If that is the latest ICAO reference, Inboard, then ICAO are well out of step with reality (surprise?) since their wording makes no allowance for a 'missing' OM whereas for decades (certainly CAP371 onwards) UK and Euro regs have.
You don't tell us what your 'interest' is in this, but if it is as a pilot or procedure designer, I suggest you put that bit of Annex 6 on a high top shelf and just do what we all do regarding 'approach bans'
Edit: Incidentally I note 4.4.1.2. is equally inadequate. After all, how many Precision Approaches have an 'OM fix'?