Devices and methods of providing symmetric UL and DL ACK/NACKs is generally described. UL ACK/NACKs of different UEs are multiplexed and received by a UE with a PUSCH. The receiving UE in response transmits the DL ACK/NACK. The ACK/NACK may be transmitted in a localized or distributed manner among subbands that may be adjacent or each may have blocks separated by blocks of a different subband. The ACK and NACK may use independent resources or the NACK may not be transmitted on the single ACK/NACK resource, the lack of an ACK serving as a NACK. The ACK/NACK may be transmitted using a beamforming weight shaped by the received PUSCH/PDSCH. The ACK/NACK symbol may be located in the first symbol, adjacent to the PUSCH/PDSCH, or at the end of a TTI. If adjacent, the UL grant or UL assignment may indicate whether the ACK/NACK resource is used by the PUSCH/PDSCH.