Pretty much all YOuTube sparks in America and Canada refer to that cable as ROMEX , which I believe is a brand name. It is much harder than pvc twin and earth , it is much more like our LSF cable. Yes the NM stands for Non Metalic.
It comes in a wide variety of gauges much like our twin and earth does where the line and neutral come sheathed and with a bare copper earth / cpc / ground wire.
Yes it is always flat with The main difference being they have a White for Neutral and Black/Very dark grey for Live.
Also from what I can tell you are not allowed to wire Romex surface mounted , it must either be in the fabric of the building Or run in a conduit.
This guy waffles a fair bit and even muddles up his colours but he explains the different sizes , and colours of Romex common in his area