level of
III. Request for Comments
[Docket No. FMCSA–2010–0247; FMCSA– the West Building, 1200 New Jersey
In accordance with 49 U.S.C. 31136(e) 2012–0128; FMCSA–2012–0217; FMCSA– Avenue SE, Washington, DC, between 9
and 31315, FMCSA requests public 2012–0219; FMCSA–2014–0021; FMCSA– a.m. and 5 p.m., E.T., Monday through
comment from all interested persons on 2016–0220] Friday, except Federal holidays. The
the exemption petitions described in FDMS is available 24 hours each day
this notice. We will consider all Qualification of Drivers; Exemption E.T., 365 days each year. If you want
comments received before the close of Applications; Diabetes acknowledgment that we received your
business on the closing date indicated AGENCY: Federal Motor Carrier Safety comments, please include a self-
in the dates section of the notice. Administration (FMCSA), DOT. addressed, stamped envelope or
IV. Submitting Comments ACTION: Notice of renewal of postcard or print the acknowledgement
exemptions; request for comments. page that appears after submitting
You may submit your comments and comments online.
material online or by fax, mail, or hand SUMMARY: FMCSA announces its Privacy Act: In accordance with 5
delivery, but please use only one of decision to renew exemptions for 134 U.S.C. 553(c), DOT solicits comments
daltland on DSKBBV9HB2PROD with NOTICES
these means. FMCSA recommends that individuals from its prohibition in the from the public to better inform its
you include your name and a mailing Federal Motor Carrier Safety rulemaking process. DOT posts these
address, an email address, or a phone Regulations (FMCSRs) against persons comments, without edit, including any
number in the body of your document with insulin-treated diabetes mellitus personal information the commenter
so that FMCSA can contact you if there (ITDM) from operating commercial provides, to http://www.regulations.gov,
are questions regarding your motor vehicles (CMVs) in interstate as described in the system of records
submission. commerce. The exemptions enable these notice (DOT/ALL–14 FDMS), which can
VerDate Sep<11>2014 17:54 Sep 07, 2018 Jkt 244001 PO 00000 Frm 00133 Fmt 4703 Sfmt 4703 E:\FR\FM\10SEN1.SGM 10SEN1](https://thefederalregister.org/doc/83_FR_45899/page/3.svg)
Document Created: 2018-09-08 00:42:23
Document Modified: 2018-09-08 00:42:23
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice of applications for exemption; request for comments. | |
| Dates | Comments must be received on or before October 10, 2018. | |
| Contact | Ms. Christine A. Hydock, Chief, Medical Programs Division, (202) 366-4001, [email protected], FMCSA, Department of Transportation, 1200 New Jersey Avenue SE, Room W64-224, Washington, DC 20590-0001. Office hours are 8:30 a.m. to 5 p.m., E.T., Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Docket Services, telephone (202) 366-9826. | |
| FR Citation | 83 FR 45724 |
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