Just got mine a few weeks ago. They'll ask about why you want it, ensure you won't be traveling with commercial or promotional goods, etc. They don't do the video much anymore because there is so much demand.
Nexus card holders are now able to use the US global entry system, the new TSA pre check allowing you to skip security lines and leave your shoes on etc. You can also skip domestic security lines in Canada.
I went to pittsburgh last week and the computers were down at YYC. It took my friend an hour to get through customs. I was through immigration and security in 7 minutes. Worth every cent.
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