Agency Information Collection Activities; New Information Collection Request: Non-Insulin-Treated Diabetes Mellitus Assessment Form, MCSA-5872, 58061-58063 [2023-18238]
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Federal Register / Vol. 88, No. 163 / Thursday, August 24, 2023 / Notices
detention time while improving
operational efficiencies and safety.
The purpose for obtaining data in this
study is to evaluate the impact of driver
detention time on safety and CMV
operations. Specifically, there are three
primary objectives for the data
collection in this study: (i) assess the
frequency and severity of driver
detention time using data that represent
the major segments of the motor carrier
industry; (ii) assess the utility of
existing ITS solutions to measure
detention time; and (iii) prepare a final
report that summarizes the findings,
answers the research questions, and
offers strategies to reduce detention
time. Completing these research
objectives will provide insight into any
relationship between driver detention
time and CMV safety. Additionally, the
findings from this study can contribute
to a more complete understanding of
these issues and facilitate private sector
decisions that lead to reductions in
detention time and improvements in
safety and supply chain efficiency.
The study includes data collection via
electronic logging devices (ELDs),
transportation management systems
(TMS), vehicle telematic systems, safety
records, and answers to questions
delivered through the carriers’
dispatching systems. The TMS, ELD,
telematics, and safety data are already
collected by carriers. The only
additional data that will be collected
will be the answers to questions
submitted through the carriers’
dispatching systems. This information
will allow FMCSA to identify the
severity and frequency of detention
time, the factors that contribute to
detention time, and the administrative,
operational, and safety outcomes of
detention time. After agreeing to
participate in the study, carriers will
collect and provide 12 months of data.
The carriers will be selected so that
the sample is representative of the
nation. Carriers will primarily be
selected from the approximately 3,000
SpeedGauge clients in the Driven Data
Clearinghouse, which is maintained by
SpeedGauge and combines vehicle,
telematics, ELD, and vehicle claims
data. However, the study may include
other carriers that express interest in
participating. The final sample from this
source will include up to 80 carriers
with up to 2,500 total vehicles. This
sample will include a variety of carrier
operations, including long haul/short
haul, private/company fleets and forhire fleets, port servicing (primarily
chassis), owner-operators, hourly and
mileage-based operators, truckload/lessthan-truckload, and dedicated local
delivery. These carriers will range in
VerDate Sep<11>2014
17:08 Aug 23, 2023
Jkt 259001
size from single-vehicle owner-operators
to carriers with hundreds of trucks, with
a likely average fleet size of 31 vehicles.
Multiple analyses will be performed,
including assessing the relationships
between detention time and
characteristics of carriers, facility
locations, and driver schedules
(appointment times, time of day, day of
week, month, and season). Measures of
detention time will include the number
of detained stops per shift and the
duration of each detention. Regression
models will be used to compare these
variables for significant differences in
associated detention time.
Another analysis will examine the
relationship between detention time and
safety outcomes during the shifts
following the detention time. The
relationships between detention time
and safety outcomes will be evaluated
by generalized linear models such as
Poisson or negative binomial regression
models. The independent variables will
be the characteristics of detention time,
such as detention time per shift. The
response variable will be the number of
safety outcomes (e.g., crashes) that
occurred during the subsequent shift.
The driving time will be treated as an
exposure variable to normalize crash
risk with respect to driving time.
Finally, the study will estimate the
cost per year associated with detention
time, including lost productivity,
disruptions to the supply chain, and any
increases in fatal, injury, and propertydamage-only crashes.
Title: Impact of Driver Detention Time
on Safety and Operations.
OMB Control Number: 2126–00XX.
Type of Request: New ICR.
Respondents: CMV carriers and
drivers.
Estimated Number of Respondents: 80
carriers and 2,500 CMV drivers.
Estimated Time per Response: 30
seconds (for drivers and the operation
team).
Expiration Date: This is a new ICR.
Frequency of Response: Once per
delivery/pick-up.
Estimated Total Annual Burden:
8,112.50 hours.
Public Comments Invited: You are
asked to comment on any aspect of this
information collection, including: (1)
whether the proposed collection is
necessary for the performance of
FMCSA’s functions; (2) the accuracy of
the estimated burden; (3) ways for
FMCSA to enhance the quality,
usefulness, and clarity of the collected
information; and (4) ways that the
burden could be minimized without
reducing the quality of the collected
information. The Agency will
summarize or include your comments in
PO 00000
Frm 00139
Fmt 4703
Sfmt 4703
58061
the request for OMB’s clearance of this
ICR.
Issued under the authority of 49 CFR 1.87.
Thomas P. Keane,
Associate Administrator, Office of Research
and Registration.
[FR Doc. 2023–18239 Filed 8–23–23; 8:45 am]
BILLING CODE 4910–EX–P
DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety
Administration
[Docket No. FMCSA–2021–0183]
Agency Information Collection
Activities; New Information Collection
Request: Non-Insulin-Treated Diabetes
Mellitus Assessment Form, MCSA–
5872
Federal Motor Carrier Safety
Administration (FMCSA), Department
of Transportation (DOT).
ACTION: Notice and request for
comments.
AGENCY:
In accordance with the
Paperwork Reduction Act of 1995,
FMCSA announces its plan to submit
the information collection request (ICR)
described below to the Office of
Management and Budget (OMB) for
review and approval. This information
collection (IC) is voluntary and may be
utilized by medical examiners (ME)
responsible for issuing Medical
Examiner’s Certificates, Form MCSA–
5876, to individuals diagnosed with
non-insulin-treated diabetes mellitus
who operate commercial motor vehicles
(CMV) in interstate commerce. MEs
choosing to use this IC will do so in an
effort to communicate with treating
healthcare providers who manage the
diabetes care of individuals diagnosed
with non-insulin-treated diabetes
mellitus who operate CMVs. The
information obtained by MEs will assist
them in determining whether an
individual diagnosed with non-insulintreated diabetes mellitus meets
FMCSA’s physical qualification
standards. One comment from the
public was received in response to the
60-day Federal Register notice.
DATES: Comments must be received on
or before September 25, 2023.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this information
collection by selecting ‘‘Currently under
30-day Review—Open for Public
SUMMARY:
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58062
Federal Register / Vol. 88, No. 163 / Thursday, August 24, 2023 / Notices
Comments’’ or by using the search
function.
Ms.
Christine A. Hydock, Chief, Medical
Programs Division, FMCSA, DOT, 6th
Floor, West Building, 1200 New Jersey
Avenue SE, Washington, DC 20590–
0001, (202) 366–4001, fmcsamedical@
dot.gov.
SUPPLEMENTARY INFORMATION:
Title: Non-Insulin-Treated Diabetes
Mellitus Assessment Form, MCSA–
5872.
OMB Control Number: 2126–00XX.
Type of Request: New collection.
Respondents: Treating healthcare
providers of individuals who are
diagnosed with non-insulin treated
diabetes mellitus who operate CMVs.
Estimated Number of Respondents:
242,057 respondents.
Estimated Time per Response: 8
minutes.
Expiration Date: N/A. This is a new
ICR.
Frequency of Response: Other
(Voluntary use at the medical discretion
of the ME).
Estimated Total Annual Burden:
32,274 hours.
lotter on DSK11XQN23PROD with NOTICES1
FOR FURTHER INFORMATION CONTACT:
Background
The primary mission of FMCSA is to
reduce crashes, injuries, and fatalities
involving CMVs (large trucks and
buses). CMVs are longer, heavier, and
more difficult to maneuver than
automobiles. Not only does it take a
skilled driver to operate them safely, it
takes a physically and mentally fit
driver to do so as well. Information used
to determine and certify driver medical
fitness helps to promote and maintain
safety on our nation’s highways.
FMCSA is required by statute to
establish minimum standards for the
physical qualifications of drivers who
operate CMVs in interstate commerce
for non-excepted industries (49 U.S.C.
31136(a)(3) and 31502(b)). The
regulations applicable to this collection
are outlined in the Federal Motor
Carrier Safety Regulations (FMCSRs) at
49 CFR part 391, subpart E. The
FMCSRs in § 391.41(b) 1 set forth the
physical qualification standards that
individuals operating CMVs in
interstate commerce who are subject to
part 391 must meet. The FMCSRs
covering the performance of the CMV
physical qualification examination of
individuals who operate in interstate
commerce by an ME and the related
recordkeeping requirements are found at
1 49 CFR 391.41; Physical qualifications for
drivers. Available at https://www.ecfr.gov/current/
title-49/subtitle-B/chapter-III/subchapter-B/part391/subpart-E.
VerDate Sep<11>2014
17:08 Aug 23, 2023
Jkt 259001
§ 391.43. The results of the examination
must be recorded in accordance with
the requirements set forth in that
section; they include preparing and
maintaining a Medical Examination
Report Form, MCSA–5875, and, if the
individual is physically qualified,
issuing a Medical Examiner’s
Certificate, Form MCSA–5876.
The FMCSRs in § 391.41(b)(1) through
(13) generally include the physical
qualification standards required for the
medical certification of individuals who
operate a CMV in interstate commerce.
The physical qualification standards in
§ 391.46 address the physical
qualification requirements for medical
certification of individuals who are
diagnosed with diabetes mellitus and
are treated with insulin. However, the
FMCSRs do not specifically address
individuals who are diagnosed with
diabetes mellitus and are treated with
non-insulin therapy. The type of
diabetes mellitus that is not treated with
insulin (commonly known as Type 2
diabetes) is recognized as a health
concern for the general public.
Non-insulin-treated diabetes mellitus
that is not properly managed and
controlled may lead to diabetes
complications and/or target organ
damage, and may result in the
individual’s physical condition being
inadequate to enable the driver to
operate a CMV safely. The physical
qualification standards in the FMCSRs
broadly address some of the conditions
and symptoms that may be attributable
to complications from non-insulintreated diabetes mellitus. Examples
include the loss of limb and limb
impairment standards (§ 391.41(b)(1)
and (2)); the cardiovascular standard
(§ 391.41(b)(4)); the rheumatic, arthritic,
orthopedic, muscular, neuromuscular,
or vascular standard (§ 391.41(b)(7));
and the loss of consciousness standard
(§ 391.41(b)(8)).
In performing a thorough assessment
and evaluation of an individual
diagnosed with non-insulin-treated
diabetes mellitus, the ME may need to
consult with the individual’s treating
healthcare provider who manages the
individual’s diabetes. The ME may find
this helpful in determining whether the
individual has any medical conditions
or symptoms, such as frequent episodes
of severe hypoglycemia, that may
prevent the individual from meeting the
physical qualification standards and
receiving a Medical Examiner’s
Certificate, Form MCSA–5876. This
voluntary collection would ensure that
the treating healthcare provider
includes the appropriate information,
via the Non-Insulin-Treated Diabetes
Mellitus Assessment Form, MCSA–
PO 00000
Frm 00140
Fmt 4703
Sfmt 4703
5872, in a standardized manner, which
would assist the ME in making an
informed and sound physical
qualification determination.
In May 2021, FMCSA’s Medical
Review Board (MRB) deliberated on the
topic and contents of a draft NonInsulin-Treated Diabetes Mellitus
Assessment Form, MCSA–5872 (Task
21–2). FMCSA directed the MRB to
review and comment on whether the
information on the proposed form
provided sufficient information
concerning the treatment, management,
and control of an individual’s noninsulin-treated diabetes mellitus
condition to assist an ME in making an
appropriate physical qualification
determination. The Agency also
requested that the MRB identify any
areas of ambiguity as well as additional
information that FMCSA should include
on the form. Based on its review, the
MRB made some recommendations to
improve the clarity and quality of
information on the Non-Insulin-Treated
Diabetes Mellitus Assessment Form,
MCSA–5872, which is provided from
the individual’s treating healthcare
provider to the ME.
There is no required collection
frequency for the Non-Insulin-Treated
Diabetes Mellitus Assessment Form,
MCSA–5872, because the use of this IC
is voluntary and at the discretion of the
ME.
The Non-Insulin-Treated Diabetes
Mellitus Assessment Form, MCSA–
5872, will be available as a fillable pdf
and may be downloaded from the
FMCSA website. Treating healthcare
providers may provide the form to the
individual, or fax or scan and email the
form directly to the ME. Consistent with
OMB’s commitment to minimizing
respondents’ recordkeeping and
paperwork burdens and the increased
use of secure electronic modes of
communication, the Agency anticipates
that approximately 50 percent of the
Non-Insulin-Treated Diabetes Mellitus
Assessment Forms, MCSA–5872, will be
transmitted electronically.
The information collected on the NonInsulin-Treated Diabetes Mellitus
Assessment Form, MCSA–5872, will be
used by the ME who requests
completion of the form and will not be
available to the public. The NonInsulin-Treated Diabetes Mellitus
Assessment Form, MCSA–5872, will
become a part of the individual’s
physical qualification examination
records that are maintained and retained
by the ME for a period of at least 3 years
from the date of the examination.2
2 The burden for the ME to file and retain the
driver examination forms is covered in the Medical
E:\FR\FM\24AUN1.SGM
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Federal Register / Vol. 88, No. 163 / Thursday, August 24, 2023 / Notices
One comment was received from the
American College of Occupational and
Environmental Medicine (ACOEM) in
strong support of the IC. ACOEM stated
there is no standardized resource
currently available that provides MEs
with a reasonable example of
appropriate information to consider
when evaluating the medical
qualification of a driver with noninsulin-treated diabetes mellitus. The
ME would be able to use the
information provided to evaluate
whether the individual’s diabetes
mellitus is stable and controlled and to
make an informed and sound physical
qualification determination for the
driver. ACOEM also stated that the
burden associated with the form would
be reduced if a fillable form is available.
FMCSA notes that a fillable form that
can be downloaded will be available on
FMCSA’s website.
Public Comments Invited: You are
asked to comment on any aspect of this
IC, including: (1) whether the proposed
collection is necessary for FMCSA to
perform its functions; (2) the accuracy of
the estimated burden; (3) ways for
FMCSA to enhance the quality,
usefulness, and clarity of the collected
information; and (4) ways that the
burden could be minimized without
reducing the quality of the collected
information.
Issued under the authority of 49 CFR
1.87.
Thomas P. Keane,
Associate Administrator, Office of Research
and Registration.
[FR Doc. 2023–18238 Filed 8–23–23; 8:45 am]
BILLING CODE 4910–EX–P
DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety
Administration
[Docket No. FMCSA–2023–0079]
Agency Information Collection
Activities; Renewal of an Approved
Information Collection: Request for
Revocation of Authority Granted
lotter on DSK11XQN23PROD with NOTICES1
Qualification Requirements ICR, OMB Control
Number 2126–0006, which is currently due to
expire on March 31, 2025.
VerDate Sep<11>2014
17:08 Aug 23, 2023
Jkt 259001
Comments on this notice must be
received on or before September 25,
2023.
DATES:
Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this information
collection by selecting ‘‘Currently under
30-day Review—Open for Public
Comments’’ or by using the search
function.
ADDRESSES:
Jeff
Secrist, Office of Registration and Safety
Information, DOT, FMCSA, West
Building 6th Floor, 1200 New Jersey
Avenue SE, Washington, DC 20590–
0001; 202–385–2367; Jeff.secrist@
dot.gov.
FOR FURTHER INFORMATION CONTACT:
SUPPLEMENTARY INFORMATION:
Title: Request for Revocation of
Authority Granted.
OMB Control Number: 2126–0018.
Type of Request: Renewal of a
currently-approved ICR.
Respondents: For-hire motor carriers,
freight forwarders, and property brokers.
Estimated Number of Respondents:
8,699.
Estimated Time per Response: 15
minutes (0.25 hours).
Expiration Date: September 30, 2023.
Frequency of Response: Other (As
needed).
Estimated Total Annual Burden:
2,175.
Background
Federal Motor Carrier Safety
Administration (FMCSA), Department
of Transportation (DOT).
ACTION: Notice and request for
comments.
AGENCY:
In accordance with the
Paperwork Reduction Act of 1995,
FMCSA announces its plan to submit
the Information Collection Request (ICR)
described below to the Office of
Management and Budget (OMB) for its
review and approval and invites public
comment. The FMCSA requests
approval to renew an ICR titled,
‘‘Request for Revocation of Authority
Granted.’’ There were 0 comments
received.
SUMMARY:
FMCSA registers for-hire motor
carriers of regulated commodities under
49 U.S.C. 13902, surface freight
forwarders under 49 U.S.C. 13903, and
property brokers under 49 U.S.C. 13904.
Each registration is effective from the
date specified under 49 U.S.C. 13905
(c). Subsection (d) of 49 U.S.C. 13905
also provides that on application of the
registrant, the Secretary may amend or
revoke a registration, and hence the
registrant’s operating authority. Form
PO 00000
Frm 00141
Fmt 4703
Sfmt 9990
58063
OCE–46 allows these registrants to
apply voluntarily for revocation of their
operating authority or parts thereof. If
the registrant fails to maintain evidence
of the required level of insurance
coverage on file with FMCSA, its
operating authority will be revoked
involuntarily. Although the effect of
both types of revocation is the same,
some registrants prefer to request
voluntary revocation. For various
business reasons, a registrant may
request revocation of some part, but not
all, of its operating authority. This
information collection, which supports
the DOT Strategic Goal of Safety, is
being revised to reflect modified
estimates of burden hours and costs. For
respondents, the program adjustment
has resulted in increased total burden
hours and an increase in respondent
costs. The burden hour increase is due
to an estimated increase in the number
of annual filings of Form OCE–46 from
5,901 to 8,699 per year, resulting in an
increase of 2,798 responses and 700
burden hours. The estimated annual
labor cost for industry resulting from
submitting Form OCE–46 is $67,287, an
increase of $17,760. The total annual
respondent cost has increased by
$7,992. This increase is due to the
increase in the number of respondents
filing paper forms. While the online
submission option exists, FMCSA still
estimates that approximately 2,310
respondents will continue to file the
form by mail, which incurs notarization
and postage fees. For the Federal
Government, the program costs have
increased by $19,707 due to the increase
in the number of forms received by
FMCSA.
Public Comments Invited: You are
asked to comment on any aspect of this
information collection, including: (1)
whether the proposed collection is
necessary for the performance of
FMCSA’s functions; (2) the accuracy of
the estimated burden; (3) ways for
FMCSA to enhance the quality,
usefulness, and clarity of the collected
information; and (4) ways that the
burden could be minimized without
reducing the quality of the collected
information.
Issued under the authority of 49 CFR 1.87.
Thomas P. Keane,
Associate Administrator, Office of Research
and Registration.
[FR Doc. 2023–18237 Filed 8–23–23; 8:45 am]
BILLING CODE 4910–EX–P
E:\FR\FM\24AUN1.SGM
24AUN1
]]>Agencies
[Federal Register Volume 88, Number 163 (Thursday, August 24, 2023)]
[Notices]
[Pages 58061-58063]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-18238]
-----------------------------------------------------------------------
DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration
[Docket No. FMCSA-2021-0183]
Agency Information Collection Activities; New Information
Collection Request: Non-Insulin-Treated Diabetes Mellitus Assessment
Form, MCSA-5872
AGENCY: Federal Motor Carrier Safety Administration (FMCSA), Department
of Transportation (DOT).
ACTION: Notice and request for comments.
-----------------------------------------------------------------------
SUMMARY: In accordance with the Paperwork Reduction Act of 1995, FMCSA
announces its plan to submit the information collection request (ICR)
described below to the Office of Management and Budget (OMB) for review
and approval. This information collection (IC) is voluntary and may be
utilized by medical examiners (ME) responsible for issuing Medical
Examiner's Certificates, Form MCSA-5876, to individuals diagnosed with
non-insulin-treated diabetes mellitus who operate commercial motor
vehicles (CMV) in interstate commerce. MEs choosing to use this IC will
do so in an effort to communicate with treating healthcare providers
who manage the diabetes care of individuals diagnosed with non-insulin-
treated diabetes mellitus who operate CMVs. The information obtained by
MEs will assist them in determining whether an individual diagnosed
with non-insulin-treated diabetes mellitus meets FMCSA's physical
qualification standards. One comment from the public was received in
response to the 60-day Federal Register notice.
DATES: Comments must be received on or before September 25, 2023.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to www.reginfo.gov/public/do/PRAMain. Find this information
collection by selecting ``Currently under 30-day Review--Open for
Public
[[Page 58062]]
Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: Ms. Christine A. Hydock, Chief,
Medical Programs Division, FMCSA, DOT, 6th Floor, West Building, 1200
New Jersey Avenue SE, Washington, DC 20590-0001, (202) 366-4001,
[email protected].
SUPPLEMENTARY INFORMATION:
Title: Non-Insulin-Treated Diabetes Mellitus Assessment Form, MCSA-
5872.
OMB Control Number: 2126-00XX.
Type of Request: New collection.
Respondents: Treating healthcare providers of individuals who are
diagnosed with non-insulin treated diabetes mellitus who operate CMVs.
Estimated Number of Respondents: 242,057 respondents.
Estimated Time per Response: 8 minutes.
Expiration Date: N/A. This is a new ICR.
Frequency of Response: Other (Voluntary use at the medical
discretion of the ME).
Estimated Total Annual Burden: 32,274 hours.
Background
The primary mission of FMCSA is to reduce crashes, injuries, and
fatalities involving CMVs (large trucks and buses). CMVs are longer,
heavier, and more difficult to maneuver than automobiles. Not only does
it take a skilled driver to operate them safely, it takes a physically
and mentally fit driver to do so as well. Information used to determine
and certify driver medical fitness helps to promote and maintain safety
on our nation's highways.
FMCSA is required by statute to establish minimum standards for the
physical qualifications of drivers who operate CMVs in interstate
commerce for non-excepted industries (49 U.S.C. 31136(a)(3) and
31502(b)). The regulations applicable to this collection are outlined
in the Federal Motor Carrier Safety Regulations (FMCSRs) at 49 CFR part
391, subpart E. The FMCSRs in Sec. 391.41(b) \1\ set forth the
physical qualification standards that individuals operating CMVs in
interstate commerce who are subject to part 391 must meet. The FMCSRs
covering the performance of the CMV physical qualification examination
of individuals who operate in interstate commerce by an ME and the
related recordkeeping requirements are found at Sec. 391.43. The
results of the examination must be recorded in accordance with the
requirements set forth in that section; they include preparing and
maintaining a Medical Examination Report Form, MCSA-5875, and, if the
individual is physically qualified, issuing a Medical Examiner's
Certificate, Form MCSA-5876.
---------------------------------------------------------------------------
\1\ 49 CFR 391.41; Physical qualifications for drivers.
Available at https://www.ecfr.gov/current/title-49/subtitle-B/chapter-III/subchapter-B/part-391/subpart-E.
---------------------------------------------------------------------------
The FMCSRs in Sec. 391.41(b)(1) through (13) generally include the
physical qualification standards required for the medical certification
of individuals who operate a CMV in interstate commerce. The physical
qualification standards in Sec. 391.46 address the physical
qualification requirements for medical certification of individuals who
are diagnosed with diabetes mellitus and are treated with insulin.
However, the FMCSRs do not specifically address individuals who are
diagnosed with diabetes mellitus and are treated with non-insulin
therapy. The type of diabetes mellitus that is not treated with insulin
(commonly known as Type 2 diabetes) is recognized as a health concern
for the general public.
Non-insulin-treated diabetes mellitus that is not properly managed
and controlled may lead to diabetes complications and/or target organ
damage, and may result in the individual's physical condition being
inadequate to enable the driver to operate a CMV safely. The physical
qualification standards in the FMCSRs broadly address some of the
conditions and symptoms that may be attributable to complications from
non-insulin-treated diabetes mellitus. Examples include the loss of
limb and limb impairment standards (Sec. 391.41(b)(1) and (2)); the
cardiovascular standard (Sec. 391.41(b)(4)); the rheumatic, arthritic,
orthopedic, muscular, neuromuscular, or vascular standard (Sec.
391.41(b)(7)); and the loss of consciousness standard (Sec.
391.41(b)(8)).
In performing a thorough assessment and evaluation of an individual
diagnosed with non-insulin-treated diabetes mellitus, the ME may need
to consult with the individual's treating healthcare provider who
manages the individual's diabetes. The ME may find this helpful in
determining whether the individual has any medical conditions or
symptoms, such as frequent episodes of severe hypoglycemia, that may
prevent the individual from meeting the physical qualification
standards and receiving a Medical Examiner's Certificate, Form MCSA-
5876. This voluntary collection would ensure that the treating
healthcare provider includes the appropriate information, via the Non-
Insulin-Treated Diabetes Mellitus Assessment Form, MCSA-5872, in a
standardized manner, which would assist the ME in making an informed
and sound physical qualification determination.
In May 2021, FMCSA's Medical Review Board (MRB) deliberated on the
topic and contents of a draft Non-Insulin-Treated Diabetes Mellitus
Assessment Form, MCSA-5872 (Task 21-2). FMCSA directed the MRB to
review and comment on whether the information on the proposed form
provided sufficient information concerning the treatment, management,
and control of an individual's non-insulin-treated diabetes mellitus
condition to assist an ME in making an appropriate physical
qualification determination. The Agency also requested that the MRB
identify any areas of ambiguity as well as additional information that
FMCSA should include on the form. Based on its review, the MRB made
some recommendations to improve the clarity and quality of information
on the Non-Insulin-Treated Diabetes Mellitus Assessment Form, MCSA-
5872, which is provided from the individual's treating healthcare
provider to the ME.
There is no required collection frequency for the Non-Insulin-
Treated Diabetes Mellitus Assessment Form, MCSA-5872, because the use
of this IC is voluntary and at the discretion of the ME.
The Non-Insulin-Treated Diabetes Mellitus Assessment Form, MCSA-
5872, will be available as a fillable pdf and may be downloaded from
the FMCSA website. Treating healthcare providers may provide the form
to the individual, or fax or scan and email the form directly to the
ME. Consistent with OMB's commitment to minimizing respondents'
recordkeeping and paperwork burdens and the increased use of secure
electronic modes of communication, the Agency anticipates that
approximately 50 percent of the Non-Insulin-Treated Diabetes Mellitus
Assessment Forms, MCSA-5872, will be transmitted electronically.
The information collected on the Non-Insulin-Treated Diabetes
Mellitus Assessment Form, MCSA-5872, will be used by the ME who
requests completion of the form and will not be available to the
public. The Non-Insulin-Treated Diabetes Mellitus Assessment Form,
MCSA-5872, will become a part of the individual's physical
qualification examination records that are maintained and retained by
the ME for a period of at least 3 years from the date of the
examination.\2\
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\2\ The burden for the ME to file and retain the driver
examination forms is covered in the Medical Qualification
Requirements ICR, OMB Control Number 2126-0006, which is currently
due to expire on March 31, 2025.
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[[Page 58063]]
One comment was received from the American College of Occupational
and Environmental Medicine (ACOEM) in strong support of the IC. ACOEM
stated there is no standardized resource currently available that
provides MEs with a reasonable example of appropriate information to
consider when evaluating the medical qualification of a driver with
non-insulin-treated diabetes mellitus. The ME would be able to use the
information provided to evaluate whether the individual's diabetes
mellitus is stable and controlled and to make an informed and sound
physical qualification determination for the driver. ACOEM also stated
that the burden associated with the form would be reduced if a fillable
form is available. FMCSA notes that a fillable form that can be
downloaded will be available on FMCSA's website.
Public Comments Invited: You are asked to comment on any aspect of
this IC, including: (1) whether the proposed collection is necessary
for FMCSA to perform its functions; (2) the accuracy of the estimated
burden; (3) ways for FMCSA to enhance the quality, usefulness, and
clarity of the collected information; and (4) ways that the burden
could be minimized without reducing the quality of the collected
information.
Issued under the authority of 49 CFR 1.87.
Thomas P. Keane,
Associate Administrator, Office of Research and Registration.
[FR Doc. 2023-18238 Filed 8-23-23; 8:45 am]
BILLING CODE 4910-EX-P
