61958 Federal Register / Vol. 88, No. 173 / Friday, September 8, 2023 / Rules and Regulations 

From To MEA 

** 2000—MOCA 

§ 95.6212 VOR Federal Airway V212 Is Amended To Read in Part 

SETTA, MS FIX ............................................................................ MC COMB, MS VORTAC ............................................................

E BND ..........................................................................................

W BND .........................................................................................

* 3000 

* 4000 

* 2000—MOCA 

§ 95.6245 VOR Federal Airway V245 Is Amended To Delete 

ALEXANDRIA, LA VORTAC ......................................................... NATCHEZ, MS VOR/DME .......................................................... 2000 

NATCHEZ, MS VOR/DME ............................................................ MAGNOLIA, MS VORTAC .......................................................... 3500 

§ 95.6554 VOR Federal Airway V554 Is Amended To Delete 

NATCHEZ, MS VOR/DME ............................................................ * TULLO, LA WP .......................................................................... ** 6000 

* 6000—MCA TULLO, LA WP , SE BND 

** 1800—MOCA 

TULLO, LA WP ............................................................................. MONROE, LA VORTAC .............................................................. 2000 

§ 95.6570 VOR Federal Airway V570 Is Amended To Delete 

ALEXANDRIA, LA VORTAC ......................................................... NATCHEZ, MS VOR/DME .......................................................... 2000 

NATCHEZ, MS VOR/DME ............................................................ MC COMB, MS VORTAC ............................................................ 2000 

From To MEA MAA 

§ 95.7001 Jet Routes 

§ 95.7070 Jet Route J70 Is Amended To Read in Part 

MULLAN PASS, ID VOR/DME ......................................... LEWISTOWN, MT VOR/DME .......................................... 22000 45000 

LEWISTOWN, MT VOR/DME ........................................... DICKINSON, ND VORTAC .............................................. #21000 45000 

#MEA IS ESTABLISHED WITH A GAP IN NAVIGATION 

SIGNAL COVERAGE.

§ 95.7184 Jet Route J184 Is Amended To Delete 

BUCKEYE, AZ VORTAC .................................................. DEMING, NM VORTAC ................................................... 23000 45000 

DEMING, NM VORTAC .................................................... NEWMAN, TX VORTAC .................................................. 18000 45000 

§ 95.7590 Jet Route J590 Is Amended To Delete 

LAKE CHARLES, LA VORTAC ........................................ FIGHTING TIGER, LA VORTAC ..................................... 18000 45000 

FIGHTING TIGER, LA VORTAC ...................................... GREENE COUNTY, MS VORTAC .................................. 18000 45000 

GREENE COUNTY, MS VORTAC ................................... MONTGOMERY, AL VORTAC ........................................ 18000 45000 

Airway segment Changeover points 

From To Distance From 

§ 95.8003 VOR Federal Airway Changeover Points 

V245 Is Amended To Delete Changeover Point 

NATCHEZ, MS VOR/DME ............................................... MAGNOLIA, MS VORTAC ............................................... 25 NATCHEZ 

[FR Doc. 2023–19378 Filed 9–7–23; 8:45 am] 

BILLING CODE 4910–13–P 

RAILROAD RETIREMENT BOARD 

20 CFR Part 220 

Determining Disability 

CFR Correction 

This rule is being published by the 

Office of the Federal Register to correct 

an editorial or technical error that 

appeared in the most recent annual 

revision of the Code of Federal 

Regulations. 

■ In Title 20 of the Code of Federal 

Regulations, Parts 1 to 399, revised as of 

April 1, 2023, in the tables in appendix 

3 to part 220, remove ‘‘≤’’ and add ‘‘>’’ 

wherever it appears in the following 

entries: 

■ 1. Under ‘‘C. Cardiac’’: 

a. Under ‘‘Body Part: Cardiac, 

Confirmatory Tests’’, under ‘‘Coronary 

artery disease:’’, the entry for 

‘‘Angiography’’; 

b. Under ‘‘Body Part: Cardiac, Job 

Title: Trainman’’: 

i. Under ‘‘Hypertension:’’, the entry 

for ‘‘Medical record review’’, in all 

places; 

ii. Under ‘‘Arrhythmia: heart block:’’, 

the entry for ‘‘Holter’’; 

c. Under ‘‘Body Part: Cardiac, Job 

Title: Engineer’’: 

i. Under ‘‘Hypertension:’’, the entry 

for ‘‘Medical record review’’, in all 

places; 

ii. Under ‘‘Arrhythmia: heart block:’’, 

the entry for ‘‘Holter’’; 


lotter on DSK11XQN23PROD with RULES1
Federal Register / Vol. 88, No. 173 / Friday, September 8, 2023 / Rules and Regulations 61959 

d. Under ‘‘Body Part: Cardiac, Job 

Title: Dispatcher’’: 

i. Under ‘‘Hypertension:’’, the entry 

for ‘‘Medical record review’’, in all 

places; 

ii. Under ‘‘Arrhythmia: heart block:’’, 

the entry for ‘‘Holter’’; 

e. Under Body ‘‘Part: Cardiac, Job 

Title: Carman’’: 

i. Under ‘‘Hypertension:’’, the entry 

for ‘‘Medical record review’’, in all 

places; 

ii. Under ‘‘Arrhythmia: heart block:’’, 

the entry for ‘‘Holter’’; 

f. Under ‘‘Body Part: Cardiac, Job 

Title: Signalman’’: 

i. Under ‘‘Hypertension:’’, the entry 

for ‘‘Medical record review’’, in all 

places; 

ii. Under ‘‘Arrhythmia: heart block:’’, 

the entry for ‘‘Holter’’; 

g. Under ‘‘Body Part: Cardiac, Job 

Title: Trackman’’: 

i. Under ‘‘Hypertension:’’, the entry 

for ‘‘Medical record review’’, in all 

places; 

ii. Under ‘‘Arrhythmia: heart block:’’, 

the entry for ‘‘Holter’’; 

h. Under ‘‘Body Part: Cardiac, Job 

Title: Machinist’’: 

i. Under ‘‘Hypertension:’’, the entry 

for ‘‘Medical record review’’, in all 

places; 

ii. Under ‘‘Arrhythmia: heart block:’’, 

the entry for ‘‘Holter’’; 

i. Under ‘‘Body Part: Cardiac, Job 

Title: Shop Laborer’’: 

i. Under ‘‘Hypertension:’’, the entry 

for ‘‘Medical record review’’, in all 

places; 

ii. Under ‘‘Arrhythmia: heart block:’’, 

the entry for ‘‘Holter’’; 

j. Under ‘‘Body Part: Cardiac, Job 

Title: Sales Representative’’: 

i. Under ‘‘Hypertension:’’, the entry 

for ‘‘Medical record review’’, in all 

places; 

ii. Under ‘‘Arrhythmia: heart block:’’, 

the entry for ‘‘Holter’’; 

k. Under ‘‘Body Part: Cardiac, Job 

Title: General Office Clerk’’, under 

‘‘Arrhythmia: heart block:’’, the entry for 

‘‘Holter’’; 

■ 2. Under ‘‘D. Respiratory’’: 

a. Under ‘‘Body Part: Respiratory 

Confirmatory Tests’’, under ‘‘Asthma:’’, 

the entry for ‘‘Spirometry’’ and the first 

‘‘≤’’ in the entry for ‘‘Methacholine 

challenge test’’; 

b. Under ‘‘Body Part: Respiratory, Job 

Title: Trainman’’: 

i. Under ‘‘Bronchiectasis:’’, the entries 

for ‘‘Resting ABG’’ and ‘‘Pulmonary 

exercise test or exercise ABG’’; 

ii. Under ‘‘Chronic bronchitis:’’, the 

entries for ‘‘Resting ABG’’ and 

‘‘Pulmonary exercise test or exercise 

ABG’’; 

iii. Under ‘‘Chronic obstructive 

pulmonary disease (COPD):’’, the entries 

for ‘‘Resting ABG’’ and ‘‘Pulmonary 

exercise test or exercise ABG’’; 

iv. Under ‘‘Pulmonary fibrosis:’’, the 

entries for ‘‘Resting ABG’’ and 

‘‘Pulmonary exercise test or exercise 

ABG’’; 

v. Under ‘‘Restrictive lung disease:’’, 

the entry for ‘‘Pulmonary exercise test or 

exercise ABG’’; 

vi. Under ‘‘Silicosis:’’, the entry for 

‘‘Resting ABG’’; 

c. Under ‘‘Body Part: Respiratory, Job 

Title: Carman’’: 

i. Under ‘‘Bronchiectasis:’’, the entries 

for ‘‘Resting ABG’’ and ‘‘Pulmonary 

exercise test or exercise ABG’’; 

ii. Under ‘‘Chronic bronchitis:’’, the 

entries for ‘‘Resting ABG’’ and 

‘‘Pulmonary exercise test or exercise 

ABG’’; 

iii. Under ‘‘Chronic obstructive 

pulmonary disease (COPD):’’, the entries 

for ‘‘Resting ABG’’ and ‘‘Pulmonary 

exercise test or exercise ABG’’; 

iv. Under ‘‘Pulmonary fibrosis:’’, the 

entries for ‘‘Resting ABG’’ and 

‘‘Pulmonary exercise test or exercise 

ABG’’; 

v. Under ‘‘Restrictive lung disease:’’, 

the entry for ‘‘Pulmonary exercise test or 

exercise ABG’’; 

vi. Under ‘‘Silicosis:’’, the entry for 

‘‘Resting ABG’’; 

d. Under ‘‘Body Part: Respiratory, Job 

Title: Signalman’’: 

i. Under ‘‘Bronchiectasis:’’, the entries 

for ‘‘Resting ABG’’ and ‘‘Pulmonary 

exercise test or exercise ABG’’; 

ii. Under ‘‘Chronic bronchitis:’’, the 

entries for ‘‘Resting ABG’’ and 

‘‘Pulmonary exercise test or exercise 

ABG’’; 

iii. Under ‘‘Chronic obstructive 

pulmonary disease (COPD):’’, the entries 

for ‘‘Resting ABG’’ and ‘‘Pulmonary 

exercise test or exercise ABG’’; 

iv. Under ‘‘Pulmonary fibrosis:’’, the 

entries for ‘‘Resting ABG’’ and 

‘‘Pulmonary exercise test or exercise 

ABG’’; 

v. Under ‘‘Restrictive lung disease:’’, 

the entry for ‘‘Pulmonary exercise test or 

exercise ABG’’; 

vi. Under ‘‘Silicosis:’’, the entry for 

‘‘Resting ABG’’; 

e. Under ‘‘Body Part: Respiratory, Job 

Title: Trackman’’: 

i. Under ‘‘Bronchiectasis:’’, the entries 

for ‘‘Resting ABG’’ and ‘‘Pulmonary 

exercise test or exercise ABG’’; 

ii. Under ‘‘Chronic bronchitis:’’, the 

entries for ‘‘Resting ABG’’ and 

‘‘Pulmonary exercise test or exercise 

ABG’’; 

iii. Under ‘‘Chronic obstructive 

pulmonary disease (COPD):’’, the entries 

for ‘‘Resting ABG’’ and ‘‘Pulmonary 

exercise test or exercise ABG’’; 

iv. Under ‘‘Pulmonary fibrosis:’’, the 

entries for ‘‘Resting ABG’’ and 

‘‘Pulmonary exercise test or exercise 

ABG’’; 

v. Under ‘‘Restrictive lung disease:’’, 

the entry for ‘‘Pulmonary exercise test or 

exercise ABG’’; 

vi. Under ‘‘Silicosis:’’, the entry for 

‘‘Resting ABG’’; 

f. Under ‘‘Body Part: Respiratory, Job 

Title: Machinist’’: 

i. Under ‘‘Bronchiectasis:’’, the entries 

for ‘‘Resting ABG’’ and ‘‘Pulmonary 

exercise test or exercise ABG’’; 

ii. Under ‘‘Chronic bronchitis:’’, the 

entries for ‘‘Resting ABG’’ and 

‘‘Pulmonary exercise test or exercise 

ABG’’; 

iii. Under ‘‘Chronic obstructive 

pulmonary disease (COPD):’’, the entries 

for ‘‘Resting ABG’’ and ‘‘Pulmonary 

exercise test or exercise ABG’’; 

iv. Under ‘‘Pulmonary fibrosis:’’, the 

entries for ‘‘Resting ABG’’ and 

‘‘Pulmonary exercise test or exercise 

ABG’’; 

v. Under ‘‘Restrictive lung disease:’’, 

the entry for ‘‘Pulmonary exercise test or 

exercise ABG’’; 

vi. Under ‘‘Silicosis:’’, the entry for 

‘‘Resting ABG’’; 

g. Under ‘‘Body Part: Respiratory, Job 

Title: Shop Laborer’’: 

i. Under ‘‘Bronchiectasis:’’, the entries 

for ‘‘Resting ABG’’ and ‘‘Pulmonary 

exercise test or exercise ABG’’; 

ii. Under ‘‘Chronic bronchitis:’’, the 

entries for ‘‘Resting ABG’’ and 

‘‘Pulmonary exercise test or exercise 

ABG’’; 

iii. Under ‘‘Chronic obstructive 

pulmonary disease (COPD):’’, the entries 

for ‘‘Resting ABG’’ and ‘‘Pulmonary 

exercise test or exercise ABG’’; 

iv. Under ‘‘Pulmonary fibrosis:’’, the 

entries for ‘‘Resting ABG’’ and 

‘‘Pulmonary exercise test or exercise 

ABG’’; 

v. Under ‘‘Restrictive lung disease:’’, 

the entry for ‘‘Pulmonary exercise test or 

exercise ABG’’; 

vi. Under ‘‘Silicosis:’’, the entry for 

‘‘Resting ABG’’; 

■ 3. Under ‘‘F. Cervical Spine’’, under 

‘‘Body Part: CE Spine, Confirmatory 

Tests’’, under ‘‘Radiculopathy:’’, the 

second entry for ‘‘Physical examination: 

arm’’; 

■ 4. Under ‘‘G. Shoulder and Elbow’’: 

a. Under ‘‘Body Part: Shoulder and 

Elbow, Job Title: Trainman’’, under 

‘‘Permanent functional limitation, 

elbow:’’, the entry for ‘‘Physical 

examination’’; 

b. Under ‘‘Body Part: Shoulder and 

Elbow, Job Title: Engineer’’, under 

‘‘Permanent functional limitation, 

elbow:’’, the entry for ‘‘Physical 

examination’’; 

c. Under ‘‘Body Part: Shoulder and 

Elbow, Job Title: Carman’’, under 


lotter on DSK11XQN23PROD with RULES1
61960 Federal Register / Vol. 88, No. 173 / Friday, September 8, 2023 / Rules and Regulations 

‘‘Permanent functional limitation, 

elbow:’’, the entry for ‘‘Physical 

examination’’; 

d. Under ‘‘Body Part: Shoulder and 

Elbow, Job Title: Signalman’’, under 

‘‘Permanent functional limitation, 

elbow:’’, the entry for ‘‘Physical 

examination’’; 

e. Under ‘‘Body Part: Shoulder and 

Elbow, Job Title: Trackman’’, under 

‘‘Permanent functional limitation, 

elbow:’’, the entry for ‘‘Physical 

examination’’; 

f. Under ‘‘Body Part: Shoulder and 

Elbow, Job Title: Machinist’’, under 

‘‘Permanent functional limitation, 

elbow:’’, the entry for ‘‘Physical 

examination’’; 

g. Under ‘‘Body Part: Shoulder and 

Elbow, Job Title: Shop Laborer’’, under 

‘‘Permanent functional limitation, 

elbow:’’, the entry for ‘‘Physical 

examination’’; 

■ 5. Under ‘‘H. Hand and Arm’’: 

a. Under ‘‘Body Part: Hand and Arm, 

Job Title: Trainman’’: 

i. Under ‘‘Fracture, wrist:’’, the third 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Wrist: permanent 

functional limitation:’’, the third entry 

for ‘‘Physical examination—range of 

motion’’; 

b. Under ‘‘Body Part: Hand and Arm, 

Job Title: Engineer’’: 

i. Under ‘‘Fracture, wrist:’’, the third 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Wrist: permanent 

functional limitation:’’, the third entry 

for ‘‘Physical examination—range of 

motion’’; 

c. Under ‘‘Body Part: Hand and Arm, 

Job Title: Dispatcher’’: 

i. Under ‘‘Fracture, wrist:’’, the third 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Wrist: permanent 

functional limitation:’’, the third entry 

for ‘‘Physical examination—range of 

motion’’; 

d. Under ‘‘Body Part: Hand and Arm, 

Job Title: Carman’’: 

i. Under ‘‘Fracture, wrist:’’, the third 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Wrist: permanent 

functional limitation:’’, the third entry 

for ‘‘Physical examination—range of 

motion’’; 

e. Under ‘‘Body Part: Hand and Arm, 

Job Title: Signalman’’: 

i. Under ‘‘Fracture, wrist:’’, the third 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Wrist: permanent 

functional limitation:’’, the third entry 

for ‘‘Physical examination—range of 

motion’’; 

f. Under ‘‘Body Part: Hand and Arm, 

Job Title: Trackman’’: 

i. Under ‘‘Fracture, wrist:’’, the third 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Wrist: permanent 

functional limitation:’’, the third entry 

for ‘‘Physical examination—range of 

motion’’; 

g. Under ‘‘Body Part: Hand and Arm, 

Job Title: Machinist’’: 

i. Under ‘‘Fracture, wrist:’’, the third 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Wrist: permanent 

functional limitation:’’, the third entry 

for ‘‘Physical examination—range of 

motion’’; 

h. Under ‘‘Body Part: Hand and Arm, 

Job Title: Shop Laborer’’: 

i. Under ‘‘Fracture, wrist:’’, the third 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Wrist: permanent 

functional limitation:’’, the third entry 

for ‘‘Physical examination—range of 

motion’’; 

i. Under ‘‘Body Part: Hand and Arm, 

Job Title: Sales Representative’’: 

i. Under ‘‘Fracture, wrist:’’, the third 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Wrist: permanent 

functional limitation:’’, the third entry 

for ‘‘Physical examination—range of 

motion’’; 

j. Under ‘‘Body Part: Hand and Arm, 

Job Title: General Office Clerk’’: 

i. Under ‘‘Fracture, wrist:’’, the third 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Wrist: permanent 

functional limitation:’’, the third entry 

for ‘‘Physical examination—range of 

motion’’; 

■ 6. Under ‘‘I. Hip’’: 

a. Under ‘‘Body Part: Hip, Job Title: 

Trainman’’, under ‘‘Ankylosis, hip:’’, all 

entries for ‘‘Physical examination— 

range of motion’’; 

b. Under ‘‘Body Part: Hip, Job Title: 

Engineer’’, under ‘‘Ankylosis, hip:’’, all 

entries for ‘‘Physical examination— 

range of motion’’; 

c. Under ‘‘Body Part: Hip, Job Title: 

Carman’’, under ‘‘Ankylosis, hip:’’, all 

entries for ‘‘Physical examination— 

range of motion’’; 

d. Under ‘‘Body Part: Hip, Job Title: 

Signalman’’, under ‘‘Ankylosis, hip:’’, 

all entries for ‘‘Physical examination— 

range of motion’’; 

e. Under ‘‘Body Part: Hip, Job Title: 

Trackman’’, under ‘‘Ankylosis, hip:’’, all 

entries for ‘‘Physical examination— 

range of motion’’; 

f. Under ‘‘Body Part: Hip, Job Title: 

Machinist’’, under ‘‘Ankylosis, hip:’’, all 

entries for ‘‘Physical examination— 

range of motion’’; 

g. Under ‘‘Body Part: Hip, Job Title: 

Shop Laborer’’, under ‘‘Ankylosis, hip:’’, 

all entries for ‘‘Physical examination— 

range of motion’’; 

■ 7. Under ‘‘J. Knee’’: 

a. Under ‘‘Body Part: Knee, Job Title: 

Trainman’’: 

i. Under ‘‘Arthritis knee:’’, the second 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Meniscectomy, medial or 

lateral:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

iii. Under ‘‘Collateral ligament tear 

with laxity:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

iv. Under ‘‘Cruciate and collateral 

ligament tear:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

v. Under ‘‘Cruciate ligament tear with 

laxity:’’, the second entry for ‘‘Physical 

examination—range of motion’’: 

vi. Under ‘‘Intercondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for ‘‘Physical 

examination—range of motion’’; 

vii. Under ‘‘Osteomyelitis, chronic 

knee:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

viii. Under ‘‘Osteonecrosis:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

ix. Under ‘‘Patellofemoral arthritis:’’, 

the second entry for ‘‘Physical 

examination—range of motion’’; 

x. Under ‘‘Patellar fracture nonunion 

with displacement:’’, the second entry 

for ‘‘Physical examination—range of 

motion’’ and the entry for ‘‘X-ray knee’’; 

xi. Under ‘‘Plateau fracture:’’, the 

entry for ‘‘Post fracture angulation’’ and 

the second entry for ‘‘Physical 

examination—range of motion’’; 

xii. Under ‘‘Patellectomy:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

xiii. Under ‘‘Patellar, subluxation, 

recurrent:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

xiv. Under ‘‘Supracondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for ‘‘Physical 

examination—range of motion’’; 

xv. Under ‘‘Tibial shaft fracture:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’ and the 

entry for ‘‘Post fracture angulation’’; 

b. Under ‘‘Body Part: Knee, Job Title: 

Engineer’’: 

i. Under ‘‘Arthritis knee:’’, the second 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Meniscectomy, medial or 

lateral:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

iii. Under ‘‘Collateral ligament tear 

with laxity:’’, the second entry for 


lotter on DSK11XQN23PROD with RULES1
Federal Register / Vol. 88, No. 173 / Friday, September 8, 2023 / Rules and Regulations 61961 

‘‘Physical examination—range of 

motion’’; 

iv. Under ‘‘Cruciate and collateral 

ligament tear:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

v. Under ‘‘Cruciate ligament tear with 

laxity:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

vi. Under ‘‘Intercondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for ‘‘Physical 

examination—range of motion’’; 

vii. Under ‘‘Osteomyelitis, chronic 

knee:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

viii. Under ‘‘Osteonecrosis:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

ix. Under ‘‘Patellofemoral arthritis:’’, 

the second entry for ‘‘Physical 

examination—range of motion’’; 

x. Under ‘‘Patellar fracture nonunion 

with displacement:’’, the second entry 

for ‘‘Physical examination—range of 

motion’’ and the entry for ‘‘X-ray knee’’; 

xi. Under ‘‘Plateau fracture:’’, the 

entry for ‘‘Post fracture angulation’’ and 

the second entry for ‘‘Physical 

examination—range of motion’’; 

xii. Under ‘‘Patellectomy:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

xiii. Under ‘‘Patellar, subluxation, 

recurrent:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

xiv. Under ‘‘Supracondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for ‘‘Physical 

examination—range of motion’’; 

xv. Under ‘‘Tibial shaft fracture:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’ and the 

entry for ‘‘Post fracture angulation’’; 

c. Under ‘‘Body Part: Knee, Job Title: 

Carman’’: 

i. Under ‘‘Arthritis knee:’’, the second 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Meniscectomy, medial or 

lateral:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

iii. Under ‘‘Collateral ligament tear 

with laxity:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

iv. Under ‘‘Cruciate and collateral 

ligament tear:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

v. Under ‘‘Cruciate ligament tear with 

laxity:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

vi. Under ‘‘Intercondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for ‘‘Physical 

examination—range of motion’’; 

vii. Under ‘‘Osteomyelitis, chronic 

knee:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

viii. Under ‘‘Osteonecrosis:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

ix. Under ‘‘Patellofemoral arthritis:’’, 

the second entry for ‘‘Physical 

examination—range of motion’’; 

x. Under ‘‘Patellar fracture nonunion 

with displacement:’’, the second entry 

for ‘‘Physical examination—range of 

motion’’ and the entry for ‘‘X-ray knee’’; 

xi. Under ‘‘Plateau fracture:’’, the 

entry for ‘‘Post fracture angulation’’, and 

the second entry for ‘‘Physical 

examination—range of motion’’; 

xii. Under ‘‘Patellectomy:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

xiii. Under ‘‘Patellar, subluxation, 

recurrent:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

xiv. Under ‘‘Supracondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for ‘‘Physical 

examination—range of motion’’; 

xv. Under ‘‘Tibial shaft fracture:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’ and the 

entry for ‘‘Post fracture angulation’’; 

d. Under ‘‘Body Part: Knee, Job Title: 

Signalman’’: 

i. Under ‘‘Arthritis knee:’’, the second 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Meniscectomy, medial or 

lateral:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

iii. Under ‘‘Collateral ligament tear 

with laxity:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

iv. Under ‘‘Cruciate and collateral 

ligament tear:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

v. Under ‘‘Cruciate ligament tear with 

laxity:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

vi. Under ‘‘Intercondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for ‘‘Physical 

examination—range of motion’’; 

vii. Under ‘‘Osteomyelitis, chronic 

knee:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

viii. Under ‘‘Osteonecrosis:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

ix. Under ‘‘Patellofemoral arthritis:’’, 

the second entry for ‘‘Physical 

examination—range of motion’’; 

x. Under ‘‘Patellar fracture nonunion 

with displacement:’’, the second entry 

for ‘‘Physical examination—range of 

motion’’ and the entry for ‘‘X-ray knee’’; 

xi. Under ‘‘Plateau fracture:’’, the 

entry for ‘‘Post fracture angulation’’ and 

the second entry for ‘‘Physical 

examination—range of motion’’; 

xii. Under ‘‘Patellectomy:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

xiii. Under ‘‘Patellar, subluxation, 

recurrent:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

xiv. Under ‘‘Supracondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for the second 

entry for ‘‘Physical examination—range 

of motion’’; 

xv. Under ‘‘Tibial shaft fracture:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’ and the 

entry for ‘‘Post fracture angulation’’; 

e. Under ‘‘Body Part: Knee, Job Title: 

Trackman’’: 

i. Under ‘‘Arthritis knee:’’, the second 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Meniscectomy, medial or 

lateral:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

iii. Under ‘‘Collateral ligament tear 

with laxity:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

iv. Under ‘‘Cruciate and collateral 

ligament tear:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

v. Under ‘‘Cruciate ligament tear with 

laxity:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

vi. Under ‘‘Intercondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for ‘‘Physical 

examination—range of motion’’; 

vii. Under ‘‘Osteomyelitis, chronic 

knee:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

viii. Under ‘‘Osteonecrosis:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

ix. Under ‘‘Patellofemoral arthritis:’’, 

the second entry for ‘‘Physical 

examination—range of motion’’; 

x. Under ‘‘Patellar fracture nonunion 

with displacement:’’, the second entry 

for ‘‘Physical examination—range of 

motion’’ and the entry for ‘‘X-ray knee’’; 

xi. Under ‘‘Plateau fracture:’’, the 

entry for ‘‘Post fracture angulation’’ and 

the second entry for ‘‘Physical 

examination—range of motion’’; 

xii. Under ‘‘Patellectomy:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

xiii. Under ‘‘Patellar, subluxation, 

recurrent:’’, the second entry for 

Physical examination—range of 

motion’’; 

xiv. Under ‘‘Supracondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for ‘‘Physical 

examination—range of motion’’; 


lotter on DSK11XQN23PROD with RULES1
61962 Federal Register / Vol. 88, No. 173 / Friday, September 8, 2023 / Rules and Regulations 

xv. Under ‘‘Tibial shaft fracture:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’ and the 

entry for ‘‘Post fracture angulation’’; 

f. Under ‘‘Body Part: Knee, Job Title: 

Machinist’’: 

i. Under ‘‘Arthritis knee:’’, the second 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Meniscectomy, medial or 

lateral:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

iii. Under ‘‘Collateral ligament tear 

with laxity:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

iv. Under ‘‘Cruciate and collateral 

ligament tear:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

v. Under ‘‘Cruciate ligament tear with 

laxity:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

vi. Under ‘‘Intercondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for ‘‘Physical 

examination—range of motion’’; 

vii. Under ‘‘Osteomyelitis, chronic 

knee:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

viii. Under ‘‘Osteonecrosis:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

ix. Under ‘‘Patellofemoral arthritis:’’, 

the second entry for ‘‘Physical 

examination—range of motion’’; 

x. Under ‘‘Patellar fracture nonunion 

with displacement:’’, the second entry 

for ‘‘Physical examination—range of 

motion’’ and the entry for ‘‘X-ray knee’’; 

xi. Under ‘‘Plateau fracture:’’, the 

entry for ‘‘Post fracture angulation’’ and 

the second entry for ‘‘Physical 

examination—range of motion’’; 

xii. Under ‘‘Patellectomy:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

xiii. Under ‘‘Patellar, subluxation, 

recurrent:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

xiv. Under ‘‘Supracondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for ‘‘Physical 

examination—range of motion’’; 

xv. Under ‘‘Tibial shaft fracture:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’ and the 

entry for ‘‘Post fracture angulation’’; 

g. Under ‘‘Body Part: Knee, Job Title: 

Shop Laborer’’: 

i. Under ‘‘Arthritis knee:’’, the second 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Meniscectomy, medial or 

lateral:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

iii. Under ‘‘Collateral ligament tear 

with laxity:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

iv. Under ‘‘Cruciate and collateral 

ligament tear:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

v. Under ‘‘Cruciate ligament tear with 

laxity:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

vi. Under ‘‘Intercondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for ‘‘Physical 

examination—range of motion’’; 

vii. Under ‘‘Osteomyelitis, chronic 

knee:’’, the second entry for ‘‘Physical 

examination—range of motion’’; 

viii. Under ‘‘Osteonecrosis:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

ix. Under ‘‘Patellofemoral arthritis:’’, 

the second entry for ‘‘Physical 

examination—range of motion’’; 

x. Under ‘‘Patellar fracture nonunion 

with displacement:’’, the second entry 

for ‘‘Physical examination—range of 

motion’’ and the entry for ‘‘X-ray knee’’; 

xi. Under ‘‘Plateau fracture:’’, the 

entry for ‘‘Post fracture angulation’’ and 

the second entry for ‘‘Physical 

examination—range of motion’’; 

xii. Under ‘‘Patellectomy:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’; 

xiii. Under ‘‘Patellar, subluxation, 

recurrent:’’, the second entry for 

‘‘Physical examination—range of 

motion’’; 

xiv. Under ‘‘Supracondylar fracture:’’, 

the entry for ‘‘Post fracture angulation’’ 

and the second entry for ‘‘Physical 

examination—range of motion’’; 

xv. Under ‘‘Tibial shaft fracture:’’, the 

second entry for ‘‘Physical 

examination—range of motion’’ and the 

entry for ‘‘Post fracture angulation’’; 

■ 8. Under ‘‘K. Ankle and Foot’’: 

a. Under ‘‘Body Part: Ankle and Foot, 

Job Title: Trainman’’: 

i. Under ‘‘Ankle fracture:’’, the entry 

for ‘‘Physical examination’’; 

ii. Under ‘‘Ankylosis, ankle:’’, the 

third entry for ‘‘Physical examination— 

range of motion’’; 

iii. Under ‘‘Arthritis, subtalar joint 

(hindfoot):’’, the entry for ‘‘Physical 

examination’’; 

iv. Under ‘‘Arthritis, talonavicular 

joint (hindfoot):’’, the entry for 

‘‘Physical examination’’; 

v. Under ‘‘Arthritis, ankle:’’, the entry 

for ‘‘Physical examination’’; 

vi. Under ‘‘Hindfoot fracture:’’, both 

entries for ‘‘Physical examination’’; 

b. Under ‘‘Body Part: Ankle and Foot, 

Job Title: Engineer’’: 

i. Under ‘‘Ankle fracture:’’, the entry 

for ‘‘Physical examination’’; 

ii. Under ‘‘Ankylosis, ankle:’’, the first 

and third entries for ‘‘Physical 

examination—range of motion’’; 

iii. Under ‘‘Arthritis, subtalar joint 

(hindfoot):’’, the entry for ‘‘Physical 

examination’’; 

iv. Under ‘‘Arthritis, talonavicular 

joint (hindfoot):’’, the entry for 

‘‘Physical examination’’; 

v. Under ‘‘Arthritis, ankle:’’, the entry 

for ‘‘Physical examination’’; 

vi. Under ‘‘Hindfoot fracture:’’, both 

entries for ‘‘Physical examination’’; 

c. Under ‘‘Body Part: Ankle and Foot, 

Job Title: Dispatcher’’: 

i. Under ‘‘Arthritis, ankle:’’, the entry 

for ‘‘Physical examination’’; 

ii. Under ‘‘Hindfoot fracture:’’, both 

entries for ‘‘Physical examination’’; 

d. Under ‘‘Body Part: Ankle and Foot, 

Job Title: Carman’’: 

i. Under ‘‘Ankle fracture:’’, the entry 

for ‘‘Physical examination’’; 

ii. Under ‘‘Ankylosis, ankle:’’, the first 

and third entries for ‘‘Physical 

examination—range of motion’’; 

iii. Under ‘‘Arthritis, subtalar joint 

(hindfoot):’’, the entry for ‘‘Physical 

examination’’; 

iv. Under ‘‘Arthritis, talonavicular 

joint (hindfoot):’’, the entry for 

‘‘Physical examination’’; 

v. Under ‘‘Arthritis, ankle:’’, the entry 

for ‘‘Physical examination’’; 

vi. Under ‘‘Hindfoot fracture:’’, both 

entries for ‘‘Physical examination’’; 

e. Under ‘‘Body Part: Ankle and Foot, 

Job Title: Signalman’’: 

i. Under ‘‘Ankle fracture:’’, the entry 

for ‘‘Physical examination’’; 

ii. Under ‘‘Ankylosis, ankle:’’, the first 

and third entries for ‘‘Physical 

examination—range of motion’’; 

iii. Under ‘‘Arthritis, subtalar joint 

(hindfoot):’’, the entry for ‘‘Physical 

examination’’; 

iv. Under ‘‘Arthritis, talonavicular 

joint (hindfoot):’’, the entry for 

‘‘Physical examination’’; 

v. Under ‘‘Arthritis, ankle:’’, the entry 

for ‘‘Physical examination’’; 

vi. Under ‘‘Hindfoot fracture:’’, both 

entries for ‘‘Physical examination’’; 

f. Under ‘‘Body Part: Ankle and Foot, 

Job Title: Trackman’’: 

i. Under ‘‘Ankle fracture:’’, the first 

entry for ‘‘Physical examination—range 

of motion’’; 

ii. Under ‘‘Ankylosis, ankle:’’, the first 

and third entries for ‘‘Physical 

examination—range of motion’’; 

iii. Under ‘‘Arthritis, subtalar joint 

(hindfoot):’’, the entry for ‘‘Physical 

examination’’; 

iv. Under ‘‘Arthritis, talonavicular 

joint (hindfoot):’’, the entry for 

‘‘Physical examination’’; 

v. Under ‘‘Arthritis, ankle:’’, the entry 

for ‘‘Physical examination’’; 

vi. Under ‘‘Hindfoot fracture:’’, both 

entries for ‘‘Physical examination’’; 

g. Under ‘‘Body Part: Ankle and Foot, 

Job Title: Machinist’’: 


lotter on DSK11XQN23PROD with RULES1
Federal Register / Vol. 88, No. 173 / Friday, September 8, 2023 / Rules and Regulations 61963 

i. Under ‘‘Ankle fracture:’’, the entry 

for ‘‘Physical examination’’; 

ii. Under ‘‘Ankylosis, ankle:’’, the first 

and third entries for ‘‘Physical 

examination—range of motion’’; 

iii. Under ‘‘Arthritis, subtalar joint 

(hindfoot):’’, the entry for ‘‘Physical 

examination’’; 

iv. Under ‘‘Arthritis, talonavicular 

joint (hindfoot):’’, the entry for 

‘‘Physical examination’’; 

v. Under ‘‘Arthritis, ankle:’’, the entry 

for ‘‘Physical examination’’; 

vi. Under ‘‘Hindfoot fracture:’’, both 

entries for ‘‘Physical examination’’; 

h. Under ‘‘Body Part: Ankle and Foot, 

Job Title: Shop Laborer’’: 

i. Under ‘‘Ankle fracture:’’, the entry 

for ‘‘Physical examination’’; 

ii. Under ‘‘Ankylosis, ankle:’’, the first 

and third entries for ‘‘Physical 

examination—range of motion’’; 

iii. Under ‘‘Arthritis, subtalar joint 

(hindfoot):’’, the entry for ‘‘Physical 

examination’’; 

iv. Under ‘‘Arthritis, talonavicular 

joint (hindfoot):’’, the entry for 

‘‘Physical examination’’; 

v. Under ‘‘Arthritis, ankle:’’, the entry 

for ‘‘Physical examination’’; 

vi. Under ‘‘Hindfoot fracture:’’, both 

entries for ‘‘Physical examination’’; 

i. Under ‘‘Body Part: Ankle and Foot, 

Job Title: Sales Representative’’: 

i. Under ‘‘Arthritis, ankle:’’, the entry 

for ‘‘Physical examination’’; 

ii. Under ‘‘Hindfoot fracture:’’, both 

entries for ‘‘Physical examination’’. 

[FR Doc. 2023–19567 Filed 9–7–23; 8:45 am] 

BILLING CODE 0099–10–P 

DEPARTMENT OF THE TREASURY 

Office of Foreign Assets Control 

31 CFR Part 587 

Publication of Russian Harmful 

Foreign Activities Sanctions 

Regulations Web General License 13F 

AGENCY: Office of Foreign Assets 

Control, Treasury. 

ACTION: Publication of a web general 

license. 

SUMMARY: The Department of the 

Treasury’s Office of Foreign Assets 

Control (OFAC) is publishing one 

general license (GL) issued pursuant to 

the Russian Harmful Foreign Activities 

Sanctions Regulations: GL 13F, which 

was previously made available on 

OFAC’s website. 

DATES: GL 13F was issued on August 10, 

2023. See SUPPLEMENTARY INFORMATION

for additional relevant dates. 

FOR FURTHER INFORMATION CONTACT: 

OFAC: Assistant Director for Licensing, 

202–622–2480; Assistant Director for 

Regulatory Affairs, 202–622–4855; or 

Assistant Director for Compliance, 202– 

622–2490. 

SUPPLEMENTARY INFORMATION: 

Electronic Availability 

This document and additional 

information concerning OFAC are 

available on OFAC’s website: https://

ofac.treasury.gov. 

Background 

On August 10, 2023, OFAC issued GL 

13F to authorize certain transactions 

otherwise prohibited by the Russian 

Harmful Foreign Activities Sanctions 

Regulations, 31 CFR part 587. GL 13F 

has an expiration date of November 8, 

2023, and was made available on 

OFAC’s website (https://

ofac.treasury.gov) when it was issued. 

The text of this GL is provided below. 

OFFICE OF FOREIGN ASSETS CONTROL 

Russian Harmful Foreign Activities 

Sanctions Regulations 

31 CFR Part 587 

General License No. 13F 

Authorizing Certain Administrative 

Transactions Prohibited by Directive 4 

Under Executive Order 14024 

(a) Except as provided in paragraph (b) of 

this general license, U.S. persons, or entities 

owned or controlled, directly or indirectly, 

by a U.S. person, are authorized to pay taxes, 

fees, or import duties, and purchase or 

receive permits, licenses, registrations, or 

certifications, to the extent such transactions 

are prohibited by Directive 4 under Executive 

Order 14024, Prohibitions Related to 

Transactions Involving the Central Bank of 

the Russian Federation, the National Wealth 

Fund of the Russian Federation, and the 

Ministry of Finance of the Russian 

Federation, provided such transactions are 

ordinarily incident and necessary to the dayto-day operations in the Russian Federation 

of such U.S. persons or entities, through 

12:01 a.m. eastern standard time, November 

8, 2023. 

(b) This general license does not authorize: 

(1) Any debit to an account on the books 

of a U.S. financial institution of the Central 

Bank of the Russian Federation, the National 

Wealth Fund of the Russian Federation, or 

the Ministry of Finance of the Russian 

Federation; or 

(2) Any transactions otherwise prohibited 

by the Russian Harmful Foreign Activities 

Sanctions Regulations, 31 CFR part 587 

(RuHSR), including transactions involving 

any person blocked pursuant to the RuHSR, 

unless separately authorized. 

(c) Effective August 10, 2023, General 

License No. 13E, dated May 19, 2023, is 

replaced and superseded in its entirety by 

this General License No. 13F. 

Andrea M. Gacki, 

Director, Office of Foreign Assets Control. 

Dated: August 10, 2023. 

Andrea M. Gacki, 

Director, Office of Foreign Assets Control. 

[FR Doc. 2023–19434 Filed 9–7–23; 8:45 am] 

BILLING CODE 4810–AL–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Coast Guard 

33 CFR Part 165 

[Docket No. USCG–2023–0758] 

Safety Zones in Reentry Sites; 

Jacksonville, Florida 

AGENCY: Coast Guard, DHS. 

ACTION: Notification of enforcement of 

regulation. 

SUMMARY: The Coast Guard is activating 

three safety zones for the National 

Aeronautics and Space Administration 

(NASA) Commercial Crew Program 6 

(Crew-6) mission reentry vehicle 

splashdown, and recovery operations. 

These operations will occur in the U.S. 

Exclusive Economic Zone (EEZ). Our 

regulation for safety zones in reentry 

sites within the Seventh Coast Guard 

District identifies the regulated areas for 

this event. No U.S.-flagged vessel may 

enter the safety zones unless authorized 

by the Captain of the Port Savannah or 

a designated representative. Foreignflagged vessels are encouraged to remain 

outside the safety zones. 

DATES: The regulations in 33 CFR 

165.T07–0806 will be enforced for the 

safety zones identified in the 

SUPPLEMENTARY INFORMATION section 

below for the dates and times specified. 

FOR FURTHER INFORMATION CONTACT: If 

you have questions about this 

notification of enforcement, call or 

email Lieutenant Junior Grade Anthony 

Harris, Marine Safety Unit Savannah, 

Waterways Division, U.S. Coast Guard; 

telephone 912–210–8714, email at 

Anthony.E.Harris@uscg.mil. 

SUPPLEMENTARY INFORMATION: With this 

document, the Coast Guard Captain of 

the Port (COTP) Savannah is activating 

a portion of the safety zone as listed in 

33 CFR 165.T07–0806(a)(1), and the 

safety zones listed in (a)(2) and (a)(3) on 

September 4, 2023 through September 

11, 2023, for the National Aeronautics 

and Space Administration (NASA) 

Commercial Crew Program 6 (Crew-6) 

mission reentry vehicle splashdown, 

and the associated recovery operations 

in the U.S. EEZ. These safety zones are 

located within the COTP Savannah Area 

of Responsibility (AOR) offshore of 


lotter on DSK11XQN23PROD with RULES1