Hi,
The different types of approaches that you are seeing in the PROC page of the GPS represent the different approaches available at each airport.
There are 2 types of approaches' Non-precision approaches and Precision Approaches.
Precision Approaches are generally ILS approaches, where you'll be aware that the Localizer and Glideslope are used to provide the pilot with a precise path (laterally and vertically) on which to shoot the approach.
Non-Precision approaches are VOR, NDB, GPS and 'Visual Approaches'
(It get's confusing here as many pilots can be cleared for a 'visual' approach but may still use an ILS, if it is available on the Runway that they've been cleared on).
Generally, airports will have their ILS (if available) on the runway that from a Landing perspective runs into the wind. Aircraft land better when flying into the wind, so if an airport only has 1 x ILS, it is likely that they've put it on the runway that most often runs in to the wind....
Of course big airports may well have ILS on numerous, or even all runways.
So you could say that from an IFR perspective, the ILS would be "first choice"....
However, it may not always be the case that an ILS is available, or in some cases the opposite runway may be in use for landing, where no ILS is available.
In these cases a non-precision approach may be given by ATC.... It may be that there is a VOR station 12 miles out from the non-ILS runway and the approach charts for that airport and runway will give the instructions on how to use this VOR to get alligned ...... they may instruct something like..... Fly to TNT VOR then leave on the Outbound 090 radial... and in this case the Runway will be aligned with the 090 heading (radial) from that VOR..... The pilot would still need to manage their own descent down to the runway threshold on this type of the approach but the nav-aid that is used in the VOR .... so this type of approach could be called the "VOR Runway 09 Approach".
If that VOR wasn't there..... but an NDB was, then this could be an NDB Approach, whereby the instructions could be "Fly to NKL NDB and take heading 090 to the runway".
Taking a Heading from a NDB is less accurate than taking a Radial from a VOR ..... so this is even less of a precision approach.
GPS Approaches are newer and make use of GPS reference points (or "Fixes") to show the path to the runway... These are very different to ILS, VOR or NDB Approaches as their is NO ground based radio aid involved. Just a fictitious point in space that has been referenced on GPS.... GPS Approaches can be very accurate and are used a lot more in the US than they are in Europe.
Under ICAO, FAA and CAA regulations, GPS Approaches are still "non-precision" approaches but advances in technology lead many to believe that they represent the future for aircraft navigation.
SO ............................
The PROC page on the FS GPS panel is showing the different types of approches available for the given runways at an airport.
Many will look exactly the same on the GPS Map ..... as the intended flight path to the runway is indeed the same .... regardless of the tools used to get there.
So why do published VOR and NDB Approaches exist for Runways that already have an ILS ?
Generally in case of aircraft or ground based failures of the ILS systems... in the event of these an alternate method of approach can be adopted using the published VOR or NDB options.
Hope this helps