Welcome to Mac-Forums..
That's Interface Builder (IB) that helps in layout of buttons and other "views" within iOS. It doesn't allow you to "develop" application, just helps in the layout..
Depending on the version of you Xcode you are using, it's either a separate application or built in. Either way, create a new project and then double-click on the MainWindow.xib file that gets created for you and IB will start up. Now from the library there you can drag the various controls..labels, buttons, and various views and put them on the simulated screen that will appear proportional to whether you chose to develop an iPhone or iPad application.
Once this is done, you use IBaction/IBoutlets to get and set information from these various views.
If any of this zipped by a little quickly over your head, you might want take a look at the numerous iOS development books out there which will lay this out for you..
In the end, you still need to write actual Objective-C code to make your application do anything of value..