[Federal Register Volume 86, Number 7 (Tuesday, January 12, 2021)]
[Proposed Rules]
[Pages 2344-2372]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-28848]


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DEPARTMENT OF TRANSPORTATION

Federal Motor Carrier Safety Administration

49 CFR Part 391

[Docket No. FMCSA-2019-0049]
RIN 2126-AC21


Qualifications of Drivers; Vision Standard

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

ACTION: Notice of proposed rulemaking.

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SUMMARY: FMCSA proposes to amend its regulations to permit individuals 
who cannot meet either the current distant visual acuity or field of 
vision standard, or both, in one eye to be physically qualified to 
operate a commercial motor vehicle (CMV) in interstate commerce. 
Currently, such individuals are prohibited from driving CMVs in 
interstate commerce unless they obtain an exemption from FMCSA. The 
Agency proposes an alternative vision standard for physical 
qualification that, if adopted, would replace the current vision 
exemption program as a basis for establishing the physical 
qualification determination for these individuals.

DATES: You must submit comments on this notice of proposed rulemaking 
(NPRM) to FMCSA on or before March 15, 2021. Comments on the collection 
of information must be received on or before March 15, 2021.

ADDRESSES: You may submit comments on this NPRM identified by docket 
number FMCSA-2019-0049 using any one of the following methods:
     Federal eRulemaking Portal: www.regulations.gov.
     Fax: (202) 493-2251.
     Mail: Docket Operations, U.S. Department of 
Transportation, West Building Ground Floor, Room W12-140, 1200 New 
Jersey Avenue SE, Washington, DC 20590-0001.
     Hand Delivery: Docket Operations, U.S. Department of 
Transportation, West Building Ground Floor, Room W12-140, 1200 New 
Jersey Avenue SE, Washington, DC 20590-0001, between 9 a.m. and 5 p.m., 
Monday through Friday, except Federal holidays.

[[Page 2345]]

    To avoid duplication, please use only one of these four methods. 
See the ``Public Participation and Request for Comments'' heading under 
the SUPPLEMENTARY INFORMATION section below for instructions regarding 
submitting comments, including collection of information comments for 
the Office of Information and Regulatory Affairs (OIRA) at the Office 
of Management and Budget (OMB).

FOR FURTHER INFORMATION CONTACT: If you have questions about this 
proposed rule, contact Ms. Christine A. Hydock, Chief, Medical Programs 
Division, FMCSA, 1200 New Jersey Avenue SE, Washington, DC 20590-0001, 
by telephone at (202) 366-4001, or by email at [email protected]. If 
you have questions about viewing or submitting material to the docket, 
call DOT Docket Operations, (202) 366-9826.

SUPPLEMENTARY INFORMATION: This NPRM is organized as follows.

I. Public Participation and Request for Comments
    A. Submitting Comments
    B. Viewing Comments and Documents
    C. Privacy Act
    D. Waiver of Advance Notice of Proposed Rulemaking
    E. Comments on the Collection of Information
II. Abbreviations, Acronyms, and Symbols
III. Executive Summary
    A. Purpose of the Amendments
    B. Summary of the Major Provisions
    C. Benefits and Costs
IV. Legal Basis for the Rulemaking
V. Background
    A. Current Vision Standard
    B. Vision Waiver Study Program and Grandfathered Drivers
    C. Federal Vision Exemption Program--1998 to the Present
VI. Assessments of the Vision Standards, Waivers, and Exemptions
VII. Rationale for Proposed Qualification Standard
    A. Individuals Adapt to and Compensate for Vision Loss
    B. MEs Would Make the Qualification Determination
    C. Review of an Individual's Safety Performance Would Continue
VIII. Discussion of Proposed Rule
    A. Proposed Physical Qualification Process
    B. Road Test in Accordance With 49 CFR 391.31
    C. Elimination of Vision Exemption Program and Grandfather 
Provisions
    D. Change to the Medical Examination Process in 49 CFR 
391.43(b)(1)
    E. Benefits of the Proposal to Drivers
IX. Section-by-Section Analysis
    A. Regulatory Provisions
    B. Guidance Statements and Interpretations
X. International Impacts
XI. Regulatory Analyses
    A. E.O. 12866 (Regulatory Planning and Review), E.O. 13563 
(Improving Regulation and Regulatory Review), and DOT Regulations
    B. E.O. 13771 (Reducing Regulation and Controlling Regulatory 
Costs)
    C. Congressional Review Act
    D. Regulatory Flexibility Act (Small Entities)
    E. Assistance for Small Entities
    F. Unfunded Mandates Reform Act of 1995
    G. Paperwork Reduction Act (Collection of Information)
    H. E.O. 13132 (Federalism)
    I. Privacy
    J. E.O. 13175 (Indian Tribal Governments)
    K. National Environmental Policy Act of 1969

I. Public Participation and Request for Comments

    FMCSA encourages you to participate in this rulemaking by 
submitting comments and related materials. Where possible, please 
provide scientific, peer-reviewed articles to support your comments.

A. Submitting Comments

    If you submit comments, please include the docket number for this 
rulemaking (FMCSA-2019-0049), indicate the heading of the specific 
section of this document to which each comment applies, and provide a 
reason for each suggestion or recommendation. 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 the Agency can contact you if it has 
questions regarding your submission.
    To submit your comment online, go to www.regulations.gov, type the 
docket number (FMCSA-2019-0049) in the ``Keyword'' box and click 
``Search.'' When the new screen appears, click the ``Comment Now!'' 
button and type your comment into the text box in the following screen. 
Choose whether you are submitting your comment as an individual or on 
behalf of a third party, and click ``Submit.''
    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.
    Confidential Business Information: Confidential Business 
Information (CBI) is commercial or financial information that is both 
customarily and actually treated as private by its owner. Under the 
Freedom of Information Act (5 U.S.C. 552), CBI is exempt from public 
disclosure. If your comments responsive to this NPRM contain commercial 
or financial information that is customarily treated as private, that 
you actually treat as private, and that is relevant or responsive to 
this NPRM, it is important that you clearly designate the submitted 
comments as CBI. FMCSA will treat such marked submissions as 
confidential under the Freedom of Information Act, and they will not be 
placed in the public docket for this rulemaking. Please mark each page 
of your submission that constitutes CBI as ``PROPIN'' to indicate it 
contains proprietary information. Submissions containing CBI should be 
sent to Mr. Brian Dahlin, Chief, Regulatory Analysis Division, FMCSA, 
1200 New Jersey Avenue SE, Washington, DC 20590. Any comments FMCSA 
receives that are not specifically designated as CBI will be placed in 
the public docket for this rulemaking.
    FMCSA will consider all comments and material received during the 
comment period and may make changes based on your comments. FMCSA may 
issue a final rule at any time after the close of the comment period.

B. Viewing Comments and Documents

    To view comments and any document mentioned in this preamble as 
being available in the docket, go to www.regulations.gov, insert the 
docket number (FMCSA-2019-0049) in the ``Keyword'' box, and click 
``Search.'' Next, click the ``Open Docket Folder'' button and choose 
the document listed to review. If you do not have access to the 
internet, you may view the docket online by visiting Docket Operations 
in Room W12-140 on the ground floor of the DOT West Building, 1200 New 
Jersey Avenue SE, Washington, DC 20590, between 9 a.m. and 5 p.m., 
Monday through Friday, except Federal holidays. To be sure someone is 
there to help you, please call (202) 366-9317 or (202) 366-9826 before 
visiting Docket Operations.

C. 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 www.regulations.gov, as described in the system 
of records notice DOT/ALL 14--Federal Docket Management System (FDMS), 
which can be reviewed at https://www.transportation.gov/privacy.

[[Page 2346]]

D. Waiver of Advance Notice of Proposed Rulemaking

    Under 49 U.S.C. 31136(g)(1), FMCSA is required to publish an 
advance notice of proposed rulemaking or conduct a negotiated 
rulemaking if a proposed rule is likely to lead to the promulgation of 
a major rule.\1\ As this proposed rule is not likely to result in the 
promulgation of a major rule, the Agency is not required to issue an 
advance notice of proposed rulemaking or to proceed with a negotiated 
rulemaking.
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    \1\ A ``major rule'' means any rule that the Administrator of 
OIRA at OMB finds has resulted in or is likely to result in (a) an 
annual effect on the economy of $100 million or more; (b) a major 
increase in costs or prices for consumers, individual industries, 
Federal agencies, State agencies, local government agencies, or 
geographic regions; or (c) significant adverse effects on 
competition, employment, investment, productivity, innovation, or on 
the ability of United States-based enterprises to compete with 
foreign-based enterprises in domestic and export markets (5 U.S.C. 
804(2)).
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E. Comments on the Collection of Information

    Written comments and recommendations for the proposed information 
collections discussed in this NPRM should be sent to FMCSA within 60 
days of publication using any of the methods described in ``Public 
Participation and Request for Comments'' above.

II. Abbreviations, Acronyms, and Symbols

ATA American Trucking Associations, Inc.
CBI Confidential Business Information
CDL Commercial Driver's License
CFR Code of Federal Regulations
CMV Commercial Motor Vehicle
DOT U.S. Department of Transportation
E.O. Executive Order
FHWA Federal Highway Administration
FMCSA Federal Motor Carrier Safety Administration
FMCSRs Federal Motor Carrier Safety Regulations
FR Federal Register
GES General Estimates System
ICR Information Collection Request
Id. Idem--the same author or work
MCMIS Motor Carrier Management Information System
ME Medical Examiner
MEC Medical Examiner's Certificate, Form MCSA-7876
MRB Medical Review Board
NAICS North American Industry Classification System
National Registry National Registry of Certified Medical Examiners
NPRM Notice of Proposed Rulemaking
OIRA Office of Information and Regulatory Affairs
OMB Office of Management and Budget
RFA Regulatory Flexibility Act
SBA Small Business Administration
Secretary Secretary of Transportation
Sec.  Section
TEA-21 Transportation Equity Act for the 21st Century
U.S.C. United States Code

III. Executive Summary

A. Purpose of the Amendments

    FMCSA proposes to amend its regulations to permit an individual who 
cannot meet either the current distant visual acuity or field of vision 
standard, or both, in one eye to be physically qualified to operate a 
CMV in interstate commerce under specified conditions. The individual 
would need to meet the proposed alternative vision standard and FMCSA's 
other physical qualification standards. In addition, with limited 
exceptions, individuals physically qualified under the alternative 
standard for the first time would complete a road test before operating 
a CMV in interstate commerce. The proposed action would eliminate the 
need for the current Federal vision exemption program, as well as the 
grandfather provision in 49 CFR 391.64 for drivers operating under the 
previously administered vision waiver study program. Medical 
professionals would evaluate and make medical qualification 
determinations instead of FMCSA, as in the current exemption program. 
Motor carriers would administer the road tests. The proposed 
alternative vision standard would enhance employment opportunities 
while remaining consistent with FMCSA's safety mission.

B. Summary of the Major Provisions

    The proposed alternative vision standard is based on 
recommendations from FMCSA's Medical Review Board (MRB). The proposed 
physical qualification process is analogous to the regulatory framework 
FMCSA adopted in Sec.  391.46 for individuals with insulin-treated 
diabetes mellitus (see 83 FR 47486, September 19, 2018). Prior to that 
rulemaking, such individuals were prohibited from driving CMVs in 
interstate commerce unless they obtained an exemption from FMCSA. Like 
the approach in the rule for insulin-treated diabetes mellitus, after 
the public comment period for this NPRM closes, FMCSA will ask the MRB 
to review all comments from medical professionals and associations. If 
after that review the MRB makes material changes to its prior 
recommendations, FMCSA will publish a Federal Register notice 
announcing the availability of the new MRB recommendations and request 
public comment specific to those recommendations.
    The proposed rule provides an alternative vision standard for 
individuals who cannot meet either the current FMCSA distant visual 
acuity or field of vision standard, or both, in one eye and, if 
adopted, would replace the current vision exemption program as a basis 
for determining the physical qualification of such individuals to 
operate a CMV. The proposed action would ensure that these individuals 
are physically qualified to operate a CMV safely. In addition, the 
proposed process would create a clear and consistent framework to 
assist certified medical examiners (ME) with making a physical 
qualification determination that is equally as effective as a program 
based entirely on granting exemptions under 49 U.S.C. 31315(b).
    Just as in the alternative standard for insulin-treated diabetes 
mellitus, the alternative vision standard would involve a two-step 
process for physical qualification. First, an individual seeking 
physical qualification would obtain a vision evaluation from an 
ophthalmologist or optometrist who would record the findings and 
provide specific medical opinions on the proposed Vision Evaluation 
Report, Form MCSA-5871, which incorporates the recommendations of the 
MRB. Next, an ME would perform an examination and determine whether the 
individual meets the proposed vision standard, as well as FMCSA's other 
physical qualification standards. If the ME determines that the 
individual meets the physical qualification standards, the ME could 
issue a Medical Examiner's Certificate (MEC), Form MCSA-5876, for a 
maximum of 12 months. This approach of MEs making the physical 
qualification determination, instead of FMCSA as in the current 
exemption program, is consistent with Congress's directive in 49 U.S.C. 
31149(d) to have trained and certified MEs determine the individual's 
physical qualification to operate a CMV.
    In making the physical qualification determination, the ME would 
consider the information in the Vision Evaluation Report, Form MCSA-
5871, and utilize independent medical judgment to apply four standards. 
The proposal would provide that, to be physically qualified under the 
alternative vision standard, the individual must: (1) Have in the 
better eye distant visual acuity of at least 20/40 (Snellen), with or 
without corrective lenses, and field of vision of at least 70 degrees 
in the horizontal meridian; (2) be able to recognize the colors of 
traffic signals and devices showing standard red, green, and amber; (3) 
have a stable vision deficiency; and (4) have had sufficient time to 
adapt to and compensate for the change in vision.

[[Page 2347]]

    It is well recognized in the literature that individuals with 
vision loss in one eye can and do develop compensatory viewing behavior 
to mitigate the vision loss. Therefore, if an individual meets the 
proposed vision standard, the Agency expects there will be no adverse 
impact on safety due to the individual's vision. That is, once an 
individual's vision is stable and the individual has adapted to and 
compensated for the change in vision, the loss in vision is not likely 
to play a significant role in whether the individual can drive a CMV 
safely.
    Instead of requiring 3 years of intrastate driving experience with 
the vision deficiency as in the current exemption program, individuals 
physically qualified under the proposed alternative vision standard for 
the first time would complete a road test before operating in 
interstate commerce. Individuals would be excepted from the road test 
requirement if they have 3 years of intrastate or excepted interstate 
CMV driving experience with the vision deficiency, hold a valid Federal 
vision exemption, or are medically certified under Sec.  391.64(b). 
These individuals have already demonstrated they can operate a CMV 
safely with the vision deficiency. Motor carriers would conduct the 
road test in accordance with the road test already required by Sec.  
391.31. FMCSA finds that a road test would be an appropriate indicator 
of an individual's ability to operate a CMV safely with the vision 
deficiency. Thus, the Agency expects there will be no adverse impact on 
safety from eliminating the 3-year intrastate driving experience 
criterion.
    The proposed standard takes a performance-based approach. The 
standard emphasizes that the individual has developed the skills to 
adapt to and compensate for the vision loss once it has been deemed 
stable by a medical professional, and that the individual has 
demonstrated the skills to operate a CMV safely. The ME would ensure 
the driver is physically qualified to operate a CMV in accordance with 
the physical qualification standards. With limited exceptions, motor 
carriers would conduct a road test for individuals to ensure they 
possess the skills needed to operate a CMV safely with the vision 
deficiency.
    The Federal Highway Administration (FHWA), the predecessor agency 
to FMCSA, and FMCSA have continuously monitored the impact of the 
vision waiver study \2\ and the exemption programs to ensure they cause 
no adverse impact on safety. The proposed alternative vision standard 
would adopt the major vision criteria of the existing Federal vision 
exemption program, which were also used in the preceding Federal vision 
waiver study program since the early 1990s, and would modify other 
criteria from the exemption program. Based on nearly 30 years of 
experience with these programs, individuals who meet the proposed 
alternative vision standard will be at least as safe as the general 
population of CMV drivers. This experience has shown that individuals 
with vision loss in one eye are not limited by their lack of 
binocularity with respect to driving once they have adapted to and 
compensated for the change in vision.
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    \2\ FHWA conducted the vision waiver study program from July 
1992 through March 31, 1996. Drivers who participated in the program 
and held valid waivers from the vision standard at the program's end 
could continue to operate in interstate commerce under grandfather 
provisions in 49 CFR 391.64. The vision waiver study program and 
grandfather provisions are discussed in section V.B. below.
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    If the proposed action is adopted, the 2,566 vision exemption 
holders \3\ would no longer require an exemption. Accordingly, these 
drivers would be relieved of the time and paperwork burden associated 
with applying for or renewing an exemption.\4\ The proposed rule could 
increase employment opportunities because potential applicants who do 
not have 3 years of intrastate driving experience may meet the 
alternative vision standard and be able to operate a CMV in interstate 
commerce. In addition, previously qualified interstate CMV drivers who 
are no longer able to meet either the distant visual acuity or field of 
vision standard, or both, in one eye would be able to return to 
operating in interstate commerce sooner.
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    \3\ FMCSA data as of July 2, 2019.
    \4\ As discussed below in the Paperwork Reduction Act section 
XI.G. with respect to the information collection titled ``Medical 
Qualification Requirements,'' FMCSA attributes 2,236 annual burden 
hours at a cost of $69,136 for drivers to request and maintain a 
vision exemption. The proposed rule would eliminate this entire 
burden.
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    FMCSA proposes that the approximately 1,900 individuals physically 
qualified under the grandfather provisions in Sec.  391.64(b) would 
have 1 year after the effective date of any final rule to comply with 
the rule. During that transition year, grandfathered individuals could 
elect to seek physical qualification through the final rule or Sec.  
391.64. This transition year would provide time to learn the new 
process for individuals whose MEC, Form MCSA-5876, expires near the 
time any final rule becomes effective. However, 1 year after the 
effective date of the final rule all MECs, Form MCSA-5876, issued under 
Sec.  391.64(b) would become void.
    Similarly, the 2,566 vision exemption holders would have 1 year 
after the effective date of any final rule to comply with the rule, at 
which time all exemptions issued under 49 U.S.C. 31315(b) would become 
void. Drivers who hold a vision exemption would be notified by letter 
with details of the transition to the new standard.

C. Benefits and Costs

    FMCSA estimates that the proposed rule would reduce barriers to 
entry for current and future CMV drivers. The 2,566 drivers holding 
vision exemptions would no longer have to apply for an exemption, and 
potential driver applicants who do not have 3 years of intrastate 
driving experience may meet the alternative vision standard and be able 
to operate a CMV in interstate commerce. A one-time road test would be 
less burdensome on drivers than obtaining 3 years of intrastate driving 
experience and addresses the consideration that some drivers live in 
States that do not issue vision waivers. The proposed rule would result 
in incremental cost savings of approximately $1.6 million annually by 
eliminating the need for the Federal vision exemption program. This 
estimate includes the additional annual impact of approximately $47,000 
for the road test. The Agency does not anticipate any negative impacts 
on safety.
    The proposed rulemaking, if finalized, would result in reduced 
costs and, therefore, would be a deregulatory action under Executive 
Order (E.O.) 13771, Reducing Regulation and Controlling Regulatory 
Costs. The present value of the cost savings, measured on an infinite 
time horizon at a 7 percent discount rate, expressed in 2016 dollars, 
would be $14.9 million. On an annualized basis, these cost savings 
would be $1 million.

IV. Legal Basis for the Rulemaking

    FMCSA has authority under 49 U.S.C. 31136(a) and 31502(b)--
delegated to the Agency by 49 CFR 1.87(f) and (i), respectively--to 
establish minimum qualifications, including physical qualifications, 
for individuals operating CMVs in interstate commerce. Section 
31136(a)(3) requires specifically that the Agency's safety regulations 
ensure that the physical condition of CMV drivers is adequate to enable 
them to operate their vehicles safely and that certified MEs trained in 
physical and medical examination standards perform the physical 
examinations required of such drivers.

[[Page 2348]]

    In addition to the statutory requirements specific to the physical 
qualifications of CMV drivers, section 31136(a) requires the Secretary 
of Transportation (Secretary) to issue regulations on CMV safety, 
including regulations to ensure that CMVs ``are maintained, equipped, 
loaded, and operated safely'' (section 31136(a)(1)). The remaining 
statutory factors and requirements in section 31136(a), to the extent 
they are relevant, are also satisfied here. The proposed rule would not 
impose any ``responsibilities . . . on operators of [CMVs that would] 
impair their ability to operate the vehicles safely'' (section 
31136(a)(2)), or ``have a deleterious effect on the physical 
condition'' of CMV drivers (section 31136(a)(4)). FMCSA also does not 
anticipate that drivers would be coerced to operate a vehicle because 
of this rulemaking (section 31136(a)(5)).
    Additionally, in 2005, Congress authorized the creation of the MRB, 
composed of experts in a variety of medical specialties relevant to the 
driver fitness requirements, to provide medical advice and 
recommendations on physical qualification standards (49 U.S.C. 
31149(a)). The position of Chief Medical Examiner was authorized at the 
same time (49 U.S.C. 31149(b)). Under section 31149(c)(1), the Agency, 
with the advice of the MRB and Chief Medical Examiner, is directed to 
establish, review, and revise medical standards for CMV drivers that 
will ensure their physical condition is adequate to enable them to 
operate the vehicles safely (see also 49 U.S.C. 31149(d)).
    Finally, prior to prescribing any regulations, FMCSA must consider 
their ``costs and benefits'' (49 U.S.C. 31136(c)(2)(A) and 31502(d)). 
Those factors are discussed in the Regulatory Analyses section of this 
NPRM.

V. Background

A. Current Vision Standard

    FMCSA's mission is to reduce crashes, injuries, and fatalities 
involving large trucks and buses. As discussed above, FMCSA is 
authorized by statute to establish minimum physical qualification 
standards for drivers of CMVs operating in interstate commerce. To 
ensure the physical qualification of CMV drivers, the Agency has 
established several standards. As vision plays an important role in the 
driving task, one of the standards provides vision requirements (see 49 
CFR 391.41(b)(10)).
    FHWA adopted the current vision standard in 1970 (35 FR 6458, 6463, 
April 22, 1970). Under this standard, an individual is physically 
qualified to drive a CMV if the individual has distant visual acuity of 
at least 20/40 (Snellen) in each eye without corrective lenses or 
visual acuity separately corrected to 20/40 (Snellen) or better with 
corrective lenses, distant binocular acuity of at least 20/40 (Snellen) 
in both eyes with or without corrective lenses, field of vision of at 
least 70 degrees in the horizontal meridian in each eye, and the 
ability to recognize the colors of traffic signals and devices showing 
standard red, green, and amber (49 CFR 391.41(b)(10)). This standard 
has not changed since it became effective on January 1, 1971.
    FMCSA's physical qualification standards cover 13 areas that relate 
directly to the driving function. With respect to most of the 
standards, an individual's qualification to drive is determined by an 
ME who is knowledgeable about the on-the-job functions performed by a 
commercial driver and whether the driver has a condition that would 
interfere with the operation of a CMV. In the case of three standards, 
including vision, the standard is absolute and provides no discretion 
to the ME. Thus, any individual who does not meet the vision standard 
in its entirety cannot be physically qualified to drive a CMV in 
interstate commerce.

B. Vision Waiver Study Program and Grandfathered Drivers

    On March 25, 1992, FHWA published notice of its intent to accept 
applications from CMV drivers for temporary waivers of certain 
requirements contained in the vision standard, pursuant to the waiver 
provision of former 49 U.S.C. 31136(e) (57 FR 10295). To avoid any 
adverse impact on highway safety, FHWA outlined specific criteria that 
applicants had to meet to receive the vision waiver. The waiver 
program's goal was to provide objective data to be considered in a 
future rulemaking that would explore the feasibility of relaxing the 
absolute vision standard in favor of a more individualized standard. To 
do so, FHWA invited CMV drivers who met the vision standard to 
participate in a study comparing a group of experienced drivers who did 
not meet the vision standard with a control group of drivers who did 
meet the standard. Subsequently, on June 3, 1992, FHWA modified some of 
the program's conditions, clarified some of its details, and requested 
comments on the proposed vision waiver study program (57 FR 23370, June 
3, 1992).
    In July 1992, FHWA announced its decision to issue waivers of the 
vision requirements and published the final criteria for the vision 
waiver study program (57 FR 31458, July 16, 1992). FHWA concluded that 
the program met the statutory requirements for granting waivers because 
the program was in the public interest and included conditions that 
allowed FHWA to find that such waivers were consistent with the safe 
operation of CMVs.\5\ FHWA reiterated that the vision waiver study 
program would provide the empirical data necessary to evaluate the 
relationships between specific vision deficiencies and the operation of 
CMVs.
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    \5\ Section 206(f) of the Motor Carrier Safety Act of 1984 
provides that any Federal Motor Carrier Safety Regulation (FMCSR) 
can be waived if ``such waiver is not contrary to the public 
interest and is consistent with the safe operation of [CMVs].'' 
Public Law 98-554, 98 Stat. 2832, 2835, (October 30, 1984), 
originally codified at 49 U.S.C. App. 2505 and then at former 49 
U.S.C. 31136(e).
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    Under the vision waiver study program, FHWA issued waivers to 
drivers following an individual determination of each driver's 
capability to operate a CMV safely. The determination included a review 
of each individual's vital statistics, experience operating CMVs, 
anticipated post-waiver operations, and status of driving privilege as 
recorded on the licensing State's motor vehicle record for the past 3 
years. The determination also included a review of an opinion by an 
ophthalmologist or optometrist attesting to the visual acuity of each 
driver, that the visual acuity had not worsened since the last vision 
examination, and that the driver was able to perform the driving tasks 
required to operate a CMV. The waiver study program required visual 
acuity of at least 20/40 (Snellen), corrected or uncorrected, in the 
better eye, as well as satisfaction of the other applicable vision 
standard requirements (i.e., field of vision of at least 70 degrees in 
the horizontal meridian in the better eye and the ability to recognize 
red, green, and amber colors).
    Drivers eligible for vision waivers had to have driving records 
that surpassed those of their peers who met the vision requirements. 
FHWA aimed to eliminate unsafe drivers by requiring applicants to have 
3 years of intrastate CMV driving experience with the vision deficiency 
and a record that showed:

    (1) No suspensions or revocations of his or her driver's license 
for operating violations in any motor vehicle;
    (2) No involvement in a reportable accident in a CMV in which 
the applicant was cited for a moving traffic violation;
    (3) No convictions for a disqualifying offense, as described in 
49 CFR 383.51 (e.g., driving a CMV while under the influence of 
alcohol or a controlled substance, leaving the scene of an accident 
involving a CMV, or the

[[Page 2349]]

commission of a felony involving the use of a CMV), or more than one 
serious traffic violation, as that term was defined in Sec.  383.5 
at the applicable time \6\ (e.g., excessive speeding, reckless 
driving, improper or erratic lane changes, following the vehicle 
ahead too closely, or a violation arising in connection with a 
fatality, all while driving a CMV); and
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    \6\ Section 383.5 was amended to remove the definition of a 
``serious traffic violation'' effective July 8, 2011 (76 FR 26854, 
26878, May 9, 2011). Section 383.51(c) contains a list of serious 
traffic violations and the periods for which an individual is 
disqualified from operating a CMV.
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    (4) No more than two convictions for any other moving traffic 
violations while driving a CMV.

    FHWA accepted 2,686 drivers into the vision waiver study 
program.\7\ Once granted a waiver, a driver had to report or submit 
certain information to FHWA during the term of the waiver. Each driver 
was required to:
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    \7\ Sheridan J, and DuLaney A., Qualification of Drivers--
Vision, Diabetes, Hearing and Epilepsy. Final Report, McLean, VA: 
Conwal, Inc.; May 30, 1997, p. 7, which is available at https://ntrl.ntis.gov/NTRL/dashboard/searchResults/titleDetail/PB98142649.xhtml (last accessed August 23, 2019) and in the docket. 
Note that this report is cited as Conwal, Inc. in this rulemaking.

    (1) Report any citation for a moving violation involving the 
operation of a CMV;
    (2) Report the disposition of such citation;
    (3) Report any accident involvement while operating a CMV;
    (4) Submit documentation of an annual evaluation by an 
ophthalmologist or optometrist; and
    (5) Submit monthly driving reports that included the number of 
miles driving a CMV during the preceding month (with daylight and 
nighttime hours reported separately) and the number of days a CMV 
was not operated during the preceding month.

FHWA periodically verified the waived drivers' reported accidents and 
citations through State motor vehicle records and the waived drivers' 
medical reports.
    On August 2, 1994, the United States Court of Appeals for the 
District of Columbia Circuit found that FHWA's determination that the 
vision waiver study program would not adversely affect the safe 
operation of CMVs lacked empirical support in the record (Advocates for 
Highway and Auto Safety v. FHWA, 28 F.3d 1288, 1294 (D.C. Cir. 1994)). 
Accordingly, the court found that FHWA failed to meet the exacting 
statutory requirements to grant a waiver. Consequently, the court 
concluded that FHWA's adoption of the waiver program was contrary to 
law and vacated and remanded the decision to FHWA.
    On November 17, 1994, FHWA published notice of its final 
determination to continue the vision waiver study program through March 
31, 1996, and announced a change in the research plan (59 FR 59386). 
FHWA determined that issuing waivers to the drivers through the 
conclusion of the program was consistent with the public interest and 
the safe operation of CMVs. FHWA based its decision, in part, on data 
collected on the group of waived drivers indicating that they had 
performed and continued to perform more safely than drivers in the 
general population of commercial drivers. As discussed above, drivers 
were required to have a 3-year safe driving history in intrastate 
commerce to participate in the program. A statistical analysis of the 
driving performance of individuals participating in the program from 
July 1992 to July 1994 revealed the total accident rate of drivers in 
the waived group was 1.636 per million vehicle miles traveled compared 
to the higher national accident rate of 2.531 per million vehicle miles 
traveled (59 FR 59389).\8\
---------------------------------------------------------------------------

    \8\ FHWA stated that during the same period there were 6 fatal 
accidents in which waived drivers were involved, and one more 
occurred after June 30, 1994. A review of the police accident 
reports, however, revealed that none of the waived drivers was found 
to be at fault by the reporting police officer (59 FR 59389).
---------------------------------------------------------------------------

    On March 26, 1996, FHWA issued a rule to allow those drivers 
participating in the vision waiver study program and holding valid 
waivers from the vision standard to continue to operate in interstate 
commerce after March 31, 1996 (61 FR 13338). FHWA amended 49 CFR part 
391 by adding a new provision at Sec.  391.64 to grant grandfather 
rights to these drivers, subject to certain conditions. FHWA required a 
physical qualification examination for the grandfathered drivers every 
year, rather than every 2 years as required of most other drivers, as 
an extra precaution to ensure the continued safe operation of these 
drivers. Under Sec.  391.64(b), the grandfathered drivers, like all 
other interstate drivers, must be otherwise physically qualified under 
Sec.  391.41(b) (including a field of vision of at least 70 degrees in 
the horizontal meridian in the better eye and the ability to recognize 
red, green, and amber colors). In addition, the grandfathered vision 
drivers must obtain an annual vision examination by an ophthalmologist 
or optometrist indicating that they have been examined and that the 
distant visual acuity in the better eye continues to measure at least 
20/40 (Snellen). This information must be submitted to the certifying 
ME at the time of the individual's annual physical qualification 
examination. Currently, FMCSA checks the driving records of 
grandfathered drivers to determine if they continue to operate CMVs 
safely.

C. Federal Vision Exemption Program--1998 to the Present

    FHWA established the current Federal vision exemption program on 
December 8, 1998 (63 FR 67600) following the enactment of amendments to 
the statutes governing exemptions made by section 4007 of the 
Transportation Equity Act for the 21st Century (TEA-21).\9\ With the 
enactment of TEA-21, FHWA was authorized to grant an exemption to 
relieve an individual from compliance in whole or in part with certain 
regulations if FHWA determined that the exemption would likely achieve 
a level of safety equivalent to, or greater than, the level that would 
be achieved by complying with the regulation to which the exemption 
would apply (49 U.S.C. 31315(b)(1)).
---------------------------------------------------------------------------

    \9\ Public Law 105-178, 112 Stat. 107, 401, June 9, 1998.
---------------------------------------------------------------------------

    FMCSA processes exemption letters of application in accordance with 
49 CFR part 381, subpart C. Qualifying individuals may apply for an 
exemption from specified provisions of the FMCSRs, including physical 
qualification standards specified under Sec.  391.41(b) (see 49 CFR 
381.300(c)(3)). Under 49 U.S.C. 31136(e) and 31315(b), FMCSA may grant 
an exemption for up to a 5-year period and may renew an exemption at 
the end of the 5-year period. However, FMCSA grants vision exemptions 
for up to a 2-year period to align with the maximum duration of a 
driver's physical qualification certification. The Agency considers 
vision exemptions on a case-by-case basis upon application by CMV 
drivers who do not meet either the distant visual acuity or field of 
vision standard, or both, of Sec.  391.41(b)(10) in one eye. The Agency 
does not grant exemptions for color blindness.
    The criteria currently considered when reviewing an application for 
a Federal vision exemption have been in place since the program began 
in 1998. The vision criteria are consistent with criteria used in the 
preceding Federal vision waiver study program that began in July 1992.
    As part of the current vision exemption program, there is a 
template that CMV drivers can use to prepare a letter of application 
for a Federal vision exemption. In addition to the template, there are 
two instructional letters for applicants residing in Florida or Indiana 
that provide the unique State processes for requesting a copy of a 
motor vehicle record.\10\
---------------------------------------------------------------------------

    \10\ Copies of these documents are in the docket for this 
rulemaking and available on FMCSA's website at https://www.fmcsa.dot.gov/medical/driver-medical-requirements/driver-exemption-programs (last accessed October 1, 2019).

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

[[Page 2350]]

    The template outlines the information and documents drivers should 
include to be considered for an exemption. In general, drivers should 
submit information relating to vital statistics, experience driving a 
CMV (number of years driving, types of vehicles driven, miles driven 
per year), and present employment (contact information, types of 
vehicles, items transported, driving hours). Drivers also should submit 
documentation to support the application, such as a copy of the 
driver's license to operate a CMV; an official copy of the driving 
record issued by a State; copies of any citations, crash reports, or 
court records; a signed statement on letterhead from present or past 
employers (or a notarized statement if letterhead is not available); 
and a signed statement on letterhead by an ophthalmologist or 
optometrist.
    Applicants are not permitted to operate a CMV in interstate 
commerce during the time in which an application for a new exemption is 
pending. The Agency encourages drivers to begin the renewal process 
well in advance of an exemption's expiration. In addition, the Agency 
provides such drivers with a deadline by which their renewal package 
must be complete. Drivers who miss the deadline risk having their 
exemptions expire, resulting in a lapse of their permission to operate 
a CMV in interstate commerce.
    Under the current program, FMCSA considers exemptions from either 
the distant visual acuity or field of vision standard, or both, in one 
eye only for those individuals who:

    (1) Hold a valid license (an intrastate commercial driver's 
license (CDL) or a non-CDL license to operate a CMV);
    (2) Are at least 21 years old;
    (3) Have 3 years of legal CMV driving experience, driving at 
least 10 hours per week in intrastate commerce with the vision 
deficiency, immediately preceding the date of the application;
    (4) Have had a driving record for the 3-year period immediately 
preceding the date of application that contains:
    (a) No suspensions or revocations of a driver's license for the 
operation of any motor vehicle (including a personal vehicle);
    (b) No involvement in a crash for which the driver contributed 
or received a citation for a moving traffic violation;
    (c) No convictions for a disqualifying offense, as defined in 
Sec.  383.51(b);
    (d) No more than one serious traffic violation, as defined in 
Sec.  383.51(c), driving a CMV that disqualified or should have 
disqualified the driver in accordance with the driver 
disqualification provisions of Sec.  383.51; and
    (e) No more than two convictions for any other moving traffic 
violations in a CMV.
    (5) Provide a signed statement that reads, ``I acknowledge that 
I must be otherwise qualified under 49 CFR 391.41(b)(1)-(13) before 
I can legally operate a commercial motor vehicle in interstate 
commerce'';
    (6) Have visual acuity of at least 20/40 (Snellen), corrected or 
uncorrected, in the better eye;
    (7) Have field of vision, including central and peripheral 
fields, of at least 70 degrees in the horizontal meridian in the 
better eye utilizing a testing modality that tests to at least 120 
degrees in the horizontal (Formal perimetry is required. The doctor 
must submit the formal perimetry for each eye and interpret the 
results in degrees of field vision.);
    (8) Can recognize the colors of traffic control signals and 
devices showing red, green, and amber; and
    (9) Have been examined in the last 3 months by an 
ophthalmologist or optometrist who:
    (a) Identifies the vision deficiency;
    (b) Defines the nature of the vision deficiency, including how 
long the driver has had the deficiency;
    (c) States the date of the examination;
    (d) Certifies that the vision deficiency is stable; and
    (e) Provides an opinion that the driver has sufficient vision to 
perform the driving tasks required to operate a CMV.

    FMCSA is required to publish a notice in the Federal Register 
explaining that a medical exemption request has been submitted to the 
Agency for consideration. The notice provides the driver's name, age, 
and class of license with issuing State, as well as the specific cause 
and duration of the driver's vision deficiency and current distant 
visual acuity in at least the better eye. The notice identifies the 
provisions from which the individual seeks exemption and the effective 
period, and provides an opportunity for public comment. After the 30-
day comment period, FMCSA must publish a notice in the Federal Register 
of its decision to approve or deny the request and all the terms and 
conditions of any exemption granted.
    The Agency imposes the following requirements on drivers who are 
granted an exemption from the vision standards in Sec.  391.41(b)(10):

    (1) The exempted driver must be examined every year by:
    (a) An ophthalmologist or optometrist who attests that the 
driver's vision continues to meet the standards of 49 CFR 
391.41(b)(10) in the better eye (i.e., that the individual has 
distant visual acuity of at least 20/40 (Snellen), field of vision 
of at least 70 degrees in the horizontal meridian, and can recognize 
red, green, and amber colors); and
    (b) An ME who determines that the driver is otherwise qualified 
under Sec.  391.41 and provides an MEC, Form MCSA-5876, that 
includes a statement that the driver is medically qualified when 
accompanied by a Federal vision exemption.
    (2) The driver must provide a copy of the ophthalmologist or 
optometrist report to the ME at the time of the driver's annual 
physical qualification examination.
    (3) The driver must keep a copy of the annual MEC, Form MCSA-
5876, in his or her qualification file if the driver is self-
employed or provide a copy to the driver's employer for retention in 
the driver's qualification file.
    (4) The driver must possess a copy of the exemption and MEC, 
Form MCSA-5876, when driving, for presentation to any legally 
authorized Federal, State, or local enforcement official.
    (5) The driver must obtain and display the appropriate driver's 
license from his or her State of domicile and comply with any 
restrictions placed thereon regarding use of eyeglasses, mirrors, or 
other visual aids.
    (6) The driver must report any changes in personal information 
(i.e., address, telephone number, employment status) to FMCSA 
immediately, as well as changes in the type of vehicle driven.

    At any time during the authorized exemption period, the Agency may 
require the exempted CMV driver to provide information regarding 
driving experience and performance as it relates to citations, crashes, 
license suspensions or revocations, and medical status (78 FR 76590, 
76591, December 18, 2013).
    FMCSA monitors each driver's performance operating a CMV on a 
quarterly basis. FMCSA may revoke an exemption immediately if (1) the 
driver fails to comply with the terms and conditions of the exemption; 
(2) the exemption has resulted in a lower level of safety than was 
maintained before the exemption was granted; or (3) continuation of the 
exemption is determined by FMCSA to be inconsistent with the goals and 
objectives of the FMCSRs (49 CFR 381.330(b)).
    On December 18, 2013, FMCSA proposed changes to the eligibility 
requirements for the exemption program, including changes to the 
driving experience, convictions and violations, and driver statement 
criteria (78 FR 76590). After receiving comments that both supported 
and opposed the proposed changes, the Agency elected not to revise the 
exemption program criteria at that time. As suggested by some comments, 
the development of a fuller record in a rulemaking proceeding will 
assist the Agency in making an appropriate determination about 
modifying the vision standard instead of modifying the exemption 
criteria.
    FMCSA's October 2017 annual report to Congress on waivers, 
exemptions, and pilot programs noted that the vision exemption program 
received 1,147 applications and granted 479

[[Page 2351]]

exemptions in Federal fiscal year 2016.\11\ The September 2018 annual 
report to Congress noted that the vision exemption program received 793 
applications and granted 286 exemptions in Federal fiscal year 
2017.\12\
---------------------------------------------------------------------------

    \11\ FMCSA. Waivers, Exemptions, and Pilot Programs Annual 
Report to Congress Fiscal Year 2016, October 2017, p. 3, available 
at https://www.fmcsa.dot.gov/mission/policy/reports-congress (last 
accessed July 15, 2019) and in the docket.
    \12\ FMCSA: Waivers, Exemptions, and Pilot Programs Annual 
Report to Congress Fiscal Year 2017, September 2018, p. 3, available 
at https://www.fmcsa.dot.gov/mission/policy/reports-congress (last 
accessed July 15, 2019) and in the docket.
---------------------------------------------------------------------------

    As of July 2, 2019, there were 2,566 drivers with active exemptions 
issued pursuant to the Federal vision exemption program. From January 
2016 through July 2019, the most prevalent reasons for denial of 
exemption requests were insufficient intrastate driving experience 
(i.e., less than 3 years of experience) and not meeting the vision 
standard in the better eye.

VI. Assessments of the Vision Standards, Waivers, and Exemptions

    FHWA and FMCSA have a long history of examining the relationship 
between the vision standards in Sec.  391.41(b)(10) and the performance 
of CMV drivers. Since the early 1990s, FHWA and FMCSA have continuously 
monitored the impact of the vision waiver study and vision exemption 
programs to ensure they cause no adverse impact on safety. The basis 
for this rulemaking is the safety performance of the drivers in these 
programs, which is at least as good as that of the general population 
of CMV drivers.
    Consistent with statutory requirements, the Agency consults with 
the MRB and Chief Medical Examiner to establish, review, and revise 
physical qualification standards for CMV drivers. FMCSA also engages 
these medical professionals to assist with medical and scientific 
reports and analyses prepared for the Agency. The reports and analyses 
undertaken since 1990 to gather information and evaluate the vision 
standards, the waiver study program, and exemption program, as well as 
MRB recommendations pertaining to vision, are summarized below and are 
available in the docket for this rulemaking.
    In November 1991, FHWA received a report titled ``Visual Disorders 
and Commercial Drivers'' prepared by the Ketron Division of the 
Bionetics Corporation.\13\ The primary objective of this project was to 
reassess the adequacy of the Federal vision standards for CMV drivers. 
In that regard, the report concluded that a review of the most recent 
scientific research that investigated the vision performance of 
passenger and commercial drivers ``revealed no conclusive evidence to 
support definitive changes to the current standard.'' \14\ The report 
found the studies ``were able to demonstrate only weak relationships 
between measures of vision and correlates of driver safety.'' \15\ Only 
a few studies examined the relationship between the driving performance 
record of CMV drivers and their vision performance.\16\
---------------------------------------------------------------------------

    \13\ Decina L, Breton M, and Staphlin L., Visual Disorders and 
Commercial Drivers (Report No. DTFH61-90-C-00093), Malvern, PA: 
Ketron Division of the Bionetics Corp., Washington, DC: FHWA, Office 
of Motor Carriers (FHWA-MC-92-003), November 1991, available at 
https://ntrl.ntis.gov/NTRL/dashboard/searchResults/titleDetail/PB92143015.xhtml (last accessed August 20, 2019). Note that this 
report is cited as ``Ketron'' in this rulemaking.
    \14\ Id. at Technical Report Documentation Page (Abstract); see 
also p. 15.
    \15\ Id. at iv.
    \16\ Id. at 15.
---------------------------------------------------------------------------

    The project considered the need to exclude drivers with substantial 
vision loss only in one eye. Ketron convened a focused workshop 
discussion consisting of a panel of doctors, ophthalmologists, 
optometrists, professors in academic ophthalmology departments, and 
traffic and safety professionals in private industry. ``Most panelists 
agreed that the available research results linking driver safety to 
lowered acuity in one eye were sufficient to change the current 
standard to allow monocular drivers or drivers with vision that is 
substantially worse in one eye.'' \17\ However, the panelists did not 
reach a consensus.
---------------------------------------------------------------------------

    \17\ Id. at 34.
---------------------------------------------------------------------------

    The Ketron report noted the difficulties associated with 
determining minimum vision criteria. It stated that ``[n]umerous 
studies have shown that visual deficits are rarely the primary cause of 
major accidents. Typically, many factors are found to contribute.'' 
\18\ It continued that individuals involved in accidents have already 
been screened for visual deficits, which reduces the number of visually 
poor drivers on the road. Accordingly, tests of primary visual 
capability cannot reasonably be expected to correlate highly with 
measures of driver safety or to provide unambiguous cutoff points for 
screening out unsafe drivers.
---------------------------------------------------------------------------

    \18\ Id. at iv; see also p. 13.
---------------------------------------------------------------------------

    In June 1992, FHWA stated that the Ketron project illuminated the 
lack of empirical data on the link between vision disorders and CMV 
safety (57 FR 23370, June 3, 1992). FHWA proposed the vision waiver 
study program to obtain the empirical data that the Ketron project did 
not provide. Accordingly, FHWA began the vision waiver study program in 
July 1992 that concluded in March 1996.
    In May 1997, Conwal, Inc. presented FHWA with the final report 
titled ``Qualification of Drivers--Vision, Diabetes, Hearing and 
Epilepsy'' \19\ that described the findings of the vision waiver study 
program. The program's goal was to determine the associated risk, based 
on accident involvement, of allowing CMV drivers who did not meet the 
vision standard to drive under a granted waiver in interstate commerce. 
FHWA determined that the findings showed the waiver group did not 
represent a threat to public safety.
---------------------------------------------------------------------------

    \19\ Sheridan J, and DuLaney A., Qualifications of Drivers--
Vision, Diabetes, Hearing and Epilepsy, Final Report, McLean, VA: 
Conwal, Inc., May 30, 1997, available at https://ntrl.ntis.gov/NTRL/dashboard/searchResults/titleDetail/PB98142649.xhtml (last accessed 
August 23, 2019).
---------------------------------------------------------------------------

    The original design of the vision waiver study program was an 
observational, nonrandomized study with a prospective cohort structure. 
However, the Advocates for Highway and Auto Safety v. FHWA \20\ lawsuit 
prevented the implementation of the study, and the study was converted 
to a monitoring program to ensure that the public was not exposed to 
excessive risk.\21\
---------------------------------------------------------------------------

    \20\ 28 F.3d 1288, 1294 (D.C. Cir. 1994) (see section V.B. above 
for additional information relating to this lawsuit).
    \21\ FHWA originally conceived a study that would determine the 
associated level of risk of allowing CMV drivers who did not meet 
the physical qualification standards relating to vision, diabetes, 
epilepsy, and hearing to operate interstate. These conditions were 
chosen because the related standards were absolute at the time, 
providing no discretion to the ME. Because of the lawsuit, FHWA did 
not initiate the hearing and epilepsy waiver study programs.
---------------------------------------------------------------------------

    Monitoring focused on comparing the accident rates of the waivered 
drivers to rates of a reference group that represented the prevailing 
safety level for drivers of large trucks (10,000 pounds or larger) in 
the United States. FHWA selected the General Estimates System (GES) as 
the best measure of the prevailing national norm relative to large 
truck accidents.\22\ A series of seven monitoring reports was completed 
during the vision waiver study program to report periodically on the 
number of accidents occurring in the group of drivers who were issued 
waivers.\23\
---------------------------------------------------------------------------

    \22\ The GES is a national survey of police accident reports in 
the United States conducted by the National Highway Traffic Safety 
Administration.
    \23\ The seven monitoring reports are included in Appendix 12 of 
the May 1997 final report titled ``Qualification of Drivers--Vision, 
Diabetes, Hearing and Epilepsy'' by Conwal, Inc.
---------------------------------------------------------------------------

    The seventh monitoring report in the series was completed in 
February 1996

[[Page 2352]]

and reported driving behavior for the drivers who were still in the 
program as of November 1995. From August 1992 to November 1995, 510 
total accidents (i.e., not limited to accidents where fault was 
assigned to the waivered driver) were reported in this group.\24\
---------------------------------------------------------------------------

    \24\ FHWA, Office of Motor Carriers. The Seventh Monitoring 
Report on the Drivers of Commercial Motor Vehicles Who Receive 
Vision Waivers, Washington, DC: U.S. Department of Transportation, 
February 29, 1996, p. 1.
---------------------------------------------------------------------------

    To effectively monitor the waiver program, FHWA established a 
framework to notify FHWA if the waiver group proved to be unsafe. The 
framework involved the use of a decision strategy that identified when 
the waiver group's accident rate was sufficiently larger than the 
national accident rate that there could be a threat to public safety. 
More specifically, the 90 percent confidence interval associated with 
the waiver group's accident rate was compared to the national rate. The 
national rate was treated as a constant because it was given frequently 
as an official rate without a confidence interval. The decision was 
made to notify FHWA when the lower 90 percent confidence bound 
associated with the accident rate of the waiver group was larger than 
the national rate. That strategy was seen as conservative in that it 
limited the waiver group's accident exposure.\25\
---------------------------------------------------------------------------

    \25\ Id. at 2.
---------------------------------------------------------------------------

    Based on analysis of the data collected from August 1992 to 
November 1995, Table 1 provides a comparison of the accident rate in 
the waiver group to the national rate. Relative to the 90 percent 
confidence interval calculated for the waiver group's rate, the data 
show the lower bound was not larger than the national rate. In fact, 
the waiver group's overall accident rate was lower than the national 
rate. Thus, FHWA determined that the waiver group did not represent a 
threat to public safety.\26\
---------------------------------------------------------------------------

    \26\ Id. at 2-3.
---------------------------------------------------------------------------

    Table 1 also presents comparisons between the waiver group and 
national accident rates relative to accident severity. FHWA routinely 
investigated serious accidents and violations involving members of the 
waiver group. ``In the case of these accidents, the drivers were not 
found to be at fault nor were any of the accidents related to a vision 
deficiency.'' \27\ In none of the severity categories did the lower 90 
percent confidence bounds of the relevant waiver group rates exceed the 
respective national rates.
---------------------------------------------------------------------------

    \27\ Id. at 3, note.

 Table 1--Comparison of Accident Rates Experienced by Commercial Motor Vehicle Operators With Vision Waivers to
                  National Accident Rates in Relation to Total Accidents and Accident Severity
----------------------------------------------------------------------------------------------------------------
 
----------------------------------------------------------------------------------------------------------------
                                                 Waiver group                                           National
                                                accident rate                                  accident rate \2\
                                                          \1\                                         (number of
                                                   (number of                                         accidents)
                                                   accidents)  90% Confidence interval (lower
                                                                         and upper)
----------------------------------------------------------------------------------------------------------------
Total Accidents \3\..........................     1.706 (510)           1.582           1.830    2.605 (444,000)
----------------------------------------------------------------------------------------------------------------
                                                                       Accident Severity
----------------------------------------------------------------------------------------------------------------
Property Damage Only.........................     1.284 (384)           1.177           1.392    2.048 (349,000)
Injury Involved..............................      .408 (122)            .347            .469      .534 (95,000)
Fatality Involved............................        .013 (4)            .002            .024       .026 (4,615)
----------------------------------------------------------------------------------------------------------------
\1\ Rate is calculated based on 299 million vehicle miles traveled by the waiver group between July 1992 and
  November 1995.
\2\ National accident estimates are for large trucks given by the GES 1994, National Highway Traffic Safety
  Administration. Rate calculated based on 170,415 million vehicle miles traveled in 1994.
\3\ Total accidents experienced by the waiver group between July 1992 and November 1995.
Source: FHWA. Office of Motor Carriers. The Seventh Monitoring Report on the Drivers of Commercial Motor
  Vehicles Who Receive Vision Waivers. Washington, DC: U.S. Department of Transportation; February 29, 1996,
  Table 1.

    A September 1999 FHWA Tech Brief titled ``Qualifications of Drivers 
-- Vision and Diabetes'' \28\ summarizes the May 1997 report discussed 
above. The Tech Brief notes that the report's risk analysis was 
performed to support the grandfathering of drivers to permanent waiver 
status after the vision waiver study program was closed; therefore, the 
generalizability of the results was limited.
---------------------------------------------------------------------------

    \28\ FHWA, Office of Motor Carrier Research and Standards, 
Qualifications of Drivers--Vison and Diabetes, Tech Brief (FHWA-
MCRT-99-017), Washington, DC: U.S. Department of Transportation, 
September 1999, available at https://rosap.ntl.bts.gov/view/dot/14291 (last accessed July 15, 2019).
---------------------------------------------------------------------------

    In October 1998, FHWA received a report titled ``Visual 
Requirements and Commercial Drivers'' prepared by a panel of medical 
experts associated with Beth Israel Deaconess Medical Center and 
Harvard Medical School.\29\ The report stated that the data obtained 
from the vision waiver study program was ``extremely compelling. The 
waiver group accident rate was consistently below the national accident 
rate (cumulative comparison) and for drivers still in the program in 
August 1995, the waiver group accident rate consistently decreased to 
well below the national accident rate, exceeding the latter only during 
the first 6 months of the program.'' \30\ The report continued that the 
program resulted in a useful database that clearly supported a new 
ongoing waiver program, and provided sufficient rationale for a follow-
up study that might modify the current vision requirements for 
commercial drivers.
---------------------------------------------------------------------------

    \29\ Berson F, Kuperwaser M, Aiello L, and Rosenberg J., Visual 
Requirements and Commercial Drivers, Final Report, Boston, MA: Beth 
Israel Deaconess Medical Center and Harvard Medical School, October 
16, 1998, available at https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/visionfinalreport10-16-98.pdf (last 
accessed July 15, 2019).
    \30\ Id. at 12 (original bolding deleted).
---------------------------------------------------------------------------

    In October 2006, FMCSA received a report titled ``Medical Exemption 
Program Study'' prepared by Cambridge Systematics, Inc.\31\ This 
project provided process and outcome information regarding the vision 
exemption program. The main conclusion of this project was that the 
vision exemption program did not appear to impact safety negatively on 
the nation's highways.\32\ Additionally, the project found the overall 
vision exemption program to be effective.
---------------------------------------------------------------------------

    \31\ Cambridge Systematics, Inc., Medical Exemption Program 
Study: Preliminary Report of Findings, Final Report, Chevy Chase, 
MD: Cambridge Systematics, Inc., October 13, 2006, available at 
https://rosap.ntl.bts.gov/view/dot/16459 (last accessed July 16, 
2019).
    \32\ Id. at 7-1.
---------------------------------------------------------------------------

    Drivers in the vision exemption program had 20 percent fewer 
reported

[[Page 2353]]

collisions than a control set of drivers. Participation in the 
exemption program was shown to have a 94.4 percent confidence interval 
of reducing the number of reported collisions attributable to the 
driver.\33\ While most of the analysis compared the exemption program 
drivers to the entire set of control drivers, one analysis compared a 
subset of the control drivers who had no reported collisions during the 
3 years ending on the ``control date'' of December 31, 2003, to the 
exemption program drivers. The analysis showed ``little difference in 
reported collision rate between the program and control sets.'' \34\ 
Thus, when controlling for previous collision rates over a 3-year 
period, the collision rates for visually impaired ``safe'' drivers were 
not found to be higher than the non-impaired ``safe'' drivers.\35\
---------------------------------------------------------------------------

    \33\ Id. at 7-1.
    \34\ Id. at 6-14.
    \35\ Id. 7-2.
---------------------------------------------------------------------------

    Cambridge Systematics summarized the findings from the various 
studies in the scientific literature into a set of key points, and 
stated that ``[a]lmost all of the studies examined in the area of 
vision deficiencies illustrate similar challenges in the design, 
implementation, and patterns of their findings.'' \36\ The challenges 
were summarized as confounding factors, outcome definitions, and 
impairment definitions. Confounding effect is observed when a factor 
that is not controlled statistically or by the study design obscures 
the effect of treatment. Examples of such factors impacting the field 
of vision and driving were age, driving exposure, and compensating 
behavior. With respect to compensating behavior, Cambridge Systematics 
stated that ``[i]t is well recognized that visually impaired drivers 
develop effective compensatory strategies to accommodate their 
impairments. Therefore, relying on medical test scores and ignoring 
actual driving performance can easily obscure the treatment effect 
under study.'' \37\ Traffic safety outcomes may be defined in terms of 
crashes, violations, crash or violation rates per miles driven, 
performance in on-road tests and driving simulations, and self-reported 
incidence involvement rates and other habits. However, because ``the 
relationship between these outcomes is not clearly established, making 
comparisons across different studies becomes tenuous.'' \38\ 
Inconsistencies in impairment definitions and measuring can result from 
incorrect reports of the presence or absence of an eye condition and 
the different thresholds used to designate subjects as impaired or 
unimpaired. With respect to monocular drivers being granted commercial 
licenses, Cambridge Systematics pointed out ``[t]he term `monocular' is 
typically used quite broadly in the research literature on this topic 
and denotes drivers who have a total absence of function in one eye and 
additionally those who have visual function in one eye below the 
minimum level for commercial licensing.'' \39\
---------------------------------------------------------------------------

    \36\ Id. at 4-22.
    \37\ Id. at 4-22.
    \38\ Id. at 4-22.
    \39\ Id. at 4-12.
---------------------------------------------------------------------------

    In June 2008, FMCSA received the final evidence report titled 
``Vision and Commercial Motor Vehicle Driver Safety'' prepared by the 
Manila Consulting Group, Inc. and the ECRI Institute.\40\ The evidence 
report addressed several key questions developed by FMCSA pertaining to 
vision and CMV driver safety by summarizing the best evidence that was 
available in the literature. The key question relevant to this proposal 
was an inquiry to determine whether monocular vision is associated with 
an increased crash risk. Due to methodological limitations and 
inconsistency among the findings of different studies, the authors 
concluded that the evidence was insufficient to determine whether 
individuals with monocular vision were at increased risk of a 
crash.\41\
---------------------------------------------------------------------------

    \40\ Tregear S, Reed M, Tiller M, and Reston J., Vision and 
Commercial Motor Vehicle Driver Safety, Volume 1: Evidence Report, 
McLean, VA: Manila Consulting Group, Inc. and Plymouth Meeting, PA: 
The ECRI Institute, June 6, 2008, available at https://rosap.ntl.bts.gov/view/dot/16502 (last accessed July 16, 2019).
    \41\ Id. at 2-3.
---------------------------------------------------------------------------

    The authors identified three studies that provided crash data for 
drivers with monocular vision in general driver populations. ``Because 
of a number of methodological flaws, [the authors'] confidence in the 
findings of all three of the studies [was] low. While two studies found 
no evidence to support the contention that individuals with monocular 
vision are at an increased risk for a motor vehicle crash, the third 
study did find an association between monocular vision and increased 
crash risk. Given the low quality of the included studies and the fact 
that the findings of these studies were inconsistent, [the authors did] 
not draw an evidence-based conclusion.'' \42\ The authors stated, 
however, that ``the possibility that individuals with monocular vision 
have an increased crash risk cannot be ruled out.'' \43\
---------------------------------------------------------------------------

    \42\ Id. at 3.
    \43\ Id. at 3.
---------------------------------------------------------------------------

    In March 2008, a medical expert panel made recommendations, titled 
``Vision and Commercial Motor Vehicle Driver Safety,'' associated with 
the evidence report for the MRB to consider.\44\ With respect to 
monocular vision, the panel agreed that the current evidence was 
insufficient to justify a change in the vision standard. The panel 
noted that the evidence report did not rule out the possibility of 
increased crash risk for monocular drivers. Nonetheless, the panel 
stated ``that the Exemption Program should be continued and a protocol 
established to obtain the data necessary for a future recommendation.'' 
\45\
---------------------------------------------------------------------------

    \44\ Berson F, Owsley C, and Peli E., Vision and Commercial 
Motor Vehicle Driver Safety, Expert Panel Recommendations, March 14, 
2008, available at https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/MEP-Recommendations-Vision-v2-prot.pdf (last accessed 
July 16, 2019). The expert panel reviewed a draft of the ``Vision 
and Commercial Motor Vehicle Driver Safety'' evidence report. While 
the expert panel agreed with the findings of the draft evidence 
report, the panel disagreed with the reasoning for including and 
excluding several studies. The research team considered the panel's 
criticism and agreed to amend the report before it was finalized. 
The revised executive summary for the 2008 evidence report is 
Appendix A of the expert panel recommendations report and is 
included in the final June 2008 evidence report discussed above.
    \45\ Id. at 4.
---------------------------------------------------------------------------

    During an April 2008 meeting, the MRB made recommendations to the 
Agency pertaining to driver vision requirements based on presentations 
and discussions of the 2008 draft evidence report, the related medical 
expert panel recommendations, and public comment. With respect to 
monocular vision, the MRB recommended that ``[t]he current standard 
which precludes individuals with monocular vision from driving a CMV 
for the purposes of interstate commerce should not be changed at this 
time.'' \46\
---------------------------------------------------------------------------

    \46\ FMCSA Medical Review Board, Meeting Summary, April 7, 2008, 
p. 15, available at https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/April_7_MRB_Meeting_Minutes_71708_Final_Updated10108.pdf 
(last accessed July 16, 2019).
---------------------------------------------------------------------------

    In September 2015, the MRB provided recommendations to the Agency 
in response to MRB Task 15-2, which requested that the MRB recommend 
criteria and identify factors the Agency should consider in deciding 
about a future rulemaking regarding vision criteria. The MRB provided 
the following recommendations: \47\
---------------------------------------------------------------------------

    \47\ FMCSA Medical Review Board, MRB Task 15-02 Report, 
September 1, 2015, available at https://www.fmcsa.dot.gov/final-mrb-task-15-02-report (last accessed July 16, 2019).

    I. If FMCSA considers removing the current Visual Exemption 
program, the MRB recommends the following changes to the vision 
standard regulations:

[[Page 2354]]

    A. Provide a form/questionnaire to the eye specialist 
(ophthalmologist or optometrist) that includes all information 
required by the current Visual Exemption program. Form should be 
given to the Certified Medical Examiner (CME).
    B. Length of certification with vision exemption: MRB recommends 
1 year but FMCSA should seek comment from eye specialist 
(ophthalmologist or optometrist) associations on recommended 
frequency of examination.
    II. FMCSA should seek comment from the eye specialist 
(ophthalmologist or optometrist) associations regarding:
    A. Whether there is additional information that would be useful 
to collect.
    B. What is the minimum amount of time they would feel 
comfortable allowing someone to drive who has sudden change from 
binocular vision? (Current Visual Exemption Program requires a safe 
driving record with such an eye condition for 3 years.)
    C. Co-condition/disease process.
    D. Recommendations on field of vision criteria (e.g., not 
supposed to be 70[deg] as stated in the current vision standard).

    The proposed alternative vision standard incorporates the MRB's 
2015 recommendations.
    In November 2016, FMCSA published an Analysis Brief \48\ that 
reviewed the safety performance of drivers in the vision exemption 
program. The study's purpose was to compare the crash rates of CMV 
drivers enrolled in the vision exemption program with drivers not 
enrolled in the program. The Agency assessed drivers in terms of their 
crash rates and inspection violation rates. FMCSA assessed the safety 
performance of drivers in the program for 5 years from 2011 through 
2015.
---------------------------------------------------------------------------

    \48\ FMCSA, Safety Performance of Drivers with Medical 
Exemptions: How safe are drivers in a medical exemption program 
compared to those who are not?, Analysis Brief (FMCSA RRA-16-019b), 
Washington, DC: U.S. Department of Transportation, November 2016, 
available at https://rosap.ntl.bts.gov/view/dot/31521 (last accessed 
July 16, 2019).
---------------------------------------------------------------------------

    Table 2 compares the crash rate for drivers in the vision exemption 
program to the national crash rate. The data show that the crash rate 
for drivers in the vision exemption program is lower than the national 
crash rate.\49\
---------------------------------------------------------------------------

    \49\ Id. at 5, Table 5.

 Table 2--Crash Rates for Vision Exemption Program Drivers Compared to National Crash Rates, Crashes per Driver
                                               per Year, 2011-2015
----------------------------------------------------------------------------------------------------------------
                                      Vision  exemption                                          National crash
    Number of          Number of          crash rate     National  average  National  average    rate  (crashes
exemption drivers   exemption driver     (crashes per    annual  number of  annual  number of    per driver per
                        crashes        driver per year)       drivers            crashes             year)
----------------------------------------------------------------------------------------------------------------
          1,117                144            0.02578          4,599,623            143,289            0.03115
----------------------------------------------------------------------------------------------------------------

    The Agency also compared drivers enrolled in the exemption program 
to a control group that was established using the Driver Information 
Resource, which captures drivers' driving histories. Drivers were 
chosen at random and added to the control group in proportion to the 
age and carrier size of the corresponding exemption program group until 
the control group contained three times as many drivers as the 
respective exemption program group. To determine whether any 
differences in crash rates were statistically significant, FMCSA 
conducted statistical testing at the 95 percent confidence level. Table 
3 shows the results.\50\
---------------------------------------------------------------------------

    \50\ See id. at 5-6, Tables 6-8.

        Table 3--Comparison of Vision Exemption Program Group and Control Group Crash and Violation Rates
----------------------------------------------------------------------------------------------------------------
                                           Number of       Exemption
                                           exemption     program group   Control group        Statistically
       Crash or violation rates          program group     crash or        crash or      significant  difference
                                            drivers     violation rate  violation rate
----------------------------------------------------------------------------------------------------------------
Crash Rates...........................             680         0.03853         0.02819  Yes.
Violation Rates.......................             680          1.9721          2.4911  Yes.
Out-of-Service Violation Rates........             680         0.22353         0.29870  Yes.
----------------------------------------------------------------------------------------------------------------

    The crash rate for the vision exemption program group was 
statistically different from its control group, being slightly higher 
at 0.03853 crashes per driver per year than the control group rate of 
0.02819. ``This equates to about one more crash per year for every 100 
drivers in the vision exemption program than for similar drivers not in 
the vision exemption program.'' \51\ The driver violation rate and 
driver out-of-service violation rate were lower than the control group, 
with the difference being statistically significant. FMCSA concluded in 
2016 that further studies should be done using larger sample sizes to 
confirm or challenge the results from this study.
---------------------------------------------------------------------------

    \51\ Id. at 5.
---------------------------------------------------------------------------

    There are several limitations regarding the Analysis Brief's 
findings. For example, the crash information did not consider whether 
the CMV driver was at fault in any given crash. It is not possible to 
know whether visual function caused or contributed to the crash. It 
also is not possible to determine whether including only those drivers 
who were in the vision exemption program for the full 5-year period 
impacted the results, if at all. The control group was selected based 
on age of the driver and the size of the employing motor carrier, 
rather than individual visual function criteria.
    The Agency finds that the increased crash rate for the vision 
exemption program group as compared to its control group demonstrated 
in the Analysis Brief is not cause for concern. The findings of the 
Analysis Brief represent a limited period and are subject to the 
additional limitations discussed previously. FMCSA monitors the 
performance of individual drivers in the vision exemption program 
continuously. FMCSA does not have evidence to suggest drivers in the 
exemption program are less safe than the general population of CMV 
drivers.
    Every year the Agency reports to Congress regarding the vision 
exemptions granted and any impact on safety. The Agency has 
consistently informed Congress that FMCSA has

[[Page 2355]]

observed no adverse impacts on CMV safety due to the vision exemption 
program.\52\
---------------------------------------------------------------------------

    \52\ FMCSA, Waivers, Exemptions, and Pilot Programs Annual 
Reports to Congress Fiscal Years 1999-2013, February 2016, p. 25; 
Fiscal Year 2014, April 2017, p. 9; Fiscal Year 2015, May 2017, p. 
15; Fiscal Year 2016, October 2017, p. 11; and Fiscal Year 2017, 
September 2018, p. 10. These reports are available at https://www.fmcsa.dot.gov/mission/policy/reports-congress (last accessed 
July 15, 2019).
---------------------------------------------------------------------------

    During its June 2018 meeting, the MRB discussed the MRB Task 15-2 
report and was presented draft findings of a study performed by the 
University of Alabama at Birmingham examining the FMCSA vision standard 
for CMV drivers. The MRB made no changes to its previous 
recommendations in MRB Task 15-2.
    During its July 2019 meeting, FMCSA updated the MRB on the 
University of Alabama study. The MRB discussed the draft findings of 
the study and the vision exemption program. The MRB did not change its 
MRB Task 15-2 recommendations. The MRB continued the status quo by 
recommending that FMCSA maintain the current vision standard and 
continue the vision exemption program. In addition, the MRB recommended 
that FMCSA investigate shortening the 3-year intrastate driving 
experience criterion. The MRB also voted to review the vision exemption 
program at a future meeting when more information is available.\53\
---------------------------------------------------------------------------

    \53\ FMCSA Medical Review Board, Meeting Minutes, July 15-16, 
2019, p. 3, available at https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2020-08/MRB-meeting-minutes-july-2019-508c.pdf 
(last accessed September 2, 2020).
---------------------------------------------------------------------------

    In November 2019, FMCSA published the University of Alabama at 
Birmingham report titled ``Examining the FMCSA Vision Standard for 
Commercial Motor Vehicle Drivers'' (Ball et al., 2019).\54\ One of the 
study's overall objectives was to determine the safety efficacy of 
FMCSA's current vision standards. The research team procured a dataset 
from a third-party provider that included all vision-related data 
obtained during an FMCSA physical qualification examination on nearly 
190,000 CMV drivers. The research team merged the data with crash 
records obtained from the Motor Carrier Management Information System 
(MCMIS). From the examination dataset, the results of vision function 
testing, including visual acuity, horizontal field of vision,\55\ color 
recognition, and monocular vision, were compared for drivers who met 
the vision standard versus drivers who did not meet the vision 
standard. Evidence from the literature review, consultation with 
experts, and analysis of CMV driver vision and crash data supported the 
measurement of visual acuity and horizontal field of vision using the 
current cut-points.\56\
---------------------------------------------------------------------------

    \54\ Ball K, Heaton K, McGwin G, Owsley C, and Stavrinos D., 
Examining the FMCSA Vision Standard for Commercial Motor Vehicle 
Drivers (Report No. FMCSA-RRR-19-011).), Washington, DC: FMCSA, 
2019, available at https://rosap.ntl.bts.gov/view/dot/42735 (last 
accessed December 09, 2019).
    \55\ The study uses the term ``field of view,'' which is 
synonymous with the FMCSR term ``field of vision.'' To avoid 
confusion, the term is replaced in this discussion of the study with 
``field of vision.''
    \56\ FMCSA notes that the study found no evidence that CMV 
drivers with monocular vision were at increased risk of collision. 
The Agency is not relying on that finding to support this rulemaking 
due to limitations set forth in the study relating to the study's 
design and dataset.
---------------------------------------------------------------------------

    As relevant to this proposal, Ball, et al. (2019) found that the 
literature regarding how monocularity impacts driving performance is 
mixed.\57\ Some studies suggest that monocularity is not related to CMV 
performance decrements in specific skills such as visual search, lane 
placement, clearance judgment, gap judgment, hazard detection, and 
information recognition.\58\ The literature also is mixed with respect 
to how monocularity impacts motor vehicle collision rates, with several 
studies finding elevated collision rates or more severe collisions for 
monocular drivers,59 60 61 and another study showing that 
commercial monocular drivers did not have a higher collision rate than 
drivers with normal vision in both eyes. In that study (discussed 
above), FHWA evaluated commercial vehicle drivers who received waivers 
of the CMV driver vision requirements.\62\ Results indicated that the 
waiver group's crash rates were not higher than the national reference 
group, nor were their crashes more severe. Ball, et al. (2019) noted, 
however, that ``one limitation of this analysis is that it is unknown 
whether the reference group was similar to the waiver group on other 
factors (e.g., age, other visual function measures) that may be related 
to crash risk.'' \63\
---------------------------------------------------------------------------

    \57\ Id. at 5.
    \58\ McKnight AJ, Shinar D, and Hilburn B., ``The visual and 
driving performance of monocular and binocular heavy-duty truck 
drivers,'' Accident Analysis & Prevention 23(4), pp. 225-237 (1991). 
This study was performed under contract to FHWA.
    \59\ Dionne G, Desjardins D, Laberge-Nadeau C, and Maag U., 
``Medical conditions, risk exposure, and truck drivers' accidents: 
an analysis with count data regression models,'' Accident Analysis & 
Prevention 27(3), pp. 295-305 (1995).
    \60\ Laberge-Nadeau C, Dionne G, Maag U, Desjardins D, Vanasse 
C, and [Eacute]ko[eacute] J-M., ``Medical conditions and the 
severity of commercial motor vehicle drivers' road accidents,'' 
Accident Analysis & Prevention 28(1), pp. 43-51 (1996).
    \61\ Maag U, Vanasse C, Dionne G, and Laberge-Nadeau C., ``Taxi 
drivers' accidents: how binocular vision problems are related to 
their rate and severity in terms of the number of victims,'' 
Accident Analysis & Prevention 29(2), pp. 217-224 (1997).
    \62\ FHWA, Office of Motor Carriers, The Seventh Monitoring 
Report on the Drivers of Commercial Motor Vehicles Who Receive 
Vision Waivers, Washington, DC: U.S. Department of Transportation, 
February 29, 1996.
    \63\ Ball K, Heaton K, McGwin G, Owsley C, and Stavrinos D., 
Examining the FMCSA Vision Standard for Commercial Motor Vehicle 
Drivers (Report No. FMCSA-RRR-19-011), Washington, DC: FMCSA 2019, 
p. 5, available at https://rosap.ntl.bts.gov/view/dot/42735 (last 
accessed December 09, 2019).
---------------------------------------------------------------------------

    The report continues that findings across studies in the literature 
are inconsistent with respect to the safety of monocular drivers, which 
is not surprising given that the definition of monocularity across the 
studies is not consistent. The definition of ``monocular'' is variable 
and can range from the total absence of vision in one eye, to vision in 
one eye that involves a lack of binocular visual function, such as 
depth perception, or is below some standard.

FMCSA Conclusions

    The foregoing reports and analyses do not call into question the 
existence of the vision exemption program. As early as 1991, most of 
the panelists convened by Ketron agreed there was sufficient evidence 
relating to lowered acuity to change the vision standard to allow 
monocular drivers or drivers with vision substantially worse in one 
eye. The 1997 Conwal report showed the vision waiver study program 
group's overall accident rate was lower than the national rate and FHWA 
determined the waiver group did not represent an increased risk to 
public safety. In 1998, a panel of medical experts stated the data from 
the vision waiver study program was ``extremely compelling'' and 
clearly supported a new waiver program.
    In 2006, Cambridge Systematics' review of the vision exemption 
program concluded the program did not appear to impact safety 
negatively. The 2008 evidence report found the three studies that 
provided crash data for drivers with monocular vision in general driver 
populations were insufficient to determine whether individuals with 
monocular vision were at increased risk of a crash. Because the report 
did not provide any conclusions, neither the medical expert panel nor 
the MRB recommended changing the vision standard. The 2008 medical 
expert panel recommended that the exemption program continue. The MRB 
has never recommended that the exemption program end and has continued 
its 2015

[[Page 2356]]

recommendations for FMCSA to consider if it changes the vision 
standard.
    The reports and analyses discussed above do not establish strong 
relationships between specific measures of vision and correlates of 
driver safety. They do, however, point out the numerous difficulties 
associated with obtaining empirical data to determine minimum vision 
criteria and the methodological flaws associated with many studies 
evaluating vision criteria and crash risk. Most of the available data 
come from drivers in general and not CMV drivers specifically. Usually, 
crash information does not indicate whether the driver was at fault in 
any given crash. In addition, it is rarely possible to determine 
whether visual function was the cause of a crash.
    Data on the relationship between monocular vision and crash 
involvement is sparse, conflicting with respect to crash risk, and not 
definitive. Moreover, the Agency must exercise caution when 
interpreting the data because of the different definitions of 
``monocular vision'' in the literature.
    After full consideration of the foregoing reports and analyses, 
FMCSA finds the experience with the vision waiver study and exemption 
programs is most relevant in establishing an alternative vision 
standard. These programs have allowed FMCSA to evaluate the vision 
criteria used in the programs since 1992 in the context of actual CMV 
driving experience. Considering the long period over which the programs 
have operated, FMCSA has sufficient information to reach generalized 
conclusions.
    FHWA and FMCSA monitored the safety performance of drivers in the 
vision waiver study and the current exemption programs continuously. 
Based on the experience with the vision waiver study and exemption 
programs, FMCSA has determined that the safety performance of 
individuals in these programs is at least as good as that of the 
general population of CMV drivers. Indeed, the Agency has continued to 
grant vision exemptions because experience has shown that individuals 
with vision loss in one eye are not limited by their lack of 
binocularity with respect to driving once they have adapted to and 
compensated for the change in vision.
    The Agency's ability to draw on its experience from the vision 
waiver study and exemption programs to develop modifications of the 
existing standard is consistent with one of the purposes of the 
authority provided by the enactment of TEA-21 that established a new 
process for granting regulatory exemptions in 49 U.S.C. 31315. TEA-21 
gave the Agency ``broader discretion to grant waivers and exemptions 
from motor carrier and driver safety regulations which are necessary to 
develop performance based regulations and evaluate the effectiveness of 
existing regulations.'' H. Report 105-550 at 489 (1998).
    Accordingly, the Agency proposes to adopt most of the existing 
vision exemption program criteria and modify other of the criteria as a 
vision standard to be applied in lieu of the vision exemption program. 
Therefore, the alternative vision standard would require individuals, 
to be physically qualified, to have in the better eye distant visual 
acuity of at least 20/40 (Snellen) (with or without corrective lenses) 
and field of vision of at least 70 degrees in the horizontal meridian; 
the ability to recognize the colors of traffic signals and devices 
showing standard red, green, and amber; stability of the vision 
deficiency; and sufficient time to adapt to and compensate for the 
change in vision. Instead of requiring 3 years of intrastate driving 
experience with the vision deficiency, with limited exceptions, 
individuals physically qualified under the proposed alternative vision 
standard for the first time would complete a road test before operating 
in interstate commerce. FMCSA expects that individuals who satisfy 
these criteria would not create an increased risk of injury to 
themselves or others due to their vision.

VII. Rationale for Proposed Qualification Standard

    The Agency proposes to adopt most of the existing vision exemption 
program criteria and to modify other program criteria as an alternative 
vision standard. The proposed standard takes a performance-based 
approach. The standard emphasizes that the individual has developed the 
skills to adapt to and compensate for the vision loss once it has been 
deemed stable by a medical professional, and that the individual has 
demonstrated the skills to operate a CMV safely. The ME would ensure 
the individual is physically qualified to operate a CMV in accordance 
with the physical qualification standards. Motor carriers would 
maintain the responsibility for reviewing the individual's safety 
performance and, with limited exceptions, would conduct a road test for 
individuals.

A. Individuals Adapt to and Compensate for Vision Loss

    As stated above, it is well recognized that individuals with vision 
loss in one eye can and do develop compensatory viewing behavior to 
mitigate the vision loss. Therefore, if an individual meets the 
proposed vision standard, the Agency expects there will be no adverse 
impact on safety due to the individual's vision. That is, once an 
individual's vision is stable and the individual has adapted to and 
compensated for the change in vision, the loss in vision is not likely 
to play a significant role in whether the individual can drive a CMV 
safely.
    Instead of requiring 3 years of intrastate driving experience with 
the vision deficiency as in the current exemption program, FMCSA 
proposes that individuals physically qualified under the proposed 
alternative vision standard for the first time satisfactorily complete 
a road test before operating in interstate commerce. Individuals would 
be excepted from the road test requirement if they have 3 years of 
intrastate or excepted interstate CMV driving experience with the 
vision deficiency, hold a valid Federal vision exemption, or are 
medically certified under Sec.  391.64(b). These individuals have 
already demonstrated they can operate a CMV safely with the vision 
deficiency.
    The requirement for 3 years of intrastate driving experience with 
the vision deficiency has been equated to sufficient time for the 
driver to adapt to and compensate for the change in vision. FHWA stated 
the 3-year safe driving history with the vision deficiency requirement 
was based on studies ``indicating that past experience can be used to 
predict future performance, especially when combined with other 
predictive factors such as geographic location, mileage driven, and 
conviction history'' (59 FR 50887, 50888, October 6, 1994). FHWA 
continued that it relied on opinions from the medical community that 
individuals with a vision deficiency are often able to compensate for 
their impairment over time. ``Because of the discrepancy as to how much 
time is necessary to allow an individual to compensate for an 
impairment (which generally ranged from several months to a full year), 
[FHWA's] choice of three years provided added assurance that drivers 
would have had sufficient time to develop compensatory behavior. It was 
also the longest period for which driver histories were uniformly 
available from State motor vehicle departments'' (59 FR 50888-89).
    Although it was considered appropriate for FHWA to proceed 
conservatively and to ensure adequate time for individuals to adapt to 
and compensate for vision changes when beginning the waiver study 
program, it

[[Page 2357]]

appears that the primary factor in selecting the 3 years of intrastate 
driving experience criterion was that it coincided with the typical 
period of motor vehicle driving histories. Three years of experience 
driving with the vision deficiency exceeded by several months to a full 
year, according to opinions of the medical community, the period 
necessary to compensate for the vision loss. Eliminating the driving 
experience criterion would not allow potentially hazardous drivers to 
participate in interstate commerce because medical professionals would 
ensure drivers have had the time to adapt to and compensate for the 
vision change. The driving experience criterion has the limitation that 
many drivers are not able to obtain intrastate driving experience 
because not all States issue vision waivers. For these reasons, FMCSA 
is not proposing to continue the exemption program's requirement for 3 
years of intrastate driving experience with the vision deficiency in 
the alternative vision standard. Nonetheless, it is reasonable to 
ensure an individual possesses the skills needed to operate a CMV 
safely with the vision deficiency.
    As an alternative to the 3 years of intrastate driving experience 
criterion, FMCSA proposes, with limited exceptions, that individuals 
physically qualified under the alternative vision standard for the 
first time satisfactorily complete a road test before operating in 
interstate commerce. The road test would be conducted in accordance 
with the road test already required by Sec.  391.31. When FHWA adopted 
the road test in Sec.  391.31, it stated that the interests of CMV 
safety would be promoted by ensuring drivers have demonstrated their 
skill by completing the road test (35 FR 6458, 6450 (April 22, 1970)). 
FMCSA finds that a road test would be an appropriate indicator of an 
individual's ability to operate a CMV safely with the vision 
deficiency. Thus, the Agency expects there will be no adverse impact on 
safety from eliminating the intrastate driving experience criterion.
    The proposed alternative vision standard also would not continue 
the 3-year safe driving history criterion. Selecting only drivers with 
a history of safe driving to participate in the vision waiver study 
program allowed FHWA to focus on the impact of vision on driving. After 
nearly 30 years with the vision waiver study and exemption programs, 
experience has shown that individuals with vision loss in one eye are 
not limited by their lack of binocularity with respect to driving once 
they have adapted to and compensated for the change in vision. 
Accordingly, the 3-year safe driving history criterion has served its 
purpose and is no longer necessary.
    FMCSA declines to propose specific periods for which an 
individual's vision deficiency must be stable and for what constitutes 
sufficient time to adapt to and compensate for the change in vision. 
The causes of vision loss are many and varied. Vision loss may be 
present at birth, the result of trauma, due to medical treatment 
intervention, or the result of a progressive eye condition or disease. 
The cause of the vision loss is a primary factor in how long it takes 
for an individual to adapt to and compensate for the change in vision. 
In general, those who experience sudden loss of vision in one eye 
require more time to adapt to and compensate for the change than those 
who lose their vision gradually. For example, Coday, et al. (2002) 
found the time for patients to adapt to sudden vision loss was 8.8 
months and to adapt to gradual vision loss was 3.6 months.\64\
---------------------------------------------------------------------------

    \64\ Coday MP, Warner MA, Jahrlin KV, and Rubin PA, ``Acquired 
Monocular Vision: Functional Consequences from the Patient's 
Perspective,'' Ophthalmic Plastic and Reconstructive Surgery, 18(1), 
pp. 56-63 (2002), available at https://www.ncbi.nlm.nih.gov/pubmed/11910326 (last accessed March 24, 2020).
---------------------------------------------------------------------------

    Therefore, the Agency proposes that medical decisions regarding 
whether an individual's vision deficiency is stable and whether the 
individual has adapted to and compensated for the change in vision be 
made by medical professionals. These medical decisions should be based 
on an individualized assessment by a medical professional rather than a 
regulation.\65\
---------------------------------------------------------------------------

    \65\ On December 18, 2013, FMCSA proposed changes to the 
eligibility requirements for the exemption program. As relevant 
here, FMCSA proposed to reduce the length of driving experience to 1 
year of intrastate driving experience with the stable visual 
deficiency or to remove the driving experience criterion altogether 
(78 FR 76590, 76592). The American Optometric Association supported 
removing the requirement for a specific amount of driving 
experience, in part, because an examination by an ophthalmologist or 
optometrist within the prior 3 months from the date of application 
would help to assess whether the driver had experienced recent 
vision deterioration. This comment is available in docket number 
FMCSA-2013-0097 at https://www.regulations.gov/document?D=FMCSA-2013-0097-0004 (last accessed March 13, 2020).
---------------------------------------------------------------------------

B. MEs Would Make the Qualification Determination

    The proposed alternative vision standard would place the case-by-
case physical qualification determination with the ME who examines the 
individual, which is consistent with FMCSA's rule to adopt an 
alternative physical qualification standard for individuals with 
insulin-treated diabetes mellitus (see 83 FR 47486, September 19, 
2018). Thus, licensed healthcare professionals listed on the Agency's 
National Registry of Certified Medical Examiners (National Registry) 
would consider the information in the Vision Evaluation Report, Form 
MCSA-5871, and determine whether an individual meets the proposed 
vision standard. This approach of MEs making the physical qualification 
determination, instead of FMCSA, is consistent with Congress's 
directive in 49 U.S.C. 31149(d) to have trained and certified MEs 
assess the individual's health status. In addition, the proposed 
process would create a clear and consistent framework to assist MEs 
with making a physical qualification determination that is equally as 
effective as a program based entirely on granting exemptions under 49 
U.S.C. 31315(b).

C. Review of an Individual's Safety Performance Would Continue

    FMCSA is not proposing to change the current regulations that 
require motor carriers to review an individual's safety performance. 
FMCSA has regulatory requirements in place to ensure that motor 
carriers review the safety performance of all their drivers. For 
example, motor carriers are required to review both the motor vehicle 
records and the safety performance history, which must include accident 
information, from previous employers for the prior 3 years when hiring 
a driver (49 CFR 391.23(a) and (d)). Also, motor carriers are required 
to review the motor vehicle records for all drivers annually (49 CFR 
391.25). In addition, the road test would demonstrate whether 
individuals are able to operate a CMV safely with the vision 
deficiency.
    As previously stated, the 3-year safe driving history criterion has 
served its purpose and is no longer necessary. Accordingly, the safety 
performance of individuals who can satisfy the proposed alternative 
vision standard should be evaluated in the same manner as other 
drivers.

VIII. Discussion of Proposed Rule

    FMCSA elects to respond to the MRB's request to investigate 
shortening the 3-year intrastate driving experience criterion and to 
provide more information about the vision exemption program by 
publishing this NPRM and proposing a rule that includes the MRB's 2015 
recommendations. This approach provides the MRB with background on the 
exemption program, summaries of prior reports and analyses, a specific 
proposal and its rationale to consider, and public comment on the

[[Page 2358]]

proposal.\66\ As noted above, the Agency will follow a rulemaking 
process like the one used when FMCSA adopted the alternative physical 
qualification standard for insulin-treated diabetes mellitus. After the 
public comment period closes, FMCSA will ask the MRB to review all 
comments to the NPRM from medical professionals and associations. If 
after that review the MRB makes material changes to its prior 
recommendations in MRB Task 15-2, FMCSA will publish a Federal Register 
notice announcing the availability of the new MRB recommendations and 
request public comment specific to those recommendations.
---------------------------------------------------------------------------

    \66\ FMCSA notes that proceeding with an NPRM is also responsive 
to stakeholder comment. For example, in the rulemaking to change the 
physical qualification standard relating to insulin-treated diabetes 
mellitus, the American Trucking Associations, Inc. (``ATA'') 
commented that it was pleased that FMCSA was using the rulemaking 
process to adjust that standard. Additionally, ATA ``implore[d] 
FMCSA to also conduct rulemaking on its other `absolute' medical 
standards for which it is currently issuing exemptions en masse 
including the vision and hearing standards.'' ATA continued that 
``[e]xemptions from these medical standards only create confusion in 
the industry as to what constitutes a medically safe driver and what 
does not. It also creates an unnecessary, but easily solvable, 
predicament for motor carriers.'' This comment is available in 
docket number FMCSA-2005-23151 at https://www.regulations.gov/document?D=FMCSA-2005-23151-0960 (last access March 13, 2020).
---------------------------------------------------------------------------

    FMCSA proposes to establish an alternative physical qualification 
standard for individuals who cannot satisfy either the distant visual 
acuity or field of vision standard, or both, in Sec.  391.41(b)(10) in 
one eye. If adopted, the alternative vision standard would replace the 
current vision exemption program as a basis for determining the 
physical qualification of these individuals to operate a CMV. It also 
would eliminate the need for the grandfather provisions under Sec.  
391.64(b). The proposed alternative vision standard would enhance 
employment opportunities and reduce the paperwork burden for drivers, 
while remaining consistent with FMCSA's safety mission.
    Specifically, the Agency proposes to adopt most of the existing 
vision exemption program criteria and modify other of the criteria as a 
vision standard to be applied in lieu of the vision exemption program. 
The alternative vision standard would require individuals, to be 
physically qualified, to have in the better eye distant visual acuity 
of at least 20/40 (Snellen) (with or without corrective lenses) and 
field of vision of at least 70 degrees in the horizontal meridian; the 
ability to recognize the colors of traffic signals and devices showing 
standard red, green, and amber; stability of the vision deficiency; and 
sufficient time to adapt to and compensate for the change in vision. 
With limited exceptions, FMCSA also would require individuals 
physically qualified under the proposed alternative vision standard for 
the first time to complete a road test administered by the motor 
carrier satisfactorily before operating in interstate commerce.

A. Proposed Physical Qualification Process

    FMCSA proposes a two-step process for physical qualification. The 
process would be analogous to what the Agency adopted in Sec.  391.46 
for individuals with insulin-treated diabetes mellitus (see 83 FR 
47486, September 19, 2018). First, an individual seeking physical 
qualification would obtain a vision evaluation from an ophthalmologist 
or optometrist who would record the findings and provide specific 
medical opinions on the proposed Vision Evaluation Report, Form MCSA-
5871, which incorporates the recommendations of the MRB. Next, at a 
physical qualification examination, an ME would consider the 
information provided on the vision report and exercise independent 
medical judgment to determine whether the individual meets the proposed 
vision standard, as well as FMCSA's other physical qualification 
standards. If the ME determines that the individual meets the physical 
qualification standards to operate a CMV safely, the ME could issue an 
MEC, Form MCSA-5876, for a maximum of 12 months.
    FMCSA is not proposing changes to the current vision standard found 
in Sec.  391.41(b)(10). The current standard would be redesignated as 
paragraph (b)(10)(i). An alternative vision standard would be added in 
paragraph (b)(10)(ii) to allow an individual who cannot satisfy either 
the distant visual acuity or field of vision standard, or both, in one 
eye to be physically qualified if the individual satisfies the 
requirements of proposed Sec.  391.44.
    Proposed Sec.  391.44 would set forth the provisions of the 
alternative vision standard. It would provide that an individual who 
cannot satisfy either the current distant visual acuity or field of 
vision standard, or both, in one eye is physically qualified to operate 
a CMV in interstate commerce if the individual (1) meets FMCSA's other 
physical qualification standards in Sec.  391.41 (or has an exemption 
or skill performance evaluation certificate, if required), and (2) has 
the vision evaluation and medical examination required by Sec.  391.44.
    Individuals would be evaluated by a licensed ophthalmologist or 
optometrist no more than 45 days before each annual or more frequent 
examination by an ME. Even individuals who have a non-functional eye or 
have lost an eye would be required to undergo vision evaluations at 
least annually. Because of the potential for vision changes in the 
remaining eye, it is important to monitor that eye's compliance with 
the vision standard.
    During the vision evaluation, the ophthalmologist or optometrist 
would complete the proposed Vision Evaluation Report, Form MCSA-5871. 
The report's instructions to the ophthalmologist or optometrist state 
that completion of the report does not imply that the ophthalmologist 
or optometrist is making a decision to qualify the individual to drive 
a CMV. The instructions state further that any determination as to 
whether the individual is physically qualified to drive a CMV will be 
made by an ME.
    The Agency is aware that the definition of ``monocular vision'' 
varies; therefore, the proposed Vision Evaluation Report, Form MCSA-
5871, includes FMCSA's definition of the term. The report defines 
monocular vision as (1) in the better eye, distant visual acuity of at 
least 20/40 (with or without corrective lenses) and field of vision of 
at least 70 degrees in the horizontal meridian, and (2) in the worse 
eye, either a distant visual acuity of less than 20/40 (with or without 
corrective lenses) or field of vision of less than 70 degrees in the 
horizontal meridian, or both. FMCSA's monocular vision definition has 
been applied consistently for nearly 30 years.
    The proposed Vision Evaluation Report, Form MCSA-5871, includes 
instructions to the individual regarding the timeframe for providing 
the report to the ME. The individual would be required to begin the 
physical qualification examination no later than 45 calendar days after 
the ophthalmologist or optometrist signs and dates the report, after 
which time the Vision Evaluation Report is no longer valid. This 
timeframe would ensure the ME is receiving the results of a recent 
vision evaluation.
    The Vision Evaluation Report, Form MCSA-5871, collects the 
individual's name, date of birth, driver's license number, and State of 
issuance. In addition, the report collects the following information:

    (1) Whether the individual completing the report is an 
ophthalmologist or an optometrist;
    (2) The date of the vision evaluation;

[[Page 2359]]

    (3) The distant visual acuity in each eye (corrected and 
uncorrected), and, if corrected, the type of correction;
    (4) The field of vision, including central and peripheral fields 
in each eye, utilizing a testing modality that tests to at least 120 
degrees in the horizontal. A formal perimetry test interpreted in 
degrees is required and must be attached to the report;
    (5) Whether the individual can recognize red, green, and amber 
colors;
    (6) The date of the last comprehensive eye examination;
    (7) Whether the individual has monocular vision as defined by 
FMCSA;
    (8) The cause of the monocular vision;
    (9) When the monocular vision began;
    (10) The current treatment for the monocular vision;
    (11) A medical opinion regarding whether the vision deficiency 
is stable;
    (12) A medical opinion regarding whether sufficient time has 
passed to allow the individual to adapt to and compensate for the 
change in vision; and
    (13) Information regarding progressive eye conditions and 
diseases, including the date of diagnosis, severity, current 
treatment, whether the condition is stable, and a medical opinion 
regarding whether a vision evaluation is required more often than 
annually, and if so, how often.

    The report requires the individual completing the report to attest 
that the individual is an ophthalmologist or optometrist and that the 
information provided is true and correct to the best of the 
individual's knowledge. The report includes the date, printed name and 
medical credential of the ophthalmologist or optometrist, signature, 
professional license number and issuing State, phone number, and email 
and street addresses. The report would be available on FMCSA's website.
    The draft Vision Evaluation Report, Form MCSA-5871, is available in 
the docket for this rulemaking. The Agency seeks public comment on the 
substance and form of the report, as well as the four questions posed 
in section XI.G. below, relating to the information collection titled 
``Medical Qualification Requirements,'' regarding FMCSA's request for 
OMB approval of the report and related information collection under the 
Paperwork Reduction Act.
    Under the proposed regulation, the individual examined, 
ophthalmologist, or optometrist could provide the signed report to an 
ME. An ME would have to receive a completed report for each examination 
of an individual needing evaluation under Sec.  391.44. A report would 
be considered complete when a response is provided to all data fields 
and the ophthalmologist or optometrist signs, dates, and provides his 
or her full name, office address, and telephone number on the report. 
The report would be treated as part of the Medical Examination Report 
Form, MCSA-5875, and would be retained by the ME for at least 3 years 
from the date of the examination as required by 49 CFR 391.43(i).
    Under the alternative vision standard, an individual would be 
medically examined and certified by an ME at least annually as 
physically qualified to operate a CMV. The ME would determine whether 
the individual meets the physical qualification standards in Sec.  
391.41. In making that determination, the ME would consider the 
information in the Vision Evaluation Report, Form MCSA-5871, and 
utilize independent medical judgment to apply the following four 
standards proposed in Sec.  391.44:

    (1) The individual would not be physically qualified to operate 
a CMV if in the better eye the distant visual acuity is not at least 
20/40 (Snellen), with or without corrective lenses, and the field of 
vision is not at least 70 degrees in the horizontal meridian.
    (2) The individual would not be physically qualified to operate 
a CMV if the individual is not able to recognize the colors of 
traffic signals and devices showing standard red, green, and amber.
    (3) The individual would not be physically qualified to operate 
a CMV if the individual's vision deficiency is not stable.
    (4) The individual would not be physically qualified to operate 
a CMV if there has not been sufficient time to allow the individual 
to adapt to and compensate for the change in vision.

    The ME would consider the data and medical opinions provided by the 
ophthalmologist or optometrist to assist in making a qualification 
determination. The Vision Evaluation Report, Form MCSA-5871, should 
include sufficient information for the ME to determine whether the 
opinions expressed by the ophthalmologist or optometrist appear 
informed and appropriate.
    Consistent with current practice for any medical condition, if the 
ME determines that additional information is necessary to make the 
qualification determination, the ME could confer with the 
ophthalmologist or optometrist for additional information concerning 
the individual's related vision medical history and status, make 
requests for other appropriate referrals, or request medical records 
from the individual's treating provider, all with appropriate consent. 
Because the ME is knowledgeable about the physical requirements to 
operate a CMV and the physical qualification regulations, the ME would 
continue to determine whether an individual meets FMCSA's physical 
qualification standards.
    In addition to adding the alternative vision standard in Sec.  
391.44, the proposed rule would add a paragraph in Sec.  391.45 that 
would require individuals physically qualified under proposed Sec.  
391.44 to be medically examined and certified at least annually. As 
with any individual, an ME would have discretion to certify an 
individual for less than the maximum year if medical conditions 
warrant.

B. Road Test in Accordance With 49 CFR 391.31

    With limited exceptions, FMCSA proposes that individuals physically 
qualified under the alternative vision standard for the first time must 
successfully complete a road test before operating a CMV in interstate 
commerce. The road test would demonstrate individuals are able to 
operate a CMV safely with the vision deficiency. Once an individual is 
physically qualified under Sec.  391.44 for the first time and receives 
an MEC, Form MCSA-5876, the individual would consult Sec.  391.44(d) to 
determine whether a road test may be required. The ME issuing the MEC, 
Form MCSA-5876, would have no role with respect to the road test.
    Paragraph (d)(1) would provide the general rule that, subject to 
limited exceptions, an individual physically qualified under Sec.  
391.44 for the first time could not drive a CMV until the individual 
has successfully completed a subsequent road test and has been issued a 
certificate of driver's road test in accordance with Sec.  391.31. Such 
an individual would be required to inform the motor carrier responsible 
for completing the road test under Sec.  391.31(b) when the individual 
is required by Sec.  391.44(d) to have a road test. Motor carriers 
would conduct the road test and issue a certificate of driver's road 
test in accordance with Sec.  391.31(b) thorough (g). Motor carriers 
are currently required to conduct a road test under Sec.  391.31 when 
they hire a new driver, subject primarily to exceptions in Sec.  
391.33. Therefore, many motor carriers and drivers are already familiar 
with the road test and related documentation requirements.
    Section 391.31(b) provides the road test must be given by the motor 
carrier employing the individual or a person designated by the motor 
carrier. If the individual is also a motor carrier (e.g., an owner-
operator), the road test must be given by a person other than the 
individual. The road test must be given by a person competent to 
evaluate and determine whether the individual taking the test 
demonstrated that the individual is capable of operating the CMV, and 
associated equipment, the

[[Page 2360]]

motor carrier intends to assign to the individual for operation.
    The road test also must be of sufficient duration to enable the 
person giving it to evaluate the skill of the individual taking it at 
handling the CMV, and associated equipment, the motor carrier intends 
to assign to the individual (49 CFR 391.31(c)). At a minimum, the road 
test must include:

    (1) The pre-trip inspection required by Sec.  392.7;
    (2) Coupling and uncoupling of combination units (if the 
equipment the individual may drive includes combination units);
    (3) Placing the CMV in operation;
    (4) Use of the CMV's controls and emergency equipment;
    (5) Operating the CMV in traffic and while passing other motor 
vehicles;
    (6) Turning the CMV;
    (7) Braking and slowing the CMV by means other than braking; and
    (8) Backing and parking the CMV.

    The motor carrier provides a road test form on which the person 
giving the road test rates the individual taking it at each operation 
that is a part of the test. The person giving the test signs the form 
once it is complete (49 CFR 391.31(d)). If the road test is 
successfully completed, the person giving it completes a certificate of 
driver's road test in substantially the form prescribed in Sec.  
391.31(f) (49 CFR 391.31(e)). A copy of the certificate of driver's 
road test is given to the individual tested (49 CFR 391.31(g)). The 
motor carrier retains in the individual's driver qualification file the 
original of the signed road test form and the original, or a copy, of 
the certificate of driver's road test (49 CFR 391.31(g)(1) and (2)).
    The Agency seeks public comment on the information collection 
associated with the Sec.  391.31 road test, particularly as required by 
proposed Sec.  391.44 and the exception to the road test for intrastate 
and excepted interstate drivers discussed below. The information 
collection titled ``391.31 Road Test Requirement'' is described in 
section XI.G. below regarding FMCSA's request for OMB approval of the 
information collection under the Paperwork Reduction Act. Also, the 
draft supporting statement for the information collection is available 
in the docket for this rulemaking.
    Paragraph (d)(2) would provide that the alternatives to a Sec.  
391.31 road test in Sec.  391.33 do not apply to individuals required 
to have a road test by Sec.  391.44(d). Accordingly, a motor carrier 
could not accept certain CDLs or a copy of a certificate of driver's 
road test issued within the preceding 3 years as an alternative to the 
required road test. However, after an individual required to have a 
road test by Sec.  391.44(d) successfully completes a road test and is 
issued a certificate of driver's road test in accordance with Sec.  
391.31 once, the provisions of Sec.  391.33 would apply to the 
individual as they would normally operate. FMCSA notes that motor 
carriers always have the option to require any individual to take a 
road test as a condition of employment (see 49 CFR 391.33(c)).
    Paragraphs (3), (4), and (5) of Sec.  391.44(d) would provide 
exceptions to the general requirement for a road test. These 
individuals would be excepted because they have already demonstrated 
they can operate a CMV safely with the vision deficiency. Accordingly, 
a road test would not be necessary.
    Paragraph (3) would except an individual from the road test 
requirement if the motor carrier determines the individual possessed a 
valid CDL or non-CDL to operate, and did operate, a CMV in either 
intrastate commerce or in interstate commerce excepted by Sec.  
390.3T(f) or Sec.  391.2 from the requirements of 49 CFR part 391, 
subpart E, with the vision deficiency for the 3-year period immediately 
preceding the date of physical qualification under Sec.  391.44 for the 
first time. To qualify for the exception, the individual would certify 
in writing to the motor carrier the date the vision deficiency began. 
The motor carrier would review employment information to determine 
whether the individual operated a CMV for the required 3 years with the 
vision deficiency. Many motor carriers would use employment information 
obtained when investigating the individual's safety performance history 
from previous employers for the prior 3 years when hiring a driver, as 
required by Sec.  391.23(a)(2) and (d).
    If the motor carrier determines the individual operated a CMV in 
intrastate or excepted interstate commerce with the vision deficiency 
for the required 3 years, the motor carrier would prepare a written 
statement to that effect with the finding that the individual is not 
required by Sec.  391.44(d) to complete a road test. A copy of the 
written statement would be provided to the individual. The motor 
carrier would retain the original of the written statement and the 
original, or a copy, of the individual's certification regarding the 
date the vision deficiency began in the driver qualification file. 
Section 391.51, which provides what documents must be included in a 
driver qualification file, would be amended to include the written 
statement and certification.
    Paragraphs (4) and (5) of Sec.  391.44(d), respectively, would 
except individuals holding a valid Federal vision exemption or 
medically certified under Sec.  391.64(b) on the effective date of any 
final rule from the requirement to have a road test. Such individuals 
would not be required to inform the motor carrier that they are 
excepted from the requirement in Sec.  391.44(d)(1) to have a road 
test.
    The development of this proposed rule provided FMCSA with the 
opportunity to review Sec.  391.31 in the context of current privacy 
considerations. Section 391.31(e) provides that, if the road test is 
successfully completed, the motor carrier must complete a certificate 
of driver's road test ``substantially'' in the form prescribed in 
paragraph (f). Paragraph (f) provides a Certification of Road Test that 
lists, in part, the driver's social security number, the driver's 
license number, and the State of issuance of the driver's license. 
Because the road test is completed when hiring a driver, the motor 
carrier already would have collected this information on other 
employment documents. The motor carrier also would have verified the 
identity of the driver and that the driver has a driver's license. 
Accordingly, FMCSA proposes to remove this information from the list in 
paragraph (f) because it is unnecessary and duplicative.

C. Elimination of Vision Exemption Program and Grandfather Provisions

    The proposed rule would eliminate the need for the current vision 
exemption program and the grandfather provisions of Sec.  391.64(b). As 
discussed above in the background section of this NPRM, drivers who 
participated in the Agency's vision waiver study program and were 
holding valid waivers from the vision standard on March 31, 1996 could 
continue to operate in interstate commerce under the grandfather 
provisions of Sec.  391.64(b). If the proposed rule is adopted, the 
Agency believes the grandfathering provisions would be redundant. 
Therefore, FMCSA proposes that the approximately 1,900 individuals 
physically qualified under Sec.  391.64(b) would have 1 year after the 
effective date of any final rule to comply with the rule. During that 
transition year, grandfathered individuals could elect to seek physical 
qualification through the final rule or Sec.  391.64. This transition 
year would provide time to learn the new process for individuals whose 
MEC, Form MCSA-5876, expires near the time any final rule becomes 
effective. However, 1 year after the effective date of the final rule 
all MECs,

[[Page 2361]]

Form MCSA-5876, issued under Sec.  391.64(b) would become void.
    FMCSA anticipates that individuals physically qualified under Sec.  
391.64(b) would not be adversely affected by the proposed action. 
Grandfathered drivers are already required to obtain annual vision 
evaluations performed by an ophthalmologist or optometrist before their 
physical qualification examinations and the proposed rule includes 
similar qualification criteria. However, FMCSA seeks public comment 
regarding whether the proposed alternative vision standard would 
adversely affect any driver who is operating currently under Sec.  
391.64(b).
    Similarly, the 2,566 vision exemption holders would have 1 year 
after the effective date of any final rule to comply with the rule, at 
which time all exemptions issued under 49 U.S.C. 31315(b) would become 
void. Drivers who hold a vision exemption would be notified by letter 
with details of the transition to the new standard.

D. Change to the Medical Examination Process in 49 CFR 391.43(b)(1)

    The Agency proposes to amend Sec.  391.43(b)(1) by adding an 
ophthalmologist as a category of eye care professional who may perform 
the part of the physical qualification examination that involves visual 
acuity, field of vision, and the ability to recognize colors. 
Currently, the provision is limited to licensed optometrists. When 
Sec.  391.43(a) was adopted in 1970, it provided that the medical 
examination must be performed by a doctor of medicine or osteopathy, 
which allowed an ophthalmologist to perform any part of the examination 
(35 FR 6458, 6463, April 22, 1970). An exception was provided in 
paragraph (b) to allow optometrists to perform the part of the medical 
examination that involves visual acuity, field of vision, and the 
ability to recognize colors. Section 391.43 has been amended several 
times since 1970 and now provides that the medical examination must be 
performed by an ME listed on the National Registry. The Agency did not 
amend Sec.  391.43 at the time of the prior amendments to continue to 
allow ophthalmologists to perform the vision portion of the medical 
examination. Accordingly, the proposed rule would correct that 
oversight.

E. Benefits of the Proposal to Drivers

    The physical qualification process proposed in Sec.  391.44 would 
eliminate the need for individuals to obtain and renew an exemption. 
Drivers would no longer be required to create and assemble the 
substantial amount of information and documentation necessary to apply 
for or renew an exemption, or to respond to subsequent requests for 
information.\67\ Publishing personal and medical information in the 
Federal Register and seeking public comment about drivers would be 
discontinued. Also, individuals would no longer be required to carry a 
copy of the vision exemption when on duty as required by Sec.  
391.41(a)(1)(ii) and (2)(iii) or provide a copy to their employers.
---------------------------------------------------------------------------

    \67\ As discussed below in the Paperwork Reduction Act section 
XI.G. regarding the Medical Qualification Requirements information 
collection, FMCSA attributes 2,236 annual burden hours at a cost of 
$69,136 for drivers to obtain and maintain a vision exemption. The 
proposed rule would eliminate this entire burden.
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    Eliminating the prohibition on certifying individuals who cannot 
meet either the current visual acuity or field of vision standard, or 
both, in one eye (without an exemption) would enable more qualified 
individuals to operate as interstate CMV drivers without compromising 
safety. The criterion that an individual should have 3 years of 
experience driving a CMV with the vision deficiency precludes many 
individuals from being eligible to obtain a Federal exemption. The only 
way for an individual to get the CMV driving experience is to obtain 
intrastate driving experience. To do that, the individual must obtain a 
State vision waiver to operate in intrastate commerce, but not all 
States issue vision waivers.\68\ The road test alternative addresses 
this limitation and is much less burdensome than obtaining 3 years of 
intrastate driving experience. Thus, the proposed rule would provide an 
opportunity to operate as an interstate CMV driver regardless of the 
driver's State of domicile. Individuals who live in a State that issues 
vision waivers also would be able to begin a career as an interstate 
CMV driver more quickly and may have more employment opportunities.
---------------------------------------------------------------------------

    \68\ The fact that some States have vision waiver programs for 
intrastate CMV drivers provides additional evidence that individuals 
who cannot meet either FMCSA's distant visual acuity or field of 
vision standard, or both, in one eye are driving safely in 
intrastate commerce. When FMCSA proposed changes to the eligibility 
requirements for the exemption program in December 2013, an 
individual commented that he did not understand why FMCSA requires 
driving experience when his State issues a waiver without driving 
experience. The comment is available in docket number FMCSA-2013-
0097 at https://www.regulations.gov/document?D=FMCSA-2013-0097-0003.
---------------------------------------------------------------------------

    Previously qualified interstate CMV drivers who are no longer able 
to meet either the distant visual acuity or field of vision standard, 
or both, in one eye would be able to return to operating interstate 
sooner. Currently, such individuals would have to obtain 3 years of 
intrastate CMV driving experience, assuming they lived in a State that 
offers vision waivers, once their vision is stable and they have had 
time to adapt to and accommodated for the change in their vision before 
they would be eligible to obtain a Federal exemption and return to 
interstate driving.

IX. Section-by-Section Analysis

    This section includes a summary of the proposed changes to 49 CFR 
part 391. The regulatory changes proposed will be discussed first in 
numerical order, followed by a discussion of proposed changes to Agency 
guidance.

A. Regulatory Provisions

Section 391.31 Road Test
    In Sec.  391.31, paragraph (f) would be amended by removing the 
entries for the driver's social security number, the driver's license 
number, and the State of issuance of the driver's license from the 
Certification of Road Test. A new paragraph (h) would be added that 
provides OMB reviewed the information collection requirements in Sec.  
391.31 and assigned an OMB control number.
Section 391.41 Physical Qualifications for Drivers
    In Sec.  391.41(b)(10), the current vision standard would be 
renumbered as paragraph (b)(10)(i) without any textual changes. An 
alternative standard would be added in paragraph (b)(10)(ii) that would 
allow an individual who cannot satisfy either the current distant 
visual acuity or field of vision standard, or both, in one eye to be 
physically qualified under proposed Sec.  391.44.
Section 391.43 Medical Examination; Certificate of Physical Examination
    In Sec.  391.43(b)(1), an ophthalmologist would be added as a 
category of eye care professional who may perform the part of the 
physical qualification examination that involves visual acuity, field 
of vision, and the ability to recognize colors. Textual changes also 
would be made to improve readability.
Section 391.44 Physical Qualification Standards for an Individual Who 
Cannot Satisfy Either the Distant Visual Acuity or Field of Vision 
Standard, or Both, in One Eye
    A new Sec.  391.44 would be added.
    Paragraph (a) would apply so an individual who cannot satisfy 
either the current distant visual acuity or field of vision standard, 
or both, in one eye can be physically qualified to operate a CMV in 
interstate commerce. Such an individual would be physically qualified 
if the individual meets the

[[Page 2362]]

other physical qualification standards in Sec.  391.41(b) (or has an 
exemption or skill performance evaluation certificate, if required), 
and has the vision evaluation and medical examination required by 
paragraphs (b) and (c), respectively.
    Paragraph (b) would require the individual to have a vision 
evaluation completed by a licensed ophthalmologist or optometrist 
before each physical qualification examination. The ophthalmologist or 
optometrist would complete the proposed Vision Evaluation Report, Form 
MCSA-5871, during the individual's evaluation, including signing and 
dating the report and providing business contact information.
    Paragraph (c) would set forth the requirements for the ME's 
examination, including that the examination must begin no later than 45 
days after the ophthalmologist or optometrist signs and dates the 
Vision Evaluation Report, Form MCSA-5871. The ME would have to receive 
a completed report for each examination of an individual needing 
evaluation under Sec.  391.44. The report would be treated and retained 
as part of the Medical Examination Report Form, MCSA-5875. The ME would 
make a physical qualification determination by considering the 
information in the Vision Evaluation Report, Form MCSA-5871, and using 
independent medical judgment in applying four standards. The standards 
would provide that the individual must (1) have in the better eye 
distant visual acuity of at least 20/40 (Snellen), with or without 
corrective lenses, and field of vision of at least 70 degrees in the 
horizontal meridian; (2) be able to recognize the colors of traffic 
signals and devices showing standard red, green, and amber; (3) have a 
stable vision deficiency; and (4) have had sufficient time to adapt to 
and compensate for changes in vision.
    Paragraph (d) would provide an individual physically qualified 
under Sec.  391.44(d) for the first time could not drive a CMV until 
the individual has successfully completed a road test subsequent to 
physical qualification and has been issued a certificate of driver's 
road test in accordance with Sec.  391.31. A motor carrier could not 
accept in place of a road test required by Sec.  391.44(d) the 
alternatives provided in Sec.  391.33. Individuals would be excepted 
from the road test requirement if they had a valid license and operated 
in intrastate or excepted interstate commerce with the vision 
deficiency for the 3-year period immediately preceding the date of 
physical qualification under Sec.  391.44 for the first time, or held a 
valid Federal vision exemption or were medically certified under Sec.  
391.64(b) on the effective date of any final rule.
Section 391.45 Persons Who Must Be Medically Examined and Certified
    Section 391.45 would be amended by renumbering existing paragraphs 
(f) and (g) as paragraphs (g) and (h), respectively. A new paragraph 
(f) would be added to require any driver certified under proposed Sec.  
391.44 to be recertified at least every 12 months. Conforming changes 
would be made in paragraph (b) to reflect the addition of a new 
paragraph to this section.
Section 391.51 General Requirements for Driver Qualification Files
    Conforming changes would be made to Sec.  391.51. Paragraph (b)(3) 
would be amended to include in the driver qualification file the 
original of the written statement from the motor carrier required by 
Sec.  391.44(d)(3)(ii)(A), as well as the original, or a copy, of the 
certification from the driver required by Sec.  391.44(d)(3)(i).
Section 391.64 Grandfathering for Certain Drivers Who Participated in 
the Vision Waiver Study Program
    FMCSA would revise the title of Sec.  391.64 to reflect that the 
regulation is now applicable only to drivers who participated in the 
vision waiver study program. Language would be inserted at the 
beginning of existing paragraph (b) to provide that any final rule 
resulting from this NPRM would not apply to individuals certified 
pursuant to Sec.  391.64(b) until 1 year after the effective date of 
the rule. During that year, individuals certified under the grandfather 
provisions could choose to be certified under Sec.  391.64(b) or the 
final rule. A new paragraph (b)(4) would be added to remove and void 
all of paragraph (b) 1 year after the effective date of the final rule; 
thus, eliminating certification under Sec.  391.64(b). Paragraph (b)(4) 
would provide that any MEC, Form MCSA-5876, issued under the provisions 
of Sec.  391.64(b) would become void 1 year after the effective date of 
the final rule. In addition, instructions would be provided to remove 
and reserve Sec.  391.64 1 year after the effective date of the final 
rule. Cross references to Sec.  391.64 in existing regulations would be 
eliminated in future rulemakings.

B. Guidance Statements and Interpretations

    This rulemaking proposes to amend a regulation that has associated 
guidance statements or interpretations. Such guidance statements do not 
have the force and effect of law and are not meant to bind the public 
in any way. They are intended only to provide clarity to the public 
regarding existing requirements under the law or FMCSA policies. 
Guidance statements will not be relied on by FMCSA as a separate basis 
for affirmative enforcement action or other administrative penalty. 
Conformity with guidance statements is voluntary, and nonconformity 
will not affect rights and obligations under existing statutes or 
regulations. Rather, guidance is strictly advisory and intended to 
provide information that helps to support the application of the 
standards in the regulations or to serve as a reference. A guidance 
statement does not alter the meaning of a regulation.
Appendix A to Part 391--Medical Advisory Criteria
    Appendix A to Part 391 is published at the end of part 391 in the 
CFR. The appendix contains guidelines in the form of Medical Advisory 
Criteria to help MEs assess a driver's physical qualification to 
operate a CMV under the standards set forth in Sec.  391.41(b). FMCSA 
proposes to remove section II. J., Vision: Sec.  391.41(b)(10), of 
Appendix A to Part 391 in its entirety.
Interpretations for Sec.  391.41
    Interpretations for specific regulations are available through the 
Guidance Portal on FMCSA's website. FMCSA proposes to revise the 
guidance to Question 3 of the interpretations for Sec.  391.41.\69\ 
FMCSA would conform the language to the number of medical conditions 
that would not be subject to an ME's judgment (i.e., two), and remove 
``vision'' from the list of conditions for which an ME has no 
discretion. The interpretative guidance for Question 3 would thus read 
as follows:
---------------------------------------------------------------------------

    \69\ See https://www.fmcsa.dot.gov/medical/driver-medical-requirements/what-are-physical-qualification-requirements-operating-cmv (last accessed August 20, 2020).
---------------------------------------------------------------------------

    Question 3: What are the physical qualification requirements for 
operating a CMV in interstate commerce?
    Guidance: The physical qualification regulations for drivers in 
interstate commerce are found at Sec.  391.41. Instructions to medical 
examiners performing physical examinations of these drivers are found 
at Sec.  391.43.
    The qualification standards cover 13 areas, which directly relate 
to the driving function. All but two of the standards require a 
judgment by the medical examiner. A person's qualification to drive is 
determined by a medical examiner who is knowledgeable about the 
driver's

[[Page 2363]]

functions and whether a particular condition would interfere with the 
driver's ability to operate a CMV safely. In the case of hearing and 
epilepsy, the current standards are absolute, providing no discretion 
to the medical examiner. However, drivers who do not meet the current 
requirements may apply for an exemption as provided by 49 CFR part 381.

X. International Impacts

    The FMCSRs, and any exceptions to the FMCSRs, apply only within the 
United States (and, in some cases, United States territories). Motor 
carriers and drivers are subject to the laws and regulations of the 
countries in which they operate, unless an international agreement 
states otherwise. Drivers and carriers should be aware of the 
regulatory differences among nations. Pursuant to the terms of the 1998 
medical reciprocity agreement with Canada, the United States would 
notify Canada if an alternative vision standard is adopted and propose 
the countries review their applicable vision standards to determine 
whether they remain equivalent.

XI. Regulatory Analyses

A. E.O. 12866 (Regulatory Planning and Review), E.O. 13563 (Improving 
Regulation and Regulatory Review), and DOT Regulations

    FMCSA performed an analysis of the impacts of the proposed rule and 
determined it is not a significant regulatory action under section 3(f) 
of E.O. 12866 (58 FR 51735, October 4, 1993), Regulatory Planning and 
Review, as supplemented by E.O. 13563 (76 FR 3821, January 21, 2011), 
Improving Regulation and Regulatory Review. Accordingly, OMB has not 
reviewed it under that Order. It is also not significant within the 
meaning of DOT regulations (49 CFR 5.13(a)). The Agency has determined 
that the proposed rule would result in cost savings.
    A preliminary Regulatory Impact Assessment follows:
Baseline for the Analysis
    The current physical qualification standard to drive a CMV requires 
distant visual acuity of at least 20/40 (Snellen) in each eye without 
corrective lenses or visual acuity separately corrected to 20/40 
(Snellen) or better with corrective lenses; distant binocular acuity of 
at least 20/40 (Snellen) in both eyes with or without corrective 
lenses; field of vision of at least 70 degrees in the horizontal 
meridian of each eye; and the ability to recognize the colors of 
traffic signals and devices showing standard red, green, and amber (49 
CFR 391.41(b)(10)). This standard has been in effect since 1971.
    Drivers who do not meet either the distant visual acuity or field 
of vision standard, or both, in one eye may apply to FMCSA for an 
exemption from the standard to operate CMVs in interstate commerce (49 
CFR part 381, subpart C). To do so, the driver must submit a letter of 
application and supporting documents to enable FMCSA to evaluate the 
safety impact of the exemption.\70\ Among the documentation is a signed 
statement by an ophthalmologist or optometrist showing evaluation of 
the driver within the last 3 months and which:
---------------------------------------------------------------------------

    \70\ A copy of the application template is available in the 
docket and at https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/regulations/medical/driver-medical-requirements/10451/vision-exemption-package-0918.pdf (last accessed July 16, 2019).
---------------------------------------------------------------------------

     Identifies and defines the nature of the vision 
deficiency, including how long the individual has had the deficiency;
     States the date of examination;
     Certifies that the vision deficiency is stable;
     Identifies the visual acuity of each eye, corrected and 
uncorrected;
     Identifies the field of vision of each eye, including 
central and peripheral fields, utilizing a testing modality that tests 
to at least 120 degrees in the horizontal;
     Identifies whether the individual can recognize the colors 
of traffic control signals and devices showing red, green, and amber; 
and
     Certifies that in his or her medical opinion, the 
individual has sufficient vision to perform the driving tasks required 
to operate a commercial vehicle.
    FMCSA must publish notice of the request for an exemption and 
provide the public opportunity to comment. The notice granting the 
exemption must identify the individual who will receive the exemption, 
the provisions from which the individual will be exempt, the effective 
period, and all terms and conditions of the exemption. The Agency's 
terms and conditions must ensure that the exemption will likely achieve 
a level of safety that is equivalent to or greater than the level that 
would be achieved by complying with the regulations.
    Currently, FMCSA grants exemptions to applicants who meet specific 
criteria, including stable vision and experience safely operating a CMV 
with the vision deficiency.\71\ If granted, the driver must meet 
certain conditions to maintain the exemption. The driver must receive 
an annual vision evaluation by an ophthalmologist or optometrist and an 
annual physical qualification examination by an ME. In addition, the 
Agency must monitor the implementation of each exemption and 
immediately revoke an exemption if the driver fails to comply with the 
terms and conditions; the exemption has resulted in a lower level of 
safety than was maintained before the exemption; or continuation of the 
exemption would not be consistent with the goals and objectives of the 
FMCSRs (49 CFR 381.330).
---------------------------------------------------------------------------

    \71\ Applicants should have 3 years of intrastate driving 
experience in a CMV; no suspensions or revocations of the 
applicant's license for operating violations in any motor vehicle; 
no involvement in a crash in which the applicant contributed or was 
cited for a moving traffic violation; no convictions for a 
disqualifying offense, as described in 49 CFR 383.51(b) (e.g., 
driving while under the influence of alcohol or a controlled 
substance, leaving the scene of an accident, or the commission of a 
felony involving the use of a vehicle); more than one serious 
traffic violation, as described in Sec.  383.51(c) (e.g., excessive 
speeding, reckless driving, improper or erratic lane changes, 
following the vehicle ahead too closely, or a violation arising in 
connection with a fatality) while driving a CMV; and no more than 
two convictions for any other moving traffic violations while 
driving a CMV.
---------------------------------------------------------------------------

    FMCSA monitors vision-exempted drivers on a quarterly basis. If any 
potentially disqualifying information is identified, FMCSA will request 
a copy of the violation or crash report from the driver. Should the 
violation be disqualifying, FMCSA will revoke the exemption 
immediately.
    Currently, 2,566 drivers hold a vision exemption.\72\ Compared to 
all interstate CMV drivers operating in the United States in 2017 (3.7 
million, including 3.2 million who hold CDLs),\73\ these drivers 
represent less than 0.1 percent of the population.\74\
---------------------------------------------------------------------------

    \72\ FMCSA data as of July 2, 2019.
    \73\ FMCSA 2018 Pocket Guide to Large Truck and Bus Statistics, 
available at https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/safety/data-and-statistics/413361/fmcsa-pocket-guide-2018-final-508-compliant-1.pdf (last accessed July 16, 2019).
    \74\ Compared to all (interstate and intrastate) CMV drivers, 
6.1 million, or CDL drivers, 4.2 million, the percentage is even 
lower.
---------------------------------------------------------------------------

    There are approximately 1,900 active grandfathered drivers.\75\ 
FMCSA checks the driving records of grandfathered drivers to determine 
if they continue to operate CMVs safely.
---------------------------------------------------------------------------

    \75\ The provisions of 49 CFR 391.41(b)(10) do not apply to 
drivers who were in good standing on March 31, 1996, in a vision 
waiver study program; provided, they meet certain conditions (49 CFR 
391.64(b)). This figure may not represent active drivers.
---------------------------------------------------------------------------

    Since the inception of the vision exemption program, the 
predominant reason for denial of an exemption is less than 3 years of 
experience operating with the vision deficiency.

[[Page 2364]]

Impact of the Proposed Rule: Physical Qualification and Road Test
Physical Qualification
    Should this proposal become a final rule, an individual who cannot 
meet either the distant visual acuity or field of vision standard, or 
both, in one eye could be physically qualified without applying for or 
receiving an exemption. The individual would still have to receive a 
vision evaluation by an ophthalmologist or optometrist. The 
ophthalmologist or optometrist would complete the Vision Evaluation 
Report, Form MCSA-5871, which in part:
     States the date of the vision evaluation;
     Identifies the distant visual acuity in both eyes, 
uncorrected and corrected;
     Identifies the field of vision, including central and 
peripheral fields, utilizing a testing modality that tests to at least 
120 degrees in the horizontal;
     Identifies whether the individual can recognize the 
standard red, green, and amber traffic control signal colors;
     Identifies whether the individual has monocular vision as 
it is defined by FMCSA and if so, the cause and when it began;
     Identifies current treatment;
     Provides a medical opinion regarding whether the vision 
deficiency is stable;
     Provides a medical opinion regarding whether sufficient 
time has passed to allow the individual to adapt to and compensate for 
monocular vision;
     Identifies whether the individual has any progressive eye 
condition or disease and if so, the date of diagnosis, severity (mild, 
moderate, or severe), current treatment, and whether the condition is 
stable; and
     Provides a medical opinion regarding whether a vision 
evaluation is required more often than annually and if so, how often.

The individual examined, ophthalmologist, or optometrist would provide 
the signed report to an ME who would determine whether the individual 
is physically qualified to operate a CMV. Upon receipt of a completed 
and signed MEC, Form MCSA-5876, the individual would not incur any 
further delay in qualification.
    Under the vision exemption program, the Agency determines whether 
to provide the exemption that enables the driver to obtain physical 
qualification. Under the proposed rule, the ME would make the physical 
qualification determination. The Agency lacks data to determine how the 
proposed change might affect qualification determinations. However, the 
outcomes of the ME qualification determinations may differ from those 
that would be made under the exemption program.
    For those who obtain an MEC, Form MCSA-5876, the proposed action 
may represent a streamlined process compared to the requirements of the 
vision exemption program in that the driver would not need to compile 
and submit the letter of application and supporting documentation to 
FMCSA, or respond to any subsequent requests for information. However, 
it is possible that the ME could issue a certificate that is valid for 
a shorter time to monitor the condition. In such circumstances, under 
the vision exemption program, the applicant would likely not receive an 
exemption. For those who do not obtain an MEC, Form MCSA-5876, the 
result may or may not have been the same under the vision exemption 
program.
    If the proposed rule becomes a final rule, it would result in the 
discontinuation of the Federal vision exemption program. Instead, the 
physical qualification determination of these individuals would be made 
by the ME, who is trained and qualified to make such determinations, 
considering the information received in the vision report from the 
ophthalmologist or optometrist.
Road Test
    Instead of requiring 3 years of intrastate driving experience with 
the vision deficiency as in the current exemption program, FMCSA 
proposes that individuals physically qualified under the proposed 
alternative vision standard for the first time must complete a road 
test before operating in interstate commerce. As described in Section 
VII. Rationale for Proposed Qualification Standard, individuals would 
be excepted from the road test requirement if they have 3 years of 
intrastate or excepted interstate CMV driving experience with the 
vision deficiency, hold a valid Federal vision exemption, or are 
medically certified under Sec.  391.64(b). These individuals have 
already demonstrated they can operate a CMV safely with the vision 
deficiency. The road test would be conducted by motor carriers in 
accordance with the road test already required by Sec.  391.31.
    FMCSA finds that a road test would be an appropriate indicator of 
an individual's ability to operate a CMV safely with the vision 
deficiency. Thus, the Agency expects there will be no adverse impact on 
safety from eliminating the intrastate driving experience criterion. 
When FHWA adopted the road test in Sec.  391.31, it stated that the 
interests of CMV safety would be promoted by ensuring drivers have 
demonstrated their skill by completing the road test (35 FR 6458, 6450 
(April 22, 1970)).
    The intrastate driving experience criterion has the limitation that 
some States do not have waiver programs through which drivers can 
obtain the driving experience necessary to comply with the criteria of 
the Federal vision exemption program. The removal of the 3-year 
experience criterion under the proposed rule could more readily allow 
these individuals to operate in interstate commerce. However, the 
current number of exemption holders, grandfathered drivers, and 
applicants denied exemptions represents less than 1 percent of all 
interstate CMV drivers.
    The Agency anticipates the proposed action would be safety neutral. 
FMCSA notes that, although it would no longer directly monitor the 
safety performance of drivers, motor carriers would continue to monitor 
individuals' safety performance when hiring drivers and during the 
annual inquiry and review of the driving record required by Sec. Sec.  
391.23 and 391.25, respectively.
Costs
    FMCSA estimates that the proposed rule would result in incremental 
cost savings of approximately $1.6 million annually from the 
elimination of the Federal vision exemption program and contract 
expenditures (Table 4). As described in detail below, FMCSA also 
accounts for the annual cost of a road test at approximately $47,000.

                 Table 4--Cost Savings: Federal Vision Exemption Program Contract and Road Test
----------------------------------------------------------------------------------------------------------------
                           Fiscal year                             Contract cost     Road test         Total
----------------------------------------------------------------------------------------------------------------
2020-2021.......................................................    ($1,531,633)         $47,137    ($1,484,496)
2021-2022.......................................................     (1,577,268)          47,137     (1,530,131)
2022-2023.......................................................     (1,624,586)          47,137     (1,577,449)

[[Page 2365]]

 
2023-2024.......................................................     (1,673,324)          47,137     (1,626,187)
----------------------------------------------------------------------------------------------------------------
Note: For years 2022-2023 and 2023-2024, FMCSA estimated an average contract cost increase of 3 percent and
  extrapolated based on the percent increase of previous years.

    The 2,566 current vision exemption holders would no longer have to 
apply for an exemption, and potential applicants who do not have 3 
years of intrastate driving experience may meet the alternative vision 
standard and be able to operate a CMV in interstate commerce. As 
described in Section VIII. Discussion of Proposed Rule, this may lead 
to a reduction in burden, as drivers would no longer be required to 
create and assemble the substantial amount of information and 
documentation necessary to apply for or renew an exemption, or to 
respond to subsequent requests for information. However, the affected 
population is small (less than 1 percent of CMV drivers), and the 
relative advantages for these individuals are unlikely to affect market 
conditions in the truck and bus industries.
    FMCSA estimates that the road test would result in a total annual 
cost impact of $47,000 (Table 5). There would be approximately 1,085 
drivers \76\ requiring a road test under Sec.  391.44 each year. This 
number is the average of new applications for the vision exemption 
program FMCSA received over years 2017 through 2019.\77\ As described 
above, motor carriers would be responsible for administering the test 
to the drivers, which is estimated to take 0.55 hours (33 minutes). For 
the hourly wage rates, FMCSA used $28 for the drivers (Table 6) and $51 
for the motor carrier's compliance officer.\78\
---------------------------------------------------------------------------

    \76\ FMCSA recognizes that using 1,085 as the driver population 
is a high estimation and overstates the burden associated with the 
proposed requirement in Sec.  391.44 for a road test. Some of the 
individuals would already be required to obtain a road test under 
Sec.  391.31, in the absence of the requirement in Sec.  391.44(d). 
However, FMCSA lacks internal data to estimate how many individuals 
would already be required to obtain a Sec.  391.31 road test. 
Therefore, FMCSA opted for a conservative approach of assuming all 
1,085 individuals would require a road test.
    \77\ In 2017 there were 1,151 applicants, in 2018 there were 
1,073, and in 2019 there were 1,030 ((1,151 + 1,073 + 1,030)/3 = 
1,085).
    \78\ Bureau of Labor Statistics (2020). ``Occupational 
Employment and Wages, May 2019, 13-1041 Compliance Officers,'' 
available at https://www.bls.gov/oes/current/oes131041.htm (last 
accessed August 16, 2020).

                  Table 5--Road Test Cost Calculations
                                 [2019$]
------------------------------------------------------------------------
 
------------------------------------------------------------------------
Drivers/Motor Carriers..................................           1,085
Test Hours..............................................            0.55
Driver Wage.............................................          $27.88
                                                         ---------------
    Subtotal............................................         $16,634
                                                         ===============
Compliance Officer Wage.................................          $51.13
                                                         ---------------
    Subtotal............................................         $30,502
                                                         ===============
        Sum.............................................         $47,137
------------------------------------------------------------------------


                                                        Table 6--Wage Rates for CMV Truck Drivers
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                                           Median hourly
                                            BLS SOC      North American Industry Classification       Total        Median       Fringe      base wage +
           Occupational title                 code       System (NAICS) occupational designation    employees   hourly base    benefits       fringe
                                                                                                                    wage      rate  (%)      benefits
--------------------------------------------------------------------------------------------------------------------------------------------------------
Heavy and Tractor-Trailer Truck Drivers.      53-3032  All Industry..............................    1,856,130       $21.76           45          $31.55
Light Truck or Delivery Service Driver..      53-3033  All Industry..............................      923,050        16.70           45           24.22
Weighted Driver Wage....................  ...........  ..........................................  ...........  ...........  ...........           27.88
--------------------------------------------------------------------------------------------------------------------------------------------------------
Source: BLS. May 2019 OES Database, National, All Industries, available at http://www.bls.gov/oes/ (last accessed September 10, 2020).

    Although the Agency acknowledges there may be motor carriers 
employing multiple drivers, FMCSA lacks data to estimate the exact 
number of motor carriers. Therefore, to ensure the inclusion of all 
affected motor carriers, FMCSA opted for a conservative approach of 
assuming a 1:1 ratio of drivers per motor carrier, making $47,000 a 
likely overestimate. Additionally, there may be some drivers who are 
motor carriers, in which case the test must be given by a person other 
than themselves (49 CFR 391.31(b)). FMCSA treats the impacts on these 
drivers as equivalent to those of all affected drivers, and the Agency 
invites public comment from owner-operators to further inform this 
assumption. Using this approach, the Agency estimates a per entity 
impact of $43.46.\79\
---------------------------------------------------------------------------

    \79\ ($51.13 x 0.55) + ($27.88 x 0.55) = $43.46.
---------------------------------------------------------------------------

Benefits
    As described in Section VIII. Discussion of Proposed Rule, 
eliminating the prohibition on certifying individuals who cannot meet 
either the current visual acuity or field of vision standard, or both, 
in one eye (without an exemption) would enable more qualified 
individuals to operate as an interstate CMV driver without compromising 
safety. The proposed alternative vision standard would allow previously 
qualified interstate CMV drivers who are no longer able to meet either 
the distant visual acuity or field of vision standard, or both, in one 
eye to return to operating interstate sooner. Additional employment 
opportunities may also result from the removal of the 3-years of 
intrastate driving experience requirement, which is a criterion of the 
current exemption program. Drivers who do not have 3 years of 
intrastate driving experience may meet the alternative vision standard 
and be able to operate a CMV interstate. A one-time road test would 
also be less burdensome on drivers than obtaining 3 years of intrastate 
driving experience. It also addresses the consideration that many 
drivers live in States that do not issue vision waivers. The road test 
would provide more drivers the opportunity to operate a CMV.
    Regarding risk, the Agency anticipates no changes in risk resulting 
from the very small number of additional individuals affected by this 
proposed rule relative to those of the baseline. Therefore, FMCSA 
considers the proposed rule to be safety neutral.

[[Page 2366]]

B. E.O. 13771 (Reducing Regulation and Controlling Regulatory Costs)

    The Agency expects this proposed rule to have total costs less than 
zero, and, if finalized, to qualify as an E.O. 13771 deregulatory 
action. The present value of the cost savings of this proposed rule, 
measured on an infinite time horizon at a 7 percent discount rate, 
expressed in 2016 dollars, and discounted to 2021 (the year the 
proposed rule would go into effect and cost savings would first be 
realized), would be $20.9 million. On an annualized basis, these cost 
savings would be $1.5 million.
    For E.O. 13771 accounting, the April 5, 2017, OMB guidance requires 
that agencies also calculate the costs and cost savings discounted to 
year 2016. In accordance with this requirement, the present value of 
the cost savings of this rule, measured on an infinite time horizon at 
a 7 percent discount rate, expressed in 2016 dollars, and discounted to 
2016, would be $14.9 million. On an annualized basis, the cost savings 
would be $1 million.

C. Congressional Review Act

    This proposed rule is not a major rule as defined under the 
Congressional Review Act (5 U.S.C. 801-808).

D. Regulatory Flexibility Act (Small Entities)

    The Regulatory Flexibility Act (RFA) (5 U.S.C. 601, et seq.), as 
amended by the Small Business Regulatory Enforcement Fairness Act of 
1996,\80\ requires Federal agencies to consider the impact of their 
regulatory actions on small entities, analyze effective alternatives 
that minimize small entity impacts, and make their analyses available 
for public comment. The term ``small entities'' means small businesses 
and not-for-profit organizations that are independently owned and 
operated and are not dominant in their fields, and governmental 
jurisdictions with populations under 50,000 (5 U.S.C. 601(6)). 
Accordingly, DOT policy requires an analysis of the impact of all 
regulations on small entities, and mandates that agencies strive to 
lessen any adverse effects on these entities. Section 605 of the RFA 
allows an Agency to certify a rule, in lieu of preparing an analysis, 
if the rulemaking is not expected to have a significant economic impact 
on a substantial number of small entities.
---------------------------------------------------------------------------

    \80\ Public Law 104-121, 110 Stat. 857, March 29, 1996.
---------------------------------------------------------------------------

    This rule would affect drivers and motor carriers. Drivers are not 
considered small entities because they do not meet the definition of a 
small entity in section 601 of the RFA. Specifically, drivers are 
considered neither a small business under section 601(3) of the RFA, 
nor are they considered a small organization under section 601(4) of 
the RFA.
    The Small Business Administration (SBA) defines the size standards 
used to classify entities as small. SBA establishes separate standards 
for each industry, as defined by the North American Industry 
Classification System (NAICS).\81\ This rule could affect many 
different industry sectors in addition to the Transportation and 
Warehousing sector (NAICS sectors 48 and 49); for example, the 
Construction sector (NAICS sector 23), the Manufacturing sector (NAICS 
sectors 31, 32, and 33), and the Retail Trade sector (NAICS sectors 44 
and 45). Industry groups within these sectors have size standards for 
qualifying as small based on the number of employees (e.g., 500 
employees), or on the amount of annual revenue (e.g., $27.5 million in 
revenue). To determine the NAICS industries potentially affected by 
this rule, FMCSA cross-referenced occupational employment statistics 
from the Bureau of Labor Statistics with NAICS industry codes.
---------------------------------------------------------------------------

    \81\ ``North American Industry Classification System'' (2017), 
available at https://www.census.gov/eos/www/naics/2017NAICS/2017_NAICS_Manual.pdf (last accessed January 15, 2020).
---------------------------------------------------------------------------

    The RFA does not define a threshold for determining whether a 
specific regulation results in a significant impact. However, the SBA, 
in guidance to government agencies, provides some objective measures of 
significance that the agencies can consider using.\82\ One measure that 
could be used to illustrate a significant impact is labor costs, 
specifically, if the cost of the regulation exceeds 1 percent of the 
average annual revenues of small entities in the sector. Given the 
proposed rule's average annual per-entity impact of $43.46, a small 
entity would need to have average annual revenues of less than $4,346 
to experience an impact greater than 1 percent of average annual 
revenue, which is an average annual revenue that is smaller than would 
be required for a firm to support one employee. Therefore, I certify 
this rule would not have a significant impact on the entities affected.
---------------------------------------------------------------------------

    \82\ SBA, Office of Advocacy, ``A Guide for Government Agencies. 
How to Comply with the Regulatory Flexibility Act'' (2017), 
available at https://www.sba.gov/sites/default/files/advocacy/How-to-Comply-with-the-RFA-WEB.pdf (last accessed January 16, 2020).
---------------------------------------------------------------------------

E. Assistance for Small Entities

    In accordance with section 213(a) of the Small Business Regulatory 
Enforcement Fairness Act of 1996, FMCSA wants to assist small entities 
in understanding this proposed rule so that they can better evaluate 
its effects on themselves and participate in the rulemaking initiative. 
If the proposed rule would affect your small business, organization, or 
governmental jurisdiction and you have questions concerning its 
provisions or options for compliance; please consult the FMCSA point of 
contact, Ms. Christine Hydock, listed in the FOR FURTHER INFORMATION 
CONTACT section of this proposed rule.
    Small businesses may send comments on the actions of Federal 
employees who enforce or otherwise determine compliance with Federal 
regulations to the Small Business Administration's Small Business and 
Agriculture Regulatory Enforcement Ombudsman and the Regional Small 
Business Regulatory Fairness Boards. The Ombudsman evaluates these 
actions annually and rates each agency's responsiveness to small 
business. To comment on actions by employees of FMCSA, call 1-888-REG-
FAIR (1-888-734-3247). DOT has a policy regarding the rights of small 
entities to regulatory enforcement fairness and an explicit policy 
against retaliation for exercising these rights.

F. Unfunded Mandates Reform Act of 1995

    The Unfunded Mandates Reform Act of 1995 (2 U.S.C. 1531-1538) 
requires Federal agencies to assess the effects of their discretionary 
regulatory actions. In particular, the Act addresses actions that may 
result in the expenditure by a State, local, or tribal government, in 
the aggregate, or by the private sector of $168 million (which is the 
value equivalent of $100 million in 1995, adjusted for inflation to 
2019 levels) or more in any 1 year. Though this proposed rule would not 
result in such an expenditure, the Agency discusses the effects of this 
rule elsewhere in this preamble.

G. Paperwork Reduction Act (Collection of Information)

    The Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520) requires 
that an agency consider the impact of paperwork and other information 
collection burdens imposed on the public. An agency is prohibited from 
collecting or sponsoring an information collection, as well as imposing 
an information collection requirement,

[[Page 2367]]

unless it displays a valid OMB control number (5 CFR 1320.8(b)(3)(vi)).
    The proposed rule would impact an existing information collection 
request (ICR) titled ``Medical Qualification Requirements,'' OMB 
control number 2126-0006, and a new ICR titled ``391.31 Road Test 
Requirement,'' OMB control number 2126-TBD.\83\ The ICRs will be 
discussed separately below, followed by a discussion of the net 
information collection and reporting burdens of the proposed rule.
---------------------------------------------------------------------------

    \83\ The OMB control number will be determined and assigned by 
OMB upon approval of the ICR.
---------------------------------------------------------------------------

1. Related Information Collection Requests
a. Medical Qualification Requirements ICR
    This proposed rule would amend the existing approved Medical 
Qualification Requirements ICR, OMB control number 2126-0006, which 
expires on November 30, 2021. Specifically, FMCSA seeks approval for 
the revision of the ICR due to the Agency's development of this 
proposed rule, which includes the use of the proposed Vision Evaluation 
Report, Form MCSA-5871. In accordance with 44 U.S.C. 3507(d), FMCSA 
will submit the proposed information collection amendments to OIRA at 
OMB for its approval.
    Title: Medical Qualification Requirements.
    OMB Control Number: 2126-0006.
    Type of Review: Revision of a currently-approved information 
collection.
    Summary: FMCSA proposes to establish an alternative vision standard 
for individuals who cannot satisfy either the current distant visual 
acuity or field of vision standard, or both, in one eye. FMCSA proposes 
a two-step process for physical qualification of these individuals 
that, if adopted, would replace the current vision exemption program as 
a basis for determining the physical qualification of these individuals 
to operate a CMV. First, an individual seeking physical qualification 
would obtain a vision evaluation from an ophthalmologist or optometrist 
who would record the findings and provide specific medical opinions on 
the proposed Vision Evaluation Report, Form MCSA-5871. Next, at a 
physical qualification examination, an ME would consider the 
information provided on the Vision Evaluation Report, Form MCSA-5871, 
and determine whether the individual meets the proposed alternative 
vision standard and FMCSA's other physical qualification standards. If 
so, the ME could issue an MEC, Form MCSA-5876, for up to a maximum of 
12 months. The proposed Vision Evaluation Report, Form MCSA-5871, 
supports safety by ensuring that CMV drivers are physically qualified 
to operate trucks and buses on our nation's highways.
    Because of the proposed action, a new information collection, IC-8 
Qualifications of Drivers; Vision Standard, would be added to the 
existing ICR. FMCSA estimates that ophthalmologists and optometrists 
would complete 3,614 Vision Evaluation Reports, Form MCSA-5871, 
annually and that it would take them 8 minutes to complete a report. 
Thus, the estimated annual burden hours associated with the proposed 
information collection is 482 hours (3,614 forms x 8 minutes per form / 
60 minutes = 482 hours, rounded to the nearest whole hour). At an 
average hourly labor cost of $82.40 for optometrists, the estimated 
salary cost associated with this information collection is $39,717 
($82.40 hourly labor costs x 482 hours = $39,717, rounded to the 
nearest dollar). Additional information is provided in the draft 
supporting statement for the Medical Qualification Requirements ICR, 
which is available in the docket.
    Estimated number of respondents: 3,614 ophthalmologists and 
optometrists.
    Estimated responses: 3,614.
    Frequency: At least annually.
    Estimated burden hours: 482.
    Estimated cost: $39,717.
    The proposed alternative vision standard would eliminate the need 
for the Federal vision exemption program and the related information 
collection (IC-3a). The current vision exemption program requires 
individuals to submit personal, health, and driving information during 
the application process. In addition, motor carriers must copy and file 
the vision exemption in the driver qualification file. FMCSA attributes 
2,236 annual burden hours to obtain and maintain a vision exemption, 
and this proposed rule would eliminate this entire burden. However, it 
would add 482 burden hours for the information collection associated 
with completion of the Vision Evaluation Report, Form MCSA-5871. Thus, 
the net effect of the proposed rule would be a reduction in burden 
hours of 1,754 (482 hours related to the vision report-2,236 hours 
related to the current vision exemption program = -1,754). The net 
effect of the proposed rule with respect to cost would be a reduction 
of $29,419 ($39,717 related to the vision report -$69,136 related to 
the current vision exemption program = -$29,419).
    The revised total annual estimated burden associated with the 
Medical Qualification Requirements ICR that reflects the addition of 
this proposed information collection and the completion of the Vision 
Evaluation Report, Form MCSA-5871; the elimination of the Federal 
vision exemption program; updated driver population, program 
statistics, National Registry statistics, and wage data; and regulatory 
changes is as follows.
    Total estimated number of respondents: 5,586,232 CMV drivers, motor 
carriers, MEs, treating clinicians, ophthalmologists, and optometrists.
    Total estimated responses: 27,202,863.
    Total estimated burden hours: 2,251,571.
    Total estimated cost: $171,044,474.
b. Section 391.31 Road Test Requirement ICR
    FMCSA proposes a new Sec.  391.31 Road Test Requirement ICR. The 
ICR estimates the paperwork burden motor carriers incur to comply with 
the reporting and recordkeeping tasks required for the road test 
associated with 49 CFR 391.31. FMCSA has not previously accounted for 
the burden associated with Sec.  391.31 road tests; accordingly, the 
ICR accounts for the burden. The ICR also would include the incremental 
burden for motor carriers associated with Sec.  391.31 road tests due 
to FMCSA's development of this proposed rule. In accordance with 44 
U.S.C. 3507(d), FMCSA will submit the new ICR to OIRA at OMB for its 
approval.
    Title: 391.31 Road Test Requirement.
    OMB Control Number: 2126-TBD.
    Type of Review: Approval of a new information collection.
    Summary: The road test provision in Sec.  391.31 provides an 
individual must not drive a CMV until the individual has successfully 
completed a road test and has been issued a certificate of driver's 
road test. It was adopted by FHWA in 1970 (35 FR 6458, 6462, April 22, 
1970). At that time, FHWA stated that the interests of CMV safety would 
be promoted by ensuring drivers have demonstrated their skill by 
completing a road test (35 FR 6459). The related requirement in Sec.  
391.51 that the motor carrier include information relating to the road 
test in the driver qualification file was also adopted in 1970 (35 FR 
6465). The information documents the driver's ability to operate a CMV 
safely.
    Sections 391.31 and 391.51 are based on the authority of the Motor 
Carrier Act

[[Page 2368]]

of 1935 \84\ (1935 Act) and the Motor Carrier Safety Act of 1984 \85\ 
(1984 Act), both as amended. The 1935 Act, as codified at 49 U.S.C. 
31502(b), authorizes the Secretary to prescribe requirements for the 
qualifications of employees of a motor carrier and the safety of 
operation and equipment of a motor carrier. The 1984 Act, as codified 
at 49 U.S.C. 31136, provides concurrent authority to regulate drivers, 
motor carriers, and vehicle equipment. Section 31136(a) requires the 
Secretary to issue regulations on CMV safety, including regulations to 
ensure that CMVs are operated safely. The Secretary has discretionary 
authority under 49 U.S.C. 31133(a)(8) to prescribe recordkeeping and 
reporting requirements. The Administrator of FMCSA is delegated 
authority under 49 CFR 1.87 to carry out the functions vested in the 
Secretary by 49 U.S.C. Chapters 311 and 315 as they relate to CMV 
operators, programs, and safety.
---------------------------------------------------------------------------

    \84\ Public Law 74-255, 49 Stat. 543, August 9, 1935.
    \85\ Public Law 98-554, 98 Stat. 2829, 2832, October 30, 1984.
---------------------------------------------------------------------------

    Motor carriers must ensure each driver has the skill to operate a 
CMV safely. The information collected and maintained by motor carriers 
in each driver qualification file related to the road test 
substantiates the driver can operate a CMV safely and the motor carrier 
has fulfilled its regulatory requirements. It also aids Federal and 
State safety investigators in assessing the qualifications of drivers.
    Public interest in highway safety dictates that employers hire 
drivers who can safely operate CMVs amidst the various physical and 
mental demands of truck driving. Section 391.31 requires a motor 
carrier to conduct a road test when the motor carrier hires a new 
driver. The motor carrier is required to rate the performance of the 
driver during the test on a road test form. If the road test is 
successfully completed, the motor carrier completes a certificate of 
driver's road test and provides a copy to the driver. Motor carriers 
may maintain the required road test form and certificate electronically 
or via paper copy. The motor carrier must retain the signed road test 
form and the signed certificate in the driver qualification file. 
Generally, driver qualification files must be maintained at the motor 
carrier's principal place of business. Neither the road test form nor 
the certificate is routinely submitted to FMCSA. A motor carrier would 
only make the information available when requested by an FMCSA or State 
safety investigator for an investigation or audit.
    There are three reporting and recordkeeping tasks motor carriers 
perform regarding the road test required by Sec.  391.31 when they hire 
a new driver. The three tasks are:

    1. The motor carrier completes and signs the road test form 
while the driver performs a pre-trip inspection and the driving 
portion of the road test (49 CFR 391.31(d)).
    2. If the driver successfully passes the road test, the motor 
carrier completes a certificate of driver's road test in 
substantially the form prescribed in Sec.  391.31(f) (49 CFR 
391.31(e)) and gives the driver a copy (49 CFR 391.31(g)).
    3. The motor carrier retains in the driver qualification file 
the original signed road test form and the original, or a copy, of 
the signed certificate of driver's road test (49 CFR 391.31(g)(1) 
and (2)).

    To estimate the total burden hours, FMCSA multiplies the number of 
respondents by the hourly burden per response. FMCSA estimates a burden 
of 30 minutes for the motor carrier to complete the road test form 
while conducting the road test. Should the driver successfully pass the 
road test, FMCSA assumes it will take the motor carrier 2 minutes to 
complete the certification of driver's road test and an additional 1 
minute to store documents in the driver qualification file.
    To estimate burden costs, FMCSA assumes a compliance officer will 
be the person who will complete the road test form and associated 
certificate, and a file clerk will be the person who will store the 
documents. The median salary for a compliance officer is $51.13 per 
hour. The median salary for a file clerk is $25.63 per hour.
    The ICR estimates the information-collection burden incurred by 
motor carriers associated with the Sec.  391.31 road test in two 
circumstances. The first is when the road test is required by Sec.  
391.31 (IC-1); the second is when the road test is required as part of 
the alternative vision standard in proposed Sec.  391.44 (IC-2).
    IC-1 consists of the three reporting and recordkeeping tasks motor 
carriers perform regarding the road test required by Sec.  391.31 when 
they hire a new driver. The respondent universe is the number of motor 
carriers required to complete a road test for drivers hired. To 
determine the number of drivers who will be hired and require a road 
test, FMCSA first determines the driver population subject to the road 
test requirement. Because Sec.  391.33 allows motors carriers to accept 
a valid CDL instead of the Sec.  391.31 road test, the driver 
population is non-CDL interstate and intrastate drivers. To find the 
driver populations in 2022, 2023, and 2024 (the 3 years projected to be 
reflected in the ICR), FMCSA adjusts the driver population by 
multiplying it by the growth rate for driver occupations typical in the 
light vehicle industry (i.e., 5 percent). Next, FMCSA estimates the 
total number of job openings per year by multiplying the adjusted total 
driver population by the industry turnover rate (i.e., 79.2 percent). 
Because drivers may present a certificate of driver's road test for up 
3 years from when it is completed under Sec.  391.33, FMCSA estimates 
one-third of drivers will be required to have a road test each year of 
the ICR. The resulting number is the respondent universe, i.e., the 
number of motor carriers required to complete a road test for drivers 
hired.
    For each of the three Sec.  391.31 road test reporting and 
recordkeeping tasks motor carriers perform when they hire a new driver, 
FMSCA estimates the motor carrier burden hours by multiplying the 
number of respondents by the hourly burden for each task. Then FMCSA 
estimates the motor carrier cost by multiplying the burden hours by the 
median salary for the person performing the task. The total motor 
carrier burden hours and cost for the three tasks is reflected below in 
the total burden and cost amounts for the ICR.
    IC-2 consists of the incremental burden associated with the 
requirement in this proposed rule that individuals physically qualified 
under the alternative vision standard in Sec.  391.44 for the first 
time would be required to complete a road test in accordance with Sec.  
391.31. FMCSA uses the same three reporting and recordkeeping tasks, 
time estimates, labor costs, and overall methodology discussed above to 
calculate the annual burden hours and cost associated with the proposed 
rule. However, FMCSA estimates the respondent universe of 1,085 motor 
carriers by averaging the number of new requests for a Federal vision 
exemption in 2017, 2018, and 2019 ((1,151 + 1,073 + 1,030)/3 = 1,085).
    FMCSA recognizes that using 1,085 as the driver population is a 
high estimation and overstates the burden associated with the proposed 
requirement in Sec.  391.44 for a road test. Some of the individuals 
would already be required to obtain a road test under Sec.  391.31, in 
the absence of the requirement in Sec.  391.44(d). However, FMCSA lacks 
internal data to estimate how many individuals would already be 
required to obtain a Sec.  391.31 road test. Therefore, FMCSA opted for 
a conservative approach of assuming all

[[Page 2369]]

1,085 individuals would require a road test.
    In addition, Sec.  391.44(d)(3) would provide an exception to the 
road test requirement for some individuals. If the motor carrier 
determines an individual possessed a valid CDL or non-CDL license to 
operate, and did operate, a CMV in either intrastate commerce or in 
exempt interstate commerce with the vision deficiency for the 3-year 
period immediately preceding the date of physical qualification under 
Sec.  391.44 for the first time, the individual would not be required 
to complete a Sec.  391.31 road test. FMCSA lacks internal data to 
estimate how many individuals would be excepted from a road test by 
this provision, but expects only a small number of individuals would 
qualify for the exception. In addition, the paperwork burden to except 
an individual from the road test requirement would be less than the 
burden for the individual to take the road test. Therefore, FMCSA opted 
for a conservative approach of assuming all 1,085 individuals would 
require a road test.
    The estimated incremental annual burden associated with the 
requirement in the proposed rule that individuals physically qualified 
under Sec.  391.44 for the first time would be required to complete a 
road test in accordance with Sec.  391.31 (IC-2), is as follows.
    Estimated number of respondents: 1,085 motor carriers.
    Estimated responses: 3,255.
    Estimated burden hours: 609.
    Estimated cost: $30,578.
    The total estimated annual burden associated with the 391.31 Road 
Test Requirement ICR for IC-1 and IC-2 is as follows:
    Total estimated number of respondents: 560,809 motor carriers.
    Total estimated responses: 2,306,709.
    Total estimated burden hours: 430,588.
    Total estimated cost: $21,623,811.
    Additional information for the assumptions, calculations, and 
methodology summarized above is provided in the draft supporting 
statement for the 391.31 Road Test Requirement ICR. The supporting 
statement is available in the docket for this rulemaking.
2. Net Information Collection Reporting Burdens
    As shown above, the net effect of the proposed rule on the Medical 
Qualification Requirements ICR would be a reduction in burden hours of 
1,754 and in cost of $29,419. The effect of the proposed rule on the 
391.31 Road Test Requirement ICR would be an addition in burden hours 
of 609 and in cost of $30,578. Thus, the net effect of the proposed 
rule would be a reduction in burden hours of 1145 (-1,754 hours related 
to the Medical Qualification Requirements ICR + 609 hours related to 
the 391.31 Road Test Requirement ICR = -1,145). The net effect of the 
proposed rule with respect to cost would be an addition of $1,159 (-
$29,419 related to the Medical Qualification Requirements ICR + $30,578 
related to the 391.31 Road Test Requirement ICR = $1,159).
3. Request for Comments
    FMCSA asks for comment on the information collection requirements 
of this proposed rule, as well as the revised total estimated burden 
associated with the Medical Qualification Requirements ICR and the 
total estimated burden associated with the new 391.31 Road Test 
Requirement ICR. Specifically, the Agency asks for comment on: (1) 
Whether the proposed information collections are necessary for FMCSA to 
perform its functions; (2) how the Agency can improve the quality, 
usefulness, and clarity of the information to be collected; (3) the 
accuracy of FMCSA's estimate of the burden of this information 
collection; and (4) how the Agency can minimize the burden of the 
information collection.
    If you have comments on the collection of information, you must 
submit those comments as outlined under section I.E. at the beginning 
of this NPRM.

H. E.O. 13132 (Federalism)

    A rule has implications for federalism under section 1(a) of E.O. 
13132 if it has ``substantial direct effects on the States, on the 
relationship between the national government and the States, or on the 
distribution of power and responsibilities among the various levels of 
government.'' FMCSA determined that this proposal would not have 
substantial direct costs on or for States, nor would it limit the 
policymaking discretion of States. Nothing in this document preempts 
any State law or regulation. Therefore, this rule does not have 
sufficient federalism implications to warrant the preparation of a 
Federalism Impact Statement.

I. Privacy

    Section 522 of title I of division H of the Consolidated 
Appropriations Act, 2005,\86\ requires the Agency to conduct a privacy 
impact assessment of a regulation that will affect the privacy of 
individuals. In accordance with this Act, a privacy impact assessment 
is warranted to address any privacy implications contemplated in the 
proposed rulemaking.
---------------------------------------------------------------------------

    \86\ Public Law 108-447, 118 Stat. 2809, 3268, December 8, 2004 
(5 U.S.C. 552a note).
---------------------------------------------------------------------------

    With respect to the proposed Vision Evaluation Report, Form MCSA-
5871, the DOT Chief Privacy Officer has evaluated the risks and effects 
that this rulemaking might have on collecting, storing, and sharing 
personally identifiable information and has examined protections and 
alternative information handling processes in developing the proposal 
to mitigate potential privacy risks. The privacy risks and effects 
associated with this proposed rule are not unique and have been 
addressed previously by the DOT/FMCSA 009--National Registry of 
Certified Medical Examiners system of records notice published on 
October 4, 2019 (84 FR 53211), available at https://www.transportation.gov/privacy. The DOT Chief Privacy Officer has 
determined that a new system of records notice for this rulemaking is 
not required.
    In this rulemaking, FMCSA proposes a two-step process for the 
physical qualification of individuals who cannot satisfy either the 
current distant visual acuity or field of vision standard, or both, in 
one eye. First, an individual seeking physical qualification would 
obtain a vision evaluation from an ophthalmologist or optometrist who 
would record the requested information on the proposed Vision 
Evaluation Report, Form MCSA-5871. Next, at a physical qualification 
examination, an ME would consider the information provided on the 
Vision Evaluation Report, Form MCSA-5871, and determine whether the 
individual is physically qualified to operate a CMV safely. The Vision 
Evaluation Report, Form MCSA-5871, would be used exclusively as part of 
the physical qualification process and would collect only information 
that is necessary to assist the ME in making a physical qualification 
determination.
    The information collected on the Vision Evaluation Report, Form 
MCSA-5871, would provide a means for healthcare professionals to 
exchange information about an individual who cannot satisfy either the 
current distant visual acuity or field of vision standard, or both, in 
one eye. This is the same type of communication that occurs when the ME 
needs to follow up with an individual's primary care provider regarding 
the individual's health and exchanges information. Therefore, no new 
category of medical or privacy

[[Page 2370]]

information would be generated because of this proposed rule.
    The Agency expects that this information would be safeguarded along 
with all the other medical information that these healthcare providers 
maintain. In other words, the ophthalmologist or optometrist would 
maintain certain medical records about the individual based on his or 
her vision evaluation, and the ME would maintain certain medical 
records to support the physical qualification determination. The Vision 
Evaluation Report, Form MCSA-5871, would be attached to the Medical 
Examination Report Form, MCSA-5875, that must be maintained by the ME 
for at least 3 years from the date of the examination. The Vision 
Evaluation Report, Form MCSA-5871, would be provided only to FMCSA upon 
request if there were an investigation or audit. Therefore, this 
proposed rule would provide a privacy-positive outcome because it 
results in less sensitive data being held by the Agency. There is 
privacy risk not controlled by the Agency because the Vision Evaluation 
Report, Form MCSA-5871, would be maintained by the ME at his or her 
office. However, as healthcare providers, MEs are required to maintain 
and disclose medical information and personally identifiable 
information in accordance with applicable Federal and State privacy 
laws.
    With respect to the proposed requirement for a road test as part of 
the alternative vision standard, the Agency has completed a Privacy 
Threshold Assessment to evaluate the risks and effects the proposed 
requirement might have on collecting, storing, and sharing personally 
identifiable information. The Privacy Threshold Assessment has been 
submitted to FMCSA's Privacy Officer for review and preliminary 
adjudication and will be submitted to DOT's Privacy Officer for review 
and final adjudication.

J. E.O. 13175 (Indian Tribal Governments)

    This rule does not have tribal implications under E.O. 13175, 
Consultation and Coordination with Indian Tribal Governments, because 
it does not have a substantial direct effect on one or more Indian 
tribes, on the relationship between the Federal Government and Indian 
tribes, or on the distribution of power and responsibilities between 
the Federal Government and Indian tribes.

K. National Environmental Policy Act of 1969

    FMCSA analyzed this proposed rule for purposes of the National 
Environmental Policy Act of 1969 (42 U.S.C. 4321, et seq.) and 
determined this action is categorically excluded from further analysis 
and documentation in an environmental assessment or environmental 
impact statement under FMCSA Order 5610.1 (69 FR 9680, March 1, 2004), 
Appendix 2, paragraph 6.z. The content in this rule is covered by the 
Categorical Exclusions in paragraph 6.z.(1) regarding the minimum 
qualifications for individuals who drive CMVs, and in paragraph 6.z.(2) 
regarding the minimum duties of motor carriers with respect to the 
qualifications of their drivers.

List of Subjects in 49 CFR Part 391

    Alcohol abuse, Drug abuse, Drug testing, Highway safety, Motor 
carriers, Reporting and recordkeeping requirements, Safety, 
Transportation.

    For the reasons set forth in the preamble, FMCSA proposes to amend 
49 CFR part 391 as follows:

PART 391--QUALIFICATIONS OF DRIVERS AND LONGER COMBINATION VEHICLE 
(LCV) DRIVER INSTRUCTORS

0
1. The authority citation for part 391 continues to read as follows:

    Authority:  49 U.S.C. 504, 508, 31133, 31136, 31149, 31502; sec. 
4007(b), Pub. L. 102-240, 105 Stat. 1914, 2152; sec. 114, Pub. L. 
103-311, 108 Stat. 1673, 1677; sec. 215, Pub. L. 106-159, 113 Stat. 
1748, 1767; sec. 32934, Pub. L. 112-141, 126 Stat. 405, 830; secs. 
5403 and 5524, Pub. L. 114-94, 129 Stat. 1312, 1548, 1560; sec. 2, 
Pub. L. 115-105, 131 Stat. 2263; and 49 CFR 1.87.

0
2. Amend Sec.  391.31 by:
0
a. Revising paragraph (f) by deleting the entry lines for ``Social 
Security No'', ``Operator's or Chauffeur's License No'', and ``State'' 
in the Certification of Road Test form; and
0
b. Adding paragraph (h).
    The addition reads as follows:


Sec.  391.31   Road test.

* * * * *
    (h) The information collection requirements of this section have 
been reviewed by the Office of Management and Budget pursuant to the 
Paperwork Reduction Act of 1995 (44 U.S.C. 3501, et seq.) and have been 
assigned OMB control number 2126-TBD.
0
3. Revise Sec.  391.41 paragraph (b)(10) to read as follows:


Sec.  391.41   Physical qualifications for drivers.

* * * * *
    (b) * * *
    (10)(i) Has distant visual acuity of at least 20/40 (Snellen) in 
each eye without corrective lenses or visual acuity separately 
corrected to 20/40 (Snellen) or better with corrective lenses, distant 
binocular acuity of at least 20/40 (Snellen) in both eyes with or 
without corrective lenses, field of vision of at least 70[deg] in the 
horizontal Meridian in each eye, and the ability to recognize the 
colors of traffic signals and devices showing standard red, green, and 
amber; or
    (ii) Meets the requirements in Sec.  391.44;
* * * * *
0
4. Revise Sec.  391.43 paragraph (b)(1) to read as follows:


Sec.  391.43   Medical examination; certificate of physical 
examination.

* * * * *
    (b) * * *
    (1) A licensed ophthalmologist or optometrist may perform the part 
of the medical examination that involves visual acuity, field of 
vision, and the ability to recognize colors as specified in Sec.  
391.41(b)(10).
* * * * *
0
5. Add Sec.  391.44 to read as follows:


Sec.  391.44   Physical qualification standards for an individual who 
cannot satisfy either the distant visual acuity or field of vision 
standard, or both, in one eye.

    (a) General. An individual who cannot satisfy either the distant 
visual acuity or field of vision standard, or both, in Sec.  
391.41(b)(10)(i) in one eye is physically qualified to operate a 
commercial motor vehicle in interstate commerce provided:
    (1) The individual meets the other physical qualification standards 
in Sec.  391.41 or has an exemption or skill performance evaluation 
certificate, if required; and
    (2) The individual has the vision evaluation required by paragraph 
(b) of this section and the medical examination required by paragraph 
(c) of this section.
    (b) Evaluation by an ophthalmologist or optometrist. Prior to the 
examination required by Sec.  391.45 or the expiration of a medical 
examiner's certificate, the individual must be evaluated by a licensed 
ophthalmologist or optometrist.
    (1) During the evaluation of the individual, the ophthalmologist or 
optometrist must complete the Vision Evaluation Report, Form MCSA-5871.
    (2) Upon completion of the Vision Evaluation Report, Form MCSA-
5871,

[[Page 2371]]

the ophthalmologist or optometrist must sign and date the Report and 
provide his or her full name, office address, and telephone number on 
the Report.
    (c) Examination by a medical examiner. At least annually, but no 
later than 45 days after an ophthalmologist or optometrist signs and 
dates the Vision Evaluation Report, Form MCSA-5871, an individual who 
cannot satisfy either the distant visual acuity or field of vision 
standard, or both, in Sec.  391.41(b)(10)(i) in one eye must be 
medically examined and certified by a medical examiner as physically 
qualified to operate a commercial motor vehicle in accordance with 
Sec.  391.43.
    (1) The medical examiner must receive a completed Vision Evaluation 
Report, Form MCSA-5871, signed and dated by an ophthalmologist or 
optometrist for each required examination. This Report shall be treated 
and retained as part of the Medical Examination Report Form, MCSA-5875.
    (2) The medical examiner must determine whether the individual 
meets the physical qualification standards in Sec.  391.41 to operate a 
commercial motor vehicle. In making that determination, the medical 
examiner must consider the information in the Vision Evaluation Report, 
Form MCSA-5871, signed by an ophthalmologist or optometrist and, 
utilizing independent medical judgment, apply the following standards 
in determining whether the individual may be certified as physically 
qualified to operate a commercial motor vehicle.
    (i) The individual is not physically qualified to operate a 
commercial motor vehicle if in the better eye the distant visual acuity 
is not at least 20/40 (Snellen), with or without corrective lenses, and 
the field of vision is not at least 70[deg] in the horizontal meridian.
    (ii) The individual is not physically qualified to operate a 
commercial motor vehicle if the individual is not able to recognize the 
colors of traffic signals and devices showing standard red, green, and 
amber.
    (iii) The individual is not physically qualified to operate a 
commercial motor vehicle if the individual's vision deficiency is not 
stable.
    (iv) The individual is not physically qualified to operate a 
commercial motor vehicle if there has not been sufficient time to allow 
the individual to adapt to and compensate for the change in vision.
    (d) Road test. (1) Except as provided in paragraphs (d)(3), (4), 
and (5) of this section, an individual physically qualified under this 
section for the first time shall not drive a commercial motor vehicle 
until the individual has successfully completed a road test subsequent 
to physical qualification and has been issued a certificate of driver's 
road test in accordance with Sec.  391.31 of this part. An individual 
physically qualified under this section for the first time must inform 
the motor carrier responsible for completing the road test under Sec.  
391.31(b) that the individual is required by Sec.  391.44(d) to have a 
road test. The motor carrier must conduct the road test in accordance 
with Sec.  391.31(b) thorough (g).
    (2) For road tests required by paragraph (d)(1) of this section, 
the provisions of Sec.  391.33 of this part for the equivalent of a 
road test do not apply. If an individual required to have a road test 
by paragraph (d)(1) of this section successfully completes the road 
test and is issued a certificate of driver's road test in accordance 
with Sec.  391.31, then any otherwise applicable provisions of Sec.  
391.33 will apply thereafter to such individual.
    (3) An individual physically qualified under this section for the 
first time is not required to complete a road test in accordance with 
Sec.  391.31 if the motor carrier responsible for completing the road 
test under Sec.  391.31(b) determines the individual possessed a valid 
commercial driver's license or non-commercial driver's license to 
operate, and did operate, a commercial motor vehicle in either 
intrastate commerce or in interstate commerce excepted by Sec.  
390.3T(f) of this subchapter or Sec.  391.2 of this part from the 
requirements of subpart E of this part with the vision deficiency for 
the 3-year period immediately preceding the date of physical 
qualification under this section for the first time.
    (i) The individual must certify in writing to the motor carrier the 
date the vision deficiency began.
    (ii) If the motor carrier determines the individual possessed a 
valid commercial driver's license or non-commercial driver's license to 
operate, and did operate, a commercial motor vehicle in either 
intrastate commerce or in interstate commerce excepted by either Sec.  
390.3T(f) or Sec.  391.2 from the requirements of subpart E of this 
part with the vision deficiency for the 3-year period immediately 
preceding the date of physical qualification in accordance with Sec.  
391.44 for the first time, the motor carrier must--
    (A) Prepare a written statement to the effect that the motor 
carrier determined the individual possessed a valid license and 
operated a commercial motor vehicle in intrastate or excepted 
interstate commerce (as applicable) with the vision deficiency for the 
3-year period immediately preceding the date of physical qualification 
in accordance with Sec.  391.44 for the first time and, therefore, is 
not required by Sec.  391.44(d) to complete a road test;
    (B) Give the individual a copy of the written statement; and
    (C) Retain in the individual's driver qualification file the 
original of the written statement and the original, or a copy, of the 
individual's certification regarding the date the vision deficiency 
began.
    (4) An individual physically qualified under this section for the 
first time is not required to complete a road test in accordance with 
Sec.  391.31 if the individual holds on [DATE 60 DAYS AFTER THE DATE OF 
PUBLICATION OF THE FINAL RULE IN THE Federal Register] a valid 
exemption from the vision standard in Sec.  391.41(b)(10) issued by 
FMCSA under 49 CFR part 381. Such an individual is not required to 
inform the motor carrier that the individual is excepted from the 
requirement in Sec.  391.44(d)(1) to have a road test.
    (5) An individual physically qualified under this section for the 
first time is not required to complete a road test in accordance with 
Sec.  391.31 if the individual is medically certified on [DATE 60 DAYS 
AFTER THE DATE OF PUBLICATION OF THE FINAL RULE IN THE Federal 
Register] under the provisions of Sec.  391.64(b) for drivers who 
participated in a previous vision waiver study program. Such an 
individual is not required to inform the motor carrier that the 
individual is excepted from the requirement in Sec.  391.44(d)(1) to 
have a road test.
0
6. Amend Sec.  391.45 by:
0
a. Redesignating existing paragraphs (f) and (g) as paragraphs (g) and 
(h), respectively;
0
b. Adding a new paragraph (f); and
0
c. Revising paragraph (b).
    The addition and revision read as follows:


Sec.  391.45   Persons who must be medically examined and certified.

* * * * *
    (b) Any driver who has not been medically examined and certified as 
qualified to operate a commercial motor vehicle during the preceding 24 
months, unless the driver is required to be examined and certified in 
accordance with paragraph (c), (d), (e), (f), (g), or (h) of this 
section;
* * * * *
    (f) Any driver who cannot satisfy either the distant visual acuity 
or field of vision standard, or both, in Sec.  391.41(b)(10)(i) in one 
eye and who has obtained a medical examiner's certificate under the 
standards in Sec.  391.44, if such driver's most recent

[[Page 2372]]

medical examination and certification as qualified to drive did not 
occur during the preceding 12 months;
* * * * *
0
7. Amend Sec.  391.51 by revising paragraph (b)(3) to read as follows:


Sec.  391.51   General requirements for driver qualification files.

* * * * *
    (b) * * *
    (3) The certificate of driver's road test issued to the driver 
pursuant to Sec.  391.31(e), a copy of the license or certificate which 
the motor carrier accepted as equivalent to the driver's road test 
pursuant to Sec.  391.33, or the original of the written statement 
providing that the motor carrier determined the driver is not required 
by Sec.  391.44(d) to complete a road test pursuant to Sec.  
391.44(d)(3)(ii)(A) and the original, or a copy, of the driver's 
certification required by Sec.  391.44(d)(3)(i);
* * * * *
0
8. Amend Sec.  391.64 by revising the section title and paragraph (b) 
introductory text, and adding paragraph (b)(4) to read as follows.


Sec.  391.64   Grandfathering for certain drivers who participated in 
the vision waiver study program.

* * * * *
    (b) Until [DATE 60 DAYS AND 1 YEAR AFTER THE DATE OF PUBLICATION OF 
THE FINAL RULE IN THE Federal Register], the provisions of Sec.  
391.41(b)(10) do not apply to a driver who was a participant in good 
standing on March 31, 1996, in a waiver study program concerning the 
operation of commercial motor vehicles by drivers with visual 
impairment in one eye; provided:
* * * * *
    (4) On [DATE 60 DAYS AND 1 YEAR AFTER THE DATE OF PUBLICATION OF 
THE FINAL RULE IN THE Federal Register], the provisions of paragraph 
(b) of this section are removed, and any medical examiner's certificate 
issued under Sec.  391.43 of this part on the basis that the driver is 
qualified by operation of the provisions of 49 CFR 391.64(b), related 
to drivers with visual impairment in one eye, is void.

Appendix A to Part 391--Medical Advisory Criteria [Amended]

0
9. Remove and reserve paragraph II. J., Vision: Sec.  391.41(b)(10), of 
Appendix A to Part 391.

    Issued under the authority of delegation in 49 CFR 1.87.
James W. Deck,
Deputy Administrator.
[FR Doc. 2020-28848 Filed 1-11-21; 8:45 am]
BILLING CODE 4910-EX-P