All of the above :)
Normal attack plans consist op. b6 -> Ba6 and Nc6 -> Na5 followed up with moves like Rc8 etc
1) However this is a SLOW plan and you cannot implement this in one go as a decent white player will blow you off the board and white has several ways to counter the plan. However in countering your plan he is not able to put his pieces in optimal positions allowing you equalize
2) Also note that before you can succesfully attack the pawn on c4 you have to put your knight temporarly out of play on a5 meaning that white as a qualitative piece advantage. If white plays well your knight can be out of play for a long time and you will lose.
In the Nimzo-Indian (and some other related systems) black is giving up a bishop for a knight and doubles the white c-pawns in return. Nimzo game guides often state that this double pawn is becoming a target later on.
But how exactly would one attack it ? What are the general strategies hiere and typical manoeuvers(apart from concrete variations) ? Should it be attacked with a knight ? Or blockaded and attacked in the endgame ? Or should one try to open the c-file and attack it with a rook ?