From the updated N JO 7110.615 to be released June 3, 2013:
In some cases, the name of the approach, as published, is used to identify the approach, even though a component of the approach aid, other than the localizer on an ILS is inoperative. Where more than one procedure to the same runway is published on a single chart, each must adhere to all final approach guidance contained on that chart, even though each procedure will be treated as a separate entity when authorized by ATC. The use of alphabetical identifiers in the approach name with a letter from the end of the alphabet; for example, X, Y, Z, such as “HI TACAN Z Rwy 6L or HI TACAN Y Rwy 6L,” or “RNAV (GPS) Z Rwy 04 or RNAV (GPS) Y Rwy 04,” denotes multiple straight-in approaches to the same runway that use the same approach aid. Alphabetical suffixes with a letter from the beginning of the alphabet; for example, A, B, C, denote a procedure that does not meet the criteria for straight-in landing minimums authorization.