The VA is releasing a third, targeted RFI for the FY26 Electro-Therapeutic Modalities for Pain Management (ETMPM) and TENS recompete, requesting Country-of-Origin (COO) data for every CLIN-level device and SLIN-level accessory to finalize solicitation requirements. This national, multi-year procurement covers five device categories and 20+ accessory categories, with distribution across 168 VA Medical Centers and over 1,000 outpatient clinics nationwide. The RFI closes gaps from prior responses where COO data was inconsistent or missing, ensuring compliance with the Buy American Act and Trade Agreements Act under a tiered set-aside evaluation. Evaluation will use LPTA for TENS/IFC/SWD CLINs