Contact your local electrical inspector to be sure but I would say the answer is no.
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No, you can feed it with a 2 wire Romex + ground. It depends on what is mounted on the ceiling. If it is just a light all you need is 2 wire + ground Romex. However if it is a fan/light and you want to control each one independant of the other you will need to use 3 wire Romex + ground. This is of course if you have 2 seperate switches. You would then connect the red wire to the blue light wire and the black wire to the black fan wire. If you use 2 wire Romex just connect the blue and black fan/light wire to the black wire in the ceiling box.
Some older wire does not have a ground. All you can do in that case is use a jumper wire to connect the ground to the neutral.
Use 6/3 Romex protected by a 60A breaker. You'll never miss the other 10A.
Depends on the state you live in and the local regulations.
In Westchester County, New York, the use of Romex cable (NM cable) is generally permitted for residential wiring, provided it complies with the National Electrical Code (NEC) and local amendments. However, specific applications, such as in certain commercial or multifamily buildings, may have restrictions. It's essential to check with local building codes and regulations or consult a licensed electrician for guidance on compliance. Always ensure that any electrical work meets safety standards.