83_FR_45911 83 FR 45736 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

83 FR 45736 - Qualification of Drivers; Exemption Applications; Diabetes Mellitus

DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration

Federal Register Volume 83, Issue 175 (September 10, 2018)

Page Range45736-45742
FR Document2018-19627

FMCSA announces receipt of applications from 46 individuals for an exemption from the prohibition in the Federal Motor Carrier Safety Regulations (FMCSRs) against persons with insulin-treated diabetes mellitus (ITDM) operating a commercial motor vehicle (CMV) in interstate commerce. If granted, the exemptions would enable these individuals with ITDM to operate CMVs in interstate commerce.

Federal Register, Volume 83 Issue 175 (Monday, September 10, 2018)
[Federal Register Volume 83, Number 175 (Monday, September 10, 2018)]
[Notices]
[Pages 45736-45742]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-19627]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

[Docket No. FMCSA-2018-0203]


Qualification of Drivers; Exemption Applications; Diabetes 
Mellitus

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

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

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SUMMARY: FMCSA announces receipt of applications from 46 individuals 
for an exemption from the prohibition in the Federal Motor Carrier 
Safety Regulations (FMCSRs) against persons with insulin-treated 
diabetes mellitus (ITDM) operating a commercial motor vehicle (CMV) in 
interstate commerce. If granted, the exemptions would enable these 
individuals with ITDM to operate CMVs in interstate commerce.

DATES: Comments must be received on or before October 10, 2018.

ADDRESSES: You may submit comments bearing the Federal Docket 
Management System (FDMS) Docket No. FMCSA-2018-0203 using any of the 
following methods:
     Federal eRulemaking Portal: Go to http://www.regulations.gov. Follow the online instructions for submitting 
comments.
     Mail: Docket Management Facility; U.S. Department of 
Transportation, 1200 New Jersey Avenue SE, West Building Ground Floor, 
Room W12-140, Washington, DC 20590-0001.
     Hand Delivery: West Building Ground Floor, Room W12-140, 
1200 New Jersey Avenue SE, Washington, DC, between 9 a.m. and 5 p.m., 
E.T., Monday through Friday, except Federal Holidays.
     Fax: 1-202-493-2251.
    Instructions: Each submission must include the Agency name and the 
docket number(s) for this notice. Note that all comments received will 
be posted without change to http://www.regulations.gov, including any 
personal information provided. Please see the Privacy Act heading below 
for further information.
    Docket: For access to the docket to read background documents or 
comments, go to http://www.regulations.gov at any time or Room W12-140 
on the ground level of the West Building, 1200 New Jersey Avenue SE, 
Washington, DC, between 9 a.m. and 5 p.m., E.T., Monday through Friday, 
except Federal holidays. The FDMS is available 24 hours each day E.T., 
365 days each year. If you want acknowledgment that we received your 
comments, please include a self-addressed, stamped envelope or postcard 
or print the acknowledgement page that appears after submitting 
comments online.
    Privacy Act: In accordance with 5 U.S.C. 553(c), DOT solicits 
comments from the public to better inform its rulemaking process. DOT 
posts these comments, without edit, including any personal information 
the commenter provides, to http://www.regulations.gov, as described in 
the system of records notice (DOT/ALL-14 FDMS), which can be reviewed 
at http://www.dot.gov/privacy.

FOR FURTHER INFORMATION CONTACT: Ms. Christine A. Hydock, Chief, 
Medical Programs Division, (202) 366-4001, [email protected], FMCSA, 
Department of Transportation, 1200 New Jersey Avenue SE, Room W64-224, 
Washington, DC 20590-0001. Office hours are 8:30 a.m. to 5 p.m., E.T., 
Monday through Friday, except Federal holidays. If you have questions 
regarding viewing or submitting material to the docket, contact Docket 
Services, telephone (202) 366-9826.

SUPPLEMENTARY INFORMATION:

I. Background

    Under 49 U.S.C. 31136(e) and 31315, FMCSA may grant an exemption 
from the FMCSRs for a five-year period if it finds ``such exemption 
would likely achieve a level of safety that is equivalent to or greater 
than the level that would be achieved absent such exemption.'' The 
statute also allows the Agency to renew exemptions at the end of the 
five-year period. FMCSA grants exemptions from the FMCSRs for a two-
year period to align with the maximum duration of a driver's medical 
certification.
    The 46 individuals listed in this notice have requested an 
exemption from the diabetes prohibition in 49 CFR 391.41(b)(3). 
Accordingly, the Agency will evaluate the qualifications of each 
applicant to determine whether granting the exemption will achieve the 
required level of safety mandated by statute.
    The physical qualification standard for drivers regarding diabetes 
found in 49 CFR 391.41(b)(3) states that a person is physically 
qualified to drive a CMV if that person has no established medical 
history or clinical diagnosis of diabetes mellitus currently requiring 
insulin for control. The Agency established the current requirement for 
diabetes in 1970 because several risk studies indicated that drivers 
with diabetes had a higher rate of crash involvement than the general 
population.
    FMCSA established its diabetes exemption program, based on the 
Agency's July 2000 study entitled ``A Report to Congress on the 
Feasibility of a Program to Qualify Individuals with Insulin-Treated 
Diabetes Mellitus to Operate in Interstate Commerce as Directed by the 
Transportation Act for the 21st Century.'' The report concluded that a 
safe and practicable protocol to allow some drivers with ITDM to 
operate CMVs is feasible. The September 3, 2003 (68 FR 52441), Federal 
Register notice in conjunction with the November 8, 2005 (70 FR 67777), 
Federal Register notice provides the current protocol for allowing such 
drivers to operate CMVs in interstate commerce.
    FMCSA notes that section 4129 of the Safe, Accountable, Flexible 
and Efficient Transportation Equity Act: A Legacy for Users requires 
the Secretary to revise its diabetes exemption program established on 
September 3, 2003 (68 FR 52441). The revision must provide for 
individual assessment of drivers with diabetes mellitus, and be 
consistent with the criteria described in section 4018 of the 
Transportation Equity Act for the 21st Century (49 U.S.C. 31305).

[[Page 45737]]

Section 4129 requires: (1) Elimination of the requirement for three 
years of experience operating CMVs while being treated with insulin; 
and (2) establishment of a specified minimum period of insulin use to 
demonstrate stable control of diabetes before being allowed to operate 
a CMV.
    In response to section 4129, FMCSA made immediate revisions to the 
diabetes exemption program established by the September 3, 2003 notice. 
FMCSA discontinued use of the three-year driving experience and 
fulfilled the requirements of section 4129 while continuing to ensure 
that operation of CMVs by drivers with ITDM will achieve the requisite 
level of safety required of all exemptions granted under 49 U.S.C. 
31136 (e). Section 4129(d) also directed FMCSA to ensure that drivers 
of CMVs with ITDM are not held to a higher standard than other drivers, 
with the exception of limited operating, monitoring and medical 
requirements that are deemed medically necessary. The FMCSA concluded 
that all of the operating, monitoring and medical requirements set out 
in the September 3, 2003, notice, except as modified, were in 
compliance with section 4129(d). Therefore, all of the requirements set 
out in the September 3, 2003, notice, except as modified by the notice 
in the Federal Register on November 8, 2005 (70 FR 67777), remain in 
effect.

II. Qualifications of Applicants

Anthony D. Anderson

    Mr. Anderson, 25, has had ITDM since 2004. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes while on his 
current insulin regimen. His endocrinologist certifies that Mr. 
Anderson understands diabetes management and monitoring, has stable 
control of his diabetes using insulin, and is able to drive a CMV 
safely. Mr. Anderson meets the requirements of the vision standard at 
49 CFR 391.41(b)(10). His optometrist examined him in 2018 and 
certified that he does not have diabetic retinopathy. He holds an 
operator's license from Minnesota.

Larry S. Arringdale

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

Brad M. Bennett

    Mr. Bennett, 43, has had ITDM since 1989. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Bennett understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Bennett meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
proliferative diabetic retinopathy. He holds an operator's license from 
Oregon.

Ronald S. Blackwell

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

Christine Byrd

    Ms. Byrd, 54, has had ITDM since 2017. Her endocrinologist examined 
her in 2018 and certified that she has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. Her 
endocrinologist certifies that Ms. Byrd understands diabetes management 
and monitoring, has stable control of her diabetes using insulin, and 
is able to drive a CMV safely. Ms. Byrd meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). Her optometrist examined her 
in 2018 and certified that she does not have diabetic retinopathy. She 
holds a Class B CDL from Iowa.

Garrett T. Cameron

    Mr. Cameron, 26, has had ITDM since 2014. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Cameron understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Cameron meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Ohio.

Alfredo Casillas

    Mr. Casillas, 54, has had ITDM since 2006. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Casillas understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Casillas meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that

[[Page 45738]]

he does not have diabetic retinopathy. He holds a Class A CDL from 
Texas.

Guerschom K. Chiwengo

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

David A. Coltrain

    Mr. Coltrain, 42, has had ITDM since 2018. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Coltrain understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Coltrain meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Iowa.

James D. Cosgrove

    Mr. Cosgrove, 28, has had ITDM since 1995. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Cosgrove understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Cosgrove meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from 
Massachusetts.

Jerome Davis, Sr.

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

Donald R. DeKruger

    Mr. DeKruger, 56, has had ITDM since 2007. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. DeKruger understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. DeKruger meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
Colorado.

Joseph M. Dema

    Mr. Dema, 40, has had ITDM since 2018. His endocrinologist examined 
him in 2018 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Dema understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Dema meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2018 and certified that he does not have diabetic retinopathy. He 
holds an operator's license from Illinois.

Lynx D. Gardner

    Mr. Gardner, 31, has had ITDM since 1995. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Gardner understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Gardner meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he does not 
have diabetic retinopathy. He holds an operator's license from 
Nebraska.

Timothy M. Getchius

    Mr. Getchius, 21, has had ITDM since 2008. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Getchius understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Getchius meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from New York.

Jeffrey M. Halida

    Mr. Halida, 45, has had ITDM since 1985. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Halida understands 
diabetes management and monitoring,

[[Page 45739]]

has stable control of his diabetes using insulin, and is able to drive 
a CMV safely. Mr. Halida meets the requirements of the vision standard 
at 49 CFR 391.41(b)(10). His optometrist examined him in 2018 and 
certified that he does not have diabetic retinopathy. He holds a Class 
A CDL from Wisconsin.

Corey A. Harrell

    Mr. Harrell, 42, has had ITDM since 2018. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Harrell understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Harrell meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he does not 
have diabetic retinopathy. He holds a Class B CDL from Illinois.

Donald B. Harwell

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

John T. Ingin

    Mr. Ingin, 57, has had ITDM since 1982. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Ingin understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Ingin meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he does not 
have diabetic retinopathy. He holds an operator's license from New 
York.

James M. Kay

    Mr. Kay, 34, has had ITDM since 2002. His endocrinologist examined 
him in 2018 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Kay understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Kay meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2018 and certified that he does not have diabetic retinopathy. He 
holds a Class A CDL from Indiana.

Marcus E.M. Killman

    Mr. Killman, 47, has had ITDM since 2018. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Killman understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Killman meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Kansas.

Mark R. Kuhn

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

Chad M. Kunkel

    Mr. Kunkel, 44, has had ITDM since 2005. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Kunkel understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Kunkel meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he does not 
have diabetic retinopathy. He holds a Class A CDL from Minnesota.

Lawrence J. Lucero

    Mr. Lucero, 65, has had ITDM since 2018. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Lucero understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Lucero meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
Washington.

Curtis M. Lyons

    Mr. Lyons, 37, has had ITDM since 2016. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or

[[Page 45740]]

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

Antonia Madrid

    Ms. Madrid, 57, has had ITDM since 2017. Her endocrinologist 
examined her in 2018 and certified that she has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. Her endocrinologist certifies that Ms. Madrid understands 
diabetes management and monitoring, has stable control of her diabetes 
using insulin, and is able to drive a CMV safely. Ms. Madrid meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). Her 
ophthalmologist examined her in 2018 and certified that she has stable 
nonproliferative diabetic retinopathy. She holds a Class B CDL from New 
Mexico.

Nankishore Mangal

    Mr. Mangal, 60, has had ITDM since 2016. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Mangal understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Mangal meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
Connecticut.

Fernando Martins

    Mr. Martins, 61, has had ITDM since 2011. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Martins understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Martins meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from New Hampshire.

Vincent Matthews

    Mr. Matthews, 48, has had ITDM since 2013. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Matthews understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Matthews meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from South 
Carolina.

Lawrence C. Maughan

    Mr. Maughan, 53, has had ITDM since 2011. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Maughan understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Maughan meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he does not 
have diabetic retinopathy. He holds an operator's license from Utah.

Peter M. Meserve

    Mr. Meserve, 55, has had ITDM since 2005. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Meserve understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Meserve meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from New 
Hampshire.

Jason R. Miller

    Mr. Miller, 40, has had ITDM since 1983. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Miller understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Miller meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
proliferative diabetic retinopathy. He holds an operator's license from 
Minnesota.

Philips Ng

    Mr. Ng, 62, has had ITDM since 2015. His endocrinologist examined 
him in 2018 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Ng understands diabetes management 
and monitoring, has stable control of his diabetes using

[[Page 45741]]

insulin, and is able to drive a CMV safely. Mr. Ng meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from 
Massachusetts.

Don C. Oden

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

Charles T. Pappas

    Mr. Pappas, 54, has had ITDM since 2013. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Pappas understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Pappas meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
Washington.

Stacy S. Patterson

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

Nathaniel P. Probasco

    Mr. Probasco, 30, has had ITDM since 2006. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Probasco understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Probasco meets 
the requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he does not 
have diabetic retinopathy. He holds an operator's license from 
Pennsylvania.

Mark K. Pugh

    Mr. Pugh, 69, has had ITDM since 2006. His endocrinologist examined 
him in 2018 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Pugh understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Pugh meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His ophthalmologist examined 
him in 2018 and certified that he does not have diabetic retinopathy. 
He holds an operator's license from Pennsylvania.

Anthony Rivera

    Mr. Rivera, 48, has had ITDM since 1988. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Rivera understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Rivera meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
proliferative diabetic retinopathy. He holds an operator's license from 
New Jersey.

Eddie A. Sellars

    Mr. Sellars, 74, has had ITDM since 2010. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Sellars understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Sellars meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
ophthalmologist examined him in 2018 and certified that he has stable 
nonproliferative diabetic retinopathy. He holds a Class A CDL from 
North Carolina.

James B. Stevens

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

Edwinn D. Strong

    Mr. Strong, 41, has had ITDM since 2005. His endocrinologist 
examined him in 2018 and certified that he has had no

[[Page 45742]]

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

Terelle E. Thomas

    Mr. Thomas, 24, has had ITDM since 2017. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Thomas understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Thomas meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Virginia.

Harvey S. Vaea

    Mr. Vaea, 52, has had ITDM since 2013. His endocrinologist examined 
him in 2018 and certified that he has had no severe hypoglycemic 
reactions resulting in loss of consciousness, requiring the assistance 
of another person, or resulting in impaired cognitive function that 
occurred without warning in the past 12 months and no recurrent (two or 
more) severe hypoglycemic episodes in the last five years. His 
endocrinologist certifies that Mr. Vaea understands diabetes management 
and monitoring, has stable control of his diabetes using insulin, and 
is able to drive a CMV safely. Mr. Vaea meets the requirements of the 
vision standard at 49 CFR 391.41(b)(10). His optometrist examined him 
in 2018 and certified that he does not have diabetic retinopathy. He 
holds a Class A CDL from California.

Gene A. Vieira

    Mr. Vieira, 33, has had ITDM since 2003. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Vieira understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Vieira meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds an operator's license from Florida.

Ronald Walker, Sr.

    Mr. Walker, 50, has had ITDM since 2018. His endocrinologist 
examined him in 2018 and certified that he has had no severe 
hypoglycemic reactions resulting in loss of consciousness, requiring 
the assistance of another person, or resulting in impaired cognitive 
function that occurred without warning in the past 12 months and no 
recurrent (two or more) severe hypoglycemic episodes in the last five 
years. His endocrinologist certifies that Mr. Walker understands 
diabetes management and monitoring, has stable control of his diabetes 
using insulin, and is able to drive a CMV safely. Mr. Walker meets the 
requirements of the vision standard at 49 CFR 391.41(b)(10). His 
optometrist examined him in 2018 and certified that he does not have 
diabetic retinopathy. He holds a Class A CDL from Illinois.

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-2018-0203 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-2018-0203 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. 2018-19627 Filed 9-7-18; 8:45 am]
BILLING CODE 4910-EX-P



                                               45736                     Federal Register / Vol. 83, No. 175 / Monday, September 10, 2018 / Notices

                                               when driving, for presentation to a duly                  • Federal eRulemaking Portal: Go to                 I. Background
                                               authorized Federal, State, or local                     http://www.regulations.gov. Follow the                   Under 49 U.S.C. 31136(e) and 31315,
                                               enforcement official. The exemption                     online instructions for submitting                    FMCSA may grant an exemption from
                                               will be rescinded if: (1) The person fails              comments.                                             the FMCSRs for a five-year period if it
                                               to comply with the terms and                              • Mail: Docket Management Facility;                 finds ‘‘such exemption would likely
                                               conditions of the exemption; (2) the                    U.S. Department of Transportation, 1200               achieve a level of safety that is
                                               exemption has resulted in a lower level                 New Jersey Avenue SE, West Building                   equivalent to or greater than the level
                                               of safety than was maintained before it                 Ground Floor, Room W12–140,                           that would be achieved absent such
                                               was granted; or (3) continuation of the                 Washington, DC 20590–0001.                            exemption.’’ The statute also allows the
                                               exemption would not be consistent with                    • Hand Delivery: West Building                      Agency to renew exemptions at the end
                                               the goals and objectives of 49 U.S.C.                   Ground Floor, Room W12–140, 1200                      of the five-year period. FMCSA grants
                                               31136(e) and 31315.                                     New Jersey Avenue SE, Washington,                     exemptions from the FMCSRs for a two-
                                               V. Preemption                                           DC, between 9 a.m. and 5 p.m., E.T.,                  year period to align with the maximum
                                                                                                       Monday through Friday, except Federal                 duration of a driver’s medical
                                                  During the period the exemption is in
                                                                                                       Holidays.                                             certification.
                                               effect, no State shall enforce any law or
                                               regulation that conflicts with this                       • Fax: 1–202–493–2251.                                 The 46 individuals listed in this
                                               exemption with respect to a person                         Instructions: Each submission must                 notice have requested an exemption
                                               operating under the exemption.                          include the Agency name and the                       from the diabetes prohibition in 49 CFR
                                                                                                       docket number(s) for this notice. Note                391.41(b)(3). Accordingly, the Agency
                                               VI. Conclusion                                          that all comments received will be                    will evaluate the qualifications of each
                                                 Based upon its evaluation of the 16                   posted without change to http://                      applicant to determine whether granting
                                               exemption applications, FMCSA renews                    www.regulations.gov, including any                    the exemption will achieve the required
                                               the exemptions of the aforementioned                    personal information provided. Please                 level of safety mandated by statute.
                                               drivers from the epilepsy and seizure                   see the Privacy Act heading below for                    The physical qualification standard
                                               disorders prohibition in 49 CFR 391.41                  further information.                                  for drivers regarding diabetes found in
                                               (b)(8). In accordance with 49 U.S.C.                       Docket: For access to the docket to                49 CFR 391.41(b)(3) states that a person
                                               31136(e) and 31315, each exemption                      read background documents or                          is physically qualified to drive a CMV
                                               will be valid for two years unless                      comments, go to http://                               if that person has no established
                                               revoked earlier by FMCSA.                               www.regulations.gov at any time or                    medical history or clinical diagnosis of
                                                 Issued on: August 30, 2018.                           Room W12–140 on the ground level of                   diabetes mellitus currently requiring
                                                                                                       the West Building, 1200 New Jersey                    insulin for control. The Agency
                                               Larry W. Minor,
                                                                                                       Avenue SE, Washington, DC, between 9                  established the current requirement for
                                               Associate Administrator for Policy.
                                                                                                       a.m. and 5 p.m., E.T., Monday through                 diabetes in 1970 because several risk
                                               [FR Doc. 2018–19645 Filed 9–7–18; 8:45 am]
                                                                                                       Friday, except Federal holidays. The                  studies indicated that drivers with
                                               BILLING CODE 4910–EX–P                                                                                        diabetes had a higher rate of crash
                                                                                                       FDMS is available 24 hours each day
                                                                                                       E.T., 365 days each year. If you want                 involvement than the general
                                                                                                       acknowledgment that we received your                  population.
                                               DEPARTMENT OF TRANSPORTATION                                                                                     FMCSA established its diabetes
                                                                                                       comments, please include a self-
                                               Federal Motor Carrier Safety                            addressed, stamped envelope or                        exemption program, based on the
                                               Administration                                          postcard or print the acknowledgement                 Agency’s July 2000 study entitled ‘‘A
                                                                                                       page that appears after submitting                    Report to Congress on the Feasibility of
                                               [Docket No. FMCSA–2018–0203]                            comments online.                                      a Program to Qualify Individuals with
                                                                                                          Privacy Act: In accordance with 5                  Insulin-Treated Diabetes Mellitus to
                                               Qualification of Drivers; Exemption                                                                           Operate in Interstate Commerce as
                                               Applications; Diabetes Mellitus                         U.S.C. 553(c), DOT solicits comments
                                                                                                       from the public to better inform its                  Directed by the Transportation Act for
                                               AGENCY: Federal Motor Carrier Safety                    rulemaking process. DOT posts these                   the 21st Century.’’ The report concluded
                                               Administration (FMCSA), DOT.                            comments, without edit, including any                 that a safe and practicable protocol to
                                               ACTION: Notice of applications for                      personal information the commenter                    allow some drivers with ITDM to
                                               exemption; request for comments.                        provides, to http://www.regulations.gov,              operate CMVs is feasible. The
                                                                                                       as described in the system of records                 September 3, 2003 (68 FR 52441),
                                               SUMMARY:   FMCSA announces receipt of                   notice (DOT/ALL–14 FDMS), which can                   Federal Register notice in conjunction
                                               applications from 46 individuals for an                 be reviewed at http://www.dot.gov/                    with the November 8, 2005 (70 FR
                                               exemption from the prohibition in the                   privacy.                                              67777), Federal Register notice provides
                                               Federal Motor Carrier Safety                                                                                  the current protocol for allowing such
                                               Regulations (FMCSRs) against persons                    FOR FURTHER INFORMATION CONTACT:     Ms.              drivers to operate CMVs in interstate
                                               with insulin-treated diabetes mellitus                  Christine A. Hydock, Chief, Medical                   commerce.
                                               (ITDM) operating a commercial motor                     Programs Division, (202) 366–4001,                       FMCSA notes that section 4129 of the
                                               vehicle (CMV) in interstate commerce. If                fmcsamedical@dot.gov, FMCSA,                          Safe, Accountable, Flexible and
                                               granted, the exemptions would enable                    Department of Transportation, 1200                    Efficient Transportation Equity Act: A
                                               these individuals with ITDM to operate                  New Jersey Avenue SE, Room W64–224,                   Legacy for Users requires the Secretary
                                               CMVs in interstate commerce.                            Washington, DC 20590–0001. Office                     to revise its diabetes exemption program
daltland on DSKBBV9HB2PROD with NOTICES




                                               DATES: Comments must be received on                     hours are 8:30 a.m. to 5 p.m., E.T.,                  established on September 3, 2003 (68 FR
                                               or before October 10, 2018.                             Monday through Friday, except Federal                 52441). The revision must provide for
                                               ADDRESSES: You may submit comments                      holidays. If you have questions                       individual assessment of drivers with
                                               bearing the Federal Docket Management                   regarding viewing or submitting                       diabetes mellitus, and be consistent
                                               System (FDMS) Docket No. FMCSA–                         material to the docket, contact Docket                with the criteria described in section
                                               2018–0203 using any of the following                    Services, telephone (202) 366–9826.                   4018 of the Transportation Equity Act
                                               methods:                                                SUPPLEMENTARY INFORMATION:                            for the 21st Century (49 U.S.C. 31305).


                                          VerDate Sep<11>2014   17:54 Sep 07, 2018   Jkt 244001   PO 00000   Frm 00143   Fmt 4703   Sfmt 4703   E:\FR\FM\10SEN1.SGM   10SEN1


                                                                         Federal Register / Vol. 83, No. 175 / Monday, September 10, 2018 / Notices                                           45737

                                               Section 4129 requires: (1) Elimination of               he has had no severe hypoglycemic                     Christine Byrd
                                               the requirement for three years of                      reactions resulting in loss of                          Ms. Byrd, 54, has had ITDM since
                                               experience operating CMVs while being                   consciousness, requiring the assistance               2017. Her endocrinologist examined her
                                               treated with insulin; and (2)                           of another person, or resulting in                    in 2018 and certified that she has had
                                               establishment of a specified minimum                    impaired cognitive function that                      no severe hypoglycemic reactions
                                               period of insulin use to demonstrate                    occurred without warning in the past 12               resulting in loss of consciousness,
                                               stable control of diabetes before being                 months and no recurrent (two or more)
                                                                                                                                                             requiring the assistance of another
                                               allowed to operate a CMV.                               severe hypoglycemic episodes in the
                                                                                                                                                             person, or resulting in impaired
                                                  In response to section 4129, FMCSA                   last five years. His endocrinologist
                                                                                                                                                             cognitive function that occurred without
                                               made immediate revisions to the                         certifies that Mr. Arringdale
                                                                                                                                                             warning in the past 12 months and no
                                               diabetes exemption program established                  understands diabetes management and
                                                                                                                                                             recurrent (two or more) severe
                                               by the September 3, 2003 notice.                        monitoring, has stable control of his
                                                                                                                                                             hypoglycemic episodes in the last five
                                               FMCSA discontinued use of the three-                    diabetes using insulin, and is able to
                                                                                                                                                             years. Her endocrinologist certifies that
                                               year driving experience and fulfilled the               drive a CMV safely. Mr. Arringdale
                                                                                                                                                             Ms. Byrd understands diabetes
                                               requirements of section 4129 while                      meets the requirements of the vision
                                                                                                                                                             management and monitoring, has stable
                                               continuing to ensure that operation of                  standard at 49 CFR 391.41(b)(10). His
                                                                                                       optometrist examined him in 2018 and                  control of her diabetes using insulin,
                                               CMVs by drivers with ITDM will                                                                                and is able to drive a CMV safely. Ms.
                                               achieve the requisite level of safety                   certified that he does not have diabetic
                                                                                                       retinopathy. He holds an operator’s                   Byrd meets the requirements of the
                                               required of all exemptions granted                                                                            vision standard at 49 CFR 391.41(b)(10).
                                               under 49 U.S.C. 31136 (e). Section                      license from Indiana.
                                                                                                                                                             Her optometrist examined her in 2018
                                               4129(d) also directed FMCSA to ensure                   Brad M. Bennett                                       and certified that she does not have
                                               that drivers of CMVs with ITDM are not                                                                        diabetic retinopathy. She holds a Class
                                               held to a higher standard than other                      Mr. Bennett, 43, has had ITDM since
                                                                                                       1989. His endocrinologist examined him                B CDL from Iowa.
                                               drivers, with the exception of limited
                                               operating, monitoring and medical                       in 2018 and certified that he has had no              Garrett T. Cameron
                                               requirements that are deemed medically                  severe hypoglycemic reactions resulting
                                                                                                       in loss of consciousness, requiring the                 Mr. Cameron, 26, has had ITDM since
                                               necessary. The FMCSA concluded that                                                                           2014. His endocrinologist examined him
                                               all of the operating, monitoring and                    assistance of another person, or
                                                                                                       resulting in impaired cognitive function              in 2018 and certified that he has had no
                                               medical requirements set out in the                                                                           severe hypoglycemic reactions resulting
                                               September 3, 2003, notice, except as                    that occurred without warning in the
                                                                                                       past 12 months and no recurrent (two or               in loss of consciousness, requiring the
                                               modified, were in compliance with                                                                             assistance of another person, or
                                               section 4129(d). Therefore, all of the                  more) severe hypoglycemic episodes in
                                                                                                       the last five years. His endocrinologist              resulting in impaired cognitive function
                                               requirements set out in the September 3,                                                                      that occurred without warning in the
                                                                                                       certifies that Mr. Bennett understands
                                               2003, notice, except as modified by the                                                                       past 12 months and no recurrent (two or
                                                                                                       diabetes management and monitoring,
                                               notice in the Federal Register on                                                                             more) severe hypoglycemic episodes in
                                                                                                       has stable control of his diabetes using
                                               November 8, 2005 (70 FR 67777),                                                                               the last five years. His endocrinologist
                                                                                                       insulin, and is able to drive a CMV
                                               remain in effect.                                                                                             certifies that Mr. Cameron understands
                                                                                                       safely. Mr. Bennett meets the
                                               II. Qualifications of Applicants                        requirements of the vision standard at                diabetes management and monitoring,
                                                                                                       49 CFR 391.41(b)(10). His                             has stable control of his diabetes using
                                               Anthony D. Anderson                                                                                           insulin, and is able to drive a CMV
                                                                                                       ophthalmologist examined him in 2018
                                                 Mr. Anderson, 25, has had ITDM                        and certified that he has stable                      safely. Mr. Cameron meets the
                                               since 2004. His endocrinologist                         proliferative diabetic retinopathy. He                requirements of the vision standard at
                                               examined him in 2018 and certified that                 holds an operator’s license from Oregon.              49 CFR 391.41(b)(10). His optometrist
                                               he has had no severe hypoglycemic                                                                             examined him in 2018 and certified that
                                                                                                       Ronald S. Blackwell                                   he does not have diabetic retinopathy.
                                               reactions resulting in loss of
                                               consciousness, requiring the assistance                   Mr. Blackwell, 58, has had ITDM                     He holds an operator’s license from
                                               of another person, or resulting in                      since 2018. His endocrinologist                       Ohio.
                                               impaired cognitive function that                        examined him in 2018 and certified that
                                                                                                       he has had no severe hypoglycemic                     Alfredo Casillas
                                               occurred without warning in the past 12
                                               months and no recurrent (two or more)                   reactions resulting in loss of                          Mr. Casillas, 54, has had ITDM since
                                               severe hypoglycemic episodes while on                   consciousness, requiring the assistance               2006. His endocrinologist examined him
                                               his current insulin regimen. His                        of another person, or resulting in                    in 2018 and certified that he has had no
                                               endocrinologist certifies that Mr.                      impaired cognitive function that                      severe hypoglycemic reactions resulting
                                               Anderson understands diabetes                           occurred without warning in the past 12               in loss of consciousness, requiring the
                                               management and monitoring, has stable                   months and no recurrent (two or more)                 assistance of another person, or
                                               control of his diabetes using insulin,                  severe hypoglycemic episodes in the                   resulting in impaired cognitive function
                                               and is able to drive a CMV safely. Mr.                  last five years. His endocrinologist                  that occurred without warning in the
                                               Anderson meets the requirements of the                  certifies that Mr. Blackwell understands              past 12 months and no recurrent (two or
                                               vision standard at 49 CFR 391.41(b)(10).                diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                               His optometrist examined him in 2018                    has stable control of his diabetes using              the last five years. His endocrinologist
                                               and certified that he does not have                     insulin, and is able to drive a CMV                   certifies that Mr. Casillas understands
daltland on DSKBBV9HB2PROD with NOTICES




                                               diabetic retinopathy. He holds an                       safely. Mr. Blackwell meets the                       diabetes management and monitoring,
                                               operator’s license from Minnesota.                      requirements of the vision standard at                has stable control of his diabetes using
                                                                                                       49 CFR 391.41(b)(10). His optometrist                 insulin, and is able to drive a CMV
                                               Larry S. Arringdale                                     examined him in 2018 and certified that               safely. Mr. Casillas meets the
                                                 Mr. Arringdale, 55, has had ITDM                      he does not have diabetic retinopathy.                requirements of the vision standard at
                                               since 2018. His endocrinologist                         He holds an operator’s license from                   49 CFR 391.41(b)(10). His optometrist
                                               examined him in 2018 and certified that                 Idaho.                                                examined him in 2018 and certified that


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                                               45738                     Federal Register / Vol. 83, No. 175 / Monday, September 10, 2018 / Notices

                                               he does not have diabetic retinopathy.                  examined him in 2018 and certified that               requirements of the vision standard at
                                               He holds a Class A CDL from Texas.                      he does not have diabetic retinopathy.                49 CFR 391.41(b)(10). His optometrist
                                                                                                       He holds an operator’s license from                   examined him in 2018 and certified that
                                               Guerschom K. Chiwengo
                                                                                                       Massachusetts.                                        he does not have diabetic retinopathy.
                                                 Mr. Chiwengo, 58, has had ITDM                                                                              He holds an operator’s license from
                                               since 2018. His endocrinologist                         Jerome Davis, Sr.
                                                                                                                                                             Illinois.
                                               examined him in 2018 and certified that                   Mr. Davis, 57, has had ITDM since
                                               he has had no severe hypoglycemic                       2018. His endocrinologist examined him                Lynx D. Gardner
                                               reactions resulting in loss of                          in 2018 and certified that he has had no                Mr. Gardner, 31, has had ITDM since
                                               consciousness, requiring the assistance                 severe hypoglycemic reactions resulting               1995. His endocrinologist examined him
                                               of another person, or resulting in                      in loss of consciousness, requiring the               in 2018 and certified that he has had no
                                               impaired cognitive function that                        assistance of another person, or                      severe hypoglycemic reactions resulting
                                               occurred without warning in the past 12                 resulting in impaired cognitive function              in loss of consciousness, requiring the
                                               months and no recurrent (two or more)                   that occurred without warning in the                  assistance of another person, or
                                               severe hypoglycemic episodes in the                     past 12 months and no recurrent (two or               resulting in impaired cognitive function
                                               last five years. His endocrinologist                    more) severe hypoglycemic episodes in                 that occurred without warning in the
                                               certifies that Mr. Chiwengo understands                 the last five years. His endocrinologist              past 12 months and no recurrent (two or
                                               diabetes management and monitoring,                     certifies that Mr. Davis understands                  more) severe hypoglycemic episodes in
                                               has stable control of his diabetes using                diabetes management and monitoring,                   the last five years. His endocrinologist
                                               insulin, and is able to drive a CMV                     has stable control of his diabetes using              certifies that Mr. Gardner understands
                                               safely. Mr. Chiwengo meets the                          insulin, and is able to drive a CMV                   diabetes management and monitoring,
                                               requirements of the vision standard at                  safely. Mr. Davis meets the requirements              has stable control of his diabetes using
                                               49 CFR 391.41(b)(10). His optometrist                   of the vision standard at 49 CFR                      insulin, and is able to drive a CMV
                                               examined him in 2018 and certified that                 391.41(b)(10). His optometrist examined               safely. Mr. Gardner meets the
                                               he does not have diabetic retinopathy.                  him in 2018 and certified that he does                requirements of the vision standard at
                                               He holds a Class A CDL from Virginia.                   not have diabetic retinopathy. He holds               49 CFR 391.41(b)(10). His
                                                                                                       a Class A CDL from Arizona.                           ophthalmologist examined him in 2018
                                               David A. Coltrain
                                                                                                                                                             and certified that he does not have
                                                 Mr. Coltrain, 42, has had ITDM since                  Donald R. DeKruger
                                                                                                                                                             diabetic retinopathy. He holds an
                                               2018. His endocrinologist examined him                    Mr. DeKruger, 56, has had ITDM since                operator’s license from Nebraska.
                                               in 2018 and certified that he has had no                2007. His endocrinologist examined him
                                               severe hypoglycemic reactions resulting                 in 2018 and certified that he has had no              Timothy M. Getchius
                                               in loss of consciousness, requiring the                 severe hypoglycemic reactions resulting                 Mr. Getchius, 21, has had ITDM since
                                               assistance of another person, or                        in loss of consciousness, requiring the               2008. His endocrinologist examined him
                                               resulting in impaired cognitive function                assistance of another person, or                      in 2018 and certified that he has had no
                                               that occurred without warning in the                    resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                               past 12 months and no recurrent (two or                 that occurred without warning in the                  in loss of consciousness, requiring the
                                               more) severe hypoglycemic episodes in                   past 12 months and no recurrent (two or               assistance of another person, or
                                               the last five years. His endocrinologist                more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                               certifies that Mr. Coltrain understands                 the last five years. His endocrinologist              that occurred without warning in the
                                               diabetes management and monitoring,                     certifies that Mr. DeKruger understands               past 12 months and no recurrent (two or
                                               has stable control of his diabetes using                diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                               insulin, and is able to drive a CMV                     has stable control of his diabetes using              the last five years. His endocrinologist
                                               safely. Mr. Coltrain meets the                          insulin, and is able to drive a CMV                   certifies that Mr. Getchius understands
                                               requirements of the vision standard at                  safely. Mr. DeKruger meets the                        diabetes management and monitoring,
                                               49 CFR 391.41(b)(10). His optometrist                   requirements of the vision standard at                has stable control of his diabetes using
                                               examined him in 2018 and certified that                 49 CFR 391.41(b)(10). His optometrist                 insulin, and is able to drive a CMV
                                               he does not have diabetic retinopathy.                  examined him in 2018 and certified that               safely. Mr. Getchius meets the
                                               He holds a Class A CDL from Iowa.                       he has stable nonproliferative diabetic               requirements of the vision standard at
                                                                                                       retinopathy. He holds a Class A CDL                   49 CFR 391.41(b)(10). His optometrist
                                               James D. Cosgrove
                                                                                                       from Colorado.                                        examined him in 2018 and certified that
                                                 Mr. Cosgrove, 28, has had ITDM since                                                                        he does not have diabetic retinopathy.
                                               1995. His endocrinologist examined him                  Joseph M. Dema
                                                                                                                                                             He holds an operator’s license from New
                                               in 2018 and certified that he has had no                  Mr. Dema, 40, has had ITDM since                    York.
                                               severe hypoglycemic reactions resulting                 2018. His endocrinologist examined him
                                               in loss of consciousness, requiring the                 in 2018 and certified that he has had no              Jeffrey M. Halida
                                               assistance of another person, or                        severe hypoglycemic reactions resulting                  Mr. Halida, 45, has had ITDM since
                                               resulting in impaired cognitive function                in loss of consciousness, requiring the               1985. His endocrinologist examined him
                                               that occurred without warning in the                    assistance of another person, or                      in 2018 and certified that he has had no
                                               past 12 months and no recurrent (two or                 resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                               more) severe hypoglycemic episodes in                   that occurred without warning in the                  in loss of consciousness, requiring the
                                               the last five years. His endocrinologist                past 12 months and no recurrent (two or               assistance of another person, or
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                                               certifies that Mr. Cosgrove understands                 more) severe hypoglycemic episodes in                 resulting in impaired cognitive function
                                               diabetes management and monitoring,                     the last five years. His endocrinologist              that occurred without warning in the
                                               has stable control of his diabetes using                certifies that Mr. Dema understands                   past 12 months and no recurrent (two or
                                               insulin, and is able to drive a CMV                     diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                               safely. Mr. Cosgrove meets the                          has stable control of his diabetes using              the last five years. His endocrinologist
                                               requirements of the vision standard at                  insulin, and is able to drive a CMV                   certifies that Mr. Halida understands
                                               49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Dema meets the                            diabetes management and monitoring,


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                                                                         Federal Register / Vol. 83, No. 175 / Monday, September 10, 2018 / Notices                                          45739

                                               has stable control of his diabetes using                the last five years. His endocrinologist              more) severe hypoglycemic episodes in
                                               insulin, and is able to drive a CMV                     certifies that Mr. Ingin understands                  the last five years. His endocrinologist
                                               safely. Mr. Halida meets the                            diabetes management and monitoring,                   certifies that Mr. Kuhn understands
                                               requirements of the vision standard at                  has stable control of his diabetes using              diabetes management and monitoring,
                                               49 CFR 391.41(b)(10). His optometrist                   insulin, and is able to drive a CMV                   has stable control of his diabetes using
                                               examined him in 2018 and certified that                 safely. Mr. Ingin meets the requirements              insulin, and is able to drive a CMV
                                               he does not have diabetic retinopathy.                  of the vision standard at 49 CFR                      safely. Mr. Kuhn meets the requirements
                                               He holds a Class A CDL from                             391.41(b)(10). His ophthalmologist                    of the vision standard at 49 CFR
                                               Wisconsin.                                              examined him in 2018 and certified that               391.41(b)(10). His optometrist examined
                                                                                                       he does not have diabetic retinopathy.                him in 2018 and certified that he does
                                               Corey A. Harrell
                                                                                                       He holds an operator’s license from New               not have diabetic retinopathy. He holds
                                                 Mr. Harrell, 42, has had ITDM since                   York.                                                 a Class A CDL from Pennsylvania.
                                               2018. His endocrinologist examined him
                                               in 2018 and certified that he has had no                James M. Kay                                          Chad M. Kunkel
                                               severe hypoglycemic reactions resulting                   Mr. Kay, 34, has had ITDM since                       Mr. Kunkel, 44, has had ITDM since
                                               in loss of consciousness, requiring the                 2002. His endocrinologist examined him                2005. His endocrinologist examined him
                                               assistance of another person, or                        in 2018 and certified that he has had no              in 2018 and certified that he has had no
                                               resulting in impaired cognitive function                severe hypoglycemic reactions resulting               severe hypoglycemic reactions resulting
                                               that occurred without warning in the                    in loss of consciousness, requiring the               in loss of consciousness, requiring the
                                               past 12 months and no recurrent (two or                 assistance of another person, or                      assistance of another person, or
                                               more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              resulting in impaired cognitive function
                                               the last five years. His endocrinologist                that occurred without warning in the                  that occurred without warning in the
                                               certifies that Mr. Harrell understands                  past 12 months and no recurrent (two or               past 12 months and no recurrent (two or
                                               diabetes management and monitoring,                     more) severe hypoglycemic episodes in                 more) severe hypoglycemic episodes in
                                               has stable control of his diabetes using                the last five years. His endocrinologist              the last five years. His endocrinologist
                                               insulin, and is able to drive a CMV                     certifies that Mr. Kay understands                    certifies that Mr. Kunkel understands
                                               safely. Mr. Harrell meets the                           diabetes management and monitoring,                   diabetes management and monitoring,
                                               requirements of the vision standard at                  has stable control of his diabetes using              has stable control of his diabetes using
                                               49 CFR 391.41(b)(10). His                               insulin, and is able to drive a CMV                   insulin, and is able to drive a CMV
                                               ophthalmologist examined him in 2018                    safely. Mr. Kay meets the requirements                safely. Mr. Kunkel meets the
                                               and certified that he does not have                     of the vision standard at 49 CFR                      requirements of the vision standard at
                                               diabetic retinopathy. He holds a Class B                391.41(b)(10). His optometrist examined               49 CFR 391.41(b)(10). His
                                               CDL from Illinois.                                      him in 2018 and certified that he does                ophthalmologist examined him in 2018
                                                                                                       not have diabetic retinopathy. He holds               and certified that he does not have
                                               Donald B. Harwell
                                                                                                       a Class A CDL from Indiana.                           diabetic retinopathy. He holds a Class A
                                                 Mr. Harwell, 53, has had ITDM since                                                                         CDL from Minnesota.
                                               2018. His endocrinologist examined him                  Marcus E.M. Killman
                                               in 2018 and certified that he has had no                  Mr. Killman, 47, has had ITDM since                 Lawrence J. Lucero
                                               severe hypoglycemic reactions resulting                 2018. His endocrinologist examined him                  Mr. Lucero, 65, has had ITDM since
                                               in loss of consciousness, requiring the                 in 2018 and certified that he has had no              2018. His endocrinologist examined him
                                               assistance of another person, or                        severe hypoglycemic reactions resulting               in 2018 and certified that he has had no
                                               resulting in impaired cognitive function                in loss of consciousness, requiring the               severe hypoglycemic reactions resulting
                                               that occurred without warning in the                    assistance of another person, or                      in loss of consciousness, requiring the
                                               past 12 months and no recurrent (two or                 resulting in impaired cognitive function              assistance of another person, or
                                               more) severe hypoglycemic episodes in                   that occurred without warning in the                  resulting in impaired cognitive function
                                               the last five years. His endocrinologist                past 12 months and no recurrent (two or               that occurred without warning in the
                                               certifies that Mr. Harwell understands                  more) severe hypoglycemic episodes in                 past 12 months and no recurrent (two or
                                               diabetes management and monitoring,                     the last five years. His endocrinologist              more) severe hypoglycemic episodes in
                                               has stable control of his diabetes using                certifies that Mr. Killman understands                the last five years. His endocrinologist
                                               insulin, and is able to drive a CMV                     diabetes management and monitoring,                   certifies that Mr. Lucero understands
                                               safely. Mr. Harwell meets the                           has stable control of his diabetes using              diabetes management and monitoring,
                                               requirements of the vision standard at                  insulin, and is able to drive a CMV                   has stable control of his diabetes using
                                               49 CFR 391.41(b)(10). His optometrist                   safely. Mr. Killman meets the                         insulin, and is able to drive a CMV
                                               examined him in 2018 and certified that                 requirements of the vision standard at                safely. Mr. Lucero meets the
                                               he does not have diabetic retinopathy.                  49 CFR 391.41(b)(10). His optometrist                 requirements of the vision standard at
                                               He holds an operator’s license from                     examined him in 2018 and certified that               49 CFR 391.41(b)(10). His
                                               South Carolina.                                         he does not have diabetic retinopathy.                ophthalmologist examined him in 2018
                                                                                                       He holds a Class A CDL from Kansas.                   and certified that he has stable
                                               John T. Ingin
                                                                                                                                                             nonproliferative diabetic retinopathy.
                                                 Mr. Ingin, 57, has had ITDM since                     Mark R. Kuhn
                                                                                                                                                             He holds a Class A CDL from
                                               1982. His endocrinologist examined him                    Mr. Kuhn, 48, has had ITDM since                    Washington.
                                               in 2018 and certified that he has had no                2018. His endocrinologist examined him
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                                               severe hypoglycemic reactions resulting                 in 2018 and certified that he has had no              Curtis M. Lyons
                                               in loss of consciousness, requiring the                 severe hypoglycemic reactions resulting                 Mr. Lyons, 37, has had ITDM since
                                               assistance of another person, or                        in loss of consciousness, requiring the               2016. His endocrinologist examined him
                                               resulting in impaired cognitive function                assistance of another person, or                      in 2018 and certified that he has had no
                                               that occurred without warning in the                    resulting in impaired cognitive function              severe hypoglycemic reactions resulting
                                               past 12 months and no recurrent (two or                 that occurred without warning in the                  in loss of consciousness, requiring the
                                               more) severe hypoglycemic episodes in                   past 12 months and no recurrent (two or               assistance of another person, or


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                                               45740                     Federal Register / Vol. 83, No. 175 / Monday, September 10, 2018 / Notices

                                               resulting in impaired cognitive function                Fernando Martins                                      ophthalmologist examined him in 2018
                                               that occurred without warning in the                      Mr. Martins, 61, has had ITDM since                 and certified that he does not have
                                               past 12 months and no recurrent (two or                 2011. His endocrinologist examined him                diabetic retinopathy. He holds an
                                               more) severe hypoglycemic episodes in                   in 2018 and certified that he has had no              operator’s license from Utah.
                                               the last five years. His endocrinologist                severe hypoglycemic reactions resulting               Peter M. Meserve
                                               certifies that Mr. Lyons understands                    in loss of consciousness, requiring the
                                               diabetes management and monitoring,                                                                             Mr. Meserve, 55, has had ITDM since
                                                                                                       assistance of another person, or                      2005. His endocrinologist examined him
                                               has stable control of his diabetes using                resulting in impaired cognitive function              in 2018 and certified that he has had no
                                               insulin, and is able to drive a CMV                     that occurred without warning in the                  severe hypoglycemic reactions resulting
                                               safely. Mr. Lyons meets the                             past 12 months and no recurrent (two or               in loss of consciousness, requiring the
                                               requirements of the vision standard at                  more) severe hypoglycemic episodes in                 assistance of another person, or
                                               49 CFR 391.41(b)(10). His optometrist                   the last five years. His endocrinologist              resulting in impaired cognitive function
                                               examined him in 2018 and certified that                 certifies that Mr. Martins understands                that occurred without warning in the
                                               he does not have diabetic retinopathy.                  diabetes management and monitoring,                   past 12 months and no recurrent (two or
                                               He holds an operator’s license from                     has stable control of his diabetes using              more) severe hypoglycemic episodes in
                                               Indiana.                                                insulin, and is able to drive a CMV                   the last five years. His endocrinologist
                                                                                                       safely. Mr. Martins meets the                         certifies that Mr. Meserve understands
                                               Antonia Madrid                                          requirements of the vision standard at                diabetes management and monitoring,
                                                 Ms. Madrid, 57, has had ITDM since                    49 CFR 391.41(b)(10). His optometrist                 has stable control of his diabetes using
                                               2017. Her endocrinologist examined her                  examined him in 2018 and certified that               insulin, and is able to drive a CMV
                                               in 2018 and certified that she has had                  he does not have diabetic retinopathy.                safely. Mr. Meserve meets the
                                                                                                       He holds a Class A CDL from New                       requirements of the vision standard at
                                               no severe hypoglycemic reactions
                                                                                                       Hampshire.                                            49 CFR 391.41(b)(10). His optometrist
                                               resulting in loss of consciousness,
                                               requiring the assistance of another                     Vincent Matthews                                      examined him in 2018 and certified that
                                               person, or resulting in impaired                                                                              he does not have diabetic retinopathy.
                                                                                                         Mr. Matthews, 48, has had ITDM                      He holds an operator’s license from New
                                               cognitive function that occurred without                since 2013. His endocrinologist
                                               warning in the past 12 months and no                                                                          Hampshire.
                                                                                                       examined him in 2018 and certified that
                                               recurrent (two or more) severe                          he has had no severe hypoglycemic                     Jason R. Miller
                                               hypoglycemic episodes in the last five                  reactions resulting in loss of                          Mr. Miller, 40, has had ITDM since
                                               years. Her endocrinologist certifies that               consciousness, requiring the assistance               1983. His endocrinologist examined him
                                               Ms. Madrid understands diabetes                         of another person, or resulting in                    in 2018 and certified that he has had no
                                               management and monitoring, has stable                   impaired cognitive function that                      severe hypoglycemic reactions resulting
                                               control of her diabetes using insulin,                  occurred without warning in the past 12               in loss of consciousness, requiring the
                                               and is able to drive a CMV safely. Ms.                  months and no recurrent (two or more)                 assistance of another person, or
                                               Madrid meets the requirements of the                    severe hypoglycemic episodes in the                   resulting in impaired cognitive function
                                               vision standard at 49 CFR 391.41(b)(10).                last five years. His endocrinologist                  that occurred without warning in the
                                               Her ophthalmologist examined her in                     certifies that Mr. Matthews understands               past 12 months and no recurrent (two or
                                               2018 and certified that she has stable                  diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                               nonproliferative diabetic retinopathy.                  has stable control of his diabetes using              the last five years. His endocrinologist
                                               She holds a Class B CDL from New                        insulin, and is able to drive a CMV                   certifies that Mr. Miller understands
                                               Mexico.                                                 safely. Mr. Matthews meets the                        diabetes management and monitoring,
                                                                                                       requirements of the vision standard at                has stable control of his diabetes using
                                               Nankishore Mangal                                       49 CFR 391.41(b)(10). His optometrist                 insulin, and is able to drive a CMV
                                                 Mr. Mangal, 60, has had ITDM since                    examined him in 2018 and certified that               safely. Mr. Miller meets the
                                                                                                       he does not have diabetic retinopathy.                requirements of the vision standard at
                                               2016. His endocrinologist examined him
                                                                                                       He holds an operator’s license from                   49 CFR 391.41(b)(10). His
                                               in 2018 and certified that he has had no
                                                                                                       South Carolina.                                       ophthalmologist examined him in 2018
                                               severe hypoglycemic reactions resulting
                                               in loss of consciousness, requiring the                 Lawrence C. Maughan                                   and certified that he has stable
                                                                                                                                                             proliferative diabetic retinopathy. He
                                               assistance of another person, or                          Mr. Maughan, 53, has had ITDM since                 holds an operator’s license from
                                               resulting in impaired cognitive function                2011. His endocrinologist examined him                Minnesota.
                                               that occurred without warning in the                    in 2018 and certified that he has had no
                                               past 12 months and no recurrent (two or                 severe hypoglycemic reactions resulting               Philips Ng
                                               more) severe hypoglycemic episodes in                   in loss of consciousness, requiring the                 Mr. Ng, 62, has had ITDM since 2015.
                                               the last five years. His endocrinologist                assistance of another person, or                      His endocrinologist examined him in
                                               certifies that Mr. Mangal understands                   resulting in impaired cognitive function              2018 and certified that he has had no
                                               diabetes management and monitoring,                     that occurred without warning in the                  severe hypoglycemic reactions resulting
                                               has stable control of his diabetes using                past 12 months and no recurrent (two or               in loss of consciousness, requiring the
                                               insulin, and is able to drive a CMV                     more) severe hypoglycemic episodes in                 assistance of another person, or
                                               safely. Mr. Mangal meets the                            the last five years. His endocrinologist              resulting in impaired cognitive function
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                                               requirements of the vision standard at                  certifies that Mr. Maughan understands                that occurred without warning in the
                                               49 CFR 391.41(b)(10). His                               diabetes management and monitoring,                   past 12 months and no recurrent (two or
                                               ophthalmologist examined him in 2018                    has stable control of his diabetes using              more) severe hypoglycemic episodes in
                                               and certified that he has stable                        insulin, and is able to drive a CMV                   the last five years. His endocrinologist
                                               nonproliferative diabetic retinopathy.                  safely. Mr. Maughan meets the                         certifies that Mr. Ng understands
                                               He holds a Class A CDL from                             requirements of the vision standard at                diabetes management and monitoring,
                                               Connecticut.                                            49 CFR 391.41(b)(10). His                             has stable control of his diabetes using


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                                                                         Federal Register / Vol. 83, No. 175 / Monday, September 10, 2018 / Notices                                           45741

                                               insulin, and is able to drive a CMV                     certifies that Mr. Patterson understands              past 12 months and no recurrent (two or
                                               safely. Mr. Ng meets the requirements of                diabetes management and monitoring,                   more) severe hypoglycemic episodes in
                                               the vision standard at 49 CFR                           has stable control of his diabetes using              the last five years. His endocrinologist
                                               391.41(b)(10). His optometrist examined                 insulin, and is able to drive a CMV                   certifies that Mr. Rivera understands
                                               him in 2018 and certified that he does                  safely. Mr. Patterson meets the                       diabetes management and monitoring,
                                               not have diabetic retinopathy. He holds                 requirements of the vision standard at                has stable control of his diabetes using
                                               an operator’s license from                              49 CFR 391.41(b)(10). His                             insulin, and is able to drive a CMV
                                               Massachusetts.                                          ophthalmologist examined him in 2018                  safely. Mr. Rivera meets the
                                                                                                       and certified that he does not have                   requirements of the vision standard at
                                               Don C. Oden
                                                                                                       diabetic retinopathy. He holds a Class A              49 CFR 391.41(b)(10). His
                                                 Mr. Oden, 56, has had ITDM since                      CDL from Virginia.                                    ophthalmologist examined him in 2018
                                               2016. His endocrinologist examined him                                                                        and certified that he has stable
                                               in 2018 and certified that he has had no                Nathaniel P. Probasco
                                                                                                                                                             proliferative diabetic retinopathy. He
                                               severe hypoglycemic reactions resulting                   Mr. Probasco, 30, has had ITDM since                holds an operator’s license from New
                                               in loss of consciousness, requiring the                 2006. His endocrinologist examined him                Jersey.
                                               assistance of another person, or                        in 2018 and certified that he has had no
                                               resulting in impaired cognitive function                severe hypoglycemic reactions resulting               Eddie A. Sellars
                                               that occurred without warning in the                    in loss of consciousness, requiring the                 Mr. Sellars, 74, has had ITDM since
                                               past 12 months and no recurrent (two or                 assistance of another person, or                      2010. His endocrinologist examined him
                                               more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              in 2018 and certified that he has had no
                                               the last five years. His endocrinologist                that occurred without warning in the                  severe hypoglycemic reactions resulting
                                               certifies that Mr. Oden understands                     past 12 months and no recurrent (two or               in loss of consciousness, requiring the
                                               diabetes management and monitoring,                     more) severe hypoglycemic episodes in                 assistance of another person, or
                                               has stable control of his diabetes using                the last five years. His endocrinologist              resulting in impaired cognitive function
                                               insulin, and is able to drive a CMV                     certifies that Mr. Probasco understands               that occurred without warning in the
                                               safely. Mr. Oden meets the requirements                 diabetes management and monitoring,                   past 12 months and no recurrent (two or
                                               of the vision standard at 49 CFR                        has stable control of his diabetes using              more) severe hypoglycemic episodes in
                                               391.41(b)(10). His optometrist examined                 insulin, and is able to drive a CMV                   the last five years. His endocrinologist
                                               him in 2018 and certified that he does                  safely. Mr. Probasco meets the                        certifies that Mr. Sellars understands
                                               not have diabetic retinopathy. He holds                 requirements of the vision standard at                diabetes management and monitoring,
                                               a Class A CDL from Kansas.                              49 CFR 391.41(b)(10). His                             has stable control of his diabetes using
                                                                                                       ophthalmologist examined him in 2018                  insulin, and is able to drive a CMV
                                               Charles T. Pappas
                                                                                                       and certified that he does not have                   safely. Mr. Sellars meets the
                                                 Mr. Pappas, 54, has had ITDM since                    diabetic retinopathy. He holds an                     requirements of the vision standard at
                                               2013. His endocrinologist examined him                  operator’s license from Pennsylvania.                 49 CFR 391.41(b)(10). His
                                               in 2018 and certified that he has had no                                                                      ophthalmologist examined him in 2018
                                               severe hypoglycemic reactions resulting                 Mark K. Pugh
                                                                                                                                                             and certified that he has stable
                                               in loss of consciousness, requiring the                   Mr. Pugh, 69, has had ITDM since                    nonproliferative diabetic retinopathy.
                                               assistance of another person, or                        2006. His endocrinologist examined him                He holds a Class A CDL from North
                                               resulting in impaired cognitive function                in 2018 and certified that he has had no              Carolina.
                                               that occurred without warning in the                    severe hypoglycemic reactions resulting
                                               past 12 months and no recurrent (two or                 in loss of consciousness, requiring the               James B. Stevens
                                               more) severe hypoglycemic episodes in                   assistance of another person, or                        Mr. Stevens, 65, has had ITDM since
                                               the last five years. His endocrinologist                resulting in impaired cognitive function              2018. His endocrinologist examined him
                                               certifies that Mr. Pappas understands                   that occurred without warning in the                  in 2018 and certified that he has had no
                                               diabetes management and monitoring,                     past 12 months and no recurrent (two or               severe hypoglycemic reactions resulting
                                               has stable control of his diabetes using                more) severe hypoglycemic episodes in                 in loss of consciousness, requiring the
                                               insulin, and is able to drive a CMV                     the last five years. His endocrinologist              assistance of another person, or
                                               safely. Mr. Pappas meets the                            certifies that Mr. Pugh understands                   resulting in impaired cognitive function
                                               requirements of the vision standard at                  diabetes management and monitoring,                   that occurred without warning in the
                                               49 CFR 391.41(b)(10). His                               has stable control of his diabetes using              past 12 months and no recurrent (two or
                                               ophthalmologist examined him in 2018                    insulin, and is able to drive a CMV                   more) severe hypoglycemic episodes in
                                               and certified that he has stable                        safely. Mr. Pugh meets the requirements               the last five years. His endocrinologist
                                               nonproliferative diabetic retinopathy.                  of the vision standard at 49 CFR                      certifies that Mr. Stevens understands
                                               He holds a Class A CDL from                             391.41(b)(10). His ophthalmologist                    diabetes management and monitoring,
                                               Washington.                                             examined him in 2018 and certified that               has stable control of his diabetes using
                                                                                                       he does not have diabetic retinopathy.                insulin, and is able to drive a CMV
                                               Stacy S. Patterson
                                                                                                       He holds an operator’s license from                   safely. Mr. Stevens meets the
                                                 Mr. Patterson, 43, has had ITDM since                 Pennsylvania.                                         requirements of the vision standard at
                                               2017. His endocrinologist examined him                                                                        49 CFR 391.41(b)(10). His optometrist
                                               in 2018 and certified that he has had no                Anthony Rivera
                                                                                                                                                             examined him in 2018 and certified that
                                               severe hypoglycemic reactions resulting                   Mr. Rivera, 48, has had ITDM since                  he does not have diabetic retinopathy.
daltland on DSKBBV9HB2PROD with NOTICES




                                               in loss of consciousness, requiring the                 1988. His endocrinologist examined him                He holds a Class A CDL from
                                               assistance of another person, or                        in 2018 and certified that he has had no              Minnesota.
                                               resulting in impaired cognitive function                severe hypoglycemic reactions resulting
                                               that occurred without warning in the                    in loss of consciousness, requiring the               Edwinn D. Strong
                                               past 12 months and no recurrent (two or                 assistance of another person, or                        Mr. Strong, 41, has had ITDM since
                                               more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              2005. His endocrinologist examined him
                                               the last five years. His endocrinologist                that occurred without warning in the                  in 2018 and certified that he has had no


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                                               45742                     Federal Register / Vol. 83, No. 175 / Monday, September 10, 2018 / Notices

                                               severe hypoglycemic reactions resulting                 Gene A. Vieira                                           To submit your comment online, go to
                                               in loss of consciousness, requiring the                   Mr. Vieira, 33, has had ITDM since                  http://www.regulations.gov and in the
                                               assistance of another person, or                                                                              search box insert the docket number
                                                                                                       2003. His endocrinologist examined him
                                               resulting in impaired cognitive function                                                                      FMCSA–2018–0203 and click the search
                                                                                                       in 2018 and certified that he has had no
                                               that occurred without warning in the                                                                          button. When the new screen appears,
                                                                                                       severe hypoglycemic reactions resulting
                                               past 12 months and no recurrent (two or                                                                       click on the blue ‘‘Comment Now!’’
                                                                                                       in loss of consciousness, requiring the
                                               more) severe hypoglycemic episodes in                                                                         button on the right hand side of the
                                                                                                       assistance of another person, or
                                               the last five years. His endocrinologist                                                                      page. On the new page, enter
                                                                                                       resulting in impaired cognitive function
                                               certifies that Mr. Strong understands                                                                         information required including the
                                                                                                       that occurred without warning in the
                                               diabetes management and monitoring,                                                                           specific section of this document to
                                                                                                       past 12 months and no recurrent (two or
                                               has stable control of his diabetes using                                                                      which each comment applies, and
                                                                                                       more) severe hypoglycemic episodes in
                                                                                                                                                             provide a reason for each suggestion or
                                               insulin, and is able to drive a CMV                     the last five years. His endocrinologist              recommendation. If you submit your
                                               safely. Mr. Strong meets the                            certifies that Mr. Vieira understands                 comments by mail or hand delivery,
                                               requirements of the vision standard at                  diabetes management and monitoring,                   submit them in an unbound format, no
                                               49 CFR 391.41(b)(10). His                               has stable control of his diabetes using              larger than 81⁄2 by 11 inches, suitable for
                                               ophthalmologist examined him in 2018                    insulin, and is able to drive a CMV                   copying and electronic filing. If you
                                               and certified that he does not have                     safely. Mr. Vieira meets the                          submit comments by mail and would
                                               diabetic retinopathy. He holds a Class A                requirements of the vision standard at                like to know that they reached the
                                               CDL from Illinois.                                      49 CFR 391.41(b)(10). His optometrist                 facility, please enclose a stamped, self-
                                                                                                       examined him in 2018 and certified that               addressed postcard or envelope.
                                               Terelle E. Thomas                                       he does not have diabetic retinopathy.                   We will consider all comments and
                                                 Mr. Thomas, 24, has had ITDM since                    He holds an operator’s license from                   materials received during the comment
                                                                                                       Florida.                                              period. FMCSA may issue a final
                                               2017. His endocrinologist examined him
                                               in 2018 and certified that he has had no                Ronald Walker, Sr.                                    determination at any time after the close
                                               severe hypoglycemic reactions resulting                                                                       of the comment period.
                                                                                                         Mr. Walker, 50, has had ITDM since
                                               in loss of consciousness, requiring the                 2018. His endocrinologist examined him                V. Viewing Comments and Documents
                                               assistance of another person, or                        in 2018 and certified that he has had no                To view comments, as well as any
                                               resulting in impaired cognitive function                severe hypoglycemic reactions resulting               documents mentioned in this preamble,
                                               that occurred without warning in the                    in loss of consciousness, requiring the               go to http://www.regulations.gov and in
                                               past 12 months and no recurrent (two or                 assistance of another person, or                      the search box insert the docket number
                                               more) severe hypoglycemic episodes in                   resulting in impaired cognitive function              FMCSA–2018–0203 and click ‘‘Search.’’
                                               the last five years. His endocrinologist                that occurred without warning in the                  Next, click ‘‘Open Docket Folder’’ and
                                               certifies that Mr. Thomas understands                   past 12 months and no recurrent (two or               you will find all documents and
                                               diabetes management and monitoring,                     more) severe hypoglycemic episodes in                 comments related to this notice.
                                               has stable control of his diabetes using                the last five years. His endocrinologist                Issued on: August 30, 2018.
                                               insulin, and is able to drive a CMV                     certifies that Mr. Walker understands
                                                                                                                                                             Larry W. Minor,
                                               safely. Mr. Thomas meets the                            diabetes management and monitoring,
                                               requirements of the vision standard at                  has stable control of his diabetes using              Associate Administrator for Policy.
                                               49 CFR 391.41(b)(10). His optometrist                   insulin, and is able to drive a CMV                   [FR Doc. 2018–19627 Filed 9–7–18; 8:45 am]
                                               examined him in 2018 and certified that                 safely. Mr. Walker meets the                          BILLING CODE 4910–EX–P

                                               he does not have diabetic retinopathy.                  requirements of the vision standard at
                                               He holds an operator’s license from                     49 CFR 391.41(b)(10). His optometrist
                                                                                                       examined him in 2018 and certified that               DEPARTMENT OF TRANSPORTATION
                                               Virginia.
                                                                                                       he does not have diabetic retinopathy.                Federal Motor Carrier Safety
                                               Harvey S. Vaea                                          He holds a Class A CDL from Illinois.                 Administration
                                                 Mr. Vaea, 52, has had ITDM since                      III. Request for Comments                             [Docket No. FMCSA–2012–0032]
                                               2013. His endocrinologist examined him
                                                                                                         In accordance with 49 U.S.C. 31136(e)
                                               in 2018 and certified that he has had no                and 31315, FMCSA requests public                      Commercial Driver’s License
                                               severe hypoglycemic reactions resulting                 comment from all interested persons on                Standards: Application for Exemption;
                                               in loss of consciousness, requiring the                 the exemption petitions described in                  Daimler Trucks North America
                                               assistance of another person, or                        this notice. We will consider all                     (Daimler)
                                               resulting in impaired cognitive function                comments received before the close of                 AGENCY:  Federal Motor Carrier Safety
                                               that occurred without warning in the                    business on the closing date indicated                Administration (FMCSA), DOT.
                                               past 12 months and no recurrent (two or                 in the dates section of the notice.                   ACTION: Notice of final disposition; grant
                                               more) severe hypoglycemic episodes in
                                               the last five years. His endocrinologist                IV. Submitting Comments                               of application for exemption.
                                               certifies that Mr. Vaea understands                       You may submit your comments and                    SUMMARY:  FMCSA announces its
                                               diabetes management and monitoring,                     material online or by fax, mail, or hand              decision to grant an exemption to
                                               has stable control of his diabetes using                delivery, but please use only one of                  Daimler Trucks North America
daltland on DSKBBV9HB2PROD with NOTICES




                                               insulin, and is able to drive a CMV                     these means. FMCSA recommends that                    (Daimler) for one of its commercial
                                               safely. Mr. Vaea meets the requirements                 you include your name and a mailing                   motor vehicle (CMV) drivers. Daimler
                                               of the vision standard at 49 CFR                        address, an email address, or a phone                 requested a 5-year exemption from the
                                               391.41(b)(10). His optometrist examined                 number in the body of your document                   Federal requirement to hold a U.S.
                                               him in 2018 and certified that he does                  so that FMCSA can contact you if there                commercial driver’s license (CDL) for
                                               not have diabetic retinopathy. He holds                 are questions regarding your                          Mr. Christophe Veber, Lead Engineer in
                                               a Class A CDL from California.                          submission.                                           Vehicle Predictive Technology for


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Document Created: 2018-09-08 00:42:59
Document Modified: 2018-09-08 00:42:59
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of applications for exemption; request for comments.
DatesComments must be received on or before October 10, 2018.
ContactMs. Christine A. Hydock, Chief, Medical Programs Division, (202) 366-4001, [email protected], FMCSA, Department of Transportation, 1200 New Jersey Avenue SE, Room W64-224, Washington, DC 20590-0001. Office hours are 8:30 a.m. to 5 p.m., E.T., Monday through Friday, except Federal holidays. If you have questions regarding viewing or submitting material to the docket, contact Docket Services, telephone (202) 366-9826.
FR Citation83 FR 45736 

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